Sub-periosteal Hematoma - The Horse Forum
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post #1 of 17 Old 09-03-2011, 07:36 PM Thread Starter
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Unhappy Sub-periosteal Hematoma

Ok so I was riding a couple weeks ago and my horse refused a jump and I fell off. Mainly, I wasn't hurt...but I believe the horse accidentally kicked me with one of his back legs as I hit the ground. Nobody's fault here (everyone always replies 'I'm sure he didn't mean it' when I say that) In any case, with most injuries I don't know how much they hurt until later...within an hour or so. But after this fall I immediately knew my shin hurt. Not like it was broken or anything, but I knew it had been 'bumped' because it was immediately sore. I was ok for the last couple weeks but this past week when I went to ride, it was painful. Just painful to the touch, like I would expect to see a big bruise there but there isn't it's just sore. Unfortunately it's in an area that, when I ride, the stirrup leather occassionally bumps it. Plus my boots, half chaps etc put pressure on it so it's sore. My instructor said this past lesson I wasn't riding well, she could tell something was off and said I shouldn't ride if my leg is sore because it's not good for me or for the horse. So I've been looking online and I think this 'sub-periosteal hematoma' is what happened to my leg...but all the info on it isn't really specific. It just says it can take weeks or months to heal. I was just wondering if anyone has any experience with this kind of injury? I'm wondering if I can just 'suck it up' and still ride or will that make it worse? I don't have insurance and my leg is definitely not broken. Also this injury cannot be diagnosed with an xray or anything so I don't really see the point in going to the dr.
so this is what I found online:
A sub-periosteal hematoma is a collection of blood located underneath the protective membranous layer on bones called the periosteum. This occurs as a result of direct force trauma against a bone, typically in one of the lower extremities.
The periosteum is a thick, fibrous membrane that covers and helps nourish our bones. It is very vascular, meaning is has a large blood supply to it, so when there is a traumatic force applied to a bone, like jamming your shin on a coffee table, it can cause bleeding between the membrane and the bone.
These injuries are seen a bit more often in younger persons mainly because their periosteum is very thick, tough and less likely to tear as one would see in older folks.
Because there is very little space between these structures, there is little room for the blood to spread, so it forms a more localized lump under the periosteum that can take many weeks to months to resolve. This bump can also be quite sore to the touch
Read more: What Is A Bruised Bone? | LIVESTRONG.COM
another website
A heavy blow to a bone will cause a 'bruise on the bone' (= 'sub-periosteal haematoma' = a collection of blood under the skin of the bone). These are extremely sore, and can remain tender for months and years, but they do not affect function (ie. you can still do everything). Occasionally you will find that lumps persist after healing - these are just lumps of scar tissue left from the healing process. They do not matter.
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post #2 of 17 Old 09-03-2011, 08:40 PM
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Interesting. Last fall Dancer accidentally kicked me in the shin and it hurt so bad. I had the hugest lump and it took forever to go away. I wonder if this is what is was. Hope you feel better, soon. Maybe you can get a massage or do it yourself to help heal it. Everytime I've been hurt the best treatment has been massage therapy.
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post #3 of 17 Old 09-04-2011, 02:49 AM
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hmmm, my experience of hematomas is more related to horses :P as far as it goes, a hematoma is pretty much a pocket of blood. If it's a hematoma it should be swollen and definitely sore to touch. It should go away on its own as your body breaks down the blood clotting. You can try hot/cold therapy and maybe a little compression (LIGHT pressure) but sadly the real treatment, and certainly the one I'd give to my horses, is rest.

At the same time, you could take say a week off (sometimes the mental break is good for your horse too) and then painkiller yourself before you ride. Not my suggested plan but in reality it's what I would probably do to myself :P I have a suspicion you should probably avoid blood thinners too cause they are meant to be able to make it worse. Good luck!
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post #4 of 17 Old 09-05-2011, 08:43 AM Thread Starter
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Well I did a little more research online and one website suggested increasing your intake of vitamin C and vitamin K (which helps with coagulation) so I'm trying to eat more leafy greens and apply some arnica gel to the area - which is great for bruises and soreness...we'll see
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post #5 of 17 Old 09-05-2011, 10:39 AM
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Why not go to the doctor just to make sure it's nothing more?
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post #6 of 17 Old 09-05-2011, 11:01 AM
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Yup, bone bruises hurt like the dickens and you usually have very little to show for it. It will just take some time. Try to avoid aggravating it as it will prolong the healing.
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post #7 of 17 Old 09-05-2011, 01:16 PM
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Originally Posted by NorthernMama View Post
Why not go to the doctor just to make sure it's nothing more?
She doesn't have insurance.

"The art of riding is keeping a *horse* between you and the ground."
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post #8 of 17 Old 09-05-2011, 07:40 PM
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Originally Posted by xeventer17 View Post
She doesn't have insurance.
Oh, yes. Sorry. I keep forgetting how that works in the US. There are some things I truly don't like in Canada, but one thing I LOVE is that a great deal of health care is covered. Even if you do have to wait for 6 hours, it's still better than none at all.
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post #9 of 17 Old 09-05-2011, 08:18 PM
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Don't complain to much about the 6 hour wait to see a doctor. I have insurance and have still waited that long before. Not all the time, but it happens even here.
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post #10 of 17 Old 09-06-2011, 09:32 AM
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A visit to the ER would technically cost a fortune; however, they are obligated to treat you and they have no method of forcing payment. To avoid bad credit, you can pay the bill in small increments; say $50 a month. We really need health care for everybody. It is terrible for people to go around sick because the doctor costs so much.
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