Bruises, mainly deep-tissue bruises, can be a serious and suffering for both the fun and the qualified athlete. Bruises are caused by a collision between an object, such as a racquetball or a football helmet and a body part. Any connective tissue structure muscle, tendons, bones and organs can be bruised and there is a direct connection between the energy of the object and the harshness of the bruise. A thigh contusion or muscle bruise is an injury to the soft tissue (muscle fibers, connective tissue, and/or blood vessels and nerves) of the upper leg. The most commonly concerned muscle is the ‘quadriceps’. The muscle contusion may be accompanied by bone contusion (You do not have access to view this node) or even a fracture (broken bone). A deep thigh You do not have access to view this node can be a potentially serious injury if not managed appropriately. They can range from mild to severe depending on the amount of bleeding and damage sustained to the musculature.
What is quadriceps?
The quadriceps is group of four muscles including the rectus femoris, vastus medialis, vastus lateralis, and vastus intermedius (deepest muscle of the four). This muscle groups extends from the pelvis through the thigh and inserts below the patella. These muscles are at greater risk for injury from an external force, due to its location on the thigh. The external force can be provided by an opponent (such as in soccer with a misplaced kick) or a piece of sports equipment.
What is a bruise?
A bruise is a region of skin discoloration. A bruise can happens when small blood vessels break and leak their filling into the soft tissue underneath the skin. Bruises are often caused by falls, sports injuries, car accidents, or blows received by other people or objects.
What are the different types of bruises?
Intramuscular: It is a tearing of the muscle within the sheath that surrounds it. This means that the initial bleeding may stop within hours, due to the increased pressure within the You do not have access to view this node. On the other hand, the fluid is not capable to escape as the muscle sheath prevents it. The result is significant loss of function and pain which can take days or weeks to recover.
Intermuscular: It is a tearing of the muscle and part of the sheath surrounding it. This means that the initial bleeding will take longer to stop, particularly if ice is not applied. Nevertheless, recovery is quite faster than intramuscular as the blood and fluids can flow away from the area of injury.
How can one get a thigh bruise?
Thigh bruises may happen when a person receives one or more direct blows to the thigh, or falls or jams of the thigh against a hard surface. Basically, the muscles are compressed and crushed between the object or person transporting the blow and the underlying bone. As a response to the bruise to the trauma, there is increased blood flow to the area, swelling in the layer of the You do not have access to view this node, loss of range of motion, stiffness and visibly pain.
How are the thigh bruise classified?
The deep thigh You do not have access to view this node are graded 1, 2, or 3 depending on the severity.
Mild (Grade 1): A grade 1 or mild thigh You do not have access to view this node creates mild bruising, little pain and no swelling at the area of impact. The knee can be moved normally or without much pain. Athletes may experience some mild soreness when pressure is applied to the site of wound.
Moderate (Grade 2): Moderate or grade 2 is somewhat deep than a grade 1 You do not have access to view this node and creates mild pain and a minor swelling. Athletes with a grade 2 muscle injury can only bend the knee part of the way and may walk with a slight limp. If pressure is applied on the area of injury, it may cause some pain.
Severe (Grade 3): Severe muscle You do not have access to view this node are extremely painful and are accompanied by obvious swelling. Generally, people with this kind of injury develop noticeable bruising at the area of injury. Severe muscle injuries result in a major loss of motion in the knee and cause a noticeable limp. Usually, athletes feel pain with pressure at the site of injury and the nearby regions.
What are the symptoms of a deep thigh bruise?
Signs and symptoms of muscle You do not have access to view this node include:
Swelling and bruising at the injured area.
Pain with or without mobility
Failure to move the knee completely.
Skin discoloration that begins as a pinkish red color that can be very tender to touch
Eventually, the You do not have access to view this node changes to a bluish color, then to greenish-yellow color.
How to treat a deep thigh bruise?
The major concern in dealing with the problem and management of deep thigh bruises is making an accurate diagnosis. Part of this is analyzing the principles of the injury, such as occurrence of the bruise, nature of the bruise and basically ensuring it is a bruise. In terms of the physical examination, doctors palpate the site of injury and look at the anatomy, feeling for discontinuity in major portions of the muscle to make sure the muscle is incessant.
Ice: Early administration of a deep bruise thigh should be the application of ice to the affected area for 20 minutes every hour for the first 4-6 hours. Following the initial 4-6 hours, ice should be applied as often as needed for the first two days (minimum 3 times per day). When using ice, bend the knee as much as possible in order to keep the injured muscle in an extended position. This will control the loss of range of motion. If the leg is straight when icing, the muscle will tighten and the knee will lose its ability to bend due to pain and shudder. Occasionally, doctors suggest that the leg should be tied or wrapped in a fully bend position during the night. This should only be done in the case of a deep thigh You do not have access to view this node, and not for a muscle strain. Early aggressive stretching of a strained muscle may tear it further.
Pain medication: Ibuprofen should also be taken on a regular schedule for 10 days to 2 weeks, if accepted. This will help to relieve the inflammation.
Stretching: Treatment should also comprise an intensive stretching program. An effectual stretch for the thigh is performed by lying on the stomach, placing a pillow beneath the thigh and having a family member or colleague to slowly bend the knee until a stretch is felt. This stretch should be held for 30- 60 seconds then released and repeated, gradually stretching further on every occasion. This should be done for 10-15 minutes 3-5 times a day.
Once the patient is able to comfortably bend his knee to 90 degrees or more, the doctor may prescribe a physical therapy or rehabilitation program.
Massage and heat should be avoided for at least the first few days after injury.
The final step is shielding the area. A neoprene compression sleeve with a pad in front protects the area very well. For contact sports, a football thigh pad works well. The thigh pad can be wrapped on or placed under bike shorts.
If the patient notices numbness and weakness developing in the foot or quickly increasing swelling in the thigh, he/she should request immediate medical care.
Even though it happens very rarely, rapid bleeding into the muscle may cause a increase of pressure in the thigh which may need urgent surgery to drain blood from the thigh.
What is the recovery period of a thigh bruise?
The recovery time depends on the grade/severity of the injury and how the pateint improves with stretching and physical exercises.
Moderate to severe You do not have access to view this node take an average of 4 to 6 weeks to heal.
Minor contusions take significantly less time.
Excessive stress on the injured area should not be put before it is healed, as it causes unnecessary scar You do not have access to view this node.
The physician will suggest an athlete when to return to contact sports depending on the patient’s ability in regaining full strength, motion, and endurance.
One may need to wear a protective device or pad to prevent further injury to the thigh.
What are the complications of a deep thigh bruise?
If a deep thigh You do not have access to view this node is inappropriately managed, there are two very dangerous conditions that may result.
One is ‘Myositis ossificans’. This occurs when blood pools within the muscle and, over an extended period of time, calcifies and creates a condition that is hard to correct without You do not have access to view this node.
Another possible condition, ‘compartment syndrome’, occurs as a result of swelling within the muscle. As the muscle compartment swells, the nerves and blood vessels compress and tissue death may result.
It is very important that the appropriate early treatment procedure be used when dealing with a deep thigh You do not have access to view this node.