Quadriceps contusion

Commonly referred to as a ‘dead leg’, a quadriceps contusion leg’ is very common in contact sports. An impact to the muscles can cause more damage than you might expect and should be treated with respect. The muscle is crushed against the bone. If not treated correctly or if treated too aggressively then Myositis Ossificans (calcification or bone growth in the muscle) or other secondary complication may result. Athletes often report a ‘knee’to the thigh and although just another word for a bruise, a contusion can be quite problematic, especially if they occur deep inside a muscle. Along with the pain and swelling, secondary complications can occur, leaving the player with a long rehabilitation process. 

There are two types of contusions: 

Intramuscular which is a tearing of the muscle within the sheath that surrounds it. This means that the initial bleeding may stop early (within hours) due to increased pressure within the muscle, however the fluid is unable to escape as the muscle sheath prevents it. The result is considerable loss of function and pain which can take days or weeks to recover. You are not likely to see any bruising with this type - especially in the early stages.

 Intermuscular which is a tearing of the muscle and part of the sheath surrounding it. This means that the initial bleeding will take longer to stop especially if you do not ice it. However recovery is often faster than intramuscular as the blood and fluids can flow away from the site of injury. You are more likely to see bruising with this one.

Immediate treatment for any type of muscle injury is to commence three practical yet helpful methods: 

Rest– Avoid the aggravating activity until the pain has disappeared, normal between 3 to 6 weeks

Ice– Use ice every couple of hours for 20 minutes over the affected area to reduce bleeding and pain 

Compression–Compression assists in the prevention of swelling in the affected area help to reduce the recovery time 

Returning from a quadriceps contusion

·         Use compression shorts to keep the muscles warm and supported

·         Always warm up before sporting activity

·         Always cool down after sporting activity

·         Stability exercises

·         Seek the advice of a qualified sports injury specialist