@Marina: Let me reply point by point.
“The treatment for a bruise is most effective right after the injury while the bruise is still reddish.
* A cold compress such as an icepack or a bag of frozen peas should be applied to the affected area for 20–30 minutes in order to speed healing and reduce swelling. Do not apply ice directly to the skin. Wrap the icepack in a towel.”
> There has never been a clinical trial on the use of ice for first aid. The old mnemonic RICE (Rest, Ice, Compression, Elevation) is useful, but no one actually knows whether icing an injury really speeds healing and reduces inflammation.
The massage I suggested is based on increasing blood flow to the area, which speeds the reabsorption. Here is what Medline says about that offering the use of heat to achieve the same goal: “After about 48 hours, heat in the form of a warm washcloth applied to the bruise for 10 minutes or so 2 or 3 times a day may increase blood flow to the bruised area allowing the skin to reabsorb the blood more quickly. Ultimately, the bruise will fade in color.” Massage to increase circulation to speed healing of soft tissue injuries is accepted medical practice and accepted also by medical insurers.
> Your quote states that “heat may increase blood flow to the area” and that “ultimately, the bruise will fade in color.” Wow, that’s definitive. I could wrap a bruise in seaweed and it will “ultimately fade in color too.” Again, there are no clinical trials to prove or disprove warm compresses.
As to the recommendation for an aspirin and caffiene containing product like Excedrin, it was about stopping additional subcutaneal clotting and pain relief.
> Explain to me how additional subcutaneal clotting would be bad? Actually, by taking aspirin, you run the risk of preventing additional clotting, which would result in more bleeding and more bruising. Taking an NSAID like ibuprofen would help reduce inflammation and provide pain relief without interfering with clotting.
Arnica is an herb used widely in Europe. The clinical evidence supporting its use is mixed primarily because reviews of the studies done to date found them flawed in structure or methodology.
> Your response speaks for itself.
Cheers.