Hello,
As per my clinical experience, the painful lump on the ankle after injury indicates
hematoma most likely. My guidelines at present:
- Local application of
heating pad 5 minutes each 3 times a day
- Keep the leg elevated over support of 3-4 pillows
- Avoid weight baring till possible
- Prescription of antibiotics as
cephalosporin (500 mg) or others anti-inflammatory medicines as
Diclofenac, proteolytic enzymes such as serratiopeptidase
- Control of blood sugar
Some number of cases who do not respond to medical conservative therapy do require
incision and drainage (minor surgery) procedure on day care basis.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon