Tissue Trauma

Recently I took a bad fall 15 feet plus, I have had treatment for my major injuries (Shoulder Replacement Surgery etc).  However my left leg was not broken but received a major impact from the chairs that I landed on.  The area has a dent in the tissue (front part of leg) and the tissue is numb as well very hard.  The area has also been hot since my fall.   It has been 10 weeks and I was hoping it would just heal on it's own.  Is there anything to be concerned about?  Does this type of tissue or nerve damage just take time to heal?  I have been so foused on the recover of my shoulder that I have not been to a doctor about the leg.

[Kevin Pho, MD]

There are a variety of complications the stem from trauma.  First of all, there is an increased risk for a blood clot (known as a deep venous thrombosis).  This can present in an area of hardness - sometimes described as a "cord" on the back of the leg.  An ultrasound can be done to evaluate this.  

If the area is hot, the an infection of the skin is a possibility.  If this is the case, then antibiotics should be considered.

If those two diseases have been ruled out, the certainly scar tissue can present as hardened skin.  

In any case, I would suggest having a physician evaluate the area because of the possibility of a blood clot or infection.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.