How Long Does It Take for Severe Bruises to Heal? - Surgery

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Severe bruises, also known as contusions, typically heal within a timeframe of 2 to 4 weeks, depending on various factors including the severity of the bruise, the individual's overall health, and the location of the bruise on the body. In your case, since you experienced a bruise on the outer side of your left calf after a massage, it is not uncommon for bruises to change color and for the symptoms to evolve over time.

Initially, a bruise may appear red or purple, transitioning to blue or black as it heals, and eventually fading to yellow or green before completely disappearing. The itching sensation you are experiencing is also a common symptom during the healing process, as the skin and underlying tissues recover from the trauma. The hard lump you feel beneath the skin is likely a result of blood pooling in the tissue, which can create a firm area that may take longer to resolve than the discoloration itself.

In general, the hardness associated with a bruise can take several weeks to months to fully dissipate, depending on the extent of the injury and the body's healing response. If the hardness persists beyond a few weeks or if you experience increasing pain, swelling, or any signs of infection (such as redness, warmth, or fever), it would be advisable to consult a healthcare professional for further evaluation.
In some cases, a hard lump may indicate a hematoma, which is a localized collection of blood outside of blood vessels. While many hematomas resolve on their own, some may require medical intervention if they are large or symptomatic.
To promote healing and alleviate discomfort, consider the following recommendations:
1. Rest: Avoid activities that may aggravate the bruise.

2. Ice: Applying ice packs to the area for 15-20 minutes at a time can help reduce swelling and pain, especially in the initial days after the injury.

3. Compression: Using a compression bandage can help minimize swelling.

4. Elevation: Keeping the affected leg elevated can also assist in reducing swelling.

5. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage pain and inflammation.

If you notice that the bruise is not improving, or if you have concerns about the hardness or pain, it would be prudent to seek medical advice. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the extent of the injury and rule out any complications.

In summary, while bruises typically heal within a few weeks, the presence of a hard lump and occasional pain may take longer to resolve. Monitoring your symptoms and seeking medical advice if they worsen or do not improve is the best course of action.