We are independent & ad-supported. We may earn a commission for purchases made through our links.

Advertiser Disclosure

Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.

How We Make Money

We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently from our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What is Ecchymosis?

Niki Acker
Updated Mar 03, 2024
Our promise to you
TheHealthBoard is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At TheHealthBoard, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

Ecchymosis is the medical term for a bruise over one centimeter in diameter. Smaller bruises may be classified as purpura if they are at least three millimeters in diameter, or petechia if they are smaller. Ecchymosis can appear on the skin or on mucous membranes.

A bruise is a type of hematoma, or a collection of blood outside the blood vessels. It is relatively minor internal bleeding, usually due to blunt force trauma that causes small blood vessels to break under the surface of the skin. Ecchymosis and other bruises are visible when they occur on the skin as a dark spot. Ecchymosis has a more diffuse border than smaller bruises.

In those with light skin color, bruises typically appear purple or blue a few days after injury, then turn green, yellow, and brown as they heal. This gradual change in color is a result of enzymes present in the hematoma during healing. After capillaries or venules break due to local trauma, blood spills into the surrounding area.

Macrophages, white blood cells responsible for cleaning up debris, ingest the red blood cells leaked into the area of the bruise. Through this process, the hemoglobin in the red blood cells is degraded into biliverdin, then bilirubin, then hemosiderin. These different byproducts of the breakdown of hemoglobin are responsible for the changing colors of the ecchymosis. The bruise will not clear until the breakdown process is complete. Often, however, the underlying tissue damage caused by the trauma has been healed well before the breakdown of hemoglobin is complete and the bruise disappears.

Ecchymosis can be treated at home by rest, the application of ice, elevation, and over the counter painkillers. Later in the healing process, light stretching exercises, heat, or light massage may be helpful as long as they do not exaccerbate any pain. If the bruise does not improve after a few days or is extremely painful, or if bruising is frequent, it is important to consult a physician.

TheHealthBoard is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Niki Acker
By Niki Acker , Writer
"In addition to her role as a TheHealthBoard editor, Niki Foster is passionate about educating herself on a wide range of interesting and unusual topics to gather ideas for her own articles. A graduate of UCLA with a double major in Linguistics and Anthropology, Niki's diverse academic background and curiosity make her well-suited to create engaging content for WiseGeekreaders. "

Discussion Comments

By anon357962 — On Dec 08, 2013

Isn't it true that it's only called a bruise if it's from trauma? So when you bump into something, or there is blunt force trauma then you have a bruise. Ecchymosis is not caused by trauma, though it looks the same. Purpura, ecchymosis, and petichiae are not bruises in that they are not caused by blunt force trauma.

By anon305426 — On Nov 26, 2012

I had a local trauma on my right foot. The ecchymosis thing has regressed, but still some remains about a year later now. It hasn't faded completely, and if I walk very fast, I will feel pain at the site of the ecchymosis.

I don't take it seriously because I know it will fade, but it has been a year and there is still pain. I'm worried!

By anon288887 — On Sep 01, 2012

A fall made my whole leg turn black, from blood gathering under the skin. The open part of the wound has almost healed, but the bruised part still remains. What can I do to speed up the process?

By OeKc05 — On Jun 29, 2011

@Oceana - Try taking vitamin K. If you have a vitamin K deficiency, your blood might be unable to clot normally, and you need to clot in order to prevent bruising.

Supplements are good, but eating actual foods that contain vitamin K is better. Vitamin K-rich foods include cabbage and leafy greens like broccoli and spinach.

It could also be possible that you do not have enough vitamin C in your diet. You could take a multivitamin, but also eat citrus fruits like oranges, papaya, and strawberries. Drinking orange juice will help you as well.

I started eating a more vitamin-rich diet just because I felt lousy most of the time. Now I feel much better, and maybe the things I learned about vitamins will help you.

By Oceana — On Jun 28, 2011

I went to my family reunion last weekend, and I had multiple bruises on my arms and legs, just from bumping into chairs or the edges of other furniture. I got very embarrassed when my paranoid cousin asked me right in front of my husband if he had been abusing me.

I don’t ever want people to think that. Does anyone know of any vitamins I could take or foods I could eat to prevent getting bruises so easily? Iron supplements make me sick, so I can’t take those. I’d hate to have to wear long sleeves and jeans all summer to prevent suspicions of abuse.

By wavy58 — On Jun 26, 2011

@shell4life - Try applying freshly crushed parsley leaves. I have read that parsley is supposed to encourage healing and that it can help blue and black bruises fade away in a day or two.

Crush them immediately before spreading them on your bruises. Use either bandages or gauze and tape to hold the leaves on the bruise. Leave them on until you shower. After the shower, dry the bruised area off and apply freshly crushed leaves again. Hopefully, you will be clear of doggy abuse marks by the time you arrive at your destination.

By shell4life — On Jun 23, 2011

I have two playful, rather large dogs that keep me bruised constantly. They are enthusiastic and play rather rough. Is there some type of herbal remedy that will help bruises heal more quickly?

I will be going on vacation in a few weeks. I have hired a dogsitter to come in a few days before I leave, both so the dogs can get used to her and so I can have a few days without getting any new bruises. I would love to know if there is something I could apply to my existing bruises during those two days.

By FernValley — On May 13, 2011

Wow, I had no idea these had a special name. I bruise somewhat easily, and used to have big bruises all the time. When I started eating better and getting more iron, though, it became a little less frequent. I never made the connection before now, though, between the two. I guess getting more iron would make my blood cells function better. Obvious, probably, but I hadn't thought of it before this.

Niki Acker

Niki Acker


"In addition to her role as a TheHealthBoard editor, Niki Foster is passionate about educating herself on a wide range...
Learn more
TheHealthBoard, in your inbox

Our latest articles, guides, and more, delivered daily.

TheHealthBoard, in your inbox

Our latest articles, guides, and more, delivered daily.