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What Causes Pain And Swelling On Forearm Post Injection?
Question: Missed meth/ice shot in top of forearm a week ago. Full shot went into muscle I think. Painful large firm swelling. No bruising , put hot compress on which lowered swelling but widened it. Now still swelling there but less. tightness over whole top of forearm & muscle creaky to touch. What do I do?
Brief Answer:
explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
First and foremost, compartment syndrome must be ruled out via a physical exam. I would advise you to go to the E.R to see for pain on passive extension and flexion of the digits.
An ultrasound of the upper limb to see for adequate blood flow should also be done. An X ray to detect any foreign body or bone disruption should be done. If inflammation or hematoma formation is increasing rapidly , corticosteroids may be injected locally into the area of swelling and inflammation. Antibiotics and drainage would be indicated if an abscess is suspected and subsequently confirmed by MRI.
You may take gabapentin and ibuprofen for the associated pain and tightness, a muscle relaxant may also be added eg tizanidine. Injection neuropathy should also be ruled out and would require a physical exam.
Let me know if you have any query
wishing you best of health
explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
First and foremost, compartment syndrome must be ruled out via a physical exam. I would advise you to go to the E.R to see for pain on passive extension and flexion of the digits.
An ultrasound of the upper limb to see for adequate blood flow should also be done. An X ray to detect any foreign body or bone disruption should be done. If inflammation or hematoma formation is increasing rapidly , corticosteroids may be injected locally into the area of swelling and inflammation. Antibiotics and drainage would be indicated if an abscess is suspected and subsequently confirmed by MRI.
You may take gabapentin and ibuprofen for the associated pain and tightness, a muscle relaxant may also be added eg tizanidine. Injection neuropathy should also be ruled out and would require a physical exam.
Let me know if you have any query
wishing you best of health
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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