What's making me bruise so easily from the slightest knock? ASK DR MARTIN SCURR
Q: For the past ten years or so, I’ve suffered frequent bruising to my arms — often from the slightest knock. I’m 74; is this something that can be cured, or will I simply have to live with it?
Stephen Young, by email.
Dr Martin Scurr replies: A bruise occurs when blood leaks from tiny blood vessels called capillaries, and collects under the skin.
When there has been no obvious injury or when the extent of bruising is out of proportion to the trauma, we use the term ‘easy bruising’.
Age is a major factor because, as we get older, the layer of fat beneath the skin that acts as a cushion against knocks and blows starts to thin, leaving the blood vessels less protected and more easily injured.
Age is a major factor in 'easy bruising' because, as we get older, the layer of fat beneath the skin that acts as a cushion against knocks and blows starts to thin
This kind of ‘easy bruising’ shows up more on the arms and legs simply because they are the most exposed parts and most likely to be knocked, even below your level of awareness.
The head, face and trunk aren’t so exposed to knocks from day to day — so any spontaneous bruising in these areas would be more of a concern.
Some medications, including aspirin, ibuprofen and anticoagulants such as warfarin can interfere with blood-clotting mechanisms and make bruises after minor impact more likely.
Other medication like corticosteroids (such as prednisolone) cause thinning and increased fragility of the skin which can increase the risk of widespread bruising, again most commonly affecting the limbs.
Some natural remedies, for example ginkgo biloba and ginseng, are thought to be linked to easy bruising, and while there’s not a huge amount of research of this, it may be a potential risk factor for you to consider.
Your best strategy is probably protection — this means wearing long sleeves as you go about your daily activities.
Q: I woke up one morning about six months ago with a pain in my hip which has never gone away. An X-ray showed this to be bursitis. I do the exercises I was given — but the pain is getting worse.
On a visit to my GP I was told a steroid jab may help, but no one at the practice could give me this. The pain wakes me up at night.
Heddy Bell, Fife.
Dr Martin Scurr replies: I am sorry to hear about your pain, and my feeling is that you should seek a referral for the steroid injection your practice mentioned.
Hip bursitis is where the fluid-filled sac (‘bursa’) that cushions the hip joint becomes inflamed and swollen, causing pain — this affects the prominent point you can feel if you slide your hand down the outside of your upper leg from the pelvis.
READ MORE: DR MARTIN SCURR: I have erectile dysfunction but Viagra doesn't work for me. Is my sex life over?Advertisement
Lying on the affected side can be painful, as can weight-bearing activities, and sitting for long periods with legs crossed.
Hip bursitis can be caused by overuse (for instance, when overweight individuals take up exercise) and trauma (I’ve often seen this condition in patients following a fall). But sometimes there is no obvious trigger.
When it first occurs, using an ice pack for 20 minutes, two or three times daily, along with a painkiller such as ibuprofen can provide relief (though this medication should not be taken long-term — a maximum of one to two weeks).
It’s also important to avoid activities that worsen the pain such as sleeping on that side.
The good news is that the problem can usually be ‘cured’ with a steroid injection, a potent anti-inflammatory delivered right at the spot — but only a radiologist can perform this, using ultrasound to locate the bursa accurately.
As the pain is interrupting your sleep, I suggest the time has now come for a referral.
- Write to Dr Scurr at Good Health, Daily Mail, 9 Derry Street, London, W8 5HY or email [email protected]
- Dr Scurr cannot enter into personal correspondence. Replies should be taken in a general context. Consult your own GP with any health worries.
In my view... we need to watch our medical watchdogs
In the wake of the Cass Review on gender identity services for children, the question that concerns me is why didn’t the regulators identify the problems that resulted in this review at an earlier stage?
After all, regulation in healthcare did a virtual hyper leap following the murderous activities of Harold Shipman.
With the Care Quality Commission finally emerging after a protracted birth, I fear the regulator was too busy with its major evolutionary changes and learning on the job, just as the referrals to gender identity services rose.
Dr Hilary Cass at the publication of her Independent Review of Gender Identity Services for Children and Young People (the Cass Review) last month
Their eye was not on the ball. In my experience they seemed overly concerned about what type of soap was in the wash basin in the consulting room and where the files on staff holiday applications were stored. Inspections were irrelevant in terms of the protection and well-being of patients.
And let’s not forget that the General Medical Council, another regulatory body, failed to realise the implications of Dr Harold Shipman’s narcotics addiction (he was arrested in the late 1970s when mainlining pethidine, a morphine type drug). Despite the involvement of the police, a court case, a sentence and some minimal rehabilitation, he was never followed further by the regulator.
If he had been, around 200 murders could have been prevented.
Who checks on the regulators?
Related articles
Boca Raton's most expensive waterfront property sold for $40M
A waterfront mansion in Boca Raton in Florida has sold for a record $40 million. But - despite only2024-05-07The Florida Panthers are weird. And coach Paul Maurice says that as a compliment
FORT LAUDERDALE, Fla. (AP) — Ordinarily at playoff time, this would be bulletin-board material: A co2024-05-07Canucks' Rick Tocchet among new coaches making an impact in leading teams to NHL playoffs
Rick Tocchet barely had a chance to get accustomed to the Pacific time zone when the newly hired Can2024-05-07Coyotes' move to Salt Lake City elicits opposing responses in 2 cities
PHOENIX (AP) — NHL Commissioner Gary Bettman sat next to the former Arizona Coyotes owner in a downt2024-05-07Late Baldé header steals dramatic 4
LILLE, France (AP) — Lyon scored a dramatic stoppage time winner to beat Lille 4-3 in a topsy-turvy2024-05-07Nelly Korda 1 shot back through 36 holes at Chevron Championship as she chases 5th straight victory
THE WOODLANDS, Texas (AP) — Nelly Korda, seeking to tie an LPGA Tour record with her fifth straight2024-05-07
atest comment