Strange little foot hematoma

[pem]

Hello and Happy Holidays!

I haven't posted in a while so I hope everyone is doing well.

Yesterday, I was sitting awkwardly in a chair such that I think I was putting pressure on my foot in an unusual way. I stood up quickly and stepped on my foot only to feel a sharp pain followed by some burning and stinging (under the outside ball of my foot). I didn't think much of it, but after a half hour or so, I noticed it had swollen up. At first I thought maybe it was a spider bite or something, but then I realized it was bruised on the inside and starting to turn black and blue. I iced it and it stabilized and today the swelling is down a bit and it just looks like an old bruise (less swollen, but more black and blue).

Coincidentally, I checked my INR at home yesterday before this happened and it was in range (2.7). By the way, I take 8.5 mg/day of Coumadin.

So I'm wondering if anyone else on coumadin has any relevant advice or experience?

My first thought is that because of how I was sitting, I set myself up for a small vessel rupture, which would have clotted more quickly and bruised less if I weren't on Coumadin. So no big deal. But then it occurred to me that maybe even if my INR is in range, perhaps I'm having some sort of interaction with something I ate that wouldn't show up on a home test. But couldn't think of anything there. Would it make sense to get a lab test today?

That's about it. Thanks and best wishes to all, especially those who are either heading into surgery or recovering from surgery during the holidays!

pem

 

[Freddie]

As long as you didn't fracture a small bone, you should be fine.
Apply ice for 20 minutes, off for 20 on again for 20 minutes for the next couple of days.

Last week I did something similar to the back of my hand while pushing snow. It felt like a strong pinch within my glove and there was nothing inside my glove to cause such a thing. It hurt like the dickens. Like you, my hand became swollen and bruised and after 3 days of applying ice the swelling was almost gone and so was the bruising.

 

[pem]

As long as you didn't fracture a small bone, you should be fine.
Apply ice for 20 minutes, off for 20 on again for 20 minutes for the next couple of days.

Last week I did something similar to the back of my hand while pushing snow. It felt like a strong pinch within my glove and there was nothing inside my glove to cause such a thing. It hurt like the dickens. Like you, my hand became swollen and bruised and after 3 days of applying ice the swelling was almost gone and so was the bruising.

Thanks, Frediie. Wow - sounds exactly the same. Yeah - I don't think anything is broken.

So I guess this is just par for course when you are on Coumadin. It gave me pause only because I've been on Coumadin for about a year and 1/2 and this is the first time I've noticed anything like this.

Thanks again!
pem

 

[Protimenow]

This stuff can occasionally happen. You probably popped a capillary. The warfarin just made it bleed a little more than it would have if you weren't on warfarin. I don't think that drug interactions or any other things could have contributed to this.