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How to Treat a Large Bruise

You probably will not be seriously injured in a skating fall if you wear your body protection, but you may have a large purple bruise to deal with. Here is what you can do to help it heal quickly.

Treatment for a Large Bruise
  • Keep the injured area as still as possible for 24-48 hours. This is the best thing you can do to limit the bleeding under the skin, and prevent the discolored area from growing. Stay in bed if you can.
  • Apply a very cold, wet cloth to the injured area. This may help to slow the bleeding under the skin if it is done immediately after the injury. If you use ice, take precautions to prevent frost-bite (see tips below).
  • Some people wrap the injured area with a pressure bandage to prevent swelling, but this must be done with caution. Remove the bandages immediately if the surrounding skin becomes slightly pale or blue or cold.
  • Elevate the injured area, if possible, to prevent swelling. The easiest way to elevate an arm or a leg is to stay in bed and rest it on one or two pillows.
  • Avoid pointing the injured area downward (lowering it), because gravity will cause a fluid build-up that can increase pain and prolong the healing period.
  • Prevent the injured area from moving while you are sleeping by propping or padding it with pillows. Do this for 2 or 3 days after the injury.

    Tips
  • A bruise is a blue area on the skin, often caused by a hard blow that bursts the tiny blood vessels under the skin. This releases blood into the surrounding tissues, and causes the skin to appear blue in the injured area.
  • Small bruises will usually heal in 7 to 10 days, but a large bruise can take 2 or 3 weeks.
  • If you ice an injury, avoid frost-bite by placing a towel between the ice and your skin. Ice the area for 15 minutes, then take a 15 minute break. Stop all icing immediately if the skin appears white or feels hard.
  • If you have diabetes or circulation problems, do not ice a wound or apply a compression bandage unless you have your doctor's approval.
  • See your doctor if (a) you have severe pain or swelling, (b) you have difficulty moving the injured area, (c) an arm or a leg will not support your weight (d) you still have pain after two days.


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