[23F] With arm pain, bruising, and swelling post-injury

Patient Description

A 23-year-old female presents with severe dull pain (rated 8/10), bruising, and swelling in her arm since Monday. The injury occurred when a prize door shut on her arm while playing in an arcade. The bruise is purple and medium-sized, and the swelling has increased since the injury. The patient reports tingling that comes and goes, as well as some weakness in the arm, but no changes in her ability to grip objects or perform fine motor tasks. There is no visible deformity. She has applied treatments like ice and compression. The patient's medical history includes Tourette syndrome and depression, for which she is taking Wellbutrin (300 mg daily) and Lamictal (25 mg daily). She has no known allergies, blood clotting disorders, or use of blood-thinning medications. She does not smoke or use recreational drugs.

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Arora's Assessment

Sure, Cassandra. Based on the information you've provided, here's some advice regarding your condition:

What might be happening

Based on your symptoms and history, the most likely explanations for your bruised and swollen arm are:

  • Soft Tissue Injury (Bruise/Contusion): This is a common injury resulting from a direct blow or impact, such as the one you experienced at the arcade. The purple color of the bruise and the swelling are typical signs of a contusion.

    • Treatment: Soft tissue injuries usually heal on their own with time. Treatment typically involves rest, ice, compression, and elevation (RICE).
  • Hematoma: This is a more severe form of bruising where blood collects under the skin, causing swelling and pain.

    • Treatment: Similar to a contusion, treatment involves rest, ice, compression, and elevation. In some cases, medical intervention may be needed to drain the hematoma.
  • Nerve Compression or Minor Nerve Injury: The tingling and weakness you are experiencing could be due to minor nerve compression or injury from the swelling.

    • Treatment: Reducing the swelling through RICE can help alleviate these symptoms. If the tingling and weakness persist, a doctor may need to evaluate the extent of the nerve involvement.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Rest: Avoid using the injured arm as much as possible to prevent further injury.
  2. Ice: Apply ice packs to the bruised and swollen area for 15-20 minutes every 1-2 hours during the first 48 hours after the injury. This can help reduce swelling and pain.
  3. Compression: Use an elastic bandage to wrap the injured area, but make sure it's not too tight. This can help control swelling.
  4. Elevation: Keep your arm elevated above the level of your heart as much as possible to reduce swelling.
  5. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation. Be sure to follow the dosage instructions on the label.
  6. Monitor Symptoms: Keep an eye on the bruise and swelling. If you notice any changes or if your symptoms worsen, seek medical attention.
  7. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased Pain or Swelling: If the pain or swelling continues to worsen despite home treatment.
  • Numbness or Tingling: If the tingling sensation becomes constant or if you experience significant numbness.
  • Severe Weakness: If you notice a significant decrease in your ability to move or use your arm.
  • Signs of Infection: If the area becomes red, warm, or if you develop a fever.

Remember, while this advice can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. If you have any further questions or concerns, don't hesitate to reach out to a medical provider.

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5 mo ago

People Also Ask


What is the difference between a bruise and a hematoma?

A bruise, or contusion, is a minor injury where small blood vessels break and leak under the skin, causing discoloration. A hematoma is a more severe form of bruising where a larger amount of blood collects under the skin, leading to more significant swelling and pain.


How can I tell if my arm injury is affecting my nerves?

Nerve involvement might be indicated by symptoms such as tingling, numbness, or weakness in the affected area. If these symptoms persist or worsen, it could suggest nerve compression or injury, and a medical evaluation may be necessary.


What are the best home treatments for reducing swelling and pain in a bruised arm?

The best home treatments for a bruised arm include rest, applying ice packs for 15-20 minutes every 1-2 hours, using compression with an elastic bandage, and keeping the arm elevated above heart level. Over-the-counter pain relievers can also help manage pain and inflammation.


When should I seek medical attention for a bruised and swollen arm?

You should seek medical attention if you experience increased pain or swelling despite home treatment, constant tingling or significant numbness, severe weakness, or signs of infection such as redness, warmth, or fever.


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