Hip pointer refers to a bruise or contusion of the iliac crest, the bone at the brim and pelvis, or the bone. The tensor fascia, external oblique muscles and greater trochanter may also be affected. A hematoma is a bloody collection that can form beneath the skin. This may cause palpable fluctuations. Hip pointers are often caused by a direct hit to the pelvic area, which is common in contact sports such as football and ice hockey or after a fall directly onto a hip.
Hip Pointer Symptoms
Hip pointers can cause pain above the iliac-crest, bruising, and hematoma, as well as muscle spasm. A hip pointer can cause severe pain if it is located between the gluteus and the iliac muscles. It may also press on the femoral and lateral femoral nerves.
How to Recognize a Hip Pointer
Although a hip problem may be diagnosed medically, imaging may provide additional information. Radiographs are used to confirm that there have not been any fractures. MRI and ultrasound can be used to assess the extent of the contusion or hematoma. The X-rays of adolescents who might have an avulsion fracture mimicking a hip pointer clinically are
Treatment for the Hip Pointer
Acute treatment for a hip pointer involves rest, ice, and the use of anti-inflammatory medication like naproxen or ibuprofen.
After an injury, crutches may be necessary for several days. To stop bleeding from deep contusions, it is recommended to delay any treatment other than ice for 48 hours. A corticosteroid injection may be used to reduce pain and speed up recovery. However, corticosteroid injections can cause muscle damage. This is why it is important to make a decision on an individual basis. The removal of a painful hematoma or needle aspiration may help to improve symptoms and speed up recovery. To regain strength and motion, physical therapy may be necessary.
This article was written by a medical professional at Florida Medical Pain Management. Florida Medical Pain Management is proud to offer West Florida Pain Management to a diverse group of patients. Patients at Florida Medical Pain Management can get help managing hip, knee, leg, and neck pain. The practice also offers comprehensive arthritis management, along with treatments for auto accidents, sports, and work injuries.