Unexplained Bruising and Pain in Women: A TCM Perspective

Large bruise

Hello doctor, I would like to ask about a situation where a woman experiences unexplained pain on both sides while wearing a bra.
The pain lasts for a while, and she thought about trying a massage to see if it would help.
However, after the massage, she developed large bruises a day or two later, despite not being massaged very hard.
Is this an issue related to something internal, or could it indicate a problem with her blood production? Thank you, doctor.

Jojo, 30~39 year old female. Ask Date: 2016/12/17

Dr. Zhang Weidong reply Traditional Chinese Medicine

Hello Jojo,
Your issue can be viewed from two aspects.
First, regarding the pain on both sides of your chest (costal area) that has persisted for a while, we need to rule out any external factors such as bruising, friction, prolonged labor, or even tight clothing that may be contributing to the pain.
It’s important to assess whether there have been any changes in your daily life that could lead to this discomfort.
If there are no identifiable external causes, we should consider other underlying issues that might be causing the pain.
We need to evaluate if the pain is accompanied by other symptoms, such as difficulty breathing, chest pain, or if the pain radiates to other areas, as these factors will help determine which specialist you should consult.
Secondly, regarding the bruising after massage, some individuals have more fragile blood vessels, making them prone to subcutaneous bleeding.
If this is a hereditary trait in your family, there is generally no need for concern.
However, if it is not hereditary, it would be prudent to investigate whether there are other underlying conditions or coagulation issues.
I recommend a thorough examination for peace of mind.

I hope this addresses your concerns.

Zhang Weidong, Department of Traditional Chinese Medicine, Changhua Hospital

Reply Date: 2016/12/17

More Info

Unexplained bruising and pain in women, particularly in sensitive areas such as the sides of the breasts, can be concerning and may warrant further investigation. From a medical perspective, there are several potential explanations for these symptoms, and understanding them requires a multifaceted approach.

Firstly, it is essential to consider the possibility of underlying medical conditions that could lead to easy bruising and pain. Conditions such as thrombocytopenia (low platelet count), clotting disorders, or even liver dysfunction can result in increased bruising. If there is a history of easy bruising, it may be beneficial to undergo blood tests to evaluate platelet levels and assess liver function. Additionally, certain medications, including anticoagulants or anti-inflammatory drugs, can also contribute to increased bruising.

From a Traditional Chinese Medicine (TCM) perspective, unexplained bruising and pain may be attributed to "Qi" (energy) and "Blood" deficiencies or stagnation. In TCM, the smooth flow of Qi and Blood is essential for maintaining health. If there is a deficiency or stagnation, it can lead to symptoms such as pain and bruising. For example, if the body is not producing enough Blood, it may not be able to nourish the tissues adequately, leading to pain and increased susceptibility to bruising. Similarly, if Qi is stagnant, it can cause blockages that result in pain.

In your case, the pain experienced on the sides of the breasts could be related to muscle strain or tension, especially if there has been recent physical activity or changes in posture. However, the appearance of large bruises following a massage, even if it was not particularly vigorous, raises the question of whether there is an underlying issue that needs to be addressed. It is also worth noting that some individuals may have more fragile blood vessels, which can lead to bruising with minimal trauma.

To address these symptoms, it is advisable to consult with a healthcare professional who can conduct a thorough evaluation. This may include a physical examination, blood tests, and possibly imaging studies if deemed necessary. If a specific medical condition is identified, appropriate treatment can be initiated.

In the meantime, there are several self-care measures that may help alleviate discomfort. Applying cold compresses to the affected areas can reduce swelling and pain. Additionally, ensuring a balanced diet rich in vitamins, particularly Vitamin C and K, can support healthy blood vessel function and healing. Gentle stretching and relaxation techniques may also help relieve muscle tension.

If the symptoms persist or worsen, or if there are additional concerning signs such as significant swelling, persistent pain, or changes in skin color, it is crucial to seek medical attention promptly. Understanding the root cause of unexplained bruising and pain is essential for effective management and to ensure overall health and well-being.

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