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Home :: Leg Hematoma Lower Leg

Leg Hematoma, Lower Leg

A collection of pooled blood in a small area of the lower leg. Hematoma in the lower leg can be quite disabling. A large hematoma in the enclosed space over the tibia (the "shin bone") can be a surgical emergency.

BODY PARTS INVOLVED

  • Lower leg.
  • Soft tissue surrounding the hematoma, including nerves, tendons, ligaments, muscles and blood vessels.

Causes

Direct injury, usually with a blunt object. Bleeding into tissue causes the surrounding tissue to be pushed away.

Signs & Symptoms

  • Swelling over the injury site.
  • Fluctuance (feeling of tenseness to the touch, like pushing on an over inflated balloon).
  • Tenderness.
  • Redness that progresses through several color changes-purple, green-yellow, yellow-before it completely heals.

Treatment

Follow your doctor's instructions. Instructions are supplemental.

  • Use an ice pack 3 or 4 times a day.Wrap ice chips or cubes in plastic bag, and wrap the bag in a moist towel. Place it over the injured area for 20 minutes at a time.
  • After 48 hours, localized heat promotes healing by increasing blood circulation in the injured area. Use hot baths, showers, compresses, heat lamps, heating pads, heat ointments and liniments, or whirlpools.
  • Don't massage the leg.You may trigger bleeding again.

MEDICATION

  • For minor discomfort, you may use: Non-prescription medicines such as acetaminophen or ibuprofen. Topical liniments and ointments.
  • Your doctor may prescribe stronger medicine for pain, if needed.

Home Diet

During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.

Prevention Tips

Wear appropriate protective gear and equipment, such as shin pads, during competition or other athletic activity if there is risk of a lower-leg injury

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