What Is It/

How Is It Recognized/

Is Massage indicated

Condition Name

What Are They?

How Are They Recognized?

or Contraindicated?

Hematoma

A hematoma is a deep

Superficial hematomas are simple

Massage is locally contraindi-

(page 186)

bruise (leakage of blood)

bruises. Deep bleeds may not be

cated for acute hematomas be-

 

between muscle sheaths.

visible, but they will be painful,

cause of the possibility of blood

 

 

and if extensive bleeding is pres-

clots and pain. In the subacute

 

 

ent, the affected tissue will have a

stage (at least two days later),

 

 

characteristic "gel-like" feel.

when the surrounding blood

 

 

 

vessels have been sealed shut

 

 

 

and the body is in the process of

 

 

 

breaking down and reabsorbing

 

 

 

the debris, gentle massage

 

 

 

within pain tolerance around the

 

 

 

perimeter of the area and hydro-

 

 

 

therapy can be helpful. Watch

 

 

 

for signs of thrombophlebitis or

 

 

 

deep vein thrombosis, and if

 

 

 

there is any doubt, consult a

 

 

 

doctor.

 

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