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Leg bruise - types of bruise and action at home

In everyday life, sometimes, there is such an annoying attack - injury. Bruises, as always, happen inopportunely, ruin our plans, spoil our nerves. But is everything so scary? Let's try to figure it out. We will give advice on how to better deal with the injury and help the body to cure itself.

Kinds of foot injuries

The most common leg injury is a bruise. Some part of the leg is usually injured: Hip, Shin, Knee, Toe.

A contusion is a closed injury of the tissues (connective, muscle, nervous, vascular) without breaking a bone.

Leg bruise

foot injury photo

As a result of injury you can get:

  • Only soft tissue bruise;
  • Bruised bone;
  • Bruise of the joint.

When bruised, the integrity of the skin is not broken, but the tissues lying under it can significantly suffer. There is a rupture of blood vessels, fatty tissue, connective fibers. This is accompanied by inflammation of a traumatic nature: pain, swelling, redness.


Stages of the post-traumatic process

  • It begins with the local reaction of the body to injury - vasospasm, which is quickly replaced by expansion. Liquid from the bloodstream begins to leak into the interstitial space and soak the tissues. Bruised legs will give swelling, which will increase. Therefore, at this moment it is appropriate to cold again to narrow the vessels and stop the saturation of the tissue around the vessel.
  • If there is a rupture of small and medium vessels, then the blood goes into the surrounding tissue and stains them blue. Impregnation of nearby structures and the formation of a bruise is a characteristic sign of injury. Blood will flow from small vessels for 5–10 minutes, from large ones for about a day. At first (day three), the injury site with the presence of blood will be bluish-purple, then yellow blotches will appear and after a week the skin will be cleansed.
  • If the blood only soaks the surrounding tissues, we see a bruise; if it accumulates in them, a hematoma is formed. It is dangerous due to the progression of tissue dissection. This is rare, because the muscles surrounding the bone are designed to withstand considerable pressure, and serve as a shock absorber to protect the bone and periosteum.
  • When the anterior surface of the lower leg is damaged, where the bone is not covered with muscle and lies immediately under the skin, severe pain is observed, a hematoma is quickly formed. Large hematomas require aspiration. A puncture is used for this, if the blood is not removed with a needle, an autopsy is indicated under local anesthesia. After that a pressure bandage is applied.
  • Also, blood can flow into the bags of the joints, forming hemarthrosis. Severe leg contusion may cause crush or tissue necrosis.

Hip bruises. There is a lot of loose subcutaneous fat, extensive hematomas can therefore form. If the injury is strong and oblique, then the skin with fiber is detached from the fascia, cavities are formed. There is a lot of blood pouring out. At the same time, the function of the limb suffers little. At rest, the pain is absent, will appear only when walking.

Bruises on the anterior surface of the leg are very painful, especially in the area of ​​the periosteum, even to the loss of consciousness. It concentrates a large number of pain receptors. If the pain has assumed a constant pulsating character, this is a sure sign of a hematoma under the periosteum.

Bruised ankles of the leg can be confused with a fracture due to severe pain, especially during palpation. It eliminates the absence of pain when the load on the axis (in the standing position). X-ray is desirable.

Toe bruise. There is an opinion that this type of injury is not dangerous, and the person, despite the pain, continues his work. Bruised toes usually occur in motion, sometimes at considerable speed, so the fingers get a strong blow.

Small, fragile bones and tendons, do not stand up and are damaged - it threatens with complication when walking in the future. Therefore, do not neglect the medical examination to rule out a fracture. And only then conduct the necessary course of treatment.

The bruise of the thumb is especially unpleasant, as it will take much longer to fully recover, which can take up to 6 weeks. The main condition is peace and time. So as not to say: “I hurt my toe, and the problems started, now we need orthopedic shoes.”

Symptoms accompanying leg bruise

Symptoms of foot injury

The following symptoms are characteristic of a bruise:

  • pain;
  • swelling (edema);
  • compaction;
  • inflammation with redness;
  • restriction of movements.

The first symptom of a bruise is pain. Then swelling appears. Usually, the pain increases with walking. A few days of rest and limitation of motor activity, with the participation of the injured area, lead to the weakening of symptoms and the person recovers. This is if we are dealing with a slight leg injury.

More difficult is the case of damage to the vessels. In this case, a strong leg bruise accompanies a hematoma. Its size depends on the strength of the blow. In this case, the terms of compliance with the regime of rest and respect for the limbs are increasing. Swelling and soreness persist for up to a month.

First aid for injury in the home

Since ordinary bruises are treated on their own, the following recommendations should be followed:

  • Provide complete rest;
  • Lift limb;
  • The first two hours are cold;
  • In a day heat compresses, ointments, gels;
  • Pain pills (in case of severe pain);
  • Seek medical attention if it is impossible to move;
  • Movement is possible only with the help of a cane and fixation with an elastic bandage (to reduce the load).

Physiotherapy helps to remove bruised legs. At the earliest opportunity, this should be used. UHF and electrophoresis have not lost their meaning. If the pharmacies have therapeutic mud, then a weekly course will be very useful.

Seal treatment after injury

Seal treatment after injury

Thermal procedures, absorbable and anti-inflammatory agents cope well with this. Hot water heaters and paraffin wax are suitable as heat. Inflammation and swelling remove ointments, gels, alcohol compresses.

They are applied four times a day, copiously covering the injured area. It is also important to follow the simple principle: the more puffiness, the thicker the layer of ointment.

Used ointments should be with a different mechanism of action: anti-inflammatory, decongestants (heparin-containing) and absorbable (Traumel, Goal T). Can be combined ointment: "Ketorol" gel, "Dolobene."

Ointment is not used if the skin is damaged. Severe tissue swelling makes it difficult to penetrate the drug. To enhance the effect of increasing the amount of the applied drug on the skin and the multiplicity of lubrication.

Approximate treatment regimen: “Fastum” gel, ointment “diclofenac” or “Ketorol” apply gel on intact skin, you can wrap with cling film and fix it, so we will increase the depth of penetration and the effect force.

After 4 hours, remove the bandage, wipe the place and put another ointment "Lioton", "Troxevasin" - to relieve swelling. So alternate throughout the day. At least 4 times a day.

If the hematoma is large, then the body is fenced off from it. Creates a thick film (bag is formed). Then you can not do without the help of a doctor. Hematoma open, and the contents are removed.

Possible consequences and prognosis

With bruises with or without bruising, the prognosis is favorable. Time, rest, and simple therapeutic actions will quickly remove the effects. It is the strength of the body. He alone can handle. Our task is to help him in this.

The situation is more complicated when hematomas occur. The larger it is, the longer the resorption period. It squeezes the nerve trunks, blood vessels, there are suppuration due to the addition of infection. Time in this case does not bring relief, pain and swelling do not pass, fever joins. Need the help of a surgeon.

With very severe bruises, necrosis (death) of the tissues can occur and emergency care will be required.

Another unpleasant complication is periostitis (inflammation of the periosteum). That is why the bruise of the lower leg in the area of ​​the periosteum is not only painful, but also dangerous.

Alertness should cause injury to the leg joint. Its complex structure predisposes to various complications: hemarthrosis, rupture of ligaments, damage to the joint capsule.

Frequently asked Questions

Frequently asked Questions

How to distinguish severe leg contusion from a fracture?

Severe injury can be confused with a fracture. Often you can hear, hurt her leg and she was swollen. What is it, is it a fracture? You can try to determine the signs of a fracture.

It is typical for him:

  • The presence of autonomic symptoms: blackout in the eyes, dizziness, tachycardia. That says about the involvement in the process of the whole body with the release of stress hormones.
  • The displacement of bones along the axis. Leg may be arched at an unnatural angle. Especially noticeable in the first minutes of injury. Then there is swelling and it is difficult to see any displacement.
  • The pain and swelling are increasing all the time.
  • Foot can not move. It is impossible to step on it, let alone move.

When bruised a person can move his leg, although it is painful. Such a sign indicates the integrity of the bone.

What is dangerous injury?

Normal bruise is not harmful to health, only causes inconvenience. Fear is caused by strong bruises, in which it is easy to miss a torn ligament, a fracture of the toes. They are fraught with partial loss of function in the future. In case of injury of the knee joint arthrosis can quickly appear.

A massive hematoma and open wound threatens infection. In any case, if the pain with a bruise with each passing day increases or stays at the same level, then a medical examination and an x-ray are required.

Bruised leg than smear?

If there is confidence that there is a bruise, then after the cold, the foot can be lubricated with “Fastum” gel, “Ketoprofen”, “Nise” gel, “Diklak”, “Diclofenac” 5% ointment, “Olfen” gel. All of them have a strong analgesic and anti-inflammatory effect. A tumor after a leg bruise will quickly subside if treated with Lioton ointment.

It should be remembered, anesthesia allows you to load the aching leg, and this is not desirable. Therefore, after applying the ointment, the foot needs rest.


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