Expert: Dr. Paul Newhart - 11/8/2009

Question
Hi, thanks for taking the time to review my question.  I'm having some need pain due to direct
pressure, I don't think there is any serious damage but I'd like advice just the same.  The injury arose from this situation: I was grappling w/ an opponent and they applies direct pressure to my
inner knee (the mcl area) w/ the point of their elbow, while i was giving resistance.  There wasn't a pop or any sever pain, just discomfort that caused me to stop resisting.  Basically the lower quadriceps area is very tight, and uncomfortable if i squat to the ground (where my heel comes to my buttocks).  I can walk, jump, twist, move laterally, all w/out discomfort or structural compromise.  My question is can I assume this injury is nothing more then a deep tissue or bone bruise?

Also note, there doesn't appear to be any swelling or discoloration.  There is a very slight bruise
that isn't even noticeable unless i point it out.

Thanks for your help,

Sincerely, J

Answer
It is quite possible only a deep bruise. If you haven't done so, Ice 20 min on and 20 off, repeating 4 times.  Do this for 2 days, then switch to heat, at the same times of application.  Anti inflammatories as necessary.  If you do not see a change in symptoms within a few days, I would suggest you see a chiropractor that focuses on sports type injuries, as they can assess and treat this, rehab it, and refer out if necessary.