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Having huge bruise on lower back, numb feeling. Infrared heating pad? Remedy?

Hi, I am a 51 year old female that is fairly active. Six days ago I got bucked off a horse. I ride alot and this is only the second time I have been bucked off. This little horse got some air and I hit the hard ground on my right lower back. I was dizzy for a few hours, but no head issues exist.
I have a huge bruise on my lower right back. My hip and spine feel fine, other than muscle soreness I am able to move around good, all things considered. The middle of the bruise is numb feeling. There is tenderness below the numbness (deeper). For the most part the colorful bruise is not numb. The color is to the right and below the area that is numb.
My question is this: Will the area that is numb, lose the numb sensation? If so how long before I would expect to feel a change? Will this area get a colorful bruise? What kind of things should I be doing to treat this numbness? I have access to a infrared heating pad (Thermotex) is using this a good choice? What other complications whould I be watching for?
Thanks for your help.
Black&Blue in Buckeye
Asked On : Fri, 12 Apr 2013
Answers:  2 Views:  58
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Orthopaedic Surgeon 's  Response
Thanks for writing to us.
The spontaneous appearance of a huge bruise on the lower back after an injury is likely to be due to a hematoma formation. If there are no signs of infection in the area, then it is likely to subside in two weeks with cold compress and rest.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal ,
Answered: Tue, 2 Jul 2013
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Jul 2013
Hi, thanks for writing to HCM.
It seems that you might have sustained a soft tissue hematoma.
The numbness could be due to the pressure effect of hematoma over the superficial cutaneous nerves or due to a direct trauma during fall causing neuropraxia.
Generally these issues will resolve spontaneously with 4-6 weeks. In Diabetic patients there is a possibility of the hematoma getting infected (so beware if you are a diabetic).
There is no harm in using the heating pad.
Hope this helps
Answered: Tue, 2 Jul 2013
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