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A bruise is a closed soft tissue injury without significant damage to them. A bruise can be obtained as a result of a blow or a fall, and its signs will be:
- pain;
- swelling;
- bruising (occurs not always)1.
In the first minutes, a feeling of severe pain is possible, which should gradually subside. However, after some time, swelling or even bruising appears at the site of the bruise, which can persist for several days.
Properly rendered first aid after receiving a bruise is extremely important, as it helps to prevent inflammation. In the first minutes and the next 2 days, cold must be applied to the injured area. It can be a heating pad or a bottle of cold water, an ice pack wrapped in a towel, etc. On the 3rd day, warm dry compresses are already applied to the site of injury.
If the bruise is accompanied by a feeling of pain, then specialized creams, ointments or gels will come to the rescue.
All the variety of funds from this category is divided according to their properties:
- Cooling. They are used as first aid to prevent hematomas and relieve pain;
- Warming up. Drugs from this category are used 8 hours after the bruise is received to reduce the resulting hematoma or bruise;
- Anti-inflammatory. Remove puffiness and inflammation.
- Decongestant and absorbable. Reduce swelling, promote resorption of hematomas formed.
Rating of the top 10 inexpensive and effective ointments for bruises with analgesic effect according to KP
Together with a traumatologist, we have compiled a list of effective and inexpensive ointments for bruises with an analgesic effect. Remember that before buying any product from this rating, you need to consult with a specialist.
1. Fastum gel
A non-steroidal anti-inflammatory drug with the active ingredient ketoprofen will become a faithful assistant in the treatment of pain after a bruise, muscle or ligament sprain2. Penetrating deep into the skin, Fastum gel helps relieve stiffness and tension in the muscles of the neck, with pain in the lumbosacral spine, muscle and osteoarticular pain in rheumatism.
Contraindications: exacerbation of gastrointestinal diseases, hematopoietic disorders (thrombocytopenia, leukopenia), an allergic reaction to the components of the ointment, children under 15 years of age, pregnancy and breastfeeding.
2. Diclofenac
The ointment contains a non-steroidal anti-inflammatory component – diclofenac in the form of a sodium salt. The remedy effectively relieves pain even with severe bruises, reduces inflammation and reduces swelling of damaged tissues.
Adults are recommended to apply the ointment daily 3-4 times a day until the pain disappears completely. If the pain syndrome persists after using the ointment for two weeks, consultation and examination by a specialist is necessary.
Contraindications for use: open wound at the site of injury, children under 6 years of age, pregnancy, allergy to the active substance, bronchospasm, concomitant use of other NSAIDs.
3. Heparin ointment
Heparin ointment contains a combination of three active ingredients: benzyl nicotinate, sodium heparin, benzocaine. Heparin sodium prevents the formation of blood clots, prevents the appearance of hematomas and reduces swelling. Benzyl nicotinate promotes better absorption of heparin by expanding superficial vessels. Benzocaine is responsible for local anesthesia.
The ointment copes well with severe bruises, restores damaged tissue and effectively reduces bruising.
Contraindications for use: skin infections, open wounds, individual intolerance to the components, children under 2 years of age.
4. Quick gel
Bystrumgel belongs to the group of non-steroidal anti-inflammatory drugs. The active ingredient is ketoprofen. The tool has an analgesic and anti-inflammatory effect, relieves swelling.
When applying the ointment, the active substance is gradually absorbed through the skin. This helps to maintain the required concentration of the active substance in the tissues, providing a lasting effect.
Contraindications: pregnancy (3rd trimester) and lactation, children under 15 years of age, individual intolerance to the components, skin damage at the site of application.
5. Bom-benge ointment
Anti-inflammatory agent for external use contains 2 active ingredients: levomenthol and methyl salicylate. Levomenthol has a pronounced analgesic and anti-inflammatory effect. Methyl salicylate improves blood microcirculation and accelerates the recovery of damaged tissues.
For bruises and sprains, the ointment is applied to the skin and rubbed lightly. On top, you can apply a dry bandage. If irritation occurs, the course of treatment must be discontinued. It is allowed to use the product up to 3 times a day, the general course is up to 10 days.
Contraindications: skin damage in the area of application, individual intolerance to the components, children under 18 years of age, pregnancy (3rd trimester), breastfeeding.
6. Indomethacin
Non-steroidal anti-inflammatory drug with the same active ingredient – indomethacin. The tool is effective for bruises of the spine and knees. It has an anti-inflammatory and analgesic effect, relieves swelling of soft tissues.
Indomethacin, with repeated use, penetrates the skin and is capable of accumulating in nearby tissues and joints, providing a lasting effect.
Contraindications: individual intolerance to indomethacin and other NSAIDs, a combination of bronchial asthma, recurrent polyposis of the nose and paranasal sinuses and intolerance to acetylsalicylic acid, skin damage at the site of application, children under 14 years of age, pregnancy (3rd trimester).
7. 911 Emergency help Badyaga gel
Unlike the above drugs, this drug is not included in the category of drugs. It belongs to cosmetics. However, the composition of the gel does an excellent job with bruises.
The main component of the gel is badyaga, a natural remedy for bruises and bruises. The composition also includes extract of horse chestnut and chamomile, essential oils of juniper and tea tree.
The gel strengthens the walls of blood vessels and improves blood circulation at the site of application. Quickly heals bruises, relieves pain and eliminates bruising.
Contraindications: individual intolerance to the components, damaged skin in the gel application area.
8. Lyoton gel
Lyoton gel contains sodium heparin, which quickly relieves pain and inflammation, reduces swelling and removes bruises. Also, the drug is actively used for the treatment and prevention of varicose veins. Users note economical consumption, easy application without stickiness and the absence of adverse reactions in the form of burning and irritation. For injuries, apply 1-2 times a day until swelling and pain disappear, but not more than 7 days.
Contraindications: hypersensitivity to heparin and other components, thrombocytopenia, skin lesions at the site of application, age up to 18 years.
9. Apisarton
Combined topical preparation with 3 active ingredients – bee venom, methyl salicylate and allyl isothiocyanate.
Highly purified bee venom has analgesic, anti-inflammatory and antibacterial effects. The second component of the ointment – methyl salicylate – effectively fights inflammation. Allyl isothiocyanate is a purified mustard oil extract. This component effectively and gently warms up the tissues, improves blood flow at the site of application and reduces muscle spasm.
Contraindications: allergy to honey and its derivatives, children under 12 years of age, kidney and liver failure, skin diseases, neoplasms, infectious diseases, acute arthritis, pregnancy and lactation, mental disorders.
10. Friend Activegel
The active substance of this non-steroidal anti-inflammatory drug is nimesulide, which has a pronounced analgesic and anti-inflammatory effect.
Nise Activegel relieves muscle and joint pain, helps with bruises and sprains. If the desired result has not been achieved within 10 days, a specialist consultation is necessary.
Contraindications: erosive and ulcerative lesions of the gastrointestinal tract in the acute stage, skin damage at the site of application, severe renal or hepatic insufficiency, children under 7 years of age, pregnancy and lactation.
How to choose an ointment for bruises with an anesthetic effect
First of all, you need to understand that bruises come in varying degrees of severity.
- The first degree is a mild injury with little or no abrasions and scratches, which causes little pain, does not require specialized care, and heals on its own in a few days.
- Second degree – in this case, there is damage to soft tissues, swelling, hematomas. It is advisable to use specialized drugs for a speedy recovery.
- The third degree is characterized by damage not only to soft tissues, but also to muscles and tendons. Often, a bruise is accompanied by a dislocation, so medical attention is required.
- The fourth degree is the most serious. At the site of the bruise, a strong edema is formed, the work of the internal organs is disrupted. In this case, treatment in a hospital under the supervision of specialists is required.
Thus, the choice of drug treatment will directly depend on the degree of the injury and its consequences.
If, at first glance, the bruise is not serious, and you started treatment on your own, but after 10 days you do not see positive dynamics, you should consult a doctor. The specialist will collect an anamnesis, examine the site of injury and select further effective therapy.
Reviews of doctors about ointments for bruises with analgesic effect
Pharmaceutical companies today offer a fairly large selection of ointments, aerosols, or gels. For the right choice, it is enough to remember that they are of 2 types: neutral painkillers and ointments of an irritating nature (warming, cooling, based on poisons and peppers)
Neutral ointments (painkillers) are used in the first 5 days after the bruise to relieve discomfort, severe swelling and pain. With minor bruises and sprains, ointments of these types make life much easier for patients.
Ointments of an irritating nature are recommended to be used 5 days after the injury, as they help speed up the healing process by locally improving blood circulation.
Popular questions and answers
How long does a bruise last, why does it change color, and our experts answer other popular questions: orthopedist, traumatologist Artur Kurbanov and orthopedic traumatologist, hand surgeon Alexei Pavlov.
How long does a bruise usually take?
How does a bruise change its color?
What can be used to get rid of a bruise besides an ointment for bruises?
Physiotherapy and physiotherapy: these include lasers, magnets, electrophoresis, ultrasonic waves. For the correct and safe appointment of such procedures, a consultation with a physiotherapist is required.
You can also recall folk methods: burdock and cabbage leaves. Due to the structure of the rhizomes, their leaves are always cold, which can be an alternative if you do not have ice on hand.
Sources:
- Yashin V.N. First aid for injuries and accidents. // Nurse. 2009. https://cyberleninka.ru/article/n/pervaya-meditsinskaya-pomosch-pri-travmah-i-neschastnyh-sluchayah/viewer
- Rushay A.K., Klimovitsky V.G., Bogdanova L.V., Chuchvarev R.V., Valyushko T.V., Bodachenko K.A. Physiotherapeutic rehabilitation of patients with lesions of the lower leg and ankle joint using Fastum ® gel and Lyoton ® gel / / Trauma, 2015. https://cyberleninka.ru/article/n/fizioterapevticheskaya-reabilitatsiya-bolnyh-s-porazheniyami-goleni-i -golenostopnogo-sustava-s-ispolzovaniem-preparatov-fastum-gel-i/viewer
- Mashkina A.S. Aesthetic medicine without hematomas: myth or reality // Consilium Medicum, 2021. https://cyberleninka.ru/article/n/esteticheskaya-meditsina-bez-gematom-mif-ili-realnost/viewer