My Thin Skin and Aging: Hands and Arms Bleeding and Bruising Under Easily

 

One of the troubling results of age is the acquisition of paper thin skin. This "thin skin" is due to reduction in the amount of collagen (a protein, fibrous in nature, connecting and supporting other bodily tissues) under the surface of the skin. Elastin (another protein) which gives flexibility or spring to the skin also decreases. Exposure to sun and its ultraviolet rays accelerates the loss of collagen and elastin. Because the hands and forearms are most frequently uncovered parts of our body, the thin skin appears there most often. The skin changes in appearance, doesn't bounce back, and tears and bruises more easily.

My interest in this subject stems from not wanting to limit my activity - which I think is a concern to many people who are ageing. I don't want to miss out on life and doing because of battering myself up. Throughout this discussion I want to refer to what happened to me and how I addressed the problem.

At 62, I am a classic example of a person who should have taken better care of himself. I have lived in Arizona since the age of 5. Fifty-seven years of improper protection of my skin has taken its toll. I took warnings about using sunscreen with a grain of salt. I was too busy to fuss with all of that, I thought! More often than not I wore short sleeved shirts outside in the intense summer sun. But it wasn't until my 50's that I began to learn about the causes of thin skin, and in turn, started to do something to protect myself. It is at this age that I noticed very small bumps and bangs could cause deeper cuts and more bleeding than I was accustomed to.

With thin skin, bumps and bangs usually cause an immediate bleed under the skin if not broken. These purple marks spread out under the skin and are a telltale sign of age. I look at them NOW as if they were scars, and the people I have them with in common, veteran livers. It wasn't always so.

The interest I took, noted earlier, came from the surprise when I discovered a big blood spot or found blood on clothing. Usually I am unaware that anything happened to cause such bruise or bleed. There is nothing heartwarming about working on a project, discovering blood, and then trying to find out where it is coming from!

An example may be informative to the younger. I work on cars. I cannot say I enjoy it, but I must repair cars out of necessity. The automobile is the single biggest cause of nicks and bruising on my body. When I am done repairing something on an automobile, I have looked as if I have been through some kind of war. My skin having traveled across a piece of metal or some kind of connector, ever so slightly, came up a loser. Usually blood was smeared all over part of the engine, or all over me. With nicks and bruising all over, I realized I had to make a lifestyle change.

So here is a first idea that my wife, not I, came up with. She suggested that I wrap dish towels around my arms and secure them with rubber bands (not tight rubber bands!). Over that she felt I should wear a long sleeve shirt to keep them in place, and help protect arms and hands from the rough environment and the SUN! She is a smart lady.

Since doing this, I have virtually eliminated cutting to my skin. I still get some bruising, but nothing is perfect. I am so grateful for this suggestion she made. And for those of you out there who don't FEEL old yet and want to continue with what you have always done, this is something


Source
Source

that can help with the car repairs. I am including photos. The dish towels run $4 for 6 at Walmart. I use latex cloves to protect my hands from cutting (but they are also now recommended for professional auto repair people to prevent cancer from over exposure to burned hydrocarbons). I get Medi Touch Powder Free Latex Gloves, 50ct per box at $6.27 at Walmart.

Another example of a common thing I do to get an abrasion involves yard work. My home is made of frame and stucco - the outer coat is a rough Spanish lace texture. If I turn a corner just a bit too soon and my forearm touches that rough stucco, I have a scrape that will bleed. This is the kind of scrape that used to appear as roughed up white dry skin, perhaps a little reddened, but not bleeding.

If I get close enough to a counter top to tap it with my hand or forearm, it can result in a bruise or a nick. So here is a common sense solution I have had to acknowledge and use to change my behavior. I have had to become more careful. As easy as it seems, it takes some training. I intentionally give more room between me and objects. If I see a counter top, I don't get as close. If I see a corner, I remind myself to make a wider turn. These are things I never consciously thought about before; the consequences of hitting were not very serious.

I deal with bloody spots under the skin with vitamin E gel. I use Equate Aloe Vera & Vitamin E Baby Oil Gel. Before bed every evening I wash the area with the bloody spot and apply the gel which rubs in and disappears quite well. What have been the results? I think the gel helps the bruise dissipate sooner. I cannot prove it scientifically, but it is something I believe is working. My skin also feels better. Maybe it would help you? Again, I have my wife to thank for the idea. She is an aloe convert and has seen its healing properties in other ways - for her, in the treatment of sunburn. She thought the gel might help my forearms and hands. I am a convert. The gel costs around $1.50 per tube at Walmart.

If I get a nick doing ordinary chores or activities, I wash them and apply an antibiotic ointment. While at the doctor's office for a routine check up, my physician noticed my little cuts and bruises and emphasized that I should clean them immediately and apply such ointment or cream. She told me that I was at risk of a MRSA (Methicillin-resistant Staphylococcus aureus) infection if I ignored it, which I used to do. MRSA is a bacteria that is getting resistant to a number of antibiotics. Cleaning and treating immediately gets ahead of it. Remember when you would scab in 5 seconds, ignore the wound, and continue to work? Not so smart anymore. I use Equate Triple Antibiotic Ointment at $2.52 a tube which contains Polymyxin B sulfate - bacitracin zinc - gramicidin. There are other antibiotic ointments available. Inquire with a pharmacist.

So, to review, wear long sleeve shirts to cover the forearms helping to buffer the skin from nicking and bruising, and protecting the skin from exposure to ultraviolet sun light. Try using dish towels wrapped around forearms to protect from cutting and bruising when working in tight quarters. Treat cuts and abrasions immediately with triple ointment or cream to prevent infection and to promote faster healing.

And now for a final suggestion. I like to use Curad Non-stick pads (12 count, 2"x3") with adhesive tabs for covering those little nicks (or gashes!). These pads stick less to the wound (they advertise like they do not stick; I'm not sure that is completely so, but they are good) and they provide a buffer, again, between the wound and another strike to the wound. I know those of you out there who are of age have had a cut stop bleeding, washed it, and returned to work only to find a few minutes later you have rapped the same cut again! Ouch! It almost always is a bigger tear with more bleeding. I am sure we have all seen the same thing. The Curad pads help a lot to keep the second strike from causing as much damage, and, they cover the wound to prevent infection. The adhesive these pads use has not torn my skin. It is an adhesive that grabs, but doesn't grab so hard that you rip the skin taking the pad off. They are available for under $3.00 per box at Walmart.

I have personally decided to wait for a more serious health problem later in life to limit my activity. The bruising and cutting due to thin skin is a bother, but it can be nullified in the bigger scheme of things. Don't let paper thin skin hold you back!


These slides show cross-sections of the epidermis and dermis of (a) thin and (b) thick skin. Note the significant difference in the thickness of the epithelial layer of the thick skin. From top, LM × 40, LM × 40. (Micrographs provided by the Regents
These slides show cross-sections of the epidermis and dermis of (a) thin and (b) thick skin. Note the significant difference in the thickness of the epithelial layer of the thick skin. From top, LM × 40, LM × 40. (Micrographs provided by the Regents | Source

© 2011 John R Wilsdon

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Comments 17 comments

Ripped Arms 10 days ago

I too have the same problem with hands and arms getting shredded by the slightest bump or rub.

The remedy is buying arm protection sleeves, look them up on your computer. There are many good quality, and low priced ones out there.

Wrapping your arms with an Ace bandage works too.


joann 13 days ago

I am 70 like to still wear panty hose with my dress rub my legs they will have blood spots any way to help


john000 profile image

john000 4 months ago from Superior, Arizona Author

Thank you for your response to my article. Your remedy is the same as my wife's! It has been a pretty hot summer.


DECoy48 4 months ago

This article nailed it. This could easily be me but substitute audio and video equipment for the cars. Well done, and I will be more careful in the future. I, too, live in Arizona. My remedy for the heat is California but that's just me. Thanks again for the nice piece.


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john000 6 months ago from Superior, Arizona Author

Vitamin E or B cream. It happens. Good luck.


Kim Hewitt 6 months ago

I've had problems with thinning skin for some time now, it's imbearest of my arms. Need help, any suggestions?


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john000 3 years ago from Superior, Arizona Author

I agree. Rather than worrying about leaving a trail of you know what around, better to be proactive and not concern oneself. I actually know folks who avoid activity because of thin skin - worst thing one can do, in my opinion. Thanks for taking time to comment. Be well.


brakel2 profile image

brakel2 3 years ago from Oklahoma City, Oklahoma

Hi John Loved this hub. My skin is beginning to be thin, and I admire your ingenuity. It's a part of taking charge of your health and your working together. The coconut oil intrigues me, as I just started drinking coconut water. Thanks for sharing this information. I hope you have good traffic. Blessings. Audrey


Anjo Bacarisas II profile image

Anjo Bacarisas II 4 years ago from Cagayan de Oro, Philippines

There are lots of useful information in this hub, I like reading this pages. So thankful for the info. Doing great!


john000 profile image

john000 4 years ago from Superior, Arizona Author

Thank you for your thoughtful comment. I think you might be on to something about bruising. There are other reasons for easily bruising. In my case, the doctor did blood tests to see if I might have a bleeding disorder. Fortunately, I don't.

This kind of information is another way to direct you to professional care. And, since you mentioned it, I have also found that coconut oil has a lot of different uses and many people swear by it. Thanks again.


buckleupdorothy profile image

buckleupdorothy 4 years ago from Istanbul, Turkey

Thanks for this, John! I've been spending summers with my grandparents and my grandfather especially will come in from working in the woods just covered in semi-serious looking cuts and bruises. It's very disheartening... but inspired by your wife's creative approach, I bet we can come up with something that will allow him to be as active as he's used to being, without endangering himself unnecessarily. It's something to look forward to for sure.


Chris Hugh 4 years ago

Here are a few other things people with thinning skin might consider.

1) Retin-A to regularize and thicken the skin. (Need to see a doctor first.)

2) Estrogen cream to thicken the skin. (It will thicken it. It's available without an Rx, but you'd definitely want to to talk to a doctor first.)

3) Intense pulsed light therapy to rebuild collagen. (Needs to actually be done in a doctor's office.)

4) Use coconut oil (from the grocery store) as a hand lotion.

I've done all of these things. I've written some hubs on health/beauty but never one specifically on thinning skin. I wonder if easy bruising could also have something to do with a nutritional deficiency. I always used to bruise easily. A couple months ago I got tested and learned I was low in Vit D and iron. Now that I supplement, I have fewer bruises.

Interesting Hub. Up and shared.


john000 profile image

john000 4 years ago from Superior, Arizona Author

Thanks for the comment fiftyish.

I am glad you are not yet at the super thin skin stage. I think you could hold off that ageing of the skin if you try hard to remember to protect yourself. It's strange how cavalier one can get (like me) when it comes to the body. We sometimes assume the carriage will not wear out. But the truth is that we are all wearing. I recently had cataracts removed and plastic lenses put in each eye. The doctor informed me it was probably because I never wore sunglasses in Arizona. I was a bit too young to have them, apparently. So now I use the sunglasses religiously! Protect your skin all the time - thanks again.


fiftyish profile image

fiftyish 4 years ago from UK & South East Asian Region

Hello John

I just found this hub after doing a search on the ageing process. There's some really useful information in your article. I think we’ve all see parents and grandparents suffer from this 'wafer thin skin' as you call it, and most folks over a certain age certainly seem to get that blotchy effect, especially on hands and forearms.

I walk a lot in the mountains, and have recently noticed how old my own forearms and backs of hands are starting to look (although I'm still a good way off from ultra thin skin). I'm guessing this premature ageing is being caused by too much exposure to the sun.

Anyway, enjoyed your piece, and have taken some notes, so thanks for posting.

Andy Aitch


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john000 4 years ago from Superior, Arizona Author

Thanks for informing about Turmeric. Your generosity and others' makes HubPages a great place to read!


Hiral Shukla 4 years ago

Wish u a healthy life ahead. Thanks Madame for sharing a beautiful idea, i just coincidentally bleeded my aunt's arm today, getting guilt. In India, nothing can replace TURMERIC..which we used..All u old grana 7 grannies, pls take care.. 43


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frogyfish 5 years ago from Central United States of America

A cutely informative take on a common problem...and thanks to your smart wife for the answers! Enjoyable interesting hub, and best wishes with your dishtowel works! :-)

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    John R Wilsdon (john000)265 Followers
    68 Articles

    John was a Navy hospital corpsman; he worked general sick bay, managed a carrier O.R., and treated heat rash, eczema, and dyshidrosis.



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