Conversation: The conversation between human and AI assistant.
[|Human|] I had a RTA 10 yrs ago in which one the injuries I sustained was closed internal degloving injury to my right thigh, I was operated on successfully and had no further problems. 10 weeks ago however, I sustained a serious fall to my right knee, upon investigations I had a suspected MCL sprain. MRI and X-ray results showed dramatic subcutaneous edema throughout knee joint and popliteal fossa and muscle belly, no fractures or tears visible. 4 weeks ago and literally overnight I developed enormous free swelling that moves with gravity on my right thigh, accompanied by acute numbness and severe pain at the sight of the original scar. I also have severe pain witChatDoctorpression to the thigh and am unable to bear lying on my side. I have been tested on ultrasound both for DVT and a pelvic/ abdominal, blood tests, X-rays, all clear. Could the degloving occur again as a result of the recent leg trauma? And if yes, which is the best imaging to find the problem? I am a heavy person, but I know there s something wrong with my thigh - it is 9cm larger than the left despite having tried all avenues to reduce swelling, and has been ongoing for a month. Any advice please. Regard Mrs Mir
[|AI|]  Hello, I have gone through history, and I am sorry to hear about what and all you have gone through. I will ask you a few questions - are you diabetic or have any signs of High blood pressure? If not checked please check it once. As you mentioned you are heavily built and also having injuries to the ligaments of the knee this must be a disturbance occurred to the normal vasculature due to fall. As the whole body weight might have gone through it. You need to allow the healing process to occur as there will be microvascular trauma to the small capillaries. If you aren't diabetic I would ask you for quick icing technique as it will create a stimulation to cold effect to the sensory system leading to the closure of the capillaries. Which may help to reduce the swelling and pain. Also, you can request the physician about the medicinal ointment for the healing as brand name varies from country to country I would not be able to guess which is available in your country. Besides, try keeping the limb over the pillow and immobilized, so the healing of capillaries takes place. For you ligament injury you need to check with the orthopedist as, if it has gone to full tear then you should be following the guidance of the orthopedist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.