From the Research
A broken blood vessel over the first metatarsophalangeal joint (MTP) after stepping out of the shower is likely a minor capillary rupture causing a small bruise or ecchymosis, and the most effective management strategy is to apply ice wrapped in a towel for 15-20 minutes several times daily for the first 48 hours, as supported by the most recent and highest quality study 1. To manage any discomfort and speed healing, it is essential to elevate the foot when possible and consider taking over-the-counter pain relievers like acetaminophen (Tylenol) 500-1000mg every 6 hours as needed if uncomfortable. Some key points to consider in managing this condition include:
- Avoiding NSAIDs like ibuprofen if there are bleeding concerns, as they may exacerbate the condition
- The warm shower likely caused vasodilation (widening of blood vessels), and the subsequent pressure when stepping out may have ruptured a small vessel
- This is generally harmless, but it is crucial to consult a healthcare provider if severe pain, spreading redness, inability to bear weight, or if taking blood thinners or having a bleeding disorder are present
- Seeking medical attention if the bruising doesn't improve within two weeks or worsens significantly is also recommended The use of cryotherapy, as discussed in the study 2, can help reduce pain and inflammation, but the most recent and highest quality study 1 provides the most relevant guidance for managing this specific condition. Additionally, other studies 3, 4, 5 provide supporting evidence for the use of cryotherapy and other management strategies, but the study 1 is the most relevant and highest quality study for this specific condition.