What Is It/

How Is It Recognized/

Is Massage indicated

Condition Name

What Are They?

How Are They Recognized?

or Contraindicated?


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






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