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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feel The Dent In Tibia Bone. Hurts On Walking And Blue Bruises On Feeling It. Foot And Ankle Started Swelling. Any Medical Advice Required?

should i go to the doctor if my tibia bone has dented a lot? i can feel where the dent has started and where it fineshes... it hurts when i try to walk on my leg and when i try to touch it. Whenever i try to feel where it is i get blue/black bruises. The depth of the dent is from the top of your index finger untill the knuckle under your nail . My mum or dad wont take me to the doctors/hospital because they are saying there is nothing wrong with it. But my leg is x2 the size of my other leg and my foot and ankle has started to swell up aswell. Please help i need to know what is going on! I have broke my wrist twice but this is way more painful
Sat, 23 Jun 2012
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Vascular Surgeon 's  Response
Hello Georgiahart,
I am a vascular surgeon. I deal with similar kind of problems as mentioned by tourself. I think you are having "Chronic Compartment syndrome" which is seen usually in young athletes and caused by jogging as well as excessive cycling. Our muscles of the legs are packed in a tight compartment formed by deep fascia. In some persons when muscles enlarge in size due to work overload/hypertrophy, the pressure within the fascia becomes excessive and you start feeling pain. The dents on your tibia shin are also because of this pressure changes. As you are mentioning bruises, they can be due to venous element associated with your compartments. So you may also have varicose veins which usually needs evaluation by a vascular specialist. To prevent further pain or damage you should reduce leg muscle strenuous work if you are doing it. And compartment syndrome may need fasciotomy in some selected cases if it is troubling too much.
Hope you will be satisfied with the answer.
See you dear.
Regards,
Dr Srujal shah
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Feel The Dent In Tibia Bone. Hurts On Walking And Blue Bruises On Feeling It. Foot And Ankle Started Swelling. Any Medical Advice Required?

Hello Georgiahart, I am a vascular surgeon. I deal with similar kind of problems as mentioned by tourself. I think you are having Chronic Compartment syndrome which is seen usually in young athletes and caused by jogging as well as excessive cycling. Our muscles of the legs are packed in a tight compartment formed by deep fascia. In some persons when muscles enlarge in size due to work overload/hypertrophy, the pressure within the fascia becomes excessive and you start feeling pain. The dents on your tibia shin are also because of this pressure changes. As you are mentioning bruises, they can be due to venous element associated with your compartments. So you may also have varicose veins which usually needs evaluation by a vascular specialist. To prevent further pain or damage you should reduce leg muscle strenuous work if you are doing it. And compartment syndrome may need fasciotomy in some selected cases if it is troubling too much. Hope you will be satisfied with the answer. See you dear. Regards, Dr Srujal shah