Thigh Hematoma

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.

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

Hi, I was searching forsome information and came across this. I am a 48 year old male also in above average physical conditioning. I do martial arts and received a strike to the front/outer side of my thigh during sparring drills 10 days ago. It did not initially cause any pain, but within two hours after there was considerable pain and restricted motion.

I iced the muscle overnight, but was at a seminar and proceeded with conditioning drills and sparring for the next two days. I've continued training (4 days per week) since, and after warming up have approx. 70% motion when bending the knee, considerable pain beyond 70%. There is minor discomfort on extending. Also, after working out there is pain for a few hours. The thigh muscle is extremely tight at all times and I've developed blood discoloration similar to QuakeMaker, although away from the bruise site, opposite side (hamstring), I suspect due to sitting as I have a desk job.

I have a Dr.'s appointment today (it takes a while up here), but was wondering on two things, one, the myositis ossificans thing; any way to tell without x-rays? And second, any suggestions on accelerating the healing process?

Thanx very much