A: It is not unusual to have a bruised feeling in the bend of your arm a day or two after a PICC or midline is inserted. You may even experience some slight bruising. These are normal, but temporary, side effects of the insertion process.

They are best relieved by a mild anti-inflammatory medication, such as ibuprofen, as long as your physician approves it. You can also apply warm, moist heat to the area three or four times a day until it's better: Wet a washcloth or dishtowel with hot water, remove excess and place this towel in a 2-quart "Ziploc"-type bag. This will keep your PICC dressing from becoming wet but make it easier to reheat the towel in the microwave for a few seconds. Use caution, however, when microwaving because the towel can heat up quickly.

If these symptoms persist longer than 48 hours after insertion, notify the nurse who inserted your catheter.