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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pitting Edema And Large Indentation In Shin Caused After Injury?

My brother in law was hit with a line drive baseball in the side of his knee almost two weeks ago. Now he has 2+ pitting edema in his foot and a large indentation in the front of his shin. He went to the ER a week ago and they did an ultrasound to check for a blood clot. What would cause the swelling and indentation?
Fri, 23 Apr 2021
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General & Family Physician 's  Response
Hello,

You had injury 2 weeks ago by getting hit by a baseball in the shin. Presently you are experiencing pitting edema and indentation in the front of the shin. Swelling is the result of the increased movement of fluid and white blood cells into the injured area. The release of chemicals and the compression of nerves in the area of injury causes pain. Pitting edema occurs when excess fluid builds up in the body, causing swelling; when pressure is applied to the swollen area, a “pit”, or indentation, will remain.

Cut on salt intake to prevent water retention. Control blood glucose at all cost. You are suggested to get clinically examined by an Orthopedics, get Imaging tests done to detect any internal injury, fracture or ligament / tendon rupture, etc. You will be accordingly treated. You should keep your legs at rest. Keep it on a stool while sitting or on a pillow when on bed.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Causes Pitting Edema And Large Indentation In Shin Caused After Injury?

Hello, You had injury 2 weeks ago by getting hit by a baseball in the shin. Presently you are experiencing pitting edema and indentation in the front of the shin. Swelling is the result of the increased movement of fluid and white blood cells into the injured area. The release of chemicals and the compression of nerves in the area of injury causes pain. Pitting edema occurs when excess fluid builds up in the body, causing swelling; when pressure is applied to the swollen area, a “pit”, or indentation, will remain. Cut on salt intake to prevent water retention. Control blood glucose at all cost. You are suggested to get clinically examined by an Orthopedics, get Imaging tests done to detect any internal injury, fracture or ligament / tendon rupture, etc. You will be accordingly treated. You should keep your legs at rest. Keep it on a stool while sitting or on a pillow when on bed. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician