Medical help wanted for blood clotting in leg

[piyali123]

Dear Sir/Mam

My mother met a severe accident on 7th April 2008 and her left leg was crushed against the auto on the road and there is swelling is the leg in the calf portion. I consulted the doctor here and he said its a case of muscle crushing and advised her to keep her leg in elevated position maximum time of the day but it has been almost a  month now and swelling has not reduced yet. When she keeps her leg in elevated position then the swelling reduces but if she sits down and puts her leg down for just 5-10 mins then immediately the swelling regains back the same form.One side of the leg has blackish color skin till the feet.I want to know is this anything dangerous? Kindly help me if I should go for some other treatments because the swelling has not reduced yet.. it reduces that much time till she keeps her leg elevated but after that its tight and swollen.. if i press her swollen leg then its stays pressed for some time .. that is because of the blood clotting perhaps .. Kindly give me suggestions. I will mail you the picture of the leg if necessary.

Thanks

Yours sincerely

Piyali

[DrNavneetMD]

Hello Dear,

It seems that if DVT is ruled out then probably then it might be superficial thrombophelibitis that is inflammation of veins and surrounding tissue.
Does she have fever also?
Is she on antibiotics?
Any other associated symptoms?
Discuss this with the treating doctor.

Best

[DrNavneetMD]

Hello Dear,

I can understand your problem well.
The discoloration and swelling might be due to thrombosis.
It can cause permanent damage to the leg, known as post-thrombotic syndrome.
Significant number of patients develop pooling of blood due to permanent irreversible damage in the affected leg veins and their valves.
This results in chronic leg pain, fatigue, swelling, and, in extreme cases, severe skin ulcers. Blood thinners (anti coagulants), clot removal via interventional catheter-directed thrombolysis in selected cases can improve quality of life and prevent the debilitating sequela of post-thrombotic syndrome.

Consult your orthopedician for the further course of action.
Best.