Hand Contusion

ExitCare ImageA hand contusion is a deep bruise on your hand area. Contusions are the result of an injury that caused bleeding under the skin. The contusion may turn blue, purple, or yellow. Minor injuries will give you a painless contusion, but more severe contusions may stay painful and swollen for a few weeks.

CAUSES

A contusion is usually caused by a blow, trauma, or direct force to an area of the body.

SYMPTOMS

  • Swelling and redness of the injured area.

  • Discoloration of the injured area.

  • Tenderness and soreness of the injured area.

  • Pain.

DIAGNOSIS

The diagnosis can be made by taking a history and performing a physical exam. An X-ray, CT scan, or MRI may be needed to determine if there were any associated injuries, such as broken bones (fractures).

TREATMENT

Often, the best treatment for a hand contusion is resting, elevating, icing, and applying cold compresses to the injured area. Over-the-counter medicines may also be recommended for pain control.

HOME CARE INSTRUCTIONS

  • Put ice on the injured area.

  • Put ice in a plastic bag.

  • Place a towel between your skin and the bag.

  • Leave the ice on for 15-20 minutes, 03-04 times a day.

  • Only take over-the-counter or prescription medicines as directed by your caregiver. Your caregiver may recommend avoiding anti-inflammatory medicines (aspirin, ibuprofen, and naproxen) for 48 hours because these medicines may increase bruising.

  • If told, use an elastic wrap as directed. This can help reduce swelling. You may remove the wrap for sleeping, showering, and bathing. If your fingers become numb, cold, or blue, take the wrap off and reapply it more loosely.

  • Elevate your hand with pillows to reduce swelling.

  • Avoid overusing your hand if it is painful.

SEEK IMMEDIATE MEDICAL CARE IF:

  • You have increased redness, swelling, or pain in your hand.

  • Your swelling or pain is not relieved with medicines.

  • You have loss of feeling in your hand or are unable to move your fingers.

  • Your hand turns cold or blue.

  • You have pain when you move your fingers.

  • Your hand becomes warm to the touch.

  • Your contusion does not improve in 2 days.

MAKE SURE YOU:

  • Understand these instructions.

  • Will watch your condition.

  • Will get help right away if you are not doing well or get worse.