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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For The Hematoma Causing Numbness On The Area Of Clot?

I wasn’t worried until now…I had a minor bike accident in Malaysia on Jan 9 (11 days ago) when I was thrown forward from a bicycle’s side car. My R shin hit the metal bar and has significant bruising from that injured level down to my toes in addition to a 3cm x 3cm hematoma (confirmed by US). He offered to aspirate it. I thought my body would reabsorb it but after reading Dr. Google (I know…bad nurse), it seems that it can calcify and leave a permanent bump. It is painful and wakes me up at night. For such a silly accident, it hurts more than I’m getting credit for in the bruising department. Any chance of pieces of that clot breaking off and entering my bloodstream? Advice please.

New bruising to inner R foot this morning. Now about 8cm area of numbness to skin above clot. I think there must still be active bleeding to develop new bruising. It feels like a scab is being ripped from my shin internally every time I point my toes which stretches the skin or underlying tissues. This same pain has been consistent for 11 days. I think the clot tries to adhere to the underlying tissues and when I stretch, it pulls away causing that pain and new bleeding. Thoughts? There was numbness immediately after the accident too. Hmmm...also can't take Ibuprofen after PRP since it could decrease platelet count and that's what I need in my shoulder for healing. I've been wearing a compression sock intermittently as the swelling dictates. Also icing.
Thu, 26 Feb 2015
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Orthopaedic Surgeon 's  Response
Thank you for the question. Do not worry the clot wii absorb in few days.Old hematoma site can be applied with thrombophob gel thrice a day,and hot fomentation. for new bruise take antibiotic like ciprofloxacin 500 mg BD for 5 days, clean the bruise with antiseptic or dettol and apply soframycin ointment.Take excedrin tab twice a day after meals.
cahaces of vein clots to embolise is possible but not hematomas which is in soft tissues. Hematoma collectionis often drained if fresh
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What Is The Treatment For The Hematoma Causing Numbness On The Area Of Clot?

Thank you for the question. Do not worry the clot wii absorb in few days.Old hematoma site can be applied with thrombophob gel thrice a day,and hot fomentation. for new bruise take antibiotic like ciprofloxacin 500 mg BD for 5 days, clean the bruise with antiseptic or dettol and apply soframycin ointment.Take excedrin tab twice a day after meals. cahaces of vein clots to embolise is possible but not hematomas which is in soft tissues. Hematoma collectionis often drained if fresh