A painful contusion (bruise) of the iliac crest, the bony part of the pelvis that can be felt on either side of the waist. It is usually caused by a direct blow, sometimes accompanied by a popping sound, sustained in contact or collision sports. Ice and compression should be applied immediately after the injury and at intervals for the next 48 h. Analgesics such as paracetamol (acetaminophen) can be taken to relieve moderate pain; aspirin or ibuprofen (if tolerated) can be taken to relieve pain and swelling. As soon as symptoms allow, this is usually followed by an aggressive rehabilitation programme of supervised stretching exercises of the muscles attached to the iliac crest. If treated correctly, a hip pointer is usually resolved within a few weeks, but a serious contusion or poor treatment will delay recovery.
Subjects: Sports and Exercise Medicine.