Therapy of a bruise

The most effective agent that helps immediately is cold. Cold relieves pain and can prevent further spread of the bruise. The PECH rule is one of the most important first aid measures for numerous injuries/accidents and also helps with bruising: Ice and compression can prevent the further spread of swelling.

Similarly, elevating the affected area helps to promote the reflux of blood. – “P” for pause

“E” for ice
“C” for compression. – “H” for high camp.

Well-tried means are also arnica and onion. Arnica relieves pain, inhibits inflammation and promotes the return of metabolic substances from the damaged tissue. A layer of onion also has a healing effect.

Onion is applied to the affected area and promotes lymph drainage and prevents blood accumulation. Onion also has an analgesic effect and can be found in almost every household. Garlic can also be applied directly to the tissue.

Garlic has an antioxidant and anti-inflammatory effect. Potatoes are also said to help, because potatoes also have an anti-inflammatory and pain-relieving effect. Another household remedy for bruises is apple vinegar.

A little apple vinegar is massaged into the tissue to stimulate the blood circulation and the removal of accumulated fluid. In addition, parsley, aloe vera and the Asian witch hazel witch hazel are said to effectively reduce swelling of the effusion and provide significant pain relief. In addition to these natural household remedies, ointments are often used, such as horse ointment, arnica, Voltaren or heparin ointment.

Normally a bruise heals on its own within a few days and does not require any specific treatment. However, healing can be supported by using cooling and pain-relieving ointments. Cooling with ointments or cooling pads causes the vessels in the affected tissue to contract.

If the bruising is particularly painful under pressure, an ointment containing painkillers can help. Examples are Voltaren/Diclofenac ointments. A pain ointment is applied to the painful area and quickly relieves the pain.

Special heparin ointments prevent further expansion of the bruise. Horse ointment, anika ointment or comfrey ointment can also be used. Horse ointment contains cooling menthol and arnica against pain and inflammation processes.

The ointment allows the tissue to swell and provides quick relief of the symptoms. Arnica ointment promotes the removal of metabolic products from the damaged tissue and is effective against pain and inflammation. Likewise, comfrey leads to the decongestation of bruises.

It promotes tissue circulation and simultaneously prevents water retention. It also has an anti-inflammatory effect and promotes rapid healing of the bruise. Heparin ointment Heparin ointments contain the active substance heparin.

Heparin is a so-called anticoagulant that inhibits blood clotting and dilutes the blood. It is used in medicine in many ways, for example to prevent thromboses. In the form of an ointment, heparin prevents the bruise from expanding further.

In addition, metabolic products that escape in the case of blunt injuries, for example into the muscle tissue, are removed more quickly. Heparin ointment causes swellings to subside faster or bruises to heal earlier. Ointments with heparin are particularly suitable for sports and accident injuries that are accompanied by painful bruises, contusions or even sprains and strains.

A bruise should always be cooled. In fact, cold is the best immediate measure for bruises. Cooling relieves pain and causes the vessels in the affected area to contract.

This causes less blood to leak into the tissue. Normally a bruise is harmless and heals on its own within a few days. An intervention in the effusion, such as a puncture, is only possible under extreme circumstances.

If a bruise is deep in the tissue and damages, by building up pressure or impairing certain bodily functions, an intervention is required. Depending on the location and size of the haematoma, the attending physician may consider and perform a puncture as necessary. If there is further bleeding in the area of the haematoma, further measures may be necessary. If necessary, a puncture must be performed by a physician under hygienic conditions.