Bruising of soft tissues of the foot and swelling
Soft tissues are usually called the skin and everything thatis below it, except for bones and internal organs. It is soft tissue, most often suffer from bruises - mechanical injuries, in which there is no serious violation of the integrity of the skin.
We are hurt, mainly as a result of strikes orfalls. In everyday life, bruises lie in wait for us at every step. I dropped a heavy object on my foot - I received a bruise of the soft tissues of my leg, under the eye "finger" - there was a bruise of soft tissues of the face, pinched the doors in the subway - soft tissue of the trunk suffered, slipped and fell - also hurt. Especially many bruises occur during road accidents (road accidents).
If the injury occurs, the skin, subcutaneousfatty tissue and muscles, the blood vessels and nerves passing through them can also suffer. From the injured blood vessels flow. It can: impregnate surrounding tissues (a bruise-bruise is formed), accumulate in tissues (a hematoma appears), pour into adjacent cavities, for example, into joints.
Bleeding from small vessels spontaneouslystops in about 5-10 minutes. Of the large - can last about a day. The color of the bruise depends on the duration of the injury: fresh has a purplish-cyanotic color, after 3-4 days it becomes blue-yellow, and on the 5th-6th day - turns yellow.
At the site of a bruise, a swelling appears(edema), there is pain, which eventually passes, but discomfort during movement or palpation is retained for a long time. With severe bruises, disruption of the work of nearby organs is not excluded.
Injuries can be severe, thenurgent help specialist, and not very, then it is enough to attach to the sore spot ice. The patient himself is unlikely to understand this, so in any case he needs to see a trauma doctor. It is very important in the first hours after the injury to clarify whether the bones were affected (whether there are fractures), joints and internal organs. For this, it is required to perform an X-ray of the skeleton and, if necessary, to perform a survey fluoroscopy of the abdominal organs.
The sufferer needs complete rest, especially if there is a suspicion of a complicated trauma.
In the first hours after the injury, the main task of the doctor -stop bleeding and reduce the size of bruising or bruising. For this, cold compresses or plastic bags with ice are applied to the sore spot, a tight bandage is applied. In case of injuries to the limbs, the place of injury is wound with an elastic bandage, and a bubble with ice is applied from above. It is advisable to keep the patient's leg or arm in an elevated position, and to prevent blood circulation, the bandage should be weakened from time to time. The cooling of the injury site continues during the first day. If the bruise is on the body or face, a tight bandage can not be applied. Therefore, use only cold lotions with lead or plain tap water cooled in the refrigerator. As far as warming, the lotions are changed.
After 24-36 hours, the cold is no longer needed. Now the place of injury must be warmed up. This will help to quickly remove the swelling and resorption of the hematoma. The patient is prescribed warm baths, dry and semi-alcoholic compresses. A good result is provided by physiotherapy. UHF-therapy, magnetotherapy, electrophoresis of potassium iodide, lidase, ronidase. It is also useful to lubricate the damaged surface with anti-inflammatory drugs. If the place of injury is very sore, the doctor may prescribe painkillers.
A special case: as a result of a bruise formed a large hematoma with a clear boundary. If it does not dissolve for a long time on its own, it must be emptied surgically. Usually this is done by the method of puncture.