Hard Lump Under Skin After Bad Bruise

From LoveToKnow Skincare

If you've suffered a hard lump under the skin after a bad bruise, you may be concerned. Fortunately, there is a name for this condition. Read on to learn more about it, what to expect as you heal and whether you need to seek medical attention.

Severe bruises can result in a hematoma.

The Common Bruise

Basic bruises heal quickly. They occur when the soft tissue underneath the skin is injured, typically as the result of a strong, forceful impact with an object or a person. When the tissue is damaged, blood begins to collect, forming a discoloration that may follow a red to blue to yellow path as it evolves and eventually heals. This type of bruise will normally heal within two to four weeks.

Severe Bruises

For every common, schoolyard bruise suffered on the soccer field or while running around the neighborhood, there is a far more painful, serious bruise to consider. Severe bruises can occur for a number of reasons. If the impact is quite forceful and traumatic, an underlying fracture or very severe sprain may occur. This, in turn, may result in a significant amount of pain, swelling and bruising. Typically, this will occur within the hour the injury takes place.

Suffering a Hard Lump Under the Skin After Bad Bruise

Most basic bruises are spread out and do not present any remarkable symptoms – that is, anything beyond the expected amount of pain and the telltale skin discoloration. Severe bruises may, from time to time, result in an uncomfortable, hard lump under the skin after a bad bruise. This is known as a hematoma.

As anyone who has suffered from them knows, hematomas may feel sponge-like, rubbery, hard or lumpy (or some combination of these characteristics). Despite how they feel, hematomas are not typically cause for concern – unless they occur on the head following a head injury (it's important to note that a head hematoma may not occur for several weeks following the head injury, so be mindful of its potential to appear). In this case, it's crucial to seek medical attention immediately.

As mentioned, hematomas usually only occur with more severe bruises. They occur when blood collects and pools beneath the skin after an injury. When this excess fluid accumulates, it creates the hard swelling known as the hematoma.

The Dangers Involved

Under normal circumstances, hematomas are not cause for concern. They will usually be reabsorbed into the body (much like a bruise itself). In some cases, though, these hard lumps can persist and cause problems. If you suffer a bruise and notice extreme pressure in the area, you may be dealing with a condition called compartment syndrome. This occurs when the pressure imposed on the tissue and structures beneath the skin causes a decrease in blood and oxygen to the area – both vital and absolutely essential. Compartment syndrome is potentially life threatening and should be treated as such.

In addition to a rise in pressure, some telltale signs of compartment syndrome include increasing pain, skin pallor (or a noticeable loss of color to the area), numbness and inability to detect a pulse in the arteries of the bruised extremities. A tingling sensation that develops in the toes and fingers and does not respond to ice treatment and compression may suggest a loss of circulation. If any of these symptoms cannot be controlled with normal treatment methods, it is best to have the bruised area checked out by a medical professional. Compartment syndrome requires aggressive treatment. The area is opened up surgically to relieve the pressure and allow the area to return back to normal.

Are You at Risk for Compartment Syndrome

It should be noted that individuals who take high dosages of anti-inflammatory pain medications (such as Advil, Midol or aspirin) are at greater risk of suffering compartment syndrome. This is because the medications cause the platelets that coagulate the blood to become less sticky, resulting in an inevitable buildup of blood in bruised areas of the body.



 


Comments

My son was hit hard on his forearm during football last night (one of our hardest hitters butted his helmet in to my son during tackle practice). Practice was over within minutes and my son (11 yrs) was near tears - he stated that his arm hurt, but that part of it was numb and he couldn't feel it. I shrugged it off to it being cold outside and a hard hit...but when we got home and I looked at it, there was almost a golf-ball sized (hard) bump at the place of contact and it really hurt even when I lightly touched around the area. I am giving him Motrin and we are putting ice on it...how long should I watch this before I take him in to have it checked out? (The lump is still there today, though swelling has gone down and numbness is gone...but I really don't even see a bruise on his forearm and he is complaining of the area near his elbow hurting a lot.)

-- Contributed by: Adrianne

My son was hit hard on his forearm during football last night (one of our hardest hitters butted his helmet in to my son during tackle practice). Practice was over within minutes and my son (11 yrs) was near tears - he stated that his arm hurt, but that part of it was numb and he couldn't feel it. I shrugged it off to it being cold outside and a hard hit...but when we got home and I looked at it, there was almost a golf-ball sized (hard) bump at the place of contact and it really hurt even when I lightly touched around the area. I am giving him Motrin and we are putting ice on it...how long should I watch this before I take him in to have it checked out? (The lump is still there today, though swelling has gone down and numbness is gone...but I really don't even see a bruise on his forearm and he is complaining of the area near his elbow hurting a lot.)

-- Contributed by: Adrianne

Ouch! I'm really sorry to hear that, Larry. I'm not a medical professional and wouldn't want to steer you in the wrong direction. I always recommend seeing a doctor in cases like this - the numbness and lump are certainly signs that you should. I wish you good luck.

-- Contributed by: Tsharma
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