Scalp Contusion in Adults
Medically reviewed by Drugs.com. Last updated on Jul 7, 2024.
AMBULATORY CARE:
A scalp contusion
is a bruise that appears on your skin after an injury. A bruise happens when small blood vessels tear but skin does not. Blood leaks into nearby tissue, such as soft tissue or muscle.
Common signs and symptoms of a scalp contusion:
- An area that may be black, blue, red, or darker than the skin around it
- Pain, tenderness, swelling, or a lump at the site of the bruise or near it
Call your local emergency number (911 in the US) or have someone call if:
- You have a seizure.
- You cannot be woken.
Seek care immediately if:
- You are not able to move part of your body.
- Your pupils are different sizes.
- You have blood or clear fluid coming out of your nose, ears, or mouth.
- You have a headache or neck pain that is getting worse.
- You are drowsy and confused.
- You have trouble staying balanced or walking.
- You have vision problems or changes.
- You have episodes of vomiting for 24 hours.
Call your doctor if:
- You have questions or concerns about your condition or care.
Treatment
may not be needed. The bruise may become lighter or change to green or yellow as it heals. You may need any of the following if the contusion is severe or does not heal easily:
- Medicine may be needed to treat or prevent pain or swelling.
- Aspiration is a procedure to drain pooled blood to prevent pressure from building up.
Treatment options
The following list of medications are related to or used in the treatment of this condition.
Manage a scalp contusion:
- Have someone stay with you for 24 to 48 hours after the injury. Give the person a list of signs to watch for, such as a seizure or trouble moving. You will need immediate care if you develop any of the signs.
- Apply ice to decrease swelling and pain. Use an ice pack, or put crushed ice in a plastic bag. Cover the bag with a towel and place it on your bruise. Apply ice for 15 to 20 minutes every hour, or as directed.
- Do not massage the area or put heating pads on the bruise right after your injury. Heat and massage may slow healing. Your healthcare provider may tell you to apply heat after several days. At that time, heat will start to help the injury heal.
Prevent a scalp contusion:
- Use safety belts in the car.
- Wear a helmet when you ride a bicycle or motorcycle.
- Use a mouth and face guard during sports.
Follow up with your doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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