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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Painful Lump On The Knee

I fell through a deck about 3 weeks ago now and got a lump on the side of my knee I went to the doctor after a week and he said I had an infection and put me on antibiotics also my leg down to my ankle is hard and swollen now almost 2 weeks after seeing the doctor the redness is gone but the lump is still there and my leg is still hard the lump is alittle bigger then an orange and had not gone down at all what should I do
Mon, 30 Nov 2015
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General Surgeon 's  Response
Hi,Dear,Welcome with your query to HCM.
Studied your query in full depth of its details.Reviewed it in context of your health concerns.
Based On the facts, You mostly seem to suffer from-
Hematoma post-traumatic due to fall from deck,which got infected on outside of the knee.
Reccuring swelling after the early recovery indicates the development of chronic abscess with in the fibrosing hematoma outside the side of the knee.
Treatment-
Get the CT / USG done to assess the extent of the hematoma and any accompanied tissue/bone damage.
Antibiotic+Anti-inflmmatory +Chymoral fort to reduce the hardness of the leg and the lump from cellulitis of the tissue down the leg.
Wide bore aspiration if its resolving infection of the hematoma.
If the abscess is there in the hematoma, Incision and drainage of the big orange sized lump outside the knee is needed from Surgeon/ Ortho-Surgeon.
Rest/Elevation would recoup the leg edema fast in 2 weeks time thereafter,a BK -below knee-Post Slab would expedite this early and fast healing.
So do as above with help from your GP doctor and Surgeon or /Ortho-Surgeon.

Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.
Welcome any further query in this regard,which would be replied in next
session.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
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Suggest Treatment For A Painful Lump On The Knee

Hi,Dear,Welcome with your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from- Hematoma post-traumatic due to fall from deck,which got infected on outside of the knee. Reccuring swelling after the early recovery indicates the development of chronic abscess with in the fibrosing hematoma outside the side of the knee. Treatment- Get the CT / USG done to assess the extent of the hematoma and any accompanied tissue/bone damage. Antibiotic+Anti-inflmmatory +Chymoral fort to reduce the hardness of the leg and the lump from cellulitis of the tissue down the leg. Wide bore aspiration if its resolving infection of the hematoma. If the abscess is there in the hematoma, Incision and drainage of the big orange sized lump outside the knee is needed from Surgeon/ Ortho-Surgeon. Rest/Elevation would recoup the leg edema fast in 2 weeks time thereafter,a BK -below knee-Post Slab would expedite this early and fast healing. So do as above with help from your GP doctor and Surgeon or /Ortho-Surgeon. Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery. Welcome any further query in this regard,which would be replied in next session. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist