Calf Hematomas: Healing and Recovery After Injury - Surgery

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Calf hematoma


I had a car accident on January 10th, and the wound on my left calf has not fully healed.
There is noticeable swelling around the wound, and it is painful when pressed.
I would like to know if the swelling will gradually subside on its own.

Wenzi, 30~39 year old female. Ask Date: 2024/01/26

Dr. Li Zhonghuai reply Surgery


Hello! An X-ray is used to check for any fractures, while an ultrasound is used to check for any hematomas.
If neither is present, poor wound healing can cause swelling in the surrounding soft tissue.
It is recommended to return for a follow-up appointment.
Take care! Changhua Hospital cares about you!

Reply Date: 2024/01/26

More Info


Calf hematomas, or localized collections of blood outside of blood vessels, can occur following trauma such as a car accident. When you sustain an injury, blood vessels may rupture, leading to bleeding into the surrounding tissues. This can result in swelling, tenderness, and sometimes discoloration in the affected area. The healing process for a hematoma can vary based on several factors, including the size of the hematoma, the extent of the injury, and your overall health.

In your case, since you mentioned that the injury occurred on January 10 and that the area around the wound is still swollen and painful, it is important to understand a few key points about the healing process of hematomas:
1. Natural Resolution: Hematomas often resolve on their own over time. The body gradually reabsorbs the blood that has leaked into the tissues, which can take days to weeks depending on the size of the hematoma. Smaller hematomas may resolve more quickly, while larger ones may take longer.

2. Symptoms to Monitor: While some swelling and tenderness are normal, it is crucial to monitor your symptoms. If the swelling increases, if you experience severe pain, or if you notice signs of infection (such as increased redness, warmth, or discharge from the wound), you should seek medical attention. These could be signs that the hematoma is not resolving as expected or that there is an underlying issue that needs to be addressed.

3. Pain Management: Over-the-counter pain relief medications, such as acetaminophen or ibuprofen, can help manage discomfort associated with the hematoma. However, be sure to follow the recommended dosages and consult with a healthcare professional if you have any concerns or if the pain persists.

4. Rest and Elevation: Resting the affected leg and elevating it can help reduce swelling. Avoid putting weight on the injured leg until you feel comfortable doing so. This will allow the body to heal more effectively.

5. Compression: If advised by a healthcare professional, using a compression bandage may help reduce swelling. However, it is essential to ensure that the bandage is not too tight, as this could impede circulation.

6. Follow-Up Care: If the swelling does not begin to decrease after a week or two, or if you have concerns about the healing process, it is advisable to follow up with a healthcare provider. They may perform an ultrasound or other imaging studies to assess the hematoma and determine if any further intervention is necessary.

7. Physical Therapy: Once the initial swelling and pain have subsided, physical therapy may be beneficial to restore strength and mobility to the affected leg. A physical therapist can provide exercises tailored to your recovery needs.

In summary, while it is common for hematomas to resolve on their own, it is essential to monitor your symptoms closely and seek medical advice if you notice any concerning changes. Healing times can vary, but with appropriate care and monitoring, you should expect gradual improvement. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized guidance.

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