Groin strain affects the adductor muscles in the inner thigh. What is a black eye? Professional athletes usually train throughout the year to maintain their fitness. Use a hot water bottle, heat pack, or hot bath. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. In about 510 days, it turns a yellow or green color. [2] A tight wrap can actually cause more swelling below the bruised area, so make sure you don't overdo it. For some injuries, your doctor may also need to check for nerve injury. Many home . Elevate the wounded region to prevent further damage. Avoiding NSAIDs may also be necessary when bruising occurs after surgery or with extensive bruises, as these drugs risk worsening the bleeding. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. They will also ask an individual if they: The appointment will usually include a physical examination. Apply a cold compress to the affected region to help minimize swelling. You could also have a fracture or a break. Rotator Cuff and Shoulder Conditioning Program. Depending on the extent of your injury, a physical therapist may be able to show you how to move your injured joint so that you dont cause more damage. When you have normal, pain-free range of motion, your doctor may let you return to non-contact sports. These are often referred to as the ABCs of first aid. Your healthcare provider may tell you to apply heat after several days. Restricted movement and inability to run properly. , How Long Are Mlb Rehab Assignments? During the first 24 to 48 hours after injury (acute phase), you will probably need to continue using rest, ice, compression bandages, and elevation of the injured area to control bleeding, swelling, and pain. DeAngelis, J. P. & Spindler, K. P., (2010, September). A bone contusion, or bone bruise, happens when you have a small injury on the surface of a bone. This procedure is called a craniotomy. Natural history of the bruise: Formation, elimination, and biological effects of oxidized hemoglobin. In the case of a complete rupture the thigh muscle will have to be repaired surgically and the rehabilitation afterwards will take about 3 months. If you are unable to continue normal training, then swim or cycle instead. At that time, heat will start to help the injury heal. Ice packs can be applied to the area. Massage ONLY once the acute phase has definitely passed. Contusions are either intramuscular or intermuscular depending on whether the bleeding is contained within the muscle sheath, or whether the sheath is also damaged and the muscle bleeds outside the muscle sheath. Skeletal muscles are made up of bundles of muscle fibres. Groin strain is usually caused by muscles in the groin being contracted or stretched with too much force. Grade 3 strains happen when most or all of the muscle is torn. It is often related to more significant trauma. Do not apply ice directly to the skin as it may cause ice burns. Youre active in sports, especially high-impact sports. Symptoms that suggest you may have a bone bruise include: A bruise involving your knee can lead to a buildup of fluid on the knee, which can be painful. Policy, Get useful, helpful and relevant health + wellness information. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. These types can also go away on their own. After the early days have been spent resting more active rehabilitation can be started. A muscle bruise doesnt usually cause damage to the affected muscle. However, your skin doesnt break from the blow. It helps prevent the bruise from getting bigger. Returning to your regular activities too soon can make things worse. Fascia blasting has become a popular technique for loosening the fascia and treating conditions like pain and cellulite. The blood vessels between the skin and other tissues in the body burst. The quadriceps muscle on the front of the thigh is subjected to contusions because the quadriceps can receive direct blows. Sometimes, a bone bruise is only one part of the injury. Depending upon your sport, you may get special padding made of firm or semi-firm materials. You dont wear proper protective equipment. Always use the recommended protective equipment when playing sports. It is important to continue a training routine of some description. If the bone bruise is in your leg or foot, elevate your leg to help ease swelling. After a few days with grade two and three injuries a large bruise will appear below the injury site caused by bleeding within the tissues. A strain in this area can cause pain and difficulty breathing. Getting an MRI scan is the only way to know for sure if you have a bone bruise. There may be a sensation of cramp or Thigh tightness and a slight feeling of pain when the muscles are stretched or contracted. There . Bone contusions may take longer usually a couple of months depending on how severe the injury is. This is likely to involve feeling the muscle and gently moving the leg. Raise your leg up higher than your heart. People should check with their doctor before taking any NSAIDs if they have this bruising. Use crutches for second and third degree contusions. Gentle resistance exercises and thigh stretching are important, as they help to align the scar tissue that forms during the healing process and enhance the tensile strength of the thigh muscle. Avoid aspirin, as it can increase bleeding. Intracranial hematoma treatments are different. You have new trouble moving the injured area. A person may be able to estimate how old a bruise is from the color. Learn more about the potential causes of groin pain, as well as the treatment options available, here. Stretch and warm up before you play sports or exercise. A blunt trauma injury can cause your spleen to rupture. This website also contains material copyrighted by third parties. MNT is the registered trade mark of Healthline Media. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Heres what you should know if you think you may have this. How long does it take to heal a pulled quad? Examples are shin guards and padding. Groin strain affects any one of a group of muscles at the top of the thigh. It can range from mild discomfort. Anyone can get a contusion, but well explain how contusions can affect your bones and soft tissues differently, along with how each type of contusion is treated. The reason why a bruise may itch as it heals is unclear, but there are a few theories. A hematoma is a large collection of blood that becomes trapped within tissues. The more severe ones can take several months to heal. When your doctor gives the green light, you can begin a physical therapy (PT) or at-home exercise program to strengthen and stretch your muscles. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Getting prompt medical treatment and following your doctor's advice about rehabilitation can help you avoid serious medical complications that occasionally result from deep muscle contusions. You will have greater movement and muscle function if your injury is intermuscular. Your intercostal muscles lie between your ribs. Last medically reviewed on February 23, 2018, Anyone can get a muscle strain. The muscle can take 3 to 4 months to repair completely. Do not apply ice directly to the skin as ice burns can occur. Rest, ice, compression, and elevation to reduce inflammation will usually help. Contusions cause swelling and pain and can limit joint range of motion near the injury. He or she will check the skin over the injured area. Movement patterns and muscular function before and after onset of sports-related groin pain: A systematic review with meta-analysis. It often affects people who play active and competitive, physical sports. The main symptoms of groin strain are pain and tenderness in the area. However, you are unlikely to have significant edema. King, M. (2017, February). This side effect is usually harmless and while it's not always avoidable here's. Wear protective gear when you play sports. As you heal, your doctor might suggest taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin). We do not endorse non-Cleveland Clinic products or services. However, recovery is often faster than intramuscular. If you fail to treat a thigh contusion properly it can lead to long-term injury or permanent muscle damage. Our team thoroughly researches and evaluates the recommendations we make on our site. Avoid activities that aggravate the problem. Last medically reviewed on July 23, 2021. The forensic science behind bruise healing [infographic]. Illinois Bone & Joint Institute, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Retrieved from, How Viagra became a new 'tool' for young men, The amazing story of hepatitis C, from discovery to cure, Ankylosing Spondylitis Pain: Fact or Fiction, http://practicaldermatology.com/2013/11/a-novel-topical-cream-to-reduce-bruising/, https://kidshealth.org/en/teens/bruises.html. nonsteroidal anti-inflammatory drugs (NSAIDs), sciencedirect.com/science/article/pii/B9780323079099001379, orthoinfo.aaos.org/en/diseases--conditions/muscle-contusion-bruise/. A contusion may result from a direct blow to a muscle when players collide during sports. Often, they are a surface injury that requires no medical attention, and people can treat them at home. . The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Medically reviewed by William Morrison, M.D. This often results in a sore bruise. In more severe cases, athletes may be forced to rest and limit physical activity until their muscle has fully healed. It is important to maintain a stretching and strengthening program alongside training to ensure full strengthening and mobility of the muscle. Popping or snapping sensation as the muscle tears. Our team thoroughly researches and evaluates the recommendations we make on our site. You may walk with a limp. Let's look at symptoms and treatments. Contusions occur when a direct blow or repeated blows by a blunt object strike part of the body, crushing underlying muscle fibers and connective tissue without breaking the skin. This is known as compression and should be done by a trained first responder if possible. Instead, wrap in a wet tea towel. Most contusions are minor and will heal quickly, without taking the athlete away from the game. A contusion is different from a thigh strain which is a tear of one of the quadriceps muscles. Keep the contusion away from direct heat. Do not massage the area or put heating pads on the bruise right after your injury. Your body also needs plenty of vitamin D to help absorb all that calcium. Certain lifestyle choices can help youre your bones strong and healthy and improve their ability to heal. Stretching. Heat Therapy. They may also do an MRI scan, which will provide a better image of any bone contusions. Remember to increase your activity level gradually. The content is not intended to replace diagnosis, treatment or medical advice from your treating healthcare professional. Your doctor may give you nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, or other medications for pain relief. This is to reduce swelling and bleeding and to ease pain in the area. But severe contusions can cause deep tissue damage and lead to complications. This type of injury is most common in direct contact sports. Arnica lotion, Aloe vera gel, and Vitamin C are all good options. A bruise that is a few days old will often appear blue, purple, or even black. All rights reserved. If there is a large hematoma that does not go away within several days, your doctor may drain it surgically to expedite healing. Learn about causes, diagnosis, and more. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We find out more about how groin strains can happen, their symptoms, and how long a person can expect recovery to take. 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