Case:The person was bathing ...n suddenly sleeps due to slippery surface ,he got bledding below the area of knee joint and also there is swelling and pain felt by him also there is deposition of blood near the area ..as normal indivdiual he uses povidine iodine ointment .. But the pain after sometime increases ..what could be the reasons behind it ?and what are the treatments he should use to get relief from pain?
Have you done Xray.. to confirm bone was not fractured..! if is good with no swelling at local area.. the treatment follows: Tab. Chymoral Forte BD Tab. Ultracet BD oint. Megaheal for open wound. Hematoma is there.. then go for ice therapy..!
Ok, there was no fractured... In bones, so you know Hijama best for pain, swelling. Or you can do wax bath. It's both tadbeer
Check for clotting time and bleeding time if it is abnormal most likely hemarthrosis / bleeding into joint cavity .And start woth history whether the patient has previous h/o trauma and bledding that did not halt. Treatment depends on duration chronic and presents with deformity go woth repair and if acute - limb elevation, pain killers can be given along with draining the blood in the cavity
NSAIDS like paracetamol , ibuprofen can be given but contraindicated with iodine , they can reduce the pain (analgesic) swelling (anti inflammatory) and even clotting of the blood.
Piodine (ointment) should be used for blood clotting. And relieve him with pain killer but be pretty sure that he does not get addicted!
