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Q: 

fell 2wks ago on left fore arm still very sore and has a hard lump and warm to touch could it be a blood clot?

By Anonymous October 9, 2011 - 5:34pm
 
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had arm x-rayed and dr saide it was not broke but my elbow hurts and sometimes my wrist hurts and can not lay arm flat on anything.

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Hi Anon,

Ouch! It sounds like you may have a hematoma, also known as a localized collection of blood outside the blood vessels. Some hematomas form into hard masses under the surface of the skin. This is caused by the limitation of the blood to a subcutaneous or intramuscular tissue space isolated by fascial planes.

Hematomas of the skin and soft tissues are often treated with RICE (rest, ice, compression, elevation). Some health care practitioners may advocate heat as another treatment alternative. The pain of a hematoma is usually due to the inflammation surrounding the blood and may be treated with over the counter pain medications. The choice of medication depends upon the underlying health of the patient. For those patients who are taking anti-coagulation medications, ibuprofen is relatively contra-indicated because of the risk of gastrointestinal bleeding. Patients with liver disease should not take over the counter acetaminophen. When in doubt, it is wise to ask the health care practitioner or pharmacist for a recommendation.

Get well soon,

Rosa

October 9, 2011 - 6:06pm
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