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How Can A Bruise On The Upper Thigh After Injury Be Treated?

Posted on Wed, 20 Sep 2017

Question: I fell out of a golf cart 2 weeks ago. Impact was on my left upper thigh/hip. Not too painful after 24 hours but a nasty bruise the length of my thigh. Bruise is 90 % gone. No pain or loss of range of motion. I have big lump at the impact sight that is noticeable when I raise my leg. Doesn't seem to be getting smaller very quickly. Any suggestions. I have continued normal activities including walking bike riding and swimming with no pain associated.

Answered by Dr. Bhagyesh V. Patel (14 minutes later)

Brief Answer:
Post traumatic hematoma .give further details as per requirement to proceed

Detailed Answer:
Hello dear

Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .

* Usually hematoma is self limiting condition .

Kindly provide me further details so that I can answer your query completely .

1. Lump is raised above the skin surface .
2. Overlying skin changes of color , temperature .
3. If possible and no objection , kindly upload swelling photo as an attachment .

Awaiting for your response .

Regards dear .

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (31 minutes later)

Lump is raised above skin surface only when I bend my leg at the hip as if to sit down. I think I uploaded 2 photos. The lump is a 3:00 on both photos somewhat bisected by the line of my briefs. Skin color is almost back to normal as bruise has faded. Temp seems the same as surrounding skin. it seems to have become more noticeable in the last couple days. Until about 3 days ago I couldn't sleep on that side, now I can without any pain. I would guess that healing is taking place, my only concern was the lump that persists. Should I resume ice/heat, should I wrap it, should I just ignore it?

Answered by Dr. Bhagyesh V. Patel (7 minutes later)

Brief Answer:
hematoma management guidelines provided thoroughly .

Detailed Answer:
Welcome dear

Thanks for the details with photographs .

* This is resolving hematoma as symptoms are getting better .

* Suggestions for better recovery

- Continue alternate application of heating pad and ice pack application 5 - 6
times a day .
- Regular activities .
- Avoid tight clothing .
- In our clinic , we recommend certain proteolytic enzymes for better
resolution of hematoma , prophylactic antibiotics to prevent infection in
hematoma in selected cases .

- Do not ignore it , keep regular watch on its size and regression ; as if it persist
sometimes surgery is required .
- If size increases with pain , difficulty in walking , fever or any other issues
immediately consult your doctor without delay ;
otherwise keep observing above things and evaluate the progress .

Hope this will help you .
Wishing you fine recovery from the same .

Regards dear .

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad