This question was answered on Mon 21, Jul 2008 01:18pm by Dr.Bhumika Aggarwal

Bruisng on lower leg spreading a week after injury.

Asked by Unregistered (Male; 45; Obese, usually don't bruise much.; Relevant drugs:Taking ibuprofen. ) on Mon 21, Jul 2008 09:10am

I fell down 4 steps on Friday July 11. I visited the ER, had X-rays taken and was told there were not broken bones. Later that evening the brusing began to appear. The bruising has continued to spread over the last week, now covering most of my lower leg, my ankle, and my toes. Is it normal for the bruising to continue spreading like this. There is also a slight warmth to the bruised are around the original injury.

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Answer by Dr.Bhumika Aggarwal  on Mon 21, Jul 2008 01:18pm:

Hi, 'Treatment for light bruises is minimal, including RICE, painkillers (particularly NSAIDs) and later in recovery, some light stretching exercises may be appropriate. If swelling is severe, swelling may be reduced by applying ice and / or by elevating the area. Rest and preventing re-injury is essential for faster recovery. Very gentle massage of the area may relieve pain and encourage blood flow, though pain may indicate the massage is exacerbating the injury.' If a severely bruised muscle is used too early before healing has occurred, bone tissue may form inside the muscle, causing permanent stiffness, pain and disability. Extremely severe bruises may take as long as a year to completely heal. The presence of bruises may be seen in patients with platelet or coagulation disorders. Unexplained bruising may be a warning sign of child abuse or serious medical problems, such as leukemia and meningoccocal infection. Unexplained bruising could indicate internal bleeding or certain types of cancer. A deficiency in Vitamin C can also make a person more susceptible to bruises from impacts. Also long term glucocorticoid therapy can cause easy bruising.' ''' It would be best to consult your doctor about the symptoms you are having. Let us know if you need any other information. Regards.

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Comment by on Sat 21, May 2011 06:56am:
Bruise spreading down the lump can be due to hematoma formation or cellulitis skin. Cellulitis can be caused by normal skin flora or by exogenous bacteria. Blood culture sensitivity is often done to find out the causative pathogen and its sensitivity to various antibiotics.

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