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Bruises

WHAT YOU SHOULD KNOW

A bruise, known medically as a contusion (cun-TOO-shun) or hematoma (HE-muh-TOE-muh) is an injury that does not break the skin. A bruise may take 2 or 3 weeks to heal.

Causes

A blow that breaks small blood vessels under the skin.

Signs/Symptoms

Bleeding under the skin causes it to turn black and blue. As the bruise heals the skin color changes from purple to green to yellow. Bruises may be accompanied by pain or swelling.

Care

Wrapping the injury with an ace wrap may slow the bleeding under the skin. If the bruise is really bad, you may need a splint to keep the area from moving during the healing process.

WHAT YOU SHOULD DO

  • You may continue your normal daily activities, but you should rest the injured area for a few days.
  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your skin.
  • After the first 1 to 2 days, you may put heat on the injury to help ease the pain. Use a heating pad (set on low), a whirlpool bath, or warm, moist towels for 15 to 20 minutes every hour for 48 hours.
  • For 48 hours, keep the injury lifted above the level of your heart whenever possible to reduce pain and swelling.
  • If you have a splint, wear it until your doctor says you may take it off or until your follow-up visit. If the fingers or toes near the bruise become numb or tingly, you may need to loosen the splint. Call your doctor for instructions if you are not sure how.
  • You may use over-the-counter medicines to relieve the pain. Always take as directed.

Call Your Doctor If...

  • The pain becomes worse.
  • You develop a high temperature.
  • The swelling around the bruise gets worse.
  • You see redness or red lines near the bruise.

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