Although factors are the mainstay of treatment for patients with hemophilia there are other measures that patients must carryout in order to decrease pain and severity of a bleed.
1. Rest: keep the bleeding limb immobile. In joint bleeds usually 2-3 days of rest is sufficient before physiotherapeutic procedures can be started.
2. Ice: use ice and cold bags to cool the affected part in the acute phase of a bleed. This will constrict the capillaries and reduce the bleeding.
3. Compress: put pressure on the bleeding limb by elastic bands as soon as a bleed is diagnosed.
4. Elevate: elevate the affected limb so that it rests higher than the heart. This will reduce its blood flow and thus reduce the bleed.
Also All Iranian patients must keep a factor diary, recording the amount, date, time and reason for their factor injection to later be integrated into their medical file