To treat a bruise, straining or dislocation, it is important to proceed according to the so-called "PECH scheme". This describes the immediate measures that should be taken as soon as possible after such an injury.
Treatment according to the PECH scheme
- Pause: Immediately interrupt the (athletic) activity.
- Ice: Cool the affected area for 15 to 20 minutes. Ice cubes, gel packs or even frozen vegetables are best for you to wrap around with a towel or something similar to avoid skin damage. Alternatively, you can run cool water over the joint; Quark from the fridge is also suitable.
- Compression: Wrap the affected joint with an elastic bandage. In addition, a solution with arnica tincture (Arnica with cool water in a ratio of 1 to 9) or with vinegar (vinegar and water in a ratio of 1 to 3), which you can easily pour over the compression bandage, have a decongestant and analgesic effect.
- Elevate and immobilize the affected limb.
The faster you take these measures, the lower the symptoms will be and the faster they will regress.
Homeopathy for bruises and strains
If you are a friend of homeopathic remedies, you can additionally take Arnica D12 every ten minutes, then every hour, plus Rhus tox (every two hours, twice a day from the second day) or Ruta (from second day three times a day).
When to the doctor?
For the following symptoms you should consult the doctor:
- when a joint swells up
- when a big bruise develops
- if the joint can no longer be moved or you can no longer occur
- when the pain does not go back or get worse after about an hour
- in case of deformation or suspicion of a bone fracture
Diagnostics - what does the doctor do?
During the physical examination, minor injuries can not always be distinguished from more serious impairments. For this reason, an ultrasound examination is often performed in addition to which, for example, bleeding, muscle tears, injuries to the capsule-ligament apparatus, articular effusions and tendon injuries can be represented, especially in superficial areas.
In case of doubt, magnetic resonance imaging (MRI) is also used.
Treatment of bruising
Very large bruises and articular effusions may need to be punctured by the doctor, so the liquid can be removed with a needle. An older bruise may need to be previously liquefied with a special active ingredient (which is injected); in some cases it is cleared by a small cut.