Kinesiotape
Special taping techniques have also proven successful in the treatment of bruises. The aim here is to keep the pressure in the tissue in the area of the bruise to a minimum. In this way a reduction of pain can be achieved.
However, it cannot be guaranteed that the bruise will disappear more quickly with the correct taping technique. In the case of haematomas, a tape with very light traction is recommended, for example lymphatic tapes are suitable for this. With a little experience or under guidance, patients can apply the tape themselves. However, those who have no experience with taping are not advised to experiment. In the worst case, the tape is applied in such a way that the tissue pressure increases instead of decreasing, which aggravates the pain and delays the healing of the bruise.
When must the bruise in the thigh be removed by surgery?
In most cases a conservative therapy of bruises in the form of cooling and heparin ointment is sufficient. One reason why surgical removal of a bruise may become necessary is if the bruise is in close proximity to a joint (e.g. knee or hip joint). Deposits of blood in the joint can lead to premature wear and tear of the joint (arthrosis).
The latter is associated with chronic pain and limited mobility. Hematomas that are particularly large or deep should also be removed surgically, as they cannot be easily broken down by the body itself. Another reason for surgical removal of a bruise on the thigh is an impending compartment syndrome. In this case, the leaked blood causes an increase in pressure within a muscular compartment, which means that the supply of blood vessels and nerves is no longer guaranteed. If the affected person feels severe pain, numbness or paralysis of the affected thigh, a surgeon should be consulted as soon as possible.
Thrombosis
A thrombosis is a blood clot that occludes a blood vessel. In principle, all arteries and veins can be affected, but in this context the term thrombosis refers mainly to venous thromboses. These are caused by an increased tendency to clot.
A thrombosis can also be promoted by damage to the inner vascular wall (endothelium) of veins, for example as a result of a contusion or bruise. In the case of very large bruises, it can therefore be considered whether prophylactic thrombosis injections should be administered over a certain period of time. A thrombosis usually occurs within the first four weeks after the trauma. Overall, the risk of thrombosis due to a bruise is low, but the risk can increase if other risk factors (e.g. smoking, birth control pills, certain medications, lack of exercise…) are present.
