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Bruised hands, what to do? First aid, symptomatology, difference from fracture

A bruised arm is a closed tissue injury, usually caused by a blow or a fall. May be accompanied not only by damage to the muscles, subcutaneous tissue and dermis with the formation of hematoma, but also joints and bone segments - the elbow, phalanges of the fingers, shoulder.

The key point that distinguishes the injury from other injuries is the integrity of the skin. How to treat a hurt hand depends on the extent and symptoms of the injury. Let's look at it in order.

Bruising can be obtained during physical activity - by carelessness, with an accidental fall. Such injuries are common in everyday life, when playing sports, in winter, when there is ice on the street.

Children fall into a separate risk group because they are active, and people who are engaged in physical labor — builders, porters, and handymen. The chance to get a bruise of the hand, elbow, or shoulder increases if the safety rules are not observed both at home and at work.


Bruise symptoms

Bruised hands what to do

A bruise of the shoulder is accompanied by pain and swelling, after some time a bluish-red bruise appears, which eventually turns yellow-green. Hematoma arises due to damage to the blood vessels - blood flows out of them and accumulates in the soft tissues along with the extracellular fluid.

If the arm does not rise, the tendons of the humeral rotational cuff are torn - this requires the immediate help of a traumatologist.

The larger the size of the bruise and the intensity of its color, the larger the vessels suffered, and the longer the healing of the arm injury. Symptoms of an impact on the elbow joint also include hematoma and edema. The pain is more pronounced, since there are many large nerve fibers, and the movements are constrained.

If after 2-3 days after the injury, the pain and limitation of the mobility of the elbow do not decrease, this indicates damage to the periosteum or fluid accumulation in the joint - the help of a traumatologist in this case is obligatory.

In case of bruising of the hand or wrist, loss of sensitivity in this place due to nerve damage is often added to the symptoms. Symptoms such as deformity and movement disturbance of the fingers, severe persistent swelling can be signs of a fracture.

First aid for hand injury: what to do?

First aid for hand injury

The first aid for bruising a hand is:

  • apply cold to the hurt place for 20-40 minutes to relieve pain and swelling;
  • if there are open wounds, scratches, treat the skin with an antiseptic - brilliant green, hydrogen peroxide or alcohol, you can sprinkle the wound with Cefazolin powder;
  • provide the hand with complete rest, fixing it in a stationary position with an elastic bandage;
  • if pain is severe, take an analgesic drug (Analgin, Solpadein, Ibuprofen, Pentalgin);
  • local ointments or gels with anti-inflammatory and analgesic action help to cure the bruised arm faster, to relieve swelling and pain - Diclofenac, Gevkamen.

In the first hours after injury, one should not lubricate the injury with an ointment with a warming effect (Apisatron, Virapin, Finalgon, Rescuer Forte) or impose any heat. They are used later 1-2 days after the reduction of edema and pain for resorption of hematoma and reduction of inflammation in the tissues.

For 2-3 days you can apply not only warming ointments, but also simple warm compresses. In terms of healing of bruises, Indovazin, Troxevazin, Badyaga cream, Bruise-off cream are effective.

When bruising a child’s hand after first aid, it would not be superfluous to see a doctor to rule out a fracture, rupture or sprain. If you leave these injuries unnoticed, then later the bones may fail to grow together, and scars may form in the tendon area.

Hand bruising treatment at home with folk remedies

At home, a hand injury during a fall or a blow can be performed with the help of folk remedies - compresses of gruel of onions, raw or warm boiled potatoes, cloth dipped in broth of bitter wormwood, parsley leaves, string or plantain.

Put them on 2 hours two or three times a day.

Essential oils such as lavender, thyme or rosemary are effective for removing puffiness and sucking bruises. In pure form, they can not be used. 3-4 drops of phyto-essences add to 2 tbsp. l olive, sunflower or any other fatty oil and gently lubricate the injury site 2-3 times a day.

Possible consequences

The complications of hand injury include:

  • fractures;
  • hemorrhage;
  • tendon rupture;
  • damage to the periosteum;
  • rupture of the walls of large vessels and thrombosis;
  • suppuration of hematoma.

The defeat of the nerve fibers is accompanied by a violation of motor and sensory functions of the limb. If the blood vessels are damaged, then due to the rupture of their walls and the formation of blood clots, the consequence of injury can be tissue necrosis. When the injury is accompanied by a violation of the integrity of the skin, the risk of infection is high, so it is important to immediately disinfect the wound.

How to distinguish a fracture from a bruised arm?

How to distinguish a fracture from a bruised arm Fracture and bruised hands can be distinguished by symptoms. If the arm is broken, then at the moment of impact the pain is very sharp, it is the same when trying to move a limb after injury.

You can not lean on the arm, the finger can not bend. The swelling is strong, the hematoma is extensive, they increase, increasing the severity of the pain, which does not subside even after several hours.

In the event of a fracture, the arm can be immobilized, unnaturally arched, or a painful bulge appears.

What not to do when bruised hands?

When bruising the arm, do not do the following:

  • to warm the injured place immediately after the impact - this will only increase the flow of blood into the tissues, and the swelling will increase;
  • massage and rubbing the arm - because of this, the bruises will increase, and if there is a fracture, then bone fragments can affect the nerves and large blood vessels;
  • intentionally try to make movements with a limb;
  • put pressure on the hematoma or open it.

What to do when bruised fingers?

Apply cold to the place of injury for half an hour (ice, a package with products from the freezer) or hold your hand under a stream of cold water, treat your finger with an antiseptic.

If the nail plate is damaged or peeled off, fix it with a plaster, and provide brushes with rest. After 5-6 hours, apply Diclofenac gel to the sore spot, and the next day use warming ointments or a warm compress to relieve swelling and inflammation.

If the pain and swelling of the finger is very strong and does not decrease, be sure to consult a traumatologist.


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