How do you get rid of a hematoma that won’t go away?

Answered by Jason Smith

If you have a hematoma that won’t go away, there are several options you can consider to help get rid of it. It’s important to consult with your doctor to determine the best course of action for your specific situation.

1. Time and Rest: In most cases, hematomas will gradually resolve on their own with time and rest. The body’s natural healing processes will reabsorb the blood and the hematoma will gradually diminish in size. This process can take anywhere from a few days to several weeks, depending on the size and severity of the hematoma.

2. Cold Compress: Applying a cold compress to the affected area can help reduce swelling and inflammation, which may help the hematoma resolve more quickly. You can use an ice pack or a bag of frozen peas wrapped in a thin towel and apply it to the area for about 15-20 minutes at a time, several times a day. Be sure to always wrap the cold compress in a cloth to protect your skin from frostbite.

3. Compression: Wearing compression bandages or garments can help reduce swelling and promote healing. These garments apply gentle pressure to the area, which can help prevent the accumulation of excess fluid and promote reabsorption of the hematoma. Your doctor can recommend the appropriate type and level of compression for your specific needs.

4. Elevation: Elevating the affected limb can help reduce swelling and improve blood flow, which may aid in the healing process. Try to keep the injured area elevated above the level of your heart as much as possible, especially when resting or sleeping.

5. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help alleviate pain and reduce inflammation associated with the hematoma. However, it’s important to consult with your doctor before taking any medication, especially if you have any underlying medical conditions or are taking other medications.

6. Draining the Hematoma: If the hematoma is large, causing significant pain or discomfort, or if it doesn’t improve after a few days, your doctor may recommend draining it. This can be done through a procedure called aspiration, where a needle is inserted into the hematoma and the accumulated blood is drained. This procedure is typically performed under sterile conditions by a healthcare professional and can provide immediate relief.

7. Surgical Removal: In rare cases, surgical intervention may be necessary to remove a hematoma that is causing significant pain, interfering with function, or not resolving on its own. This is usually considered when other conservative measures have failed. The surgery involves making an incision and draining the hematoma, and in some cases, removing any damaged tissue or clots.

It’s essential to follow your doctor’s recommendations and closely monitor the hematoma for any signs of infection or worsening symptoms. If you notice increasing pain, redness, warmth, or pus-like discharge, seek medical attention promptly as it may indicate an infection.

Remember that each person’s situation is unique, and the treatment approach may vary. It’s crucial to consult with a healthcare professional to determine the most suitable treatment plan for your specific hematoma.