Thigh Hematoma

A collection of pooled blood in the thigh within a relatively constricted area. Thigh hematomas probably accompany all serious contusions of the thigh, but they are difficult to diagnose because of the large muscle mass in the thigh.

Body Parts Involved

Thigh, including soft tissue (nerves, tendons, ligaments, muscles and blood vessels) surrounding the hematoma.

Causes

Signs & Symptoms

• Swelling at the injury site.
• Fluctuance (feeling of tenseness to touch, like pushing on an overinflated balloon).
• Tenderness.
• Redness that progresses through several color changes-purple, green-yellow, yellow-before it completely heals.

Treatment

Note:- Follow your doctor's instructions. These instructions are supplemental.

First Aid

Use instructions for R.I.C.E., the first letters of rest, ice, compression and elevation.

Continuing Care

• Countinue ice massage 3 or 4 times a day for 15 minutes at a time. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a softball.
• Don't massage the thigh. You may trigger bleeding again.

Medication

• For minor discomfort, you may use:

Non-prescription medicines such as acetaminophen or ibuprofen.

Topical liniments and ointments.

• Your doctor may prescribe stronger medicine for pain, if needed.

Home Diet

During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.

Diagnostic Measures

• Your own observation of symptoms.
• Physical exam and medical history by a doctor for all except minor injuries.
• X-rays of the injured area to assess total injury and to rule out the possibility of an underlying bone fracture. Total extent of the injury may not be apparent for 48 to 72 hours following injury.

Prevention Tips

Wear appropriate protective gear and equipment, such as thigh pads, during competition or other athletic activity if there is a risk of a thigh injury.