Try to apply R. I. C. E. as soon as you develop the hematoma for optimal recovery and healing.
Some physicians recommend that you rest a lower limb that has hematoma, such as your leg, for at least 48 hours. The duration of the rest period is dependent on the extent of the hematoma.
To apply an ice massage, freeze a plastic foam cup of water. Hold the cup and place a cloth or paper towel over the affected limb, then apply ice. Never apply ice or an ice pack directly to skin, as this increases risk for a thermal burn or frostbite. After the first 48 hours, you can use a heated compress, such as a heating pad or a very warm washcloth, two to three times a day, to help your body reabsorb the blood from the hematoma.
You should maintain compression on the area for at least two to seven days. Make sure the compression bandage is on properly and it is snug, but not cutting off blood circulation to the limb. A wrap that cuts off circulation will trigger throbbing in the area or skin color changes such as becoming deeper purple or blanching entirely.
Ibuprofen (Advil, Motrin) is a very effective pain reliever and anti-inflammatory medication. Follow the dosage instructions on the bottle and take no more than two pills at a time. Repeat this dosage every four to six hours. Naproxen sodium (Aleve) is another anti-inflammatory medication. You can take this medication every 12 hours as needed for pain and swelling. Acetaminophen (Tylenol) is an effective pain reliever that can be used to ease any discomfort or pain. If you have a bleeding disorder, avoid taking non-steroidal anti-inflammatory (NSAID) drugs, including aspirin, as these medications can interfere with blood platelets and prolong your bleeding.
An acute subdural or epidural hemorrhage to your brain can develop over a period of minutes or hours. [10] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source Both occur around/in the brain, both occur with trauma, and both require immediate evaluation. If not promptly treated, they can lead to a severe brain injury and possibly death. Subdurals are often accompanied by a “thunderclap” headache. [11] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source It is also possible to develop chronic subdural hemorrhage. This type of hemorrhage can develop over a period of many days to many weeks and you may not notice any symptoms until some time after the hematoma develops. It is important that you get the hematoma on your head or internal organs checked by a doctor to rule out any serious complications. [12] X Trustworthy Source MedlinePlus Collection of medical information sourced from the US National Library of Medicine Go to source
If you develop new, unexplained bruising, these could be a sign of another medical issue. Your doctor should examine the new bruises and determine what may be causing them to develop.
