A bruise, also called a contusion or ecchymosis, is an injury to biological tissue in which the capillaries are damaged, allowing blood to seep into the surrounding tissue. It is usually caused by blunt impact. Bruises often induce pain but are not normally dangerous. Sometimes bruises can be serious, leading to other more life threatening forms of hematoma, or can be associated with serious injuries, including fractures and internal bleeding. The likelihood of bruising, and severity of it, increases as one ages, because elderly human skin becomes thinner and less elastic. Minor bruises may be easily recognized, in people with light skin color, by their characteristic blue or purple appearance (idiomatically described as “black and blue”) in the days following the injury.
Severity of bruises
Bruises can be scored on a scale from 0-5 to categorize the severity and danger of the injury.
Bruise harm score
Less than Moderate bruise
Extremely serious bruise
Risk of death
The harm score is determined by the extent and severity of the fractures to the organs and tissues causing the bruising, in turn depending on multiple factors. A contracted muscle will bruise more severely, as can the tissues being crushed against underlying bone. Capillaries vary in strength, stiffness and toughness, which can also vary by age and medical conditions.
At low levels of damage producing low-level bruising, the individual will feel some pain, either initially or delayed. The skin and surrounding region show inflammation, becoming red, tender and swollen due to the release of histamines. Repeated impacts worsen bruises, increasing the harm level. As time progresses, blood may escape and seep into the surrounding tissues even when the capillaries are being repaired, causing the bruise to darken and spread. During about the next two weeks, the bruise color changes to a dark red then to purple, black, or blue, eventually fading to yellow and disappearing as healing progresses. Some of these color changes are related to the breakdown of the hemoglobin in the escaped red blood cells. Normally, light bruises heal nearly completely on average in two weeks. Some may take a shorter or longer time and this is caused by random variation in the healing process; more severe or deeper bruises may take longer. The striking colors of a bruise are caused by the phagocytosis and degradation, with hemoglobin producing a red-blue color, the bilirubin producing a blue-green color, and hemosiderin producing a golden-brown color.
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.
Severe bruising (harm score 2-3) may be dangerous or cause serious complications. Further bleeding and excess fluid may accumulate causing a hard, fluctuating lump or swelling hematoma. This has the potential to cause compartment syndrome as the swelling cuts off blood flow to the tissues. Blunt trauma which cause severe bruising by shock waves may also cause other severe and fatal harm to internal organs. Impacts to the head can cause traumatic brain injury, bleeding, bruising and massive swelling of the brain with the potential to cause concussion, coma and death. Treatment may involve emergency surgery to relieve the pressure on the brain.
Bones may be broken by similar impacts, tendons can be bruised and joints can be sprained or otherwise harmed in ways that impairs the functioning of the limbs. The symptoms and signs of these injuries may appear to be those of simple bruising. Severe injuries that cause difficulty in moving a limb, abdominal bruising and the feeling of liquid under the skin may indicate life-threatening injury and require the attention of a doctor.
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. Also long term glucocorticoid therapy can cause easy bruising. If bruising is present around the umbilicus (belly button) with severe abdominal pain, this may suggest acute pancreatitis.
Keywords: homeopathy, homeopathic, treatment, cure, remedy, remedies, medicine
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology, possible causative factors etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’. The disease diagnosis is important but in homeopathy, the cause of disease is not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition. The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology is not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can be greatly improved with homeopathic medicines.
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. To study any of the following remedies in more detail, please visit the Materia Medica section at Hpathy.
None of these medicines should be taken without professional advice and guidance.
Homeopathy Remedies for Bruise :
Aeth., anthr., arg-n., arn., ars., bad., bar-c., bar-m., bell-p., both., bry., calc., carb-v., xcham., chin., chlol., coca., con., crot-h., dulc., euphr., ferr., ham., hep., kreos., lach., laur., led., nux-v., par., ph-ac., phos., plb., puls., rhus-t., ruta., sec., sep., sulph., sul-ac., tarent., ter., trinity., uran-n.
- ^ Voorhees, Benjamin W. (2007-08-31). “Medical Encyclopedia – Bruise healing”. Retrieved on 2007-09-09.
- ^ Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson; & Mitchell, Richard N. (2007). Robbins Basic Pathology (8th ed.). Saunders Elsevier. p. 86 ISBN 978-1-4160-2973-1
- ^ “WebMD article on bruising”.
Dr. Manish Bhatia
BHMS, BCA, M.Sc. Homeopathy (UCLAN, UK), CICH (IACH, Greece)
Dr. Manish Bhatia is the Founder Director of Hpathy.com, world’s leading homeopathy portal, serving homeopathy to more than half a million people every month. He is also Editor of Homeopathy for Everyone.
He runs a consultation office at Jaipur (Asha Homeopathy) and is one of the most well known Indian homeopaths globally. He has been practicing since 2001 and is helping Autism and other psychiatric patients since 2006. He was awarded Rajasthan’s foremost Raja Pajvan Dev Award For Excellence in the field of Medicine in 2015.
He has been working as an Asso. Professor of Organon of Medicine at S. K. Homeopathic Medical College since 2002. He was awarded with the prestigious APJ Abdul Kalam State Level Teacher’s Award in 2016. He has also given seminars and webinars in several countries of Europe, Americas and Australia.
He is the author of Lectures on Organon of Medicine Vol. I & II (English, Bulgarian, German editions), which are approved by the Central Council of Homeopathy (India) for BHMS and MD (Hom) syllabus. He is a contributing author to the book “Homeopathy and Mental Health Care: Integrative Practice, Principles and Research” and co-editor of “The Fireside Book of Homeopathy Tales.”