What are the symptoms of a knee bone bruise. How long does recovery typically take. What are common physical therapy goals for knee bone bruise patients. How can physical therapy aid in recovery from a knee contusion.

Understanding Knee Bone Bruises: Causes and Symptoms

A knee bone bruise, also known as a knee contusion, occurs when fluid accumulates in and around the kneecap, resulting in severe pain. This type of injury can sometimes be accompanied by more serious bone damage, such as fractures or breaks. To determine the full extent of the injury, doctors may order imaging tests following a severe knee impact.

The primary cause of a knee bone bruise is blunt force trauma. Individuals with osteoarthritis in their knees are particularly susceptible to this type of injury. Osteoarthritis leads to the degradation of protective cartilage surrounding the joints, leaving the knee bone more vulnerable to impact during accidents like falls.

Common Symptoms of a Knee Bone Bruise

• Persistent pain and tenderness around the kneecap
• Pain when extending the leg
• Noticeable swelling
• Changes in skin color surrounding the injured area

When an injury occurs, blood may pool in areas of the bone, leading to a bone bruise. In some cases, bleeding and swelling can occur in the space between the cartilage and the underlying bone, resulting in a subchondral bone bruise.

Recovery Timeline for Knee Bone Bruises

How long does it take for a knee bone bruise to heal completely? The recovery time for a knee bone bruise can vary significantly, ranging from three weeks to two years. The duration depends on several factors, including:

• The type of bone bruise
• The severity of the injury
• Any accompanying complications

Physical therapy plays a crucial role in reducing recovery time. Through a combination of treatments aimed at decreasing swelling and inflammation while improving strength, stability, and range of motion, patients can experience faster healing and return to normal activities sooner.

Physical Therapy Goals for Knee Bone Bruise Recovery

Physical therapists work closely with patients to establish realistic and effective recovery goals. Achieving these milestones indicates progress towards full recovery and a return to pre-injury activity levels. Let’s explore some common recovery goals for patients undergoing physical therapy for knee bone bruises.

Standing Up After Sitting

Can you stand up comfortably after sitting for extended periods? This seemingly simple action can be challenging for those with a knee bone bruise, especially if it coincides with arthritis. The ability to stand without significant pain after sitting indicates substantial progress in recovery.

Physical therapy focuses on restoring the knee’s range of motion and stability, addressing issues such as:

• Ligament rubbing against the bruised bone
• Pain from microfractures
• Limited mobility due to arthritis

Walking Without Pain

Is pain-free walking possible after a knee bone bruise? Physical therapy aims to increase knee strength, allowing patients to walk comfortably sooner. Therapies such as instrument-assisted soft tissue mobilization (IASTM) and manual therapy can help restore connective tissue and strengthen surrounding muscles.

Your physical therapist may evaluate your gait and balance as you build stamina. The ability to walk with little to no pain represents a significant recovery milestone.

Carrying Objects While Walking

Can you walk while carrying additional weight without discomfort? The knees already bear the weight of the upper body, so adding extra weight can increase pain. However, effective physical therapy can help the knee not only support body weight but also handle additional loads.

If you can comfortably walk while carrying a few extra pounds, it’s a strong indication that your bruised kneecap is healing well.

Advanced Physical Therapy Techniques for Knee Bone Bruise Recovery

Physical therapists employ a variety of advanced techniques to accelerate recovery from knee bone bruises. These methods are designed to address pain, improve mobility, and restore function.

Instrument-Assisted Soft Tissue Mobilization (IASTM)

IASTM is a technique that uses specially designed instruments to manipulate soft tissue. How does IASTM benefit knee bone bruise recovery? This method can help:

• Break down scar tissue
• Improve blood flow to the affected area
• Reduce inflammation
• Enhance flexibility and range of motion

Manual Therapy

Manual therapy involves hands-on techniques performed by skilled physical therapists. What are the benefits of manual therapy for knee bone bruises? This approach can:

• Decrease pain and stiffness
• Improve joint mobility
• Strengthen surrounding muscles
• Enhance overall knee function

Gait and Balance Training

Gait and balance training are crucial components of knee bone bruise recovery. How do these exercises contribute to healing? They help:

• Improve stability and coordination
• Reduce the risk of falls
• Enhance overall movement patterns
• Boost confidence in daily activities

Addressing Complications Associated with Knee Bone Bruises

Knee bone bruises can sometimes lead to or be accompanied by other complications. Understanding and addressing these issues is crucial for a comprehensive recovery plan.

Osteoarthritis Management

As mentioned earlier, individuals with osteoarthritis are more susceptible to knee bone bruises. How can physical therapy help manage osteoarthritis alongside bone bruise recovery? Therapists may focus on:

• Joint protection techniques
• Low-impact exercises to maintain joint health
• Strategies to reduce inflammation
• Education on lifestyle modifications

Microfracture Treatment

In some cases, knee bone bruises may be accompanied by microfractures. What approaches do physical therapists use to address these tiny fractures? Treatment may include:

• Controlled weight-bearing exercises
• Specific strengthening routines
• Techniques to promote bone healing
• Pain management strategies

The Role of Home Exercises in Knee Bone Bruise Recovery

While professional physical therapy sessions are crucial, home exercises play a vital role in recovery from knee bone bruises. How can patients contribute to their recovery at home?

Strengthening Exercises

What types of strengthening exercises are beneficial for knee bone bruise recovery? Consider incorporating:

• Isometric quadriceps contractions
• Straight leg raises
• Hamstring curls
• Calf raises

Always consult with your physical therapist before starting any new exercise regimen to ensure it’s appropriate for your specific condition.

Flexibility and Range of Motion Exercises

How can flexibility exercises aid in recovery? Regular stretching and range of motion exercises can:

• Prevent stiffness
• Improve circulation
• Maintain joint health
• Reduce the risk of further injury

Low-Impact Cardiovascular Activities

Maintaining overall fitness is important during recovery. What low-impact activities can patients engage in? Consider:

• Swimming
• Stationary cycling
• Water aerobics
• Elliptical machine use

Always start slowly and gradually increase intensity as your knee heals and your therapist approves.

Nutrition and Lifestyle Factors in Knee Bone Bruise Recovery

Recovery from a knee bone bruise isn’t just about physical therapy and exercise. Nutrition and lifestyle choices can significantly impact healing time and overall outcomes.

Anti-Inflammatory Diet

Can diet influence knee bone bruise recovery? Absolutely. An anti-inflammatory diet may help reduce pain and swelling. Consider incorporating:

• Omega-3 rich foods (fatty fish, flaxseeds, walnuts)
• Colorful fruits and vegetables
• Whole grains
• Lean proteins

Avoid processed foods, excessive sugar, and alcohol, which can contribute to inflammation.

Adequate Hydration

Why is staying hydrated important for knee bone bruise recovery? Proper hydration helps:

• Maintain joint lubrication
• Support tissue repair
• Reduce inflammation
• Improve overall healing

Quality Sleep

How does sleep affect recovery from a knee bone bruise? Quality sleep is crucial for healing as it:

• Promotes tissue repair
• Reduces inflammation
• Helps manage pain
• Supports overall physical and mental well-being

Aim for 7-9 hours of sleep per night and create a sleep-friendly environment to support your recovery.

Long-Term Management and Prevention of Knee Bone Bruises

While recovering from a current knee bone bruise is important, preventing future injuries is equally crucial. What strategies can help manage knee health long-term and reduce the risk of recurrent bone bruises?

Maintaining Strength and Flexibility

How does ongoing strength and flexibility training benefit knee health? Regular exercises help:

• Support joint stability
• Improve shock absorption
• Enhance overall knee function
• Reduce the risk of future injuries

Proper Footwear and Orthotics

Can footwear choices impact knee health? Absolutely. Proper footwear and orthotics can:

• Provide adequate support
• Improve alignment
• Reduce stress on the knees
• Enhance overall lower limb biomechanics

Activity Modification

How can adjusting activities help prevent future knee bone bruises? Consider:

• Choosing low-impact exercises
• Using proper technique in sports and daily activities
• Gradually increasing activity intensity
• Listening to your body and avoiding overexertion

By implementing these long-term strategies, you can maintain knee health and reduce the likelihood of experiencing another knee bone bruise in the future.

Bone Bruise Recovery Goals | Injury Management

3 minutes, 37 seconds

A bone bruise on your knee — also called a knee contusion — occurs when fluid builds in and around your kneecap, leading to severe pain. A bone bruise can be also accompanied by other bone damage like a fracture or break. After an intense injury like a bone bruise, your doctor may order imaging tests to see if you sustained additional bone damage.

Your doctor may also prescribe physical therapy to help you regain mobility and speed up your recovery time. Physical therapists will likely set recovery goals for you so that you can measure and track your progress. 

The symptoms of a bone bruise can include:

• Long-lasting pain and tenderness around your kneecap.
• Pain in your knee when extending your leg.
• Swelling.
• Changes in skin color around the injury.

What causes a bone bruise on the knee?

The most common cause of a bone bruise on the knee is blunt impact. This is especially true for people who have osteoarthritis in their knees. Osteoarthritis is the degradation of the protective cartilage that surrounds the joints. As a result, when an accident like a fall happens without ample cartilage to cushion it, the blow to the knee bone itself can be severe. 

At the point of impact, blood can pool into areas of the bone and cause a bone bruise. For example, an injury may cause bleeding and swelling in the area between your cartilage and the bone beneath it. This leads to a subchondral bone bruise. 

How long is the recovery time for a bone bruise on the knee?

Depending on the type of your bone bruise, its severity and its surrounding complications, it can take anywhere between three weeks to two years to fully heal. 

Physical therapy can help decrease your recovery time with a combination of treatments that help reduce the swelling and inflammation in your knee, as well as regain its strength, stability and range of motion.  

Common recovery goals for physical therapy patients who have a knee bone bruise

A bruise on your knee bone can restrict your most basic activities. A full recovery is therefore crucial to returning to your former activity levels.

Physical therapists can work with you to meet recovery goals that are both realistic and effective. If you meet the following recovery goals, you and your physical therapist are on the right track:  

1. Stand up after sitting for any length of time.

   Because a bruised knee bone often coincides with arthritis of the knee, the ability to stand after sitting can be very difficult and painful. With arthritis, the ligaments in the knee may rub against the bruised knee bone without much cushion, causing sharp pain and limited mobility. A bone bruise can also be accompanied by microfractures that add to pain.

   Thankfully, physical therapy for knee bone bruises can help to restore the knee’s range of motion and stability so that you can stand comfortably. Standing up after sitting, and without much pain, can indicate a major step toward recovery. 

2. Walk without pain.

   Physical therapy for knee bone bruises can help increase knee strength, allowing patients to walk without pain faster. Therapies such as instrument-assisted soft tissue mobilization (IASTM) can help restore the connective tissue, and manual therapy can help increase the strength of surrounding muscles so that you can go from point A to point B with limited difficulty. Your physical therapist may also evaluate your gait and balance as you build your stamina. Doing so with little to no pain is a major goal for recovery.

3. Carry objects while walking.

   The knees already bear the weight of the upper body, so adding additional weight to a walking routine by carrying an object can increase pain. However, physical therapy can help the knee to not only bear the body’s weight, but an object’s weight as well. If you can walk while carrying a few extra pounds and still feel comfortable, your bruised kneecap is on its way to full healing.

Alliance PTP can help you find top-notch PT for your bone bruise

If you’ve suffered from a bone contusion, you may benefit from physical therapy. At Alliance Physical Therapy Partners, we’re proudly bringing together physical therapy practices across the country to help people get the high-quality PT they need. Want to see a physical therapist in person? We can put you in touch with an Alliance PTP partner that’s close to you and that can help you address your bruised kneecap.

Not keen on in-person PT sessions or not close to an Alliance PTP partner? No worries. We also offer effective and affordable virtual physical therapy through our Agile Virtual Physical Therapy platform. 

Contact our team today so we can help you find the most effective physical therapy services for your condition. 

*Note: This article is a revision of one originally posted by Alliance Physical Therapy partner Arrow Physical Therapy & Rehabilitation. 

Bruised Kneecap – Tufts Medical Center Community Care

What is a bruised kneecap?

A bruise is an injury that causes bleeding under the skin that make it discolored. A bruised kneecap is discoloration around your kneecap (patella).

What is the cause?

A bruised kneecap usually happens from falling onto your knee or by being hit on the knee by an object.

What are the symptoms?

Symptoms may include:

• Pain directly over your kneecap
• Swelling in your knee or on the outer side of your knee

How is it diagnosed?

Your healthcare provider will ask about your symptoms, activities, and medical history and examine you. You may have X-rays or other scans.

How is it treated?

While you are recovering from your injury, you may need to change your sport or activity to one that does not make your condition worse. For example, you may need to swim or bicycle instead of run.

Depending on the injury, your provider may tell you to use crutches until your knee heals.

Your healthcare provider may recommend stretching and strengthening exercises to help you heal.

The effects of a bruised kneecap may last several days or longer.

How can I take care of myself?

To help the swelling and pain:

• Put an ice pack, gel pack, or package of frozen vegetables wrapped in a cloth on the injured area every 3 to 4 hours for up to 20 minutes at a time.
• Keep your knee up on a pillow when you sit or lie down.
• Take nonprescription pain medicine, such as acetaminophen, ibuprofen, or naproxen. Read the label and take as directed. Unless recommended by your healthcare provider, you should not take these medicines for more than 10 days.
  • Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen, naproxen, and aspirin, may cause stomach bleeding and other problems. These risks increase with age.
  • Acetaminophen may cause liver damage or other problems. Unless recommended by your provider, don’t take more than 3000 milligrams (mg) in 24 hours. To make sure you don’t take too much, check other medicines you take to see if they also contain acetaminophen. Ask your provider if you need to avoid drinking alcohol while taking this medicine.

Follow your healthcare provider’s instructions, including doing exercises to help you recover. Ask your provider:

• How and when you will hear your test results
• How long it will take to recover
• If there are activities you should avoid and when you can return to your normal activities
• How to take care of yourself at home
• What symptoms or problems you should watch for and what to do if you have them

Make sure you know when you should come back for a checkup. Keep all appointments for provider visits or tests.

How can I help prevent a bruised kneecap?

Most bruised kneecaps are caused by accidents that cannot be prevented. Follow the safety rules for your work or sport and use protective equipment such as knee pads.

Adult Advisor 2015.1 published by RelayHealth.
Last modified: 2014-10-21
Last reviewed: 2014-09-23

This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.

Copyright ©1986-2015 McKesson Corporation and/or one of its subsidiaries. All rights reserved.

Why do bruises and spots appear on the legs with varicose veins?

Are bruises dangerous?

“No” – everyone will answer, because such spots on the body at least once in a lifetime occur in everyone. Under normal circumstances, they are right. However, there are exceptions.

Some bruises form due to varicose veins. These cosmetic defects are not dangerous in themselves, but indicate a serious illness. So it is important to show them to the doctor.

Before talking about bruises and spots with varicose veins, we briefly describe the main signs and risks of this pathology.

Let’s start with the basics.

Varicose veins usually occur when the valvular system fails. This is the name of the membranes in large vessels, which reduce the risk of blood accumulation and reduce the load on the venous walls. Valves are like doors. They open and allow blood flow to the heart, and then close and stop the flowing blood.

Valves stop working properly due to the following factors:

• Heredity

Some are born with weakened valves. According to statistics, if a mother and father suffer from varicose veins, then with a probability of 90% their children will also acquire altered veins.

• Aging

The valve system wears out over time. In young people, these membranes are better able to withstand blood pressure, but older valves often let it through. So people over 60 are more likely to suffer from varicose veins.

• Sedentary lifestyle

Blood circulation in the legs depends not only on the state of the valves, but also on the contraction of the muscles that compress the veins and push the blood to the heart. In motionless legs, this mechanism does not work. If a person sits or stands in one place for several hours in a row, then the blood circulation in his vessels worsens, and the pressure on the walls of the veins increases.

• Hormonal imbalance

The level of hormones affects the elasticity of blood vessels. Therefore, when using contraceptives, the risk of changes in the veins increases.

• Overweight

Blood volume depends on weight. Each extra kilogram increases the load on the walls of blood vessels and the valve system.

• Pregnancy

The venous system of expectant mothers is under constant stress because it is affected by several dangerous factors. Primarily hormonal imbalance and weight gain.

The fruit is also dangerous for blood vessels. In the last trimester, the child grows so much that sometimes it presses on neighboring veins. Their lumen decreases, and the pressure on the walls of blood vessels increases.

As you can see, even people without a genetic predisposition will sooner or later be at risk for varicose veins.

However, the disease itself does not kill.

It only worsens the quality of life and causes cosmetic discomfort.

Her complications are much worse:

• Trophic ulcers
• Pulmonary embolism
• Bleeding

In rare cases, they even kill patients. For example, with external bleeding from diseased vessels, people can lose too much blood without timely medical attention.

Pulmonary embolism is no less dangerous. Blood clots often form inside the altered veins, which sometimes enter the bloodstream and get stuck in the vessels of the lungs. This causes respiratory arrest.

Fortunately, complications from varicose veins occur in only a few percent of patients. The rest often live with the disease all their lives. However, all this time they are constantly taking risks.

Therefore, doctors recommend treating altered veins as soon as the first symptoms appear:

• Heaviness in the legs
• Vascular stars
• Edema
• Fatigue
• Burning and itching
• Fullness in the veins
• Night cramps
• Pain

Also, many people have spots on their legs with varicose veins . They may be red or dark.

Causes of spots on the legs in varicose veins

Usually the skin turns pale or dark when the tissues do not receive enough oxygen and nutrients. With altered veins, this problem often occurs.

White or dark spots on the legs with varicose veins indicate the accumulation of venous blood in neighboring tissues. So arterial blood does not get to them. As a result, the skin slowly dies. First, it darkens, and then a white spot appears in the center – here a trophic ulcer may occur in the future.

That is, darkening is formed due to inadequate tissue nutrition.

red spots on the legs with varicose have a slightly different nature. Redness indicates inflammation. Therefore, most often such spots are found in people who have developed thrombophlebitis in altered vessels. With this pathology, blood clots form, and the venous wall becomes inflamed. Redness extends along the vessel.

Discoloration of the skin in these cases indicates a violation of the veins. So with this symptom you need to see a doctor. He will make an accurate diagnosis. If external signs are caused by altered vessels, then in order to completely eliminate them, it is necessary to defeat the disease itself.

Why do bruises appear on the legs with varicose veins?

These blue spots under the skin are caused by trauma to the veins. Sometimes because of the blows. In other cases, due to excessive pressure in the vessels. Blood accumulates in the tissues, which causes ugly bruising.

How often do they occur?

Bruises on the legs with varicose veins are far from occurring in everyone, although altered veins are more vulnerable to stress and are often injured.

Therefore, it is important to diagnose these spots.

How to distinguish bruises on the skin of varicose origin from household ones?

Bruises in varicose veins have characteristic signs:

• Hematomas appear for no apparent reason
• Dilated blood vessels appear near the bruise
• Clusters of blood disappear slowly or do not disappear at all

So wait a few weeks. On average, ordinary bruises heal in about this time. If they are not gone, then you need to be examined by a doctor.

Fortunately, varicose veins develop slowly.

So that patients can consult a doctor at a convenient time for them. For example, after a planned vacation.

On the other hand, bruises on the legs with varicose veins are sometimes difficult to eliminate, because they are fed by damaged dilated vessels.

How dangerous are the symptoms of bruising and spots on the legs?

They are not dangerous by themselves.

Yes, for some, these changes in the skin can cause severe cosmetic discomfort.

It is much more important what hematomas and darkening of the skin indicate. Usually they warn a person about the development of varicose veins, about vascular injuries and the death of the skin.

Ulcers often form in the center of dark spots. These non-healing wounds not only reduce the quality of life of patients, but also increase the risk of tissue infection.

Therefore, spots with varicose veins are important to show to a doctor. So you reduce the likelihood of trophic ulcers.

Which doctor should I contact if I have bruises and spots on my legs?

To the phlebologist.

Darkening or pallor of the skin should be checked by a doctor as soon as possible. Although ulcers don’t develop overnight, it’s best not to risk it.

What to do with a bruise due to varicose veins ?

Confirm the diagnosis first. If the blue spot on the skin does not disappear in two weeks, then this is not an ordinary hematoma. With a high probability, it is associated with altered vessels. So it should be checked by a phlebologist.

First, he will examine the spots on the skin, get acquainted with the patient’s medical history, and then prescribe tests. For example, ultrasound. This test will show the condition of the veins, after which the doctor will make a diagnosis.

Depending on the severity of the pathology, the doctor will choose one of the therapy options.

Modern, painless methods of treating varicose veins

Previously, doctors removed altered vessels only by surgery, which left long scars on the skin.

New procedures are less traumatic.

After them, diseased veins disappear, and the skin remains unharmed.

Microsclerotherapy

This operation only removes spider veins.

• Readings

Microsclerotherapy removes spidery, treelike and linear patterns from dilated skin vessels.

• Procedure

The doctor injects the sclerosant into the center of the spider veins. The walls of the veins become inflamed and overgrown.

• Benefits

Up to 98% of the manifestations disappear immediately after the injection, and the remnants of dilated vessels disappear within four weeks. The therapy is painless and leaves no scars.

Unfortunately, this method is ineffective against large modified veins and therefore is not used for varicose veins.

Endovasal Laser Coagulation

This procedure helps to remove dilated vessels up to 10 mm in diameter.

• Readings

With the help of laser coagulation, doctors treat varicose veins, and also eliminate hemangiomas and angiomatosis. They also fight trophic ulcers with this method.

• Procedure

A phlebologist makes a narrow puncture in a diseased vein, inserts a catheter with a laser into it, and treats the walls of the vessel. Soon the vein becomes inflamed and overgrown.

• Benefits

Treatment lasts only 40 minutes. Patients do not feel pain due to local anesthesia.

In atherosclerosis and thrombophlebitis, laser coagulation is not prescribed, and doctors choose other methods of influencing the vessels.

Foam sclerotherapy

Doctors use this procedure to remove altered veins larger than 10 mm in diameter.

• Readings

Foam sclerotherapy is used for lesions of peripheral and main veins. It is prescribed against varicose veins.

• Procedure

A phlebologist injects a sclerosant into a diseased vessel, which mixes with air and turns into foam. The substance quickly fills the vein and destroys its walls. Further, the vessel overgrows.

• Benefits

Foam sclerotherapy effectively removes even large varicose veins in just 20 minutes.

In case of heart failure and exacerbations of chronic diseases, this procedure is not carried out.

Miniphlebectomy

This method allows the removal of altered vessels up to 18 mm in diameter.

• Readings

Doctors usually remove the largest varicose veins with a miniphlebectomy. It is also carried out after thrombophlebitis and with swelling of the legs.

• Procedure

The doctor pierces a hole in the skin with a diameter of up to two millimeters, inserts special hooks inside and pulls the diseased vein out. Then he removes the vessel in parts.

• Benefits

Since the phlebologist eliminates the altered vein, the recurrence of varicose veins will never occur in it. The operation takes no more than an hour. After treatment, patients do not need hospitalization and they fully recover in 10 days.

Even the best therapies are not always effective when administered by inexperienced physicians. Therefore, it is important to treat blood vessels in a reliable clinic.

We will help you get rid of varicose veins

The best phlebologists from Kyiv and Kharkiv fight against vascular pathologies at the Institute of Veins Phlebology Center. Among our doctors there are specialists with experience of 20 years or more. They faced different forms of varicose veins. So during the diagnosis, we will not only determine the condition of the veins, but also choose the safest and easiest method of treatment.

Our doctors practice seamless removal of altered vessels. After them there are no scars. Therefore, patients of the clinic can return to their summer clothes without hesitation and not hide their legs.

Come to the Vein Institute and check for suspicious bruises and spots on the skin. If necessary, we will eliminate the cause of their appearance. And often in one session.

Osmanov Rustem Ramzievich

Surgeon of the highest category, phlebologist

Work experience: 21 years

Tolstov Alexander Leonidovich

surgeon

Surgeon highest category, phlebologist

Work experience: 20 years

Oksana Ryabinskaya Sergeevna

Phlebologist of the highest category

Experience: 34 years

Shtogrin Vitaly Vladimirovich

Surgeon of the first category

Experience: 15 years

Roshchina Lyudmila Viktorovna

9 0002 Surgeon, phlebologist

Experience: 17 years

Kornienko Alexey Nikolaevich

Surgeon, phlebologist

Experience: 5 years

Mosunov Sergey Vladimirovich

Surgeon of the first category

Experience: 12 years

Skrebets Nikolai Sergeevich

Vascular surgeon, phlebologist

Experience: 5 years

Svistak Nikita Vladimirovich

Vascular surgeon, phlebologist

Experience: 10 years

9 0002 Ryabuschenko Dmitry Dmitrievich

Surgeon, phlebologist

Work experience: 3 years

Zaitsev Andrey Yurievich

Vascular surgeon, phlebologist

Work experience: 4 years

ᐉ What to do with a hematoma? ~ Hematoma treatment in Kyiv

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• 📚 Hematoma treatment

What to do with a hematoma?

Effective and fast treatment of hematoma only with us. With the help of modern methods of physiotherapy, we will help you remove the hematoma safely and in the shortest possible time.

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Hematoma is a limited accumulation of blood in closed and open injuries of organs and tissues with vascular rupture. A hematoma forms a cavity that contains blood.

Usually a hematoma is harmless, but sometimes, if it is large, the hematoma needs to be removed. Especially if there is a risk that it can affect the work of neighboring organs and tissues.

Modern methods of physiotherapy, which are used in the “Center for Brain Stimulation”, help to provide effective treatment with positive results from the first day of treatment and minimize the risk of complications dangerous to health.

Types of hematomas

There are several classifications of hematomas. As in the case of other medical problems, they are based on the main signs:

• hemorrhage concentration – subserous, subdural, intramuscular, etc. hematomas;
• orientation in relation to the lumen of the blood vessel – pulsating hematoma, non-pulsating;
• specific signs – simple, encysted, pulsating hematomas;
• type of hemorrhage C hematoma arterial, venous, mixed;
• the consistency of blood in the cavity C is a clotted, infected, festering hematoma.

In addition, hematomas are subcutaneous, interstitial and intracranial.

Subcutaneous hematoma – accumulation of liquid or clotted blood in the hypodermis. The main signs of a hematoma under the skin are bruising and signs of fluid accumulation under the skin (confirmed when opening a hematoma or by performing ultrasound diagnostics, magnetic resonance therapy).

Intramuscular (interstitial) hematoma differs from subcutaneous hematoma in the depth of placement – soaking the tissue with blood and swelling are in deeper layers, therefore acupressure diagnostics and visual examination become less effective.

Intracranial hematoma – hemorrhage in the cranial cavity. In turn, it is subdivided into traumatic intracerebral hematoma, acute traumatic subdural hematoma and epidural hematoma.

Why can hematomas appear?

Causes of hematoma are usually associated with trauma that preceded the problem. Most often, the cause of a hematoma is indeed post-traumatic internal bleeding, which can occur as a result of impact, compression, infringement, and other injuries. But, along with this, a hematoma can also be caused by non-traumatic damage to the integrity of the vessel walls. Also, hemorrhages can occur with some hemorrhages of internal organs.

Risk factors for this medical problem:

• vessel fragility
• change in transcapillary exchange
• blood clotting problems (thrombopathy, thrombocytopenia)
• traumatization of soft tissues, nose, abdomen
• decrease in the body’s defenses due to exhaustion
• chronic health problems
• disorders of the plasma link of hemostasis (including hemophilia)
• some infections (purulent inflammation of the tissues of the fingers, ankylosing spondylitis, fungal infection of the nails)
• taking anticoagulants and antiplatelet agents
• damage to blood vessels during surgery
• age (the problem is especially common in old people)
• Immunity problems
• hematoma during early pregnancy
• complications of pregnancy in the third trimester

Hematomas can form with injuries of any degree, in any part of the human body and with all types of injuries (open, closed).

Clinical manifestations

The main symptoms of hematoma located in the subcutaneous tissue and muscles, which help to distinguish it from the usual superficial bruise:

• acute pain;
• puffiness;
• discoloration of the skin;
• increased local temperature;
• deterioration of the functions of the muscles in the area of ​​injury.

As a rule, the symptoms of extracerebral hematomas and their severity depend on the location, size of the hematoma, and the degree of compression of surrounding tissues by it.

In case of damage to internal organs, the main symptom of hematoma, which must be paid attention to, is compression of the organs.

Hematoma inside the skull may present with the following symptoms:

• drowsiness;
• hearing problems;
• differences in pupil diameter;
• severe, unjustified fatigue;
• acute headache, nausea, vomiting, dizziness;
• loss of ability or limited movement of a limb;
• problems with vocal apparatus and/or swallowing, etc.

If you experience any of the above symptoms, seek immediate medical attention. Specialized specialists – traumatologist and neurologist.

Features of hematomas in pregnant women

According to statistics, retrochorial hematoma occurs in approximately 25% of pregnant women. This is the most common pathology that is detected by an ultrasound doctor when examining a pregnant woman on an ultrasound machine. Usually, such a hemorrhage is small in size, spontaneously resolves and does not harm the health of either the expectant mother or the child. The most dangerous hematoma during pregnancy in the third trimester. It may be a symptom/consequence of placenta previa or placental abruption, which requires urgent intervention.

Complications

One of the most dangerous complications of soft tissue hematoma is suppuration with further abscess formation. Most often, this problem occurs with concomitant skin damage, in which infectious agents enter the cavity. With such an unnatural process, there is an increase in pain, local hyperemia, signs of general intoxication.

In severe and advanced cases, the purulent process spreads – the formation of phlegmon and the development of sepsis are possible. Whatever the consequences of a hematoma, they are unpleasant. Therefore, if you have such a problem, immediately seek qualified help. At the Brain Stimulation Center, you will be treated for a hematoma quickly, efficiently, without bringing the process to the point where only removal of the hematoma can help the situation.

Diagnosis

Most hematomas (this applies to subcutaneous and intramuscular types) do not require instrumental or laboratory diagnosis: the diagnosis is made on the basis of an assessment of the site of the lesion, symptoms and palpation. If there is an urgent need, a detailed blood test and an analysis to determine clotting indicators are prescribed. To diagnose hematomas that may appear after internal hemorrhages, their timely detection and taking measures, instrumental methods are used – ultrasound and CT.

Treatment measures

Do not know what to do with a hematoma? Contact us.

There are many first aid remedies for subcutaneous and intramuscular hematomas – rest, cold application and / or pressure bandage, ointments for hematomas from the group of non-steroidal anti-inflammatory drugs and anticoagulants, and others. Even more folk remedies. But, the most effective remedy offered by the Brain Stimulation Center is the treatment of hematoma using physiotherapy techniques. For this purpose, high-intensity magnetotherapy is widely used in our clinic, which shows a positive result after 1 session. This type of physiotherapy on the Super Inductive System, according to our doctors, who have extensive experience in the treatment of hematomas, qualitatively improves circulation and trophism, and has an analgesic effect.

Hematomas that have developed in the abdominal cavity or inside the skull, depending on their size and the degree of deterioration of body functions, are treated differently: in some cases, therapy is limited to monitoring the patient, and in others, surgical intervention, inpatient treatment is used.

In general, we use a variety of treatments for hematoma, depending on the location and parts of the body where it has formed. Our clinic has the largest number of physiotherapy equipment. Our doctors will carefully examine the hematoma and offer the most effective method.

Prevention

The main prevention of hematoma is to avoid injuries, monitor the immune system and the level of blood clotting.

Which doctor treats?

Wondering “Which doctor treats hematomas?” – contact our call center, here they will explain to you who to contact, how to make an appointment, and select a convenient time for your visit. Treatment of hematoma in Kyiv on Podil at the clinic “Brain Stimulation Center” is a medical service for the diagnosis and treatment of various types of this problem. With us you will receive:

• quick result;
• high-quality, licensed medical care from doctors who have extensive experience in working with patients who have various types of hemorrhages;
• access to the best physiotherapy equipment in Ukraine;
• individual approach for patients of different age groups;
• confidentiality of information;
• convenient location in the historical district of Kyiv.

Sign up for a course of high-intensity magnetic therapy and see the result after the first session!

Q&A

How quickly do hematomas dissolve?

Hematoma is partially clotted blood that has accumulated outside of a blood vessel. Usually it resolves for quite a long time – within 3 weeks in a healthy person. The use of high-intensity magnetic therapy gives a good therapeutic effect, noticeable after the first session.

Is it possible to heat a hematoma?

It is customary to apply ice for bruises. However, cold is needed only until bruising appears. When a hematoma has already formed, you can make a warm compress, but a hot heating pad is prohibited. But it is best to take a course of physiotherapeutic procedures to accelerate microcirculation and resorption of the hematoma.

How to understand that it is a hematoma?

The appearance of a hematoma in the subcutaneous tissue is accompanied by such clinical manifestations as pain, tissue swelling, and discomfort during movement. In addition, the color of the skin in the affected area changes, and sometimes the local temperature rises.

How is a hematoma different from a bruise?

A bruise is a minor tissue injury when the “bruise” is associated with an injury to the subcutaneous capillaries. A hematoma is a pathological accumulation of blood due to damage to organs. At the same time, a cavity appears in the tissues of the body, where blood flows from ruptured vessels.

How to speed up the resorption of a hematoma?

After determining the characteristics of the hematoma, appropriate therapeutic measures are prescribed. Drug treatment may include painkillers, anti-inflammatory, decongestants. Physiotherapy, in particular high-intensity magnetotherapy, helps to speed up resorption.

Sources

• Ukrainian Wikipedia
• Journal “Acute and emergency conditions in the practice of a doctor”

Specialists

Voloshina Victoria Anatolievna

Physiotherapist, Physiotherapist PRM

Kaduk Evgeny Grigorievich

Head of the Department of Neurology, CSM, neurologist, pediatric neurologist, psychiatrist, Ph. D. honey. Sciences

Livatskaya Anastasia Alexandrovna

PRM doctor, sports medicine doctor

Litvinenko Elena Erastovna

Chief Physician of the FMC clinic, neurologist of the highest category, pediatric neurologist

Palamarchuk Sergey Andreevich

Rehabilitologist, kinesiotherapist

All specialists

Certificates

Certificate Bunkovsky Evgeny Petrovich

Certificate Evgeniy Voroshilov

Certificate Palamarchuk Sergey Andreevich

Certificate Mikhail Vasilenko Vasilenko

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Reviews

leave a review

Irina
06/23/2021

5.0

5.0

Hematoma treatment

I have fragile blood vessels, so hematomas are very frequent visits to me. I turned to the CSM to treat the vessels and undergo a course of physiotherapy procedures. A blood test showed a low level of clotting. I will take medication, follow a diet. The level of the clinic is very decent.

Yuriy Borisovich
05/13/2021

5.0

5.0

Hematoma healing

Even a strong blow to the nose called for the strongest bruise, good, not a fracture. I have a voucher for recovery in Egypt, so I can go with an ailment and a terrible leg. Pishov to the rehabilitator Palamarchuk S.A. They tried magnetotherapy three times, it didn’t take more than an hour. Ale bіl proyshov i kolіr becoming already yellow-green, so you can go to the resort.

Yulia Onishchenko
04.04.2021

5.0

5.0

Hematoma treatment

I had a very unpleasant situation with a massage therapist. Anti-cellulite cupping massage ended for me with a solid bruise! There is a week and a half left before the wedding, the dress is open. And I have hematomas as from beatings. HORROR!!! Well, a friend recommended cool procedures at the CSM. Magnetotherapy lasted 10 minutes, but the pain after one session was half as much! I am delighted! In a few sessions I will be beautiful again!

Svitlana
03/26/2021

5.