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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Pressure In Tibia After An Injury

Hi, I hit my tibia very hard a week ago. I rested the day after ran couple of days after I fell. Now one week later I feel the pressure and still a little bump. It hurts at night also. I did put ice on it right after I has de accident and I have been putting anti flammatory cream. And have taken some advil. What do you recommend and how long can it last?
Sat, 9 Nov 2019
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General Surgeon 's  Response
Hi,

Noted your short history about an accident that caused small bump on tibia, persistent pain and so on.
The small bump means there is collection of blood or edema under the periosteal layer of bone. Since the periosteum is attached to the bone its separation can cause severe pain and till it is absorbed the pain will continue.
Hence in such a case the role of an anti-inflammatory with painkiller like Ibuprofen is very important and may need to take fora long time. So a PPI like Omeprazole is also taken to avoid the gastric irritation.
Rest is important for the healing to occur, movements will delay absorption of blood or fluid thereby delaying the pain.
Get an X-ray of the tibia in two views to see if there is any hairline fracture.
Consult an Orthopedic Surgeon to have proper evaluation and management as per the cause found.
Icing may not help in late stages, hot fomentation can.
It take time for such injury to settle so have patience too.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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Suggest Treatment For Pain And Pressure In Tibia After An Injury

Hi, Noted your short history about an accident that caused small bump on tibia, persistent pain and so on. The small bump means there is collection of blood or edema under the periosteal layer of bone. Since the periosteum is attached to the bone its separation can cause severe pain and till it is absorbed the pain will continue. Hence in such a case the role of an anti-inflammatory with painkiller like Ibuprofen is very important and may need to take fora long time. So a PPI like Omeprazole is also taken to avoid the gastric irritation. Rest is important for the healing to occur, movements will delay absorption of blood or fluid thereby delaying the pain. Get an X-ray of the tibia in two views to see if there is any hairline fracture. Consult an Orthopedic Surgeon to have proper evaluation and management as per the cause found. Icing may not help in late stages, hot fomentation can. It take time for such injury to settle so have patience too. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon