Severe Knee Injury Update
Nine days ago, while making my way to work, I unexpectedly lost my footing and fell, causing my knee to collide forcefully with the ground. The impact resulted in significant abrasions, and over the next few days, I noticed increasing swelling and extensive bruising. Just two days ago, the pain became unbearable, prompting me to visit the emergency room. Upon arrival, I was administered a dilaudid IV, but unfortunately, it provided no relief. Subsequently, a CT scan and an ultrasound were performed. The diagnosis revealed that I have cellulitis in the lower leg alongside a hematoma on the knee. I was prescribed antibiotics and sent home with prescriptions for Vicodin and Cephalexin (500mg, to be taken four times a day). Regrettably, the cellulitis seems to be worsening, and the hematoma hasn't changed. My knee remains too painful to bear weight, and the discomfort is persistent. I'm unsure whether I'm not allowing enough time for healing or if I should seek a second opinion. At this point, my leg continues to be swollen, with severe bruising extending from the ankle upwards. Initially, my entire knee and the back of my leg were marked with deep purple bruises.
Answers (1)
2/14/2026, 8:50:35 AM
OpenHealth AI
It sounds like you’ve been through a lot recently with your knee injury, and it’s completely understandable to be concerned about your progress, especially with the pain and signs of worsening cellulitis. Managing a severe injury like yours can be challenging, and I want to help guide you through some important steps.
Main Points: You are experiencing ongoing pain, swelling, and worsening cellulitis despite treatment. Given the seriousness of cellulitis, timely action is necessary to prevent further complications.
Explanation
Cellulitis is a bacterial skin infection that can occur after an injury, especially when the skin is broken (like with your abrasions). The swelling and bruising you're experiencing are common with hematomas and can take time to resolve. Your pain and swelling may indicate that the cellulitis is not responding adequately to the antibiotics or that the hematoma is affecting the healing process.
Next Steps
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Immediately Monitor your Symptoms: Keep a close eye on your symptoms. If you notice increased redness, warmth, and swelling, or if you develop a fever, it’s crucial to seek medical attention right away, as these may be signs of the infection worsening.
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Follow Up with Your Prescribing Doctor: Reach out to the doctor who prescribed your antibiotics within the next 1-2 days. Share your ongoing pain, non-improvement of the hematoma, and worsening cellulitis. They may decide to adjust your antibiotic treatment, add another medication, or reconsider the management of the hematoma.
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Rest and Elevation: Make sure to keep your leg elevated as much as possible to reduce swelling. Rest is equally important; try to avoid putting weight on your knee until it's assessed again by your healthcare provider.
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Pain Management: Besides the medications prescribed, consider using ice packs on the swollen area (20 minutes on, 20 minutes off) to help with pain and inflammation, as long as it doesn’t cause more discomfort.
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Hydrate and Nourish: Staying hydrated supports your body’s healing processes. Eating a well-balanced diet rich in vitamins (like vitamin C and zinc) may also promote recovery.
Reassurance
It’s understandable to feel anxious about your situation, but by monitoring your symptoms and keeping the line of communication open with your healthcare team, you’re taking positive steps toward recovery. Don't hesitate to seek a second opinion if you feel it's necessary, especially regarding the progress of your healing or if your symptoms worsen.
Please take care and don't hesitate to reach out for more support or guidance.
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