Bruises That Won’t Fade: Hidden Reasons Your Skin Keeps Dark Marks

Bruises are a common occurrence, often resulting from minor bumps, accidents, or even exercise. They form when small blood vessels under the skin break, causing blood to leak and create blue, purple, or black marks. In most cases, bruises heal naturally within one to two weeks. However, some bruises leave lingering marks, take longer to fade, or appear without a clear cause, raising concerns about underlying health conditions.

Medical experts note that occasional bruising is normal, but frequent or unexplained bruises should not be ignored. Causes can include nutritional deficiencies, such as low Vitamin C or K, medications like blood thinners, thinning skin due to ageing, or rarer conditions affecting platelets or clotting. Easy bruising is also more common in women and older adults, as their skin is thinner and less cushioned.

The appearance and duration of bruises can be influenced by multiple factors. Ageing makes skin more fragile and blood vessels weaker, while nutritional deficiencies slow healing. Medications including aspirin, warfarin, steroids, and some antidepressants can increase bruising. Intense exercise, lighter skin tones, and underlying conditions such as liver disease or platelet disorders may also cause prolonged or darker bruises.

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Persistent marks from bruises are often due to haemosiderin, or iron deposits, left in the skin after deeper tissue injuries or repeated minor trauma. While most bruises heal on their own, medical attention is advised if bruises appear without injury, cluster, are unusually large or painful, or are accompanied by swelling, numbness, bleeding gums, or frequent nosebleeds. Children and older adults with unexplained bruises should be evaluated promptly.

Home care can significantly aid bruise recovery. Applying ice during the first 24-48 hours reduces blood flow and prevents expansion, while warm compresses after 48 hours help clear trapped pigments. Topical treatments such as arnica gel, aloe vera, and Vitamin K creams may speed healing. Protecting the injured area, staying hydrated, gentle massage around the bruise, and addressing any nutritional deficiencies can also help prevent long-lasting marks.

Prevention involves improving home safety, maintaining healthy skin and blood vessels through diet rich in vitamins C and K, regular exercise to strengthen muscles, reviewing medications with a doctor, and using protective gear during sports or heavy activity. Recognizing red flags, understanding causes, and applying appropriate home care ensures bruises heal safely and helps reduce future occurrences.

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