Are Bruises Dangerous?

health wellness

There can be no doubt that life without bruises is noticeably better than life with bruises, but most bruises are not considered especially dangerous. That's not to suggest that severe bruises cannot lead to other complications such as blood clots, nerve damage and loss of mobility, however. These complications can be much more dangerous than the bruises themselves, but they are rarely life-threatening.

Most bruises are caused by some form of blunt force trauma to blood vessels under the skin. When these blood vessels break open, blood begins to pour into the surrounding tissue. This blood pools under the skin and initially looks dark purple or deep red. The pain associated with bruises is caused by the damaged nerves in the area of the bruise and the pressure of the blood as it pools. This pain can be treated with over-the-counter anti-inflammatory medications, often called non-steroidal anti-inflammatory drugs.

Blood clots may form in the bruised area, but since the clotted blood is not in the actual circulatory system, the chances of a stroke or heart attack are very slim. The blood clots themselves have nowhere to go and no way to get there, so they tend to remain in the pools of blood we see as bruises. Eventually the body will absorb the blood and the bruises should lessen in size and pain level. Any blood clots that may have formed should also be dissolved naturally and absorbed. There are occasions when blood clots could create an excessive build-up of calcium and the deposits may have to be removed surgically or through prescription medications.

The most dangerous spot for bruises to form is possibly the head and neck region. Head injuries tend to bleed heavily because of the abundance of blood vessels. A blunt force injury to the skull could create a serious form of bruise called a hematoma. A hematoma can be very susceptible to blood clots and other complications associated with internal bleeding.

As bad as bruises may appear to be, especially during the first few hours following a trauma, they should heal on their own in time. Sometimes the pressure of the blood-filled tissues can affect or damage nerves in the local area, and those damaged nerves in turn can hamper muscle movement. If the bruises are near major joints, mobility may be temporarily affected until the swelling and pressure are reduced. If a bruise does not appear to heal within a reasonable amount of time, the injury may have to be examined or re-examined by a medical professional.

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11
I have a small bruise on my knee, how it comes up is more intriguing to me than the bruise i get. This has happened twice in the past few months.

My knee is fine, I've not hit it or anything, but it will start to itch, so i scratch it, and then a bump appears, and it looks bruised. the bruise generally lasts a few days, then it's gone. is this something serious i need to speak to my doctor about?

- anon59970
10
Bruises are not necessarily caused by blunt force trauma. It is possible for small capillaries near the surface of the skin to break after vigorous scratching or rubbing. Some people also experience a darkening under the skin in reaction to an insect bite or embedded splinter. This may be the actual cause of the small bruises you notice after scratching the irritated site.
- pollick
9
All I have to do is itch somewhere on my body and I bruise. Just today I had an itch on my leg (above my knee) and then 20 minutes to half an hour there are a lot of bruises where I'd scratched. What the heck is wrong with me? I am 40 years of age not 80. -pondo2
- anon43573
8
i have a bruise on my forearm. i didn't hit it or have any trauma. it has a small bump in almost the middle. no signs of a bite. Any ideas?

- anon40742
7
i have a bruise on my forearm. i didnt hit it or have any trauma. it has a small bump in almost the middle. no signs of a bite...any ideas?
- anon37595
6
I fell on a rock, the point of trauma was my outer thigh. A major bruise formed. It has been 5 days and I expected it to turn black/blue/yellow but instead it is more red/purple/blue. What is happening?
- anon35158
5
A work colleague had a leg removed after it developed cancer following bruising, but the doctors opinion was that the cancer was there - it was merely activated by the trauma.
- anon26891
4
The physios must have used extreme pressure to provoke bruising. I don't believe that a well trained and careful physiotherapist would produce bruises on the back of the patient, unless the patient had very fragile skin (the skin of very old people is often very thin and very fragile leading to easy bruising).

Donald W. Bales, M.D. retired internist wbdu

- anon26873
3
*Truth*- The worst bruising I ever experienced was at the incompetent hands of a Navy Corpsman who in his failed attempts to draw 10cc's of my blood stuck his needle in both my arms no less than 14 times.

I did not raise my arms for days.

Since then I'm leary of medical personnel who come at me intent on drawing my blood.

Many medical tech's are quite novice, especially if you happen to have deep veins as I do.

- screenwriter
2
I was wondering if bruises could cause cancer?
- daycare
1
I had acute lower back pain, so for the first time in my life (am 30 yo) had to see a physio, and have some pretty intense, painful lower back/ side of buttocks physio... the bruising from the first couple of sessions with the lady physio werent too bad, however a couple of days later i had a 3rd session with a male physio (which didnt feel any worse - although still painful at the time!) - however several hours later really terrible, purple bruising set in, and i felt very raw and tender... my family were shocked at my completely bruised lower back (not on spine though). Although 5 days have passed and i am pleased with the rate of bruise recovery, my family are worried that there may have been some internal damage. Do you think this is likely? I feel ok, and my back pain is pretty much gone now, which is good... but just worried about possible clotting? any feedback would be appreciated, as i have never had physio before (and i am an easy bruiser) - i dont know if this is normal or not. THANKS!
- sydney77

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Written by Michael Pollick
Last Modified: 11 January 2010

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