Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
146 Doctors are Online

Fell on buttocks, large indentation at the fall site, slight pain. Will it go away on its own or do I need medication?

DOCTOR OF THE MONTH - Feb 2014
Feb 2014
User rating for this question
Excellent
Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 2004
Answered : 5930 Questions
Question
I fell on my buttocks on the concrete about (six weeks ago)... Placing Hot and Cold Ice on fall... Was not worried about anything because I knew that if I fell I had to have some pain... walking, nothing broken...

But at around (four weeks) I noticed an a large (indentation) at the fall site and it appears like the muscle is gone...? It was never there before prior to the fall? Have you heard of this?
I don't care about the beauty aspect of this as I am 57 years old... But what I am worried is the fact that the identation is still there... to me it appears a bit smaller than at first... however, not gone... but I know that it was due to the fall it was in the exact place.

I have some pain... not severe, I can walk, wear heels, everything... but if I sit too long at the computer I have some lower back pain due to the fall and the identation and muscle is gone... I am worried... as I have never heard of this before?

Is this very serious or would it go away on its own... I am resting it and placing Hot & Cold Compresses... it has been approximately (six weeks)... from fall... There is less brusing at the site and less pain... (But famous indentation is still there)????

Is this normal?
Posted Mon, 29 Apr 2013 in Bones, Muscles and Joints
 
 
Answered by Dr. Saurabh Gupta 1 hour later
Hello,
Thanks for posting your query,

This indentation is due to atrophy of the gluteal muscle at the site of impact. After injury due to less use of muscle at the site of impact due to pain, muscle sometime get atrophied and indentation occurs.

Do not worry about it. Do muscle strengthening exercises (gluteal muscle) to build up the muscle and to get rid of your indentation gradully.

Hope this Will helps you.Let me know if you have any more concern.
Please accept my answer if you have no further query.

Regards
Dr Saurabh Gupta
Orthopaedic surgeon
Above answer was peer-reviewed by
 
Follow-up: Fell on buttocks, large indentation at the fall site, slight pain. Will it go away on its own or do I need medication? 1 hour later
One more question, since I felt on my glutt... I also have some sort of aches and pain in my lower back... when I sit at the computer... precisely due to the fall..

What I find releaves me is placing a somewhat not too tight girdle around my
waist and I find it easier to be seating at the computer, I do not work... so
I don't find myself all day at it... however, I have noticed aching lower back after the fall...

But like I stated earlier, not severe enough to impede me from walking, bathing,
or anything it just seems to get aggrevated from the pressure of sitting too long?

That is my only other question, I do not have tingeling down my legs, and/or arms or anything...

I am under the impression that I took a very big hit on the concrete... In actuality I am somewhat amazed that nothing more serous transpired and feel kind of lucky... I could have broken my hip or back... and I don't feel nothing like that is going on...

However, I have the indentation, which your explanation, makes lots of sense... Hoping that you inform me what else can I do for my lower back to make it come back as soon as possible...

Thanks a million!!!

One more question, since I felt on my glutt... I also have some sort of aches and pain in my lower back... when I sit at the computer... precisely due to the fall..What I find releaves me is placing a somewhat not too tight girdle around mywaist and I find it easier to be seating at the computer, I do not work... soI don't find myself all day at it... however, I have noticed aching lower back after the fall...But like I stated earlier, not severe enough to impede me from walking, bathing,or anything it just seems to get aggrevated from the pressure of sitting too long?That is my only other question, I do not have tingeling down my legs, and/or arms or anything...I am under the impression that I took a very big hit on the concrete... In actuality I am somewhat amazed that nothing more serous transpired and feel kind of lucky... I could have broken my hip or back... and I don't feel nothing like that is going on... However, I have the indentation, which your explanation, makes lots of sense... Hoping that you inform me what else can I do for my lower back to make it come back as soon as possible...Thanks a million!!!
 
 
Answered by Dr. Saurabh Gupta 19 hours later
Hello and Welcome to XXXXXXX
Thanks for writing to us.

I am glad to know that I could address your first concern.
Due to fall you might develop muscular or ligamentous strain over lower back.
At present it is in healing stage and now you need try back strengthening exercises by extension of the back muscles. This will help to relieve the possible muscle spasm which causes the pain.
Following measures will help with the pain
• Lie on a hard bed.
• Anti -inflammatory drugs like Ibuprofen(Motrin) 1 tablet as and when required
• Avoid lifting weights by leaning forward or bending your back. Rather sit and lift the object
• Correct your posture while sitting
• Avoid prolonged sitting
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help.

Hope this discussion was useful. Please close this discussion, if you do not have any other queries. I would appreciate your reviews about this service.

Wishing you speedy recovery...
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor