Persistent Bruise and Indentation After a Year: When to Seek Medical Help?

The bruise from the fall has not completely faded after a year, and it feels indented when touched?

It has been a year since I fell, and I initially thought that the bruise would fade away over time.
However, after a year, it has only turned into a light grayish-blue color, which looks like it has been lingering for quite some time.
Additionally, if I apply slight pressure to it, I feel pain, and when I gently touch it, there is a sensation of indentation in the skin and muscle.
Given this situation, would you recommend seeking medical attention? Which department should I visit at the hospital, or can this be addressed at a clinic?

Lin Baibai, 20~29 year old female. Ask Date: 2021/05/10

Dr. Li Yanheng reply Rehabilitation

Because the location of the bruise is not described, it is difficult for you to provide advice.

Reply Date: 2021/05/10

More Info

When dealing with a persistent bruise and indentation that has lasted for a year, it is essential to take this situation seriously. While bruises typically heal within a few weeks, the fact that you are experiencing ongoing pain and a noticeable indentation suggests that there may be underlying issues that need to be addressed.

Firstly, the prolonged presence of a bruise that has not fully resolved could indicate several possibilities. It might be a hematoma, which is a localized collection of blood outside of blood vessels, that has not completely reabsorbed. Alternatively, the indentation you feel could be a result of tissue damage or changes in the underlying muscle or fat layer due to the initial injury. In some cases, chronic pain and tenderness in the area could also suggest nerve involvement or other complications.

Given the symptoms you are describing—persistent pain upon pressure, the indentation in the skin and muscle, and the prolonged duration of the bruise—it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in musculoskeletal issues. This could be an orthopedic specialist, as they deal with bone and soft tissue injuries, or a primary care physician who can evaluate your condition and refer you to the appropriate specialist if necessary.

In terms of what to expect during your visit, the doctor will likely perform a physical examination of the affected area. They may ask about the history of the injury, any other symptoms you may be experiencing, and how the bruise has changed over time. Depending on their findings, they might recommend imaging studies, such as an ultrasound or MRI, to assess the underlying structures and determine if there is any significant damage or other issues that need to be addressed.

If the examination reveals that there is indeed a hematoma or other soft tissue injury, treatment options may include physical therapy to help restore function and reduce pain, or in some cases, a minor procedure to drain any residual fluid if necessary. Pain management strategies, including medications or topical treatments, may also be discussed.

In summary, given the duration of your symptoms and the presence of pain and indentation, it is prudent to seek medical evaluation. An orthopedic specialist or your primary care physician would be the best starting point. Early intervention can help prevent further complications and promote healing, so do not hesitate to make an appointment. Your health and well-being are important, and addressing these symptoms sooner rather than later is the best course of action.

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