Iliac Crest Contusion

An iliac crest contusion is a deep bruise of your hip bone (hip pointer). Contusions are the result of an injury that caused bleeding under the skin. The contusion may turn blue, purple, or yellow. Minor injuries will give you a painless contusion, but more severe contusions may stay painful and swollen for a few weeks.


An iliac crest contusion is usually caused by a blow to the top of your hip pointer. The injury most often comes from contact sports.


  • Swelling and redness of the hip area.

  • Bruising of the hip area.

  • Tenderness or soreness of the hip.


The diagnosis can be made by taking your history and doing a physical exam. You may need an X-ray of your hip pointer to look for a broken bone (fracture).


Often, the best treatment for an iliac crest contusion is resting, icing, elevating, and applying cold compresses to the injured area. Over-the-counter medicines may also be recommended for pain control. Crutches may be used if walking is very painful. Some people need physical therapy to help with range of motion and strengthening.


  • Put ice on the injured area.

  • Put ice in a plastic bag.

  • Place a towel between your skin and the bag.

  • Leave the ice on for 15-20 minutes, 03-04 times a day.

  • Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your caregiver. Your caregiver may recommend avoiding anti-inflammatory medicines (aspirin, ibuprofen, and naproxen) for 48 hours because these medicines may increase bruising.

  • Keep your leg straightened (extended) when possible.

  • Walk or move around as the pain allows, or as directed by your caregiver. Use crutches if your caregiver recommends them.

  • Apply compression wraps as directed by your caregiver. You may remove the wraps for sleeping, showers, and baths.


  • You have increased bruising or swelling.

  • You have pain that is getting worse.

  • Your swelling or pain is not relieved with medicines.

  • Your toes get cold.


  • Understand these instructions.

  • Will watch your condition.

  • Will get help right away if you are not doing well or get worse.