Shin hematoma

[chernon]

I'm interested in experiential knowledge about clashing shins and shin hematoma. Specifically, after the initial R(rest) - I (ice) - C (compression) - E (elevation) [RICE], how soon do you recommend heat, gentle massage, etc.?

Last year I had a tibial (shin) periosteal contusion and hematoma (bone bruise) which was quite painful, never was a visible bruise, and healed very well. Two months ago, I clashed again, other side, had a large soft tissue contusion and hematoma which has been very slow to improve.

As the tenderness waned, I tried massaging the hard lump beneath the skin--without much success. I tried more forceful massage for a few days, which resulted in a hematoma infection, cellulitis (skin infection), small abscess, fevers/chills, and subsequent improvement after days of antibiotics--and a significant decrease in the size of the induration (hard lump).

Medically, I know a lot about these injuries, but I lack the real-world knowledge that comes from experience. What do other karateka know about this injury and recommend? Does the healing arts side of Uechi-ryu offer any insight or ideas?

I would appreciate any stories, tips, remedies, and knowledge. Thanks!

[Dana Sheets]

I use this stuff:

San Huang Gao
http://www.kamwo.com/shop/product.php?productid=16368

Trauma Lotion
http://www.kamwo.com/shop/product.php?productid=16368

My experience is that RICE only makes for scar tissue and stretched tendons (in the case of sprains) that are easily reinjured. Not the medically popular opinion, I know.

[Chris McKaskell]

Hi, FWIT here's what I do:

If there's no broken skin I use dit da jow -- also not medically popular -- and very unpopular among many here.

Elevation and gentle self massage often seem to help.

If it's a bad one (which doesn't happen much anymore) I go to a specialist for accupuncture and/or shiatsu.

I've found these avenues often work much better (for me, that is) than RICE.

Prevention is probably the best medicine -- a tiny little bit of toughening everyday goes a long way here.

But if it feels or looks like something more serious or it's infected then yeah -- get thee to a doctor!

[Shana Moore]

I've just started reading a very good book, "A tooth from the tiger's mouth" (amazon link doesn't want to post from my ph, sorry!) that discusses basics in TCM and chinese sports medicine. one of the things I like is the truly holistic approach. It includes some daily exercises, dit jow and other poultice recipes, physical theraphy type exercises..etc. I would always recommend use of modern medicine for serious injuries and infections; however, this seems a good starting point if you are interested in exploring alternative options. Ilike that this doesn't just treat symptoms or point in time only. interesting read if interested.
Shana (the lately hectic but still around)