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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Punched At The Back, Pain, Sudden Pain In Certain Positions. Deep Tissue Damage?

Hi I was punched repeatedly in the small of my back last Friday. Since then I have been pretty achey but more worryingly I'm getting hot knife sharp sudden pain in certain positions and in a lot of pain when I tried to ride my bike. Strangely not much bruising on back just on my arms. Just concerned there may be more than deep tissue damage.
Mon, 7 Oct 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

It seems from the description that you might have suffered a muscle contusion in your back.

An Ultrasound examination or an MRI scan may be needed to exclude any serious damage to the underlying structures.

The general treatment guidelines include -

- Take Rest and do not do activities that cause pain till the acute pain subsides
- Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.
- Take ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) to help relieve pain
- Use heat only when you are returning to physical activity. Then use it before stretching. Gentle heating can help loosen the muscle
- When the acute pain is gone, start gentle stretching exercises. Stay within pain limits. Hold each stretch for about 10 seconds and repeat 6 times.
- Physical therapy may speed up the recovery process. Therapeutic modalities such as Ultrasound, Massaging and specific exercises will be helpful.

Hope this information is helpful. Good day
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Punched At The Back, Pain, Sudden Pain In Certain Positions. Deep Tissue Damage?

Hi, thanks for writing to HCM. It seems from the description that you might have suffered a muscle contusion in your back. An Ultrasound examination or an MRI scan may be needed to exclude any serious damage to the underlying structures. The general treatment guidelines include - - Take Rest and do not do activities that cause pain till the acute pain subsides - Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin. - Take ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) to help relieve pain - Use heat only when you are returning to physical activity. Then use it before stretching. Gentle heating can help loosen the muscle - When the acute pain is gone, start gentle stretching exercises. Stay within pain limits. Hold each stretch for about 10 seconds and repeat 6 times. - Physical therapy may speed up the recovery process. Therapeutic modalities such as Ultrasound, Massaging and specific exercises will be helpful. Hope this information is helpful. Good day