I can climb stairs bu. Stay off your ankle or leg until you can get to the doctor or until the swelling goes away. Keep the foot elevated to reduce the swelling. An orthopedic boot is a specialty shoe made for patients to wear after foot or ankle surgery. Cold packs. Using warm water will help with circulation while cold water is vital in reducing inflammation and swelling. Swelling is common after an ankle fracture. Compression is an optional, but highly recommended process in expediting the recovery. To make it go down: Prop up the injured part of the body so it’s higher than your heart. Lower back pain. Ice will reduce pain and swelling. About your cast. As with any surgery, you can expect a considerable amount of swelling at the location of the procedure and the surrounding area. He has arthritis very bad and has been taken previcox and tramadol. Here are some do's and don't when it comes to maintenance: Do: Reduce swelling Swelling can make your cast feel tighter and less comfortable. This helps reduce swelling and discomfort. Oral anti-inflammatory medication can help reduce inflammation and pain but please consult. weaken and reduce in size) while in the cast; also any swelling present during the cast application will normally decrease. Resting, applying ice and elevating your leg will help reduce pain during the recovery period. How to prevent or manage swelling. When giving a foot massage during pregnancy, one should use some reflexology, as well as lymphatic, techniques to loosen up the muscles and reduce the swelling that occurs during a soon to be mother's second and third trimesters. Re: QotW - 12. I used a natural product called to quickly reduce swelling around my husband's broken ankle. Here are 10 to try. Best Answer: i had ankle surgery in september and had significant swelling for 3 months. The fact that it might be swelling or feels as though it is swelling as much as it is, were you ever given a back slab cast in the beginning? It's not a full cast but allows your arm to swell, then the back slab is taken off with a full cast put on. A Broken Humerus — Road to Recovery. Controlling postoperative swelling and hastening the removal of surgical edema are two very important challenges in rhinoplasty. Principles to help reduce your pain and discomfort. To reduce swelling, keep the cast above the level of your heart for 24 to 48 hours. Doctors give unbiased, trusted information on the use of Cast for Broken Ankle: Dr. Drink eight to 10 glasses of water daily. If this alleviates it within 20-30 minutes you are likely having "dependent edema". Home Remedies to Reduce Swelling in the Hands & Wrist | Livestrong. A bunion is the result of a foot deformity, states the American Academy of Orthopaedic Surgeons, where one of the big toe's bones protrudes toward the inside. Drink eight to 10 glasses of water daily. Dealing with swelling - You will probably have swelling for a few days after your surgery or injury that may cause your cast/splint to feel tight. Swelling may cause the casted arm or leg to feel snug or tight. Limit your salt intake. Swing the hands in a proper manner to increase blood circulation. cloudy swelling a term formerly used for an early stage of toxic degeneration of protein constituents of organs in infectious diseases, when the tissues appear swollen and opaque but revert to normal when the cause is removed. Keep your hand dry while bathing by wrapping your hand in plastic and securing it with tape. For the first 24 to 72 hours after your child's cast is applied, use pillows to raise the cast above the level of your child's heart. Compression. The use of the Aircast® Dorsal Night Splint together with the AirHeel™ support provides round the clock relief for Plantar Fasciitis. I am still in alot of pain at the break, but I am also very concerned about the swelling of my hand and forearm. You may have broken your toe if it's: red or bruised; painful and swollen ; difficult to walk on. There are things you can do to treat it at home. When you notice your dog's leg is swollen, you should first evaluate the injury to figure out why it is swollen. Unfortunately, swelling is common after surgery. The thickness swelling ratio of OSBs improve when the outer layer of panel of cast polyamidewere especially used at the both 30% and 20%. Your swelling is still getting worse, and it has been 2 days or longer since your surgery. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. The goal of bandaging is to: • help reduce the swelling • help prevent the swelling from getting worse. Do not push down or lean on the cast or brace because it may break. Avoiding bumps and injury. But the good news for me is that I did not sustain major shrinkage. I had fractured my ankle in July this year. Prescription or over-the-counter pain medicines may help reduce pain and swelling. Let us know right away if the cast or walker boot feels too tight. Now 6 days later my wrist is still swollen. Following this three week period, I recommend exercises and two to three weeks of physical therapy to strengthen the ankle and reduce swelling. Your physical therapist will design an exercise plan to begin when the cast is removed to help you strengthen and regain motion in your injured ankle. He says its something about the blood circulation of the hand and arm. Don't scratch under the splint or cast. GETTING USED TO A SPLINT OR CAST Swelling due to your injury may cause pressure in your splint of cast for the first 48 – 72 hours. Take care not to wrap it too tight otherwise, it can even reduce the circulation of your hands. the alternative way on how to reduce throat swelling is to. Avoiding a high sodium diet can help with reducing swelling but I’m not aware of it having any long-term effect on scar tissue. Swelling after a Rhinoplasty. The “boot” is a type of compression wrapping for treating ulcers caused by edema due to venous insufficiency, meaning there is an inadequate return of blood flow from the legs to the heart. Unfortunately, swelling is common after surgery. There is also a tingling sensation in my soles when I tried putting weight on that injured foot. Support the arm with arm sling and use pillows to elevate the lower limb. Apply a cold compact. I've had no problems with it, but now it feels like my arm (particularly my wrist) is swelling and I'm starting to lose feeling in the tips of my fingers. Best sleeping positions for a broken arm. It should also be remembered that this swelling can create a mechanical obstruction to flexion of the knee. Elevate the swollen body part. Elevate the arm to reduce pain and swelling. Stay hydrated by drinking plenty of water, and eat a low-sodium diet. Simplicity of design and ease of operation makes this cold therapy device ideal for post-operative recovery, trauma, athletic training and home use. Ankle swelling - Im wearing comprehension stockings for bilateral ankle swelling that began 3 months ago and only have a varicose vein in the left leg. The initial swelling may disappear after 2 weeks, but that doesn't mean you still don't have any swelling right now. Thank you Dr Takhi. Since putting it back on after the swelling might become impossible. From causes, symptoms and side effects to treatments and diet, this book will help British diabetics understand all types of diabetes and delivers sound advice on staying fit and feeling great. Now that I have removed my plaster after 10 days, I observed there was a bit of swelling near my ankle,no pain. It is common to feel a crunching feeling or sound when trying to bend the elbow. But exercise is ideal for de-puffing the legs and feet. z Elevate your limb at heart level to help reduce pain and swelling. The swelling is there because of the soft. Although many patients say that they experience just a small pain portion, for many people, the swelling, tight, and uncomfortable feeling around the incisions, mouth, […]. Also I made sure, I never removed my shoes. Another easy way to reduce swelling in the hands and fingers is moving the hands properly during walking exercise. Now 6 days later my wrist is still swollen. There are things you can do to treat it at home. Since we are all different, everyone will have a variable response to rhinoplasty. When finished, the surgeon will close the incision with sutures and may apply steri-strips as an added reinforcement. Prop up your wrist on pillows when you sit or lie down in the first few days after the injury. The boot keeps you from moving that part of your body. If the limb is in a cast , this can make the cast feel snug near the injury, causing discomfort and possible pain. Podiatrists can move and hurt at first massage therapy is common types of diets only will you be ecstatic with the herpes. After ankle injuries, range-of-motion activity should start as soon as possible. Shah recommends letting the skin of the nose breathe during the day. Persistant swelling may also be reduced by steroid treatment into the nose. Avoid walking on your injured ankle. Also if you start to notice any functional problems (like chewing, etc) then you should definitely get evaluated. Check if you have a broken toe. If you find daily tasks difficult to do because you suffer from stiffness, swelling, or pain in your hands, the right exercises can help get you back in motion. You don’t have to worry about doing the exercises the right way, because success is built in. This section walks you through some basic steps and explains why they can make a difference. Now 6 days later my wrist is still swollen. However, the side toe is quite irritated, and the foot is still fairly swollen. Pain and swelling after a hip or knee replacement. Too much swelling inside the cast can cause pressure that can harm you. Wiggling your fingers can also reduce swelling and stiffness. ) Join the support group: http://bit. This may be caused by swelling. Broken bone (single fracture) and Swelling. What to do next? 3 incredible steps: 1. This may cause your injured arm or leg to feel snug or tight in the splint or cast. Will I get a choice of cast colors? Yes, but you need to specify which color you would like. How long does it take for swelling to completely go away after breaking an ankle? I broke my ankle in October, had a cast on for 4 weeks, wore a brace for 5 weeks, and my ankle is still swollen more than a month from no longer needing the brace. However if the injury was severely damaged bone etc then swelling may remain the same. I still feel that my nose is huge. The cast does not fully dry out until 36 to 72 hours after application. Take medication. Home remedies for swollen hands Our ancestors probably knew of lots of home remedies for reducing swelling in the hands, whether it was caused by a sports injury, poor circulation, allergies, insect bites. The patient complains of pain, swelling and a limited range of motion. Therapy Once the swelling and pain is lessened enough to resume movement, your doctor will ask you to begin a series of exercises to restore your ankle's range of motion, strength, flexibility and stability. If you have a splint, your doctor will show you how to adjust it to accommodate the swelling. Most people seek this type of nasal surgery to address either aesthetic or functional concerns. It is best to use compression socks because it helps reduce swelling by constraining the fluid to drain away from the applied area which also alleviates pain and. Elevate the limb and apply ice to the cast or splint to help reduce swelling Try to wear loose or stretchy clothing that easily fits over a bulky cast Wear pants of skirts with elastic waistbands so you can easily pull them on. The Road To Recovery: What to Expect. A problematic Achilles tendon can be quite painful and can curtail normal activity involving walking or running. If the reason you have leg swelling is related to an illness, getting rid of water retention caused by edema may be difficult. rebalancemd. Reduced swelling involves the removal of excess fluids and metabolic wastes from an injury site. Broken Foot. Can I tape my nose all the time? Dr. Quercetin is plant flavanoid derived from fruits with anti-oxidant and anti-inflammatory properties. Swelling can cause pressure in your splint or cast, making it feel tighter. You can make small changes to your everyday life to help reduce swelling:Take a short walk every hour. The treatment is immobilization in a cast. Swollen feet can also be a sign of an underlying condition such as heart, kidney, or liver failure. The rhinoplasty splint is meant to hold the nasal bones in place and not to reduce swelling. I am active (I know I need to slow down) I've been using the ace bandage to prevent the sweelling and I'm worried that I am cutting off circulation. Ace bandage) may help limit or reduce swelling. How to prevent or manage swelling. Swelling is common immediately following a broken bone and may worsen while sitting for extended periods. A good method is apply ice for 20 minutes of each hour. this is where your. Blood clots can affect the circulation of blood to other parts of the body. After foot or ankle surgery, it is common to have swelling in your foot. If it does become wet, use a hair dryper on cool. How to reduce leg swelling:. We can also drink 2-3 cups of Ginger Tea as it cleanses the intestine. Will the shape of my nose be the same as that after 2 weeks of cast removal but less swollen? Or will the shape be different?? Is it possible that this is the size of nose I'm getting 3 weeks post op??. Swelling noted behind the knee. I am still in alot of pain at the break, but I am also very concerned about the swelling of my hand and forearm. I have been told swelling can last up to a year! I can't wait until I can truly embrace my bunion free foot I'm far from it right now, but each week does get better and better. If the bandage feels tight you should re-apply it more lightly and elevate the leg to reduce the swelling. This unique method of compression supports the swollen ankle or foot, which helps to reduce swelling. A swollen calf is swelling at the back of the lower leg. it will be a 30 min surgery and a small incision. This will prevent swelling and help the healing process. Wrap the foot in an elastic bandage or wear a compression stocking to prevent further swelling. Hatch Edema Gloves Aid With Compression to Reduce Swelling, Scarring. If a broken bone sticks out from the skin (open fracture), do not try to push it back in. At Brandywine Podiatry, our podiatric services include an initial consultation and diagnosis for foot and ankle conditions including ankle fractures, nail fungus, heel pain, and bunion treatments. A broken toe can be painful, but you do not usually need to go to hospital. Had another x ray and consultant confirmed the bone had healed,but I explained to him that I my ankle keeps swelling and is painful. These casts can be the typical, non-removable fiberglass or the removable variety. Therapists usually suggest specific exercises depending on the condition. Wiggle your fingers or toes on the injured arm or leg, and do it often. The original wounded area seems fine, slightly pink but no puss, no funny smell, etc. Your doctor will be able to recommend medication, exercise or therapy to resolve the swelling. What to Expect When Your Cast Comes Off. It is normal for your muscles to atrophy (i. Surgeons frequently place an external splint on the exterior of the nose after surgery. • You may have stiffness of the joints with aching and discomfort. Because the running water is gently massaging the area at a constant temperature, it won't be warmed up by the body as cold or ice packs would. You may need to reduce swelling before a tight cast can be applied to your wrist. Here are some tips on healing a broken toe, from the team at Entire Podiatry: Use ice to reduce pain, inflammation and swelling as soon as possible after sustaining a toe injury. This stands for rest, ice, compression and elevation, and you should do each of these things in that order. Ice should be used for about 15 minutes at a time and then removed. The nose and surrounding area swell due to surgical dissection. The studies concluded that this enzyme was comparable to or even more effective than NSAID painkiller drugs for managing the pain of osteoarthritis. laying down with it propped up on pillows. An elastic bandage may be wrapped around the ankle to help reduce swelling. Apply ice or cold packs immediately to prevent or minimize swelling. You should keep the cast above your heart, which may mean reclining in the event that the injury is to a leg. Swelling after bunion surgery often lasts for nine to 12 months, according to MedlinePlus. or have excess movement. Keep splint or cast dry. Try to keep it above the level of your heart. Elevation and icing help reduce pain and swelling and should be strongly encouraged. Nighttime Bandaging to Reduce Lymphedema Swelling: A Clinical Pre–Post Study. I broke my left humerus 2 1/2 weeks ago. Rhinoplasty, which is surgery that changes the shape of the nose, is different for every person. Unfortunately, swelling is common after surgery. Since the broken nasal bones have mostly set well after a week, we usually remove the cast at that time. Explanations If the mould and the core are insufﬁciently rigid, the mould cavity is expanded by metallostatic pressure. Dressings have many functions including keeping wounds clean, holding tissues in alignment, and controlling post operative swelling (edema). " UV light treatment on nose to reduce swelling I was looking at Dr. Here are 10 to try. Prepare Yourself Hard For The Broken Ankle Recovery Swelling The ankle swelling pain is one of the hardest parts of every broken ankle recovery program. Read More. CAST / SPLINT / PACKING. Victoria BC V8Z 0B9 • tel 250 940 4444 • fax 250 385 9600 Page 1 April 2015 v1/S. One of the best methods to ice down your cast is to use bags of frozen vegetables. A cast may be necessary, and a doctor can advise you on how best to manage swelling and pain according to your personal medical history and needs. Some of the most common suggestions for reducing swelling can be remembered in the acronym R. Some people even find that the swelling will recur in that foot after they have had a break. At this time, custom moulded shoes with appropriate insoles are indicated; this stage usually takes four to six months. Had another x ray and consultant confirmed the bone had healed,but I explained to him that I my ankle keeps swelling and is painful. • You may swell and ache after using your arm or leg. So you’re getting your cast removed soon — and you probably can’t wait to get back to life as normal. weaken and reduce in size) while in the cast; also any swelling present during the cast application will normally decrease. Applying an ice pack early and often for the first 48 hours will help minimize swelling, and decreasing swelling around an injury will help to control the pain. And if your surgeon needs to surgically fracture the nasal bones as part of your procedure, you can expect additional swelling. This is a condition that is normally found in just adults. Often, the swelling can trigger a fair amount of pain and discomfort. The thickness swelling ratio of OSBs improve when the outer layer of panel of cast polyamidewere especially used at the both 30% and 20%. If your broken bone requires a cast, your doctor will likely wait until the swelling goes down, usually five to seven days after injury. The results showed that the values of thickness swellingdecrease by using cast polyamide. Health Tip: Limit Swelling While Wearing a Cast (HealthDay News) -- It's natural for a broken limb to swell just after the injury. When can I get the wound wet?. So, here is a list of exercises to reduce leg swelling. Yes, the majority of the swelling is gone after about 15 minutes of walking, but I'd love to do something to prevent some of that inflamation. Here are some do’s and don’t when it comes to maintenance: Do: Reduce swelling Swelling can make your cast feel tighter and less comfortable. The doctor will recommend either, a non-removable cast, or removable walking cast – depending on the inherent stability and risk level of the fracture. If you have a recliner, you can try sleeping there. In order for water to freeze, its temperature needs to reduce below 32 degrees F. I've had a cast that reaches almost to my elbow on for 3 1/2 weeks. You can apply compression with static bandages, elastic bandages, or cold and compression devices. Swollen fingers may result from an injury or from edema, a common medical condition that causes excess fluid to be stored in various locations of the body, including the hands, feet, ankles and legs. Swelling will decrease during this time, and the ankle should emerge feeling less painful and more relaxed. Last week he could hardly walk but he responded to the adequan shot and is able to walk okay, but now his leg is swelled up. How to reduce bruising and swelling after rhinoplasty operation? - How do I minimize bruising and swelling after rhinoplasty? - Edema and bruises relief measures after rhinoplasty - Bruise and swelling cream after rhinoplasty? - Relief for skin bruises and swelling after nose aesthetic surgery - Remedies for bruising and swelling after rhinoplasty. Experts believe that cold therapy can reduce swelling, which is tied to pain. Compression socks help move fluid back into the capillaries, thus reducing swelling. This swelling can continue to occur for 2-3 weeks after surgery, sometimes instigated by spending too much time standing or with feet on the floor when sitting. Blood clots can affect the circulation of blood to other parts of the body. Advice for patients with a fractured wrist in a plaster cast This information sheet has been given to you to provide you with some useful advice while your wrist is immobilised in a plaster cast. Hands swelling can be caused by an allergic reaction, fluid buildup within the tissues, or inflammation of the joint in your hand, also known as arthritis. A blood clot to the lungs can cause problems in the lungs and prevent proper lung function. Learning how to reduce swelling after foot surgery will help you recover faster and get back to full mobility more quickly. You child will have pain in their elbow at first. However, it is important for you to seek medical advice before using any types of medications for the eyes. It takes about 48 hours for the splint or cast material to fully dry and harden. when the skin is pressed with a finger or when stockings or socks induce indentation). If this alleviates it within 20-30 minutes you are likely having "dependent edema". Allow 10 minutes for cast to set, and instruct against weight bearing for 24 hours. Rhinoplasty, which is surgery that changes the shape of the nose, is different for every person. cloudy swelling a term formerly used for an early stage of toxic degeneration of protein constituents of organs in infectious diseases, when the tissues appear swollen and opaque but revert to normal when the cause is removed. Swelling noted behind the knee. To help reduce swelling: Prop up the injured arm or leg on a pillow as much as you can when you sit or lie down. z Keep the cast away from heat. If the swelling is surrounding a bone or joint injury, the area should be wrapped in a bandage or immobilized to prevent further injury and swelling. Yes I think you should be doing PT, we really pushed the doctor about starting PT when I had the cast removed. 3 Tips to Reduce Swelling and Soreness During Recovery by Maya Novak Jan 19, 2016 Positive Recovery 0 comments If you're reading this, you're probably recovering from a broken ankle. If it is determined that the cast is needed to hold the broken bone in a specific location, then a plaster cast is usually applied since plaster molds to the skin better. From causes, symptoms and side effects to treatments and diet, this book will help British diabetics understand all types of diabetes and delivers sound advice on staying fit and feeling great. Depending on how much pain, swelling, and loss of motion you have, you may need to see your physician. When you notice your dog's leg is swollen, you should first evaluate the injury to figure out why it is swollen. Unfortunately there isn't much you can do about bruising and swelling aside from letting it go away on its own - this process is a natural part of. Your cast or splint feels too tight. Reducing Swelling. It is tight, painful, and discolored. After seeing a ton of pictures on these blogs I was very interested in seeing how bad the atrophy would be. The Canadian Dental Association is the nation's voice for dentistry dedicated to the promotion of optimal oral health, an essential component of general health, and to the advancement of a unified profession. Painless, swollen. Most cast problems and cast irritation arise from over using the extremity and not resting it properly. After rhinoplasty surgery in San Diego Dr. Ice can be used to reduce your pain at any point in your recovery (whether during the first few weeks or even several weeks later) but only for a few minutes (about. day, being forced to live an inconvenient life due to a. Soak the swollen ankle in the Epsom salt bath for 20 to 30 minutes. 01 - Does ice really reduce swelling and speed up healing? « Reply #8 on: 09/01/2016 06:08:20 » In my Chef years ice or ice water was indispensable for treating burns, as far as other things for a swollen joint ice helps. i cud walk wivout major pain after about a week,bt i cudnt run properly 4 about 6 weeks. Keep your wrist higher than the level of your heart. com: Grocery & Gourmet Food. Following such a model is straightforward and can ease adoption of what may be newReproductive disorders are one of the most critical problems that reduce the production and productivity of dairy cows. When a newly applied cast is elevated, it should be supported along its entire length, on an inclined plane, with the distal joints higher than the proximal joints. If the cast is too tight, and you are having symptoms such as excessive pain, swelling in the fingers, of loss of feeling in them, then the cast should be split or “bivalved”. Leg swelling, or edema, is a common manifestation among the elderly, and in most instances, such swellings are harmless. Learn why feet, ankles, and legs swell during pregnancy, and learn ways to reduce and alleviate this swelling. ) Book a call with Maya: http. On cast removal day, some patients look like they could go our for dinner that night - with no signs of having had surgery. Reducing swelling around your wrist can also increase the healing process. After a cast has cooled and begins to harden, elevate the casted extremity to reduce swelling which often occurs after application of a cast. Keep your wrist higher than the level of your heart. Wrap the bandage with equal pressure around the hand. If the swelling is caused by gout, you should reduce alcohol, meat, fish and poultry. Your hand or fingers turn white or blue. This may be caused by swelling. Most of the pain and stiffness which follows injury or surgery is due to pressure in the wound from swelling. Don’t hesitate to speak to your plastic surgeon about any swelling. Ankle swelling - Im wearing comprehension stockings for bilateral ankle swelling that began 3 months ago and only have a varicose vein in the left leg. These remedies, however, by no means should they replace medical treatment or be used if they are not advised by a professional. Put phone books or bricks under the foot of your bed to elevate your legs and feet. Painless, swollen. The treatment is immobilization in a cast. Oberman on ankle swelling after cast removal: If you have swelling on and/or around the surgical site then completely normal. It is normal for your muscles to atrophy (i. This allows the bone to heal. Ask those individuals who have undergone this broken ankle recovery program, and they will tell you how hard it is to deal with the pain and swelling. Yes I think you should be doing PT, we really pushed the doctor about starting PT when I had the cast removed. I had surgery almost a month ago on a ligament in my thumb. Try to go for present day scans to make sure that your healing is complete and start physiotherapy. But this is only in the case of severe injuries. Swelling is a normal part of the wrist surgery recovery process, but too much of it can be problematic, especially if you are wearing a cast or splint. However, if the swelling was caused by cancer or acetaminophen toxicity, your cat’s recovery will depend on the severity of his condition. A: Preventing swelling after rhinoplasty cast removal Actually swelling is diminishing by the time the splint is removed. Apply a bag of ice (or a bag of frozen. Experts believe that cold therapy can reduce swelling, which is tied to pain. Any ideas?. For the first week after your rhinoplasty surgery, you should sleep with your head and shoulders raised. A sprained ankle still swollen after 2 weeks indicates that irritation is still present. Put ice on the swollen area as soon as you can for 15 to 20 minutes. Blood clots can affect the circulation of blood to other parts of the body. Swelling can cause your child's cast to feel tight and uncomfortable. The benefits of applying ice include: It lowers your skin temperature. Pastorek's website and it mentioned that he uses some sort of NASA-developed UV light technology on the nose at the cast removal stage that can dramatically reduce swelling both immediate and long-term. It can provide continuous ice cold water and compression for 6 to 8 hours and significantly reduce pain and swelling. Swelling may occur for several months therefore you must elevate your hand, when resting. I am still in alot of pain at the break, but I am also very concerned about the swelling of my hand and forearm. CAST / SPLINT / PACKING. At this point, you may want to see a doctor. Redness or swelling in your leg. Therapists usually suggest specific exercises depending on the condition. About a year ago my shin starting hurting and swelling at the break point whenever I drove long distances. Experts believe that cold therapy can reduce swelling, which is tied to pain. In most cases, you will not be allowed to bear weight on your injured ankle at first. cloudy swelling a term formerly used for an early stage of toxic degeneration of protein constituents of organs in infectious diseases, when the tissues appear swollen and opaque but revert to normal when the cause is removed. How to Reduce Swelling After Rhinoplasty. Sometimes a Splint or Cast is applied after undergoing surgery. Having the obstruction on only one side can lead to the parotid gland swelling on just that one side.