ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel
  • »
  • Health»
  • Diseases, Disorders & Conditions

Identifying And Treating An Intramuscular Hematoma

Updated on March 4, 2017
Source

What is a Hematoma

A hematoma is defined as blood that has leaked and then clotted in the surrounding tissue. The blood would have come from a damaged blood vessel such as an artery, vein, or capillary and then become hardened outside of its intended vessel. On the outside hematoma can look like very bad bruising, however, they are much more severe and can often require surgery or draining to prevent any further damage to the body; some are even life threatening. Hematoma are caused from trauma, normally through an accident or injury using a large force.

Intramuscular hematoma will normally develop through the result of a broken bone in the lower leg or forearm, however they can occur in the lower limbs after intensive exercise. When a bone is broken, fractured or even shattered it can rip apart muscle and blood vessels and during this initial phase of of trauma is when the body will develop a hematoma. If there was a lot of damage, and therefore a lot of blood, the hematoma can grow quite large and when it starts to harden it will need to be drained or surgically removed as it will be too big for the body to reabsorb. Smaller hematoma are often nothing to worry about and will be reabsorbed after a couple of weeks.

Have you ever had an intramuscular hematoma or suffered from compartment syndrome?

See results

Symptoms Of An Intramuscular Hematoma

When you break a bone, for example a broken ankle, it can be quite obvious and painful and you'll need medical attention straight away. However, with smaller breaks and fractures (such as a fractured wrist) it can easily be mistaken for a sprain or bad bruise which is why it is always important to get checked out by a medical professional. The main symptoms that you'll have with an intramuscular hematoma are:

  • Pain when moving the limb (normally exercise induced)
  • Swelling
  • Pressure
  • Heat

If the hematoma is left to grow and is not treated soon then the blood can continue to leak for some time and can cause a condition known as 'compartment syndrome' which can cause nerve and muscle damage. Please see the video for more information on compartment syndrome.

Compartment Syndrome Symptoms

An Explanation of Compartment Syndrome

This is what a hematoma can look like on the outside when healing.
This is what a hematoma can look like on the outside when healing. | Source

Treatment For Small Or Moderate Intramuscular Hematoma

If the hematoma is caused by extreme exercise and is caught quickly then the patient can start treatment immediately and reduce their risk of surgery using the RICE procedure:

  • R: rest
  • I: ice
  • C: compression
  • E: elevation

Smaller hematoma will start to heal within 7 days and moderate within approximately 10 days. You will first notice that the tenderness decreases and the swelling reduces to the point that it will flatten out and be flush against the skin. As the swelling reduces further you will find that you are left with a lump below the skin, this is normal when a hematoma is healing and you will find that over a series of weeks the body will absorb this and it will eventually go.

At any point you are worried that your hematoma is not healing properly and something feeling wrong then get it checked by your health care provider who will give you an assessment and make any adjustments to your rehabilitation as necessary.

Treatment For Severe Intramuscular Hematoma

If the hematoma is caused by something more extreme like a car accident or a bad fall and you have suffered a broken bone that has rupture a blood vessel then surgery will likely to be the only course of action. During the surgery your surgeon would need to repair the ruptured vessels and reset the bone in place so that you can then begin to heal without risking another bleed.

It is likely that the patient will go on some blood thinner medication such as Clexane or Warfarin whilst on bed-rest to prevent any blood clots. When you have experienced a bleed and then become immobile then you will be at an increased risk of getting a clot but your health care provider will develop a rehabilitation plan to reduce any risks to you.

Remember:

This hub is for informational purposes only and should not replace the care of your doctor.

Comments

    0 of 8192 characters used
    Post Comment

    • Docmo profile image

      Mohan Kumar 5 years ago from UK

      Well presented, Bobski- succinct, simple and easy to follow info on the intramuscular haematoma. well done!

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: "https://hubpages.com/privacy-policy#gdpr"

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)