Quadriceps contusion is bruising of the skin and underlying tissues of the thigh, including muscle, its covering fascia, and occasionally bone, caused by a direct blow. Contusions cause bleeding from ruptured small capillaries that allow blood to infiltrate muscles, tendons, or other soft tissues. The thigh is well suited to absorb direct blows, but contusions do often occur here.
Initial treatment consists of ice, and compressive strapping to relieve pain and reduce swelling; stretching to prevent knee and thigh stiffness; and modification of activities to allow the bruised muscles to heal. Referral to a physical therapist of athletic trainer may be advised for further evaluation and treatment, especially to regain knee motion. Nonsteroidal anti-inflammatory medicines may be recommended starting 2 to 3 days after a severe injury to reduce the likelihood of developing calcification of the contusion (myositis ossificans). Rarely, surgery is recommended to remove the clotted blood.
RICE Principle With all acute injuries, follow the RICE principle to reduce swelling, pain and inflammation.
R est- Modify activity, staying away from those which cause extreme pain.
I ce- Use an ice pack for 20 minutes every two to three hours during the first 72 hours.
C ompression- Use an ace wrap encompassing the entire thigh area.
E levation- Keep the injured leg above the level of the heart when sitting or lying down.
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