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Medical Author:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Medical Editor:

Jerry R. Balentine, DO, FACEP

Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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The treatment for a bruise is most effective right after the injury while the bruise is still reddish and fresh.

• A cold compress such as an icepack or a bag of frozen peas should be applied to the affected area for 20-30 minutes in order to speed healing and reduce swelling by constricting the underlying blood vessels in response to the cold. Do not apply ice directly to the skin. Wrap the icepack in a towel.
• If the bruise takes up a large area of the leg or foot, the leg should be kept elevated as much as possible during the first 24 hours after the injury.
• Acetaminophen (Tylenol) or ibuprofen (Advil) may be taken for pain as instructed on the bottle. Avoid aspirin because aspirin slows the blood from clotting and may, in fact, prolong the bleeding.
• After about 48 hours, heat in the form of a warm washcloth applied to the bruise for 10 minutes or so two or three times a day may increase blood flow to the bruised area, allowing the skin to reabsorb the blood more quickly. Ultimately, the bruise will fade in color.

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