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First aid

Hip injury

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Bruise on Thigh (1 Day Old)
Bruise on Thigh (1 Day Old)

X-Ray - Normal Hip
X-Ray - Normal Hip

X-Ray - Hip Fracture
X-Ray - Hip Fracture

Hip Fracture
Hip Fracture

Anatomy - Hip
Anatomy - Hip

Definition
  • Injury to a bone, muscle, joint or ligament of the hip and upper thigh

Types of Injuries

  • Fractures (broken bones)
  • Dislocations (bone out of joint)
  • Sprains - Stretches and tears of ligaments
  • Strains - Stretches and tears of muscles (pulled muscle)
  • Contusion (bruise) - A direct blow or crushing injury resulting in bruising of the skin, muscle, and underlying bone

 


If not, see these topics

First Aid:

FIRST AID Advice for Bleeding: Apply direct pressure to the entire wound with a clean cloth.

FIRST AID Advice for Penetrating Object: If penetrating object still in place, don't remove it (Reason: removal could increase bleeding).

FIRST AID Advice for Shock: Lie down with feet elevated.

When to Call Your Doctor

Call 911 Now (you may need an ambulance) If
  • Major bleeding (actively bleeding or spurting) that can't be stopped
  • Injury looks like a dislocated joint (crooked or deformed)
  • You can't stand (bear weight) or walk
  • NOTE: For bleeding, see First Aid
Call Your Doctor Now (night or day) If
  • You think you have a serious injury
  • Severe pain
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think you need to be seen
  • There is a large swelling or bruise (wider than 2 inches) at the site of the injury
  • You are limping
  • You are over age 54, have osteoporosis, or use steroid medications routinely
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Injury interferes with work or school
  • Injury and pain have not improved after 3 days
  • Injury is still painful and swollen after 2 weeks
Self Care at Home If
  • Minor bruise
  • Minor strained (pulled) muscle or sprained (stretched) ligament
HOME CARE ADVICE FOR MINOR BRUISE, SPRAIN OR STRAIN

  1. Treatment of Bruise (e.g., direct blow to hip area):
    • Apply a cold pack or an ice bag (wrapped in a towel) for 20 minutes each hour for 4 consecutive hours. (20 minutes of cold followed by 40 minutes of rest for 4 hours in a row).
    • 48 hours after the injury, use local heat for 10 minutes 3 times each day to help reabsorb the blood.
    • Rest the injured part as much as possible for 48 hours.
  2. Treatment of Sprains and Strains of Hip and Upper Thigh:
    • FIRST AID - Apply an ice pack (crushed ice in a plastic bag covered with a towel) to reduce bleeding, swelling, and pain.
    • REST the injured leg for 24 hours. You may return to normal activity after 24 hours of rest if the activity does not cause pain.
    • Continue to apply crushed ICE packs for 10-20 minutes every hour for the first 4 hours. Then apply ice for 10-20 minutes 4 times a day for the first two days.
    • Keep injured leg ELEVATED and at rest for 24 hours. Put your leg up on a pillow and stay off your feet as much as possible.
  3. Pain Medication:
    • For pain relief, take acetaminophen or ibuprofen.
    • Acetaminophen (e.g., Tylenol): The dose is 650 mg by mouth every 4 hours or 1000 mg by mouth every 6 hours. Maximum dose per day = 4000 mg.
    • Ibuprofen (e.g., Motrin, Advil): The dose is 400 mg by mouth every 6 hours or 600 mg by mouth every 8 hours.
    • People who are over 65 Years of age: Acetaminophen is generally considered safer than ibuprofen. Acetaminophen dosing interval should be increased to every 8 hours because of reduced liver metabolism. Maximum dose per day = 3000 mg.
    • CAUTION: Do not take ibuprofen if you have stomach problems, kidney disease, are pregnant, or have been told by your doctor to avoid this type of anti-inflammatory drug. Do not take ibuprofen for more than 7 days without consulting your doctor.
    • CAUTION: Do not take acetaminophen if you have liver disease.
    • Read the package instructions thoroughly on all medications that you take.
  4. Expected Course: Pain and swelling usually begin to improve 2 or 3 days after an injury. Swelling is usually gone in 7 days. Pain may take 2 weeks to completely resolve.
  5. Call Your Doctor If:
    • Pain becomes severe
    • Pain does not improve after 3 days
    • Pain or swelling lasts more than 2 weeks
    • You become worse

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: David A. Thompson, M.D.

Last Reviewed: 1/19/2009

Last Revised: 4/5/2008

Content Set: Adult HouseCalls Online

Portions Copyright 2000-2009 Self Care Decisions LLC; Copyright LMS, Inc.

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