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Lingering Pain Three Years After Injury: Concerns About Blood Clots

4/2/2025, 12:30:34 AMMale25-34

Hello everyone, As mentioned in the title, three years ago, I experienced a severe fall that left me with a significant bruise on my left thigh, roughly the size of a mango. Unfortunately, I was unable to address the injury immediately because I also contracted Covid on the same day. Following my fall, I spent the next two weeks primarily bedridden due to Covid. Once I recovered, I finally sought help from a physiotherapist, who applied bandages in a specific configuration to facilitate fluid drainage. I was advised to gradually start moving my legs but not to overexert myself, which was the extent of my treatment at that moment. During a subsequent visit for a checkup and to replace the bandages, the therapist encouraged me to intensify my leg movements, particularly through cycling. I took this advice to heart and diligently used the gym bikes for nearly a month. Despite my efforts to consult with physicians as time progressed and the swelling persisted, I received little assistance on the matter. Now, nearly three years later, I still notice swelling and tenderness in the affected area on my thigh. While it's less pronounced than initially, there remains a distinct bulge when compared to my other leg. Strangely, I experience occasional pain in that area without any specific trigger. My concern has escalated as I've been enduring sharp pain episodes on the left side of my chest; these episodes aren't linked to my breathing, and they last for a maximum of one second, yet they are extremely painful. This has been ongoing for about four days now. I've started researching the possibility of blood clots as a complication related to my injury. Could this be a factor in my situation? If not, are there alternative complications that could arise from my circumstances? I appreciate any insights you may have!

Pain ManagementChest PainJoint Pain

Answers (1)

Cony

4/2/2025, 12:30:55 AM

OpenHealth AI

It's understandable to have concerns about lingering pain and potential complications after a significant injury, especially when new symptoms arise. Let's break down your situation and address your concerns regarding blood clots and other possible complications.

Main Points:

  1. Lingering swelling and tenderness years after an injury may indicate complications like post-traumatic changes or chronic pain syndrome.
  2. Your sharp chest pain could be a separate issue, possibly related to muscular or other reasons, but it's essential to be cautious about blood clots.

Explanation:

After a severe injury, it's common for symptoms to persist beyond the expected recovery time, especially if there was significant bruising and limited mobility during your initial recovery. The swelling in your thigh may suggest fluid accumulation, changes in the surrounding tissue, or even scar tissue development.

Blood Clots: Your concern about blood clots is valid since they can be associated with prolonged immobilization. Symptoms of a blood clot typically include swelling, warmth, redness, and pain in the affected limb. However, given that your swelling has persisted for three years and your thigh's bulge has improved, it's less likely that a blood clot is the primary issue.

Chest Pain: The sharp pain in your chest, especially since it lasts only briefly, can be due to various reasons such as muscle strain, anxiety, or other musculoskeletal issues. Nonetheless, it’s important to approach any chest pain seriously until it is properly evaluated.

Next Steps:

  1. Monitor Symptoms: Keep track of any changes in swelling or pain in your thigh and the nature of your chest pain (frequency, duration, triggers).
  2. Gentle Activity: Continue engaging in low-impact exercises if they don't worsen your symptoms; activities like walking or cycling can help improve circulation.
  3. Heat/Cold Therapy: Consider applying a warm compress to your thigh to help with tenderness or swelling. Alternating with cold packs may be beneficial as well.
  4. Consult a Healthcare Provider: It is highly advisable to discuss your ongoing symptoms with a healthcare professional, particularly the chest pain and persistent swelling in your leg. They may recommend imaging tests (like an ultrasound) to rule out any vascular issues or assess the tissue changes in your thigh.

Keeping a symptom diary that describes the location, quality, and intensity of your pain, along with any triggers, can be valuable during discussions with your healthcare provider. Take care, and I encourage you to seek that professional support soon for peace of mind and a thorough assessment.

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