Contusion (bruise)

About Contusion (bruise)

Bruises that develop when small blood vessels under the skin tear or rupture, most often from blunt injury or a crush injury. Blood leaks into tissues under the skin and causes the black-and-blue color.

Symptoms

Pain, swelling, bluish discoloration, tenderness. Over time, the skin may turn from red, blue or purple to green, yellow, or brown.

Tests & Diagnostics

A history and physical exam will be performed. X-rays are used to rule out underlying fractures. When appropriate compartment pressures are measured to rule out compartment syndrome. Additional testing of the blood may be recommended if bruising is excessive or occurs without trauma.

Common tests: X-ray.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Treatment includes: ruling out other injuries, elevating and icing to reduce swelling, and immobilization with a splint to speed healing. For minor bruising, no treatment may be necessary.

Medical specialties

Internal Medicine · Pediatrics · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Contusion (bruise).