Thigh Hematoma

[QuakeMaker]

Three weeks ago a had a significant fall on a DH mountain bike. Among my injuries was a rather large hematoma (with significant bruising) on my left hip/thigh. I did manage to complete a sprint triathlon the week after with some discomfort but no real pain.

Other than the initial RICE, what is the best course of treatment for this injury?

As I don't experience any pain, is there any danger of running or cycling with this type of injury? Will exercise help prevent or promote myositis ossificans?

FWIW, I'm a 38 year old male in above average shape.

Thanks in advance.

[thomas bibu]

hi dear,

well, the picture clearly explains the magnitude of your fall. lucky that you escaped without gross injury/fracture..

anyway, from your post I understand that you are rather comfortable. well, dont let many thoughts crowd your mind eg. new bone formation etc.

regarding ways to prevent new bone formation, there is no hard and fast rule, although there is a promising study regarding injecting hyaluronase. well, just be yourself. continue your normal activities of daily living.

the ecchymosis may take weeks or months to disappear completely, but please take care of your skin from any further bruises/injury because you cannot afford to have an infection. also try to continue your normal range of motion exercises.

you may ice massage for 10 minutes or more prior to exercise, but try to avoid normal conventional massage techniques as you may trigger further bleeding.

in the days to come if you develop increasing pain, fever, headache, muscle aches, dizziness or rather a general ill feeling visit your nearest doctor.

regarding diet, nothing special try to eat a well-balanced diet that includes extra protein such as meat, fish, poultry, cheese, milk and eggs and also double your fluid intake.

all the best and get well soon.

cheers,

thomas