Leg Hematoma

By Patricia | August 13, 2009

A hematoma is the accumulation of leaked blood from the damaged blood vessels in the adjoining tissues. A hematoma could be a result of damaged artery, vein, capillary or a blood vessel wall. Hematomas can develop in any part of the body and can be tiny or large. A leg hematoma is the collection of blood in the tissues of the lower leg. In a leg hematoma, the clotting occurs in the damaged part of the leg, and the blood flow to the area is hindered. A hematoma in the leg is more serious than a hematoma in the arm. The condition generally affects the elderly due to the weak tissue and skin.

Symptoms

The symptoms of a leg hematoma alter according to the intensity of the injury. The symptoms associated with leg hematoma are

  • Swelling in and around injured area
  • Leg pain
  • Discoloration of the skin (red, blue-black, yellow, yellow-green)
  • Tender tissues
  • Difficulty in walking

Causes

The predominant causes of leg hematoma are direct jolt or blow with a blunt article or object and a fall on a hard surface. The major risk factors for leg hematoma include:

  • Contact sports (football or kickboxing)
  • History of blood disorders like hemophilia
  • Usage of anticoagulant medicines or blood thinners
  • Malnutrition
  • Age
  • Varicose veins

Treatment

A smaller hematoma resolves on its own within days. However, for bigger and serious hematomas, the treatment and complete healing may take months. First aid treatment advised for an acute injury includes the RICE method.

  • Rest: Rest the leg to secure the muscles for better and fast healing. All the physical activities should be stopped immediately after an injury to halt the flow of blood to the affected area.
  • Ice: Apply the ice packs to the affected area to ease pain and to curb bleeding. Wrap an ice-filled plastic bag in a towel and place it on the affected area 3 to 4 times a day for 20 minutes.
  • Compression: Wrapping the affected area with an elastic bacteriostatic adhesive bandage helps prevent swelling.
  • Elevation: Lifting the leg above the heart makes the blood flow in the reverse direction of the affected area.

Some other treatment methods of leg hematoma include the following.

  • Heating pads, heat lamps, ointments, whirlpools, and compresses are advised to decrease the hematoma.
  • Pain relievers such as ibuprofen are prescribed to reduce the discomfort.
  • Antibiotics may be advised in case of infections.
  • Surgical drainage is advised in some cases of large hematoma.
  • In cases of hematoma over the shin bone, immediate surgery may be required.

Home Remedies

  • Turmeric has antibacterial and antiseptic qualities. Consuming warm milk infused with a pinch of turmeric may help decrease the hematoma and prevent secondary infection.
  • Herbal solutions like arnica and comfrey may help reduce swelling and pain in a leg hematoma.

Diet

A well- balanced diet accelerates the healing process in leg hematoma. A diet rich in proteins such as fish, cheese, meat, eggs and milk helps build muscle strength. Consumption of vitamin C rich foods such as lime, orange and grapefruit assists in the healing of the condition.

Prevention

Sports injuries are one of the leading causes of hematomas. Some contact sports such as rugby, ice hockey, basketball, and football involve greater usage of legs, which increase the chances of an injury. In order to avoid injuries a protective gear like shin pads, thigh and knee pads should be used to prevent or reduce the chances of an injury.

Complications

The growing size of hematoma can sever the blood flow to the nearby tissues, which may lead to major complications. Large hematomas may also cause muscle and nerve damage resulting in a weak foot.

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