Bruised buttocks are also called as buttock contusion, butt bruise, bruised butt and buttock bruise.
Bruising of buttock region occurs either by falling down on the buttock or due to direct blow. However, getting hit in the buttock area by a hard blunt object like a hard ball could also result in bruising of buttocks. Breaking of the small blood vessels that are present in the substance of the buttocks often results in bleeding beneath the skin of the buttock region. Bruised buttocks is very common in sports like sliding in baseball, high jumping, ice skating, hockey, gymnastics, football, pole vaulting. Elderly people and individuals who are on anticoagulation drugs like Coumadin are more prone to such bruises.
The patient must be shifted to the emergency room after sustaining a buttock injury that exhibits possible signs of pelvic fracture like bleeding under the skin, inability to stand or bear weight, severe pain as well as signs of internal bleeding like feeling cold, rapid heart rate, confusion, drop in blood pressure, signs of infection and disorientation. Rest, massage, ice with heat and medication for swelling and pain are usually required to treat bruised buttocks.
Although many cases of bruised buttock get resolved within a couple of weeks, severe cases may take a month or even more. In some cases, the lump may even turn to scar which may take several months to soften leaving a permanent dimple or lump.
Causes and Risk Factors of Bruised Buttocks or Buttock Contusion
- Buttock injury.
- Slipping on ice.
- Spinal fracture.
- Poor nutrition.
- Bleeding disorders.
- Anticoagulant medications.
- Child abuse.
- Blunt trauma.
- Mongolian spot.
Signs and Symptoms of Bruised Buttocks or Buttock Contusion
- Tenderness when sitting down or to touch.
- Pain in the buttock.
- Pain may be experienced while moving the thigh against resistance.
- Stiffness is experienced while moving the thigh in forward direction that is due to stretching of the gluteus muscles.
- A hard lump beneath the skin along with discoloration that change from red to blue and black then green and yellow, which could be a hematoma.
Treatment for Bruised Buttocks or Buttock Contusion
- Wearing protective gear is very helpful.
- Wearing firm fitting pants like spandex helps in supporting the affected area.
- Ice Therapy. Application of ice to the affected area for about 10 to 15 minutes helps in easing pain, swelling and bleeding.
- Heating pad.
- Naproxen, acetaminophen and ibuprofen are also very helpful.
- Stretching the gluteus muscles gently with improving condition is also recommended.
- Sports massage helps in relaxing the muscles and dispersing waste products. It is important that massage should not be performed within the first 72 hours of injury as this may lead to increased blood flow.
Exercises for Bruised Buttocks or Buttock Contusion
Exercises can be started once the patient is pain free. Stretching and strengthening exercises can be performed to improve and regain full function of the glute muscles.
Investigations for Bruised Buttocks or Buttock Contusion
A medical history and thorough subjective and physical evaluation is performed to diagnose bruised buttocks. X-ray is required only when tailbone fracture or pelvic fracture is suspected.