One of the common injuries spinal column is a bruise of the sacrum. Most people adhere to the “rub and forget” technique; at best, take a painkiller pill or apply ointment. However, such damage cannot be ignored, since subsequently a bruise can manifest itself not only as pathological disorders of the musculoskeletal system, but also as neurological, gynecological, proctological and other complications.

The main cause of sacral contusion is direct mechanical impact. Factors that contribute to this:

• a fall;
• hit;
• sports training;
• traffic accidents;
• work injury.

People with musculoskeletal diseases, obesity, vestibular function disorders, and pregnant women should be more careful when moving.

Symptoms

When the sacrum is bruised, pain immediately occurs. She can wear different character, depending on the force of impact and the degree of bone injury. Painful sensations with a slight blow quickly pass, and sometimes they can intensify after some time. Dull, aching, throbbing pain that persists at rest may indicate damage to nerve endings, a crack in the sacrum or pelvic bones, a fracture of the sacrum and other complications. Sometimes it radiates to the limbs, rectum, perineum, and lower back.

Symptoms such as:

1. swelling, redness;
2. impaired motor activity, inability to straighten or bend your back, unnatural body position;
3. hematomas;
4. compaction at the site of injury.

In some cases, a sacral injury is accompanied by headache, dizziness, nausea, or vomiting. If you are injured due to a bruise nerve roots, then symptoms such as: involuntary urination, impaired sensitivity of the muscles of the thigh and buttocks, dysfunction of the sphincters (anus, urinary canal) are possible.

How to distinguish a bruise of the sacral region from other injuries and diseases

Symptoms of sacral contusion are also characteristic of other injuries of this department. With a fracture, pain, swelling, hematoma and other signs are also observed. It can be distinguished from a bruise by the sensation of pain: a fracture is accompanied by an increase in pain (at the time of injury it may be completely absent), and with a bruise it is most intense at the beginning of the injury.

The pain of a bruise in the sacral region should be distinguished from the pain that occurs with diseases of other organs.

Diseases	Nature of pain
Gynecological disorders	It is cyclical in nature. Gives to the lower back.
Osteochondrosis	Radiates to the legs. Stiffness in the lumbar region.
Spondylolisthesis	Aching.
Inflammatory processes	Shoots, whines. Possible unilateral manifestation.
Tumors, inflammation of the prostate	Long lasting, aching.

ATTENTION! Pain in the sacrum can also occur during pregnancy. Initially, this is due to hormonal changes, the formation of the placenta, and the threat of miscarriage. As the fetus grows, pain occurs due to a displacement of the spinal axis.

Diagnosis of the sacrum condition

At the initial examination, diagnosis consists of a visual examination of the sacrum by a specialist, palpation, and questioning. Corresponding clinical picture and the fact of direct mechanical impact are not yet a sufficient basis for making a diagnosis, so the doctor will definitely write out a referral for an x-ray.

However, x-ray examination will only show the condition of the bone, soft fabrics will remain unexamined. If internal hemorrhage, nerve damage or other abnormalities are suspected, a CT or MRI will be required.

Sometimes a minor bruise can lead to a sharp manifestation of ongoing hidden pathologies, for example, neoplasms or infectious processes. Therefore, it would not be superfluous to undergo an additional tomographic examination.

First aid

First aid for a bruised sacrum consists of the following:

• Apply cold to the sacral region.
• If possible, ensure complete rest for the spine.
• If the pain is severe, take a painkiller.

For any degree of damage to the sacrum, you should immediately go to the nearest emergency room or call an ambulance.

Treatment options

Treatment of sacral contusion is individual, depending on the severity of symptoms and the presence/absence of complications. In mild cases, the patient does without sick leave or bed rest. Your doctor may recommend restriction physical activity and application of anti-inflammatory compounds.

If hematomas are present, absorbable procedures (compresses, physiotherapy, ointments) are indicated. If the hematoma is extensive, cannot be treated with medication and poses a health hazard, it is removed surgically.

Surgical intervention is also required in case of extensive internal bleeding, identification of sacral fragments, injuries requiring forced stabilization of the bone or removal of its parts.

IMPORTANT! Before full examination Under no circumstances should you warm the bruised area, take a bath or give a massage!

Medicines

Drug treatment of sacral contusion is prescribed in accordance with the clinical picture.

Group of drugs	Action	Examples
Anti-inflammatory (NSAIDs)	Eliminate and prevent swelling, pain, fever, inflammation	Diclofenac, Ibuprofen
Painkillers (blockades)	Eliminate severe pain	Lidocaine
Vasodilators	Prevents blood stagnation and blood clots	Aspirin
Muscle relaxants	Clean up muscle spasms, reduce pain	Mydocalm

Ointments and gels are used externally to help reduce swelling and pain, for example: Dolobene, Traumeel. Good therapeutic effect obtained by using formulations containing extracts of chamomile, calendula, ichthyol, and bee products.

Additional measures

Additional therapeutic measures For bruises of the sacrum, physiotherapeutic procedures and exercise therapy are used. The following physiotherapy methods have a beneficial effect on injured tissues:

1. UHF (eliminates swelling, pain);
2. IF radiation (promotes the resorption of hematomas, reduces inflammation);
3. electrophoresis (removes inflammation, pain, swelling, stimulates regeneration).

Therapeutic gymnastics is used during the recovery period, provided complete absence pain. The basis physical therapy exercises movements such as: swinging the legs, spreading them to the sides, lifting and lowering from different body positions. At the beginning of rehabilitation, exercises are done at a slow pace with a small number of repetitions, later the intensity and volume are increased.

As additional method Treatment for bruised sacrum uses acupuncture, hirudotherapy, and bee sting. Impact on biologically active points leads to a reduction in muscle spasms, the disappearance of pain in the sacral area, restoration of blood flow and nerve conduction.

ATTENTION! During treatment of the injury, it is recommended to wear an orthopedic corset.

Folk remedies

Folk remedies for the treatment of bruised sacrum are mainly aimed at relieving pain, relieving swelling, resolving hematomas, eliminating or preventing the inflammatory process. For this purpose, decoctions, plant juices, alcohol tinctures, microenemas and other forms. The most widely used are: burdock and/or cabbage leaves, wormwood juice, plantain juice, calendula and chamomile (for microenemas and compresses), bee products.

Complications and consequences

A sacral injury may be accompanied by complications such as:

• fracture, crack;
• internal bleeding;
• pinched nerves;
• damage to blood vessels and pelvic organs;
• vertebral displacement.

Lack of timely treatment can lead to serious consequences: urination problems, inflammatory processes in the intestines, reproductive organs, spine. Constant pain (coccydynia) is evidence of damage to the nerve processes; it can occur even after six months from the injury and bother you for a long period of time. Ignoring the symptoms of a bruise can result in paralysis of the legs, vascular disorders in the lower extremities and pelvis, limited ability to move, and many other pathologies.

Bruises very common damage to the buttocks due to direct blow, for example when falling. The buttocks are protected by a thick layer of fatty tissue, and significant force is required to cause a bruise to the gluteus maximus muscle. The patient complains of pain when sitting and walking, the doctor notes pain on palpation. Other conditions that occur with buttock contusion include ischial tuberosity periostitis, ischial tuberosity contusion, and tuberosity fractures. These conditions can be differentiated based on X-ray data in the appropriate projections and clinical assessment. In a patient with periostitis of the ischial tuberosity, the doctor will note excessive pain over the tuberosity and only minor discomfort in the surrounding tissues.

Treatment of bruises in the gluteal region symptomatic, includes rest, local application of cold (ice pack) and rest in the prone position. A pillow or pad under the buttocks while sitting brings relief until the condition improves. In case of periostitis of the ischial tuberosity, pain is eliminated by injection after appropriate treatment of the tuberosity with a 2% lidocaine solution. In addition, upon discharge, the patient should be instructed to place a pillow under the buttocks until pain subsides, take appropriate analgesics, and apply an ice pack for the first 24 to 48 hours.

Gluteal sheath syndrome

Gluteal sheath syndrome is quite rare disease, but the doctor emergency care should be aware of it, since its consequences can be very serious. The gluteal muscles are distributed, as it were, into three cases.

Case The tensor fascia lata covers the tensor fascia lata and the fascia lata itself, the medial sheath covers the gluteus medius and minimus, and the greater sheath covers the gluteus maximus. After a severe bruise of the buttocks, for example from a fall from a height, the patient is admitted to the emergency department with tense, swollen buttocks, increasing pain and increasing intracase pressure, which can lead to muscle necrosis over the next 4-6 hours.
In addition, high intracase pressure may cause neuropathy sciatic nerve with all the ensuing consequences.

Patients with a characteristic medical history and relevant clinical manifestations should be hospitalized and consulted by an orthopedic surgeon.

Bruises of the sacrum and coccyx

This is quite common damage, which occurs with a direct blow to the subcutaneous area of ​​the sacrum or coccyx. Due to the subcutaneous location of these bones, bruises can be extremely painful, and the patient usually complains of acute pain of a certain localization, which often makes him unable to work. During the examination, a clearly localized area of ​​pain is detected over the sacrum or coccyx and minor discomfort in the surrounding tissues.

To exclude sacral fractures or Pictures should be taken in appropriate projections.

Although some authors claim that these injuries do not lead to impairment of the patient’s ability to work, we find that they can often cause permanent disability of the patient. Bruises of the coccyx can cause a disease called coccydynia, which has a poor prognosis and is difficult to adequately treat. Emergency treatment Sacral and coccyx contusions include early application of cold compresses, an air mattress, and appropriate analgesics along with referral to an orthopedic surgeon for follow-up treatment.

Since the prognosis for bruises of the coccyx always raises doubts, the authors believe that all patients with bruises of this location should be referred to an orthopedist for treatment.

Perineal bruise

Perineal bruise refers to infrequent injuries that occur due to a direct blow to the perineum, for example when falling on solid object. On examination, the patient is noted to have pain, swelling and pinpoint hemorrhages in the perineum, and sometimes a painful hematoma. Treatment includes cold compresses for the first 48 hours followed by warm sitz baths.

Patient with hematoma Referral to a specialist should be made as x-rays at a later date may reveal a consolidating fracture in this area. You should also make sure that the patient does not have damage to the urethra.

Iliosacral ligament sprain

It's rare damage, however, a misdiagnosis in the emergency department may result in the patient being subsequently treated unsuccessfully for a hernia intervertebral disc. The iliosacral joint is a strong, low-moving joint that is rarely injured. If it is damaged, the patient complains of pain localized in the area of ​​the iliosacral joint with irradiation to the groin and the back of the thigh. The mechanism of injury is wide hip separation or excessive hyperextension or hyperflexion.

The best reception diagnostics This damage will be as follows: the patient lies on his side, the doctor puts his hand on the iliac crest and presses down, squeezing the joint and provoking pain.
Another way- spread the raised and unbent legs of the lying patient wide apart. This will cause pain over the damaged iliosacral or lumbosacral ligaments.

Injection into the joint of 2% lidocaine solution often brings relief. Treatment is usually limited to bed rest, hot compresses, and analgesics. Some experts recommend a compression bandage, but the authors believe that this method is unlikely to be beneficial. For persistent pain, referral to an orthopedist is indicated.

Strain of the biceps femoris and semitendinosus tendons at their insertion

This damage occurs when the hip is forcibly flexed with the knee joint extended. In adolescents with an unclosed epiphysis, avulsion of the tubercle with a wide separation of the epiphysis may occur. When examining the patient, pain is noted over the site of attachment of the tendons to the bone with slight swelling. A history of the above-described mechanism of injury and pain that increases with passive hip flexion with the knee joint extended or active hip extension against resistance will help make the diagnosis. In all cases, X-ray examination is indicated.

At incomplete separation treatment consists of immobilization knee joint in a flexed position to reduce pressure on the site of attachment of the tendons to the ischium and prevent active flexion of the hip. In cases where complete avulsion is suspected, the patient should be referred to an orthopedic surgeon to assess the need for surgical intervention.

Exactly where it is located. Most often, this injury occurs among cyclists who like to ride on uneven roads. It is worth noting that very often representatives of the fairer sex get a bruise to the tailbone. Women, unlike men, have wider hip bones. This is where the problem lies. To avoid such injuries, you should carefully monitor the loads that fall on your back. The tailbone is the most vulnerable part of the spine. For many women, pregnancy can even be the cause of such an injury. So, how to treat it, and what could be the consequences?

What it is -

For many, a bruise is a blow to a certain area of ​​the body, which results in a violation of the integrity of the tissue. Often such injuries are treated with disdain. Many people believe that such a nuisance as a bruise will quickly pass. As for the coccyx, the situation here is somewhat different. In this case, any minor blow or load can cause severe damage to this part of the spine. In addition, the situation is aggravated by the fact that an external factor acts on the tailbone. In addition, the entire spine exerts pressure on this part of the body. This is why a bruised tailbone is so dangerous. The symptoms and consequences of such an injury are very unpleasant.

Symptoms that occur with a bruise

A bruised tailbone is a dangerous injury not only because there may be consequences in the future, but also because it is difficult to diagnose. And the doctor is not always able to accurately diagnose. However, a bruised tailbone, the symptoms of which can be very sensitive, can be identified by the following signs:

Other symptoms

In addition to the above symptoms, the victim may feel wave-like pain after a slight blow to the tailbone. Immediately after receiving an injury, a person feels severe pain, which goes away over time and occurs only when squatting unsuccessfully or making a sudden movement. In such situations, many simply ignore the unpleasant sensations and are in no hurry to turn to specialists, leaving everything to chance. However, this is not the most The best way problem solving. After all, over the years, such a process will develop into a chronic one, and the injury will not be cured. Even with minor exertion, pain will occur. Of course, it will not be pronounced, but it will provide enough problems. Therefore, treatment of a bruised tailbone should be carried out in any case.

Consequences of injury

Many victims are usually concerned about how long it takes to heal their injury. This largely depends on the force of the blow delivered. After all, a bruised tailbone, the symptoms and consequences of which can be unpleasant, is still a dangerous injury. If the pain does not stop and recurs, then in this case it is necessary to seek help from a traumatologist. Otherwise, the following consequences may occur:

1. Even a slight displacement may occur as a result of a very strong impact. spinal cord, which will ultimately lead to frequent migraines.
2. The pain can become chronic.
3. The integrity of the spinal cord may be severely compromised.
4. In some cases, fibrosis of the hematoma may begin.
5. Wedging into the occipital region of the spinal cord is also possible.
6. Due to bone displacement, patients often experience inflammation in the rectum.
7. spine.

If your tailbone hurts after an injury, then you need to seek help from specialists. Only in this case can you avoid negative consequences. It is also very important to know how to properly provide first aid for such an injury.

First aid for bruises of the sacrum and coccyx

If a person received a strong blow to the lower spine, several procedures should be performed:

How to treat a bruised tailbone

Treatment of a bruised tailbone should be carried out by an experienced doctor. The quality of therapy for such injuries depends on the timely visit of the victim to the medical center. During the examination, the specialist must rule out serious damage to the spine. This is why it is necessary to take an x-ray. Only after this the doctor can choose a treatment method. If the diagnosis is a bruise of the sacrum and coccyx, then the victim can do without hospitalization.

Treatment methods

There are several main treatment methods:

What to apply to a bruise

For a speedy recovery, you should regularly apply certain compounds to the sore spot. You also need to know what is best to use. To eliminate pain and bruising, experts recommend using either Traumeel, as well as various ointments based on calendula, arnica and chamomile. Compositions that have a warming effect are perfect. This will avoid such troubles as fibrosis of the hematoma. The main thing is to remember that a bruised tailbone, the symptoms and consequences of which are very varied, is a dangerous injury and must be treated immediately.

The back is often susceptible to various injuries, especially the lumbar region. After all, the lower back bears most of the load. Despite the fact that the vertebrae in this section are thicker and the muscles are stronger and stronger, sprains and bruises often occur, which lead to temporary loss of mobility and pain. In any case, even the slightest bruise lumbar region Spinal injuries can cause discomfort, so you need to know how to correctly classify a bruise and how to treat it.

A bruise is a closed injury to organs and tissues (skin, muscles) that does not entail anatomical disturbances. It usually occurs due to a direct blunt impact. In the case of a lumbar bruise, it can be either a fall or a blow from a large object. Typically, such an injury occurs in people involved in sports or working in production. Bruises of the lower back are also quite common in winter - during icy conditions. At this time, you need to be especially careful when walking the streets. A lumbar bruise occurs quite often in victims of road accidents, along with a bruise of the upper spine. A bruise can also occur when falling from a height onto your legs or back.

Back bruises are classified according to severity:

• Easy. Only soft tissues are damaged and bruising may occur. There are no neurological disorders. It’s easy to move your legs, there is no numbness.
• Average. Loss of sensitivity in certain areas of the lumbar region, as the conductivity of the spinal cord is disrupted; accordingly, those departments that are innervated by the injured part suffer.
• Heavy. Complete loss of conduction below the injured area of ​​the lumbar region. Sometimes neurological disorders do not recover.

Symptoms of injury

After a bruise, spinal shock begins to develop. Its severity may vary depending on the force of the blow. If the shock is not pronounced, then for some time there may be only a slight numbness below the lower back, which soon disappears. If everything is more serious, then the bruise can lead to organ damage abdominal cavity and pelvis, disruption of defecation and urination, and even lead to paralysis of the lower body.

A general examination of an injured person should include an assessment of the following parameters (symptoms are arranged in order of increasing severity):

• Appearance painful sensations when palpating the injury site.
• A hematoma begins to appear, growing over time.
• The injured person feels pain when turning the body and cannot bend.
• Swelling occurs in the ankles, blood circulation is impaired, and weakness appears in the lower torso.
• Muscle paralysis may occur Bladder, in this case, urination will either be difficult or, conversely, uncontrollable. Also sharp pain occurs during walking and sexual intercourse. These symptoms are typical when the coccyx is damaged.
• The occurrence of paralysis and paresis lower limbs. In this case, the localization of paralysis may vary depending on the location of the lumbar injury:
• If the lumbar spine is injured, the victim will not be able to bend and straighten the leg at the knee, or will do so with great difficulty.
• Contusion of the sacrum and coccyx can lead to immobilization of the foot.
• If the transverse processes of the vertebrae are injured, paralysis of both limbs is possible.

Diagnostics

The doctor often faces a difficult task: he needs to accurately determine the location of the bruise and determine whether the spine itself is damaged, internal organs and important arteries to provide the patient with effective treatment.

The stages of diagnosing a lumbar contusion are as follows:

1. Collecting anamnesis (information obtained from the patient): condition at the time of injury and current, time and place of injury, causes, etc.
2. Carrying out an examination for the presence and size of hematomas, any bone deformations, edema.
3. Conducting functional tests for reflexes and sensitivity. The doctor also probes the site of injury.

This is how the primary diagnosis is established. The doctor may prescribe medications and ointments to relieve swelling and bruises and to dull the pain. He gives the patient referrals for more detailed examinations to determine an accurate diagnosis and further treatment.

• Submitting blood and urine tests to the patient.
• X-ray of the lumbar spine. This way doctors can determine the condition of the bones and the likelihood of vertebral displacement. An x-ray of the sacral region in two projections may also be required.
• Computed tomography can replace or complement x-rays. Necessary for assessing bone structures.
• Magnetic resonance imaging allows you to determine the condition of the soft tissues of the lower back and blood vessels. Necessary for suspected spinal and spinal cord injuries.
• Occasionally prescribed lumbar puncture. This measure is used in cases of spinal cord injury. Determines the presence of blood in the cerebrospinal fluid.

Bruises of all parts of the back, not just the lower back, are very serious, and their treatment must be approached comprehensively. Treatment and diagnosis of lower back injuries is the responsibility of the following doctors:

• Neurologist (neurologist)
• Surgeon (neurosurgeon)
• Orthopedist.

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Treatment

After identifying the diagnosis, the doctor prescribes conservative or surgical treatment.

Contusion of the lumbosacral spine requires different treatments depending on the severity of the injury. Thus, minor bruises are treated at home by the patient himself. The essence of this treatment is to relieve pain from the soft tissues of the lower back. As a rule, anti-inflammatory gels and ointments are prescribed (Diclofenac, Ketorol, Nise). The patient should also limit himself in physical activity in order to minimize the load on the lower back muscles and lumbar spine: walk and bend over less, do not lift heavy objects, and avoid sudden turns of the body.

For more severe injuries, the patient is usually hospitalized. Along with painkillers, hormonal medications are also prescribed to relieve swelling and inflammation. The fact is that hormonal medications are stronger, which means the patient will recover faster.

When drug treatment comes to an end, the patient is prescribed a course of rehabilitation, including physical therapy and physiotherapy (magnetic therapy, electrophoresis, laser therapy). A gentle lower back massage is also prescribed.

The sacrum takes on the load falling on the spine, so it is very vulnerable. When the sacrum is injured, the pain spreads not only to the site of the injury, but also to nearby tissues, radiating to the groin and limbs, because of this it is not immediately clear which part of the spine is affected.

If the consequences of an injury are ignored, serious complications can develop. Neglected injury will lead to limitation motor functions, urinary incontinence, pinched nerve processes. Damage can affect the spinal cord and lead to complete immobility of the lower extremities.

Predisposing factors for sacral injury

IN childhood bruising of the sacrum is not very dangerous. The injury in an adult is much more serious. The most common cause is a fall from a height or a strong blow.

Trauma is typical for people in the following categories:

• lovers extreme species recreation;
• professional athletes;
• construction workers;
• disabled and overweight people.

Sacral injury occurs as a result of a fall, road accident, accident, as well as failure to comply with safety rules at work or during sports. Damage is especially dangerous when falling from a significant height.

People who are overweight or have musculoskeletal disorders can be seriously injured even if they fall from body height.

Types of sacral injuries and characteristic symptoms

During visual inspection and palpation, the traumatologist determines following symptoms sacral contusion:

• hyperemia or cyanosis;
• puffiness and swelling of the skin;
• inability to sit down;
• disturbance of urination and defecation;
• pain when pressed;
• limitation of leg mobility.

When the vertebrae are displaced, the symptoms may not be typical: numbness in the legs, nausea, vomiting, headache. The color of damaged tissue varies from reddish to bluish. Due to the anatomical location, such injuries are accompanied by intense pain and the formation of hematomas.

Fractures of the sacrum are often combined with damage to the pelvic bone. The most common type is indirect injuries.

A sacral fracture is classified depending on the line of fracture:

• vertical;
• oblique;
• transverse.

The vertical type occurs due to strong compression of the pelvis when falling from a height in a sitting position or impact, the fracture passes through the lateral edges of the bone. Transverse and oblique types most often occur from a direct blow during transport accidents or the fall of a heavy object.

Injuries to the sacrum during trepanobiopsy are accompanied by bleeding or infection when the spinal cord tissue is punctured. People with osteoporosis and patients taking anticoagulants are at risk.

Intense pain in the sacrum in women after childbirth indicates displacement or dislocation of bones as a result of discoordinated labor. Uncontrolled contractions can lead to sprained and torn ligaments and dislocated bones. Early manifestations of displacement can be observed already in late pregnancy with incorrect position and large size of the fetus.

Diagnostics

Visual examination, palpation of the sacral region and nearby areas of the body allow us to establish a diagnosis. ICD code for pelvic and lumbar injuries S30-S39. To confirm deformation of the vertebral axis or fracture of the vertebral bodies, an X-ray examination of the sacral zone in 2 projections and a CT scan are performed.

Small cracks in the vertebral body cannot always be detected on an x-ray, but they cause pain when sitting. This characteristic feature damage.

X-ray of the sacral region

To exclude mobility of the sacrococcygeal region, typical of a fracture, a rectal examination is performed, which involves inserting a finger into the rectum. Severe damage to the sacrum after a bruise threatens possible limitation of leg mobility, neurological disorders and heavy bleeding, so they need to be identified as early as possible.

Difficulties in diagnosis in children and adolescents lie in the fact that the coccyx of young people is represented by cartilaginous tissue, which easily conducts X-rays.

Treatment after injury

First of all, it is necessary to provide the victim with the necessary assistance:

1. Put the patient to bed and ensure complete rest. It is good to use an air mattress.
2. Apply a cold compress to the injured area.
3. In case of severe pain, give the victim non-steroidal anti-inflammatory drugs: Ibuprofen, Analgin, Paracetamol.
4. As soon as possible, transport the patient to a traumatology department for examination by specialists: a surgeon, a traumatologist and an orthopedist.

It is advisable to begin treatment of bruises of the sacrum after a fall immediately after detection of damage. In order for the hematoma to resolve, it is necessary to apply cold to the site of injury: a napkin moistened cold water, a heating pad with ice. This will achieve a local reaction:

• contraction of blood vessels and cessation of bleeding;
• reduction of pain;
• reduction of swelling and inflammation.

To protect against infection, abrasions and scratches should be treated with alcohol or iodine.

At first, you should not heat or massage the injured area, or take hot baths or showers. Any physiotherapeutic methods of influence and gymnastics are used only after examination by a doctor at the second stage of treatment. Thrombolysis is indicated for effective resorption of hematomas, bruises and restoration of blood circulation at the site of injury.

After a bruise, do enemas with chamomile decoction or insert suppositories with NSAIDs into the anus: Ibuprofen, Paracetamol, Diclofenac. A contusion of the sacrum without a bruise does not require special measures; if there is pain, it is indicated symptomatic treatment NSAIDs orally: Ketorol, Nurofen, Diclofenac, and locally in the form of ointments: Finalgon, Espol, Fastum-gel, Capsicam. IN traditional treatment use compresses made from cabbage leaves.

A sacral fracture is accompanied by intense pain, so part of the treatment is a novocaine blockade.

Surgery is not often used, only in cases of massive hemorrhage at the site of injury and instability of the fracture. It usually consists of osteosynthesis with screws and bleeding control.

Terms of rehabilitation

After a bruise, the sacrum hurts for a long time, about 2-3 months. The pain syndrome is most intense in the first days, then it can be relieved with the help of painkillers. The duration of pharmacotherapy is rarely more than a month.

After treatment, it is necessary to undergo a course of rehabilitation measures; the duration of recovery after a fall and bruise of the sacrum depends on the nature of the injuries. Rehabilitation usually includes exercise therapy, physiotherapy procedures and wearing an orthopedic corset.

After a sacral fracture, the victim is allowed to take a sitting position only after 1-1.5 months. treatment, and you can do normal housework after 2-2.5 months, if there are no complications.

If the sacrum is fractured without displacement, the patient will have to remain on bed rest for a long time; how long exactly will be determined by the dynamics of recovery, most often from 2 weeks to a month. No special treatment is required for the fracture to heal. If the damaged area hurts, taking NSAIDs is indicated. Lifting weights is prohibited for about six months.

Complications after injury

The transverse type of fracture of the vertebral body with displacement is very dangerous for the patient, manifested by pain when bending and bending. With a compression type of fracture, the nerve roots are pinched, which causes serious neurological consequences: muscle cramps and limited leg mobility. If the diagnosis is incorrect or late, the consequences of a sacral contusion can be severe, including detachment of the skin, major hemorrhages and displacement of the vertebrae.