How to Heal a Hematoma

Treating a Hematoma at Home

Do R.I.C.E. R.I.C.E. stands for Rest, Ice, Compression, and Elevation. These steps can be used at home to treat hematoma on your arms and legs and should be practiced on a daily basis for the best results. Try to apply R.I.C.E. as soon as you develop the hematoma for optimal recovery and healing.

Rest the limb with the hematoma. Make sure you rest the affected area during the first 24–72 hours of developing the hematoma. This will prevent any further bleeding and allow the area to heal. Some physicians recommend that you rest a lower limb that has hematoma, such as your leg, for at least 48 hours. The duration of the rest period is dependent on the extent of the hematoma.

Ice the area for 20 minutes, several times a day, for the first 48 hours. Apply an ice pack wrapped in a towel, or perform an ice massage on the affected limb. This will decrease the pain and swelling of the hematoma. To do an ice massage, freeze a plastic foam cup of water. Hold the cup and place a cloth or paper towel over the affected limb, then apply the ice. Never apply ice or an ice pack directly to the skin, as this increases the risk for a thermal burn or frostbite. After the first 48 hours, you can use a heated compress, such as a heating pad or a very warm washcloth, two to three times a day to help your body reabsorb the blood from the hematoma.

Compress the hematoma to reduce any swelling. Use a compression wrap or a compressive elastic bandage over the hematoma until it appears less swollen. You can find compression wraps and compressive elastic bandages at your local drugstore or pharmacy. You should maintain compression on the area for at least 2 to 7 days. Make sure the compression bandage is applied properly and is snug but not cutting off blood circulation to the limb. A wrap that cuts off circulation will trigger throbbing in the area or skin color changes, such as becoming a deeper purple or blanching entirely.

Elevate the affected area. This will help to reduce the pain and swelling. Raise the affected limb above the level of your heart on a chair or a stack of pillows.

Take an over-the-counter pain reliever or anti-inflammatory medication. This medication will help with the pain and swelling you may experience as the hematoma heals. Ibuprofen (Advil, Motrin) is a very effective pain reliever and anti-inflammatory medication. Follow the dosage instructions on the bottle and take no more than 2 pills at a time. Repeat this dosage every 4 to 6 hours. Naproxen sodium (Aleve) is another anti-inflammatory medication. Take this medication every 12 hours as needed for pain and swelling. Acetaminophen (Tylenol) is an effective pain reliever that can be used to ease any discomfort or pain. If you have a bleeding disorder, avoid taking non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin, as these medications can interfere with blood platelets and prolong your bleeding.

Wait a few months for the hematoma to subside. If you have a hematoma on your arm, leg, or hand, do diligent home treatment and be patient as the blood reabsorbs into your body. After a few months, the hematoma should fade on its own and the pain should subside.

Seeking Medical Care

Head to the nearest hospital for a hematoma on your head or internal organs. Any injury to an area that isn't your arm or leg should be immediately evaluated due to the risk for internal hematoma. An acute subdural or epidural hemorrhage to your brain can develop over a period of minutes or hours. Both occur around/in the brain, both occur with trauma, and both require immediate evaluation. If not promptly treated, they can lead to severe brain injury and possibly death. Subdurals are often accompanied by a "thunderclap" headache. It’s also possible to develop chronic subdural hemorrhage. This type of hemorrhage can develop over a period of days to weeks, and you may not notice any symptoms until some time after the hematoma develops. Get the hematoma on your head or internal organs checked by a doctor to rule out any serious complications.

Go to the nearest medical facility if the skin on the hematoma is broken. If the skin is broken on the hematoma, you may be at risk of infection. Your doctor will need to examine the hematoma and decide if it would be beneficial to drain the blood from the hematoma. If you develop new, unexplained bruising, this could be a sign of another medical issue. Your doctor should examine the new bruises and determine what may be causing them to develop.

See your doctor if your symptoms do not improve after two weeks. If an extremity hematoma does not improve despite diligent home treatment after two weeks, make an appointment to see your doctor. You should see reduced swelling and pain from the hematoma after two weeks of good home care. Your doctor will examine the hematoma and determine if there may be other medical issues that are slowing down the healing process.