Tuesday, May 25, 2010

Should a bruise be painful when you stand?

I broke my left foot a week ago. I went to the ER ASAP and was told it's a break, given crutches, and told to follow up. I went to the orthapedic surgeon and he said it's too swollen for a cast, stay off it, take painkillers and to follow up in 3 weeks. The problem I have is the bruising/swelling is very painful and I'm wondering if that's normal. I have my leg elevated and as soon as I move it to get up it HURTS! Words cannot explain how it hurts and it feels like it's going to explode, like the bloods all rushing to it.
I've tried to get up slowly and lower my leg in increments but nothing helps the pressure!
Is this normal and how long will it take to go away?
Also can I start to apply heat to the bruise since it's been a week?
Any advice would be great!
Answer:
This is not unusual.
I would not apply heat at this time, as it will increase blood flow to the area, and that's part of the problem already.
Elevate the leg above the heart, apply ice in 20 min on/ 20 min off increment. If you can tolerate it, you can ace-wrap it snuggly to help push some of that fluid out.
You should be taking ibuprofen (like 600 mg. every 4 hrs.) or some kind of anti-inflammatory drug.
It'll get better
i have often heard thgat bruises are painful and have long term affects.
sounds normal just tender im sure due to the injury.Things You Can Do About Bruising
If you develop bruising: apply ice to the area for about 20 to 30 minutes. This will help to constrict, or shrink the blood vessels that may be damaged and bleeding.
After the first 48 hours, you may use heated compresses (which may be a heating pad, or a very warm wash cloth), 2 or 3 times a day, to help reabsorb the blood. If you have pain at the site, you may take Acetaminophen (Tylenol庐) up to 4000 mg per day (two extra-strength tablets every 6 hours). If you have a bleeding disorder, you should avoid non-steroidal anti-inflammatory (NSAID) drugs, as well as aspirin, because these drugs may interfere with blood platelets, or prolong your bleeding. If you notice that you are bruising or bleeding easily, notify your health care provider of potential bleeding problems.
Make sure you tell your doctor, as well as all health care providers, about any other medications you are taking (including over-the-counter, vitamins, or herbal remedies). Do not take aspirin or products containing aspirin unless your health care provider permits this.
Remind your doctor or health care provider if you have a history of diabetes, liver, kidney, or heart disease
sometimes
As cliched as this may sound, there's nothing a good massage won't fix. Atleast in this case, it may be somewhat helpful.In addition to the bruise (contusion) you most likely have a hematoma (sort of like a deep bruise). A hot pack and gently rubbing/massaging the area could help speed up the reduction of the hematoma and associated pain.Before you take any OTC pain medications with your prescription meds, either check online or, better yet, consult your doctor to be sure that there aren't any potentially harmful drug interactions. Generally, with most pain killers, there's usually not.

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