Question on 10/20/12 my 10 yr old daughter was standing on the toilet seat cover when it slipped off and she came barreling down and landed full force on her shin hitting the edge of the toilet. With in seconds it was swollen. A trip to urgent care showed nothing was broken. She was given crutches becasue she could not put any weight on it. We treated it with cold packs and elevation. A week later we saw her Dr. because she was still unable to put any weigth on it. A 2nd x-ray showed not fracture. Week 2 another visit to the Dr. - Leg was still a bit swollen but looking better even though it still hurt a lot and she could not walk on it. Week three still on crutches and in pain. Finally on 11/16/12 she startes limping on injured leg using her toes and is in pain. Can only stand/walk for about 20 min and has pain. Today it's been a month since her injury and I am worried that she has not completely healed. Should I be insisting she see a specialist? I have her ice her leg and keep it elevated (even in school). I rub her leg at night even though it still hurts when I touch it. I can feel large lumps under the skin. What should I do?
Answer As always, the advice on here should be taken as advice given without being able to actually see your diagnostic tests and seeing the patient.
Thank you for your question. There are a couple things I can think of that this could be. 1. there is a small subtle fracture that isn't being caught on xray. 2. a bad bone bruise (bone contusion) 3. soft tissue contusion.
IN all three cases, rest is key but if there is a fracture sometimes we put people in boots to immoblilize or cast them. If you have a bad bone bruise I also put you in a boot to take pressure off the bone as the bone is weakened a bit and is more suseptible to injury.
I wouldn't worry about the large lumps under the skin as they aren't a sign of anything but may be a sign of collection of fluid. What kind of doctors have you seen. What part of the country or world are you in that I may be able to recommend a physician for you.
Sports Medicine. foot injuries, ankle injuries, knee injuries, injections, PRP (platelet rich plasma) injections, shoulder problems, back pain, neck pain, concussions, hip pain, elbow pain, hand/wrist problems.
Marathoners, triathletes, football, everyday home injuries, general orthopedics, generalized pain
I have been a Sports Medicine Physician since 2006. I did my fellowship at UConn and worked in a big ortho group for 2 years and the last 3 plus years have owned my own Sports Medicine Practice.
I have trained in Chicago, Pittsburgh, Houston, Dallas, LA, Connecticut, Australia.
Organizations AMSSM, AAFP, ACSM
Education/Credentials Primary Care Sports Medicine Fellowship, University of Connecticut Hartford, CT
Family Practice Residency, University of Pittsburgh Medical Center Pittsburgh, PA
Medical Doctor, The Chicago Medical School, Finch University Health Sciences Chicago, IL
Bachelor of Science, Computer Science, Illinois Institute of Technology Chicago, IL
Awards and Honors Graduated with High Honours
Resident Advisor Awards for best community program and advisor of the year
Stryker Awards for Community Service
Past/Present Clients As a physician it is against the law to give names of patients. They run from everyday kids to competitive athletes, olympians, pro players, college players and HS.