Bruises, also called contusions, on the butt aren't that uncommon. This type of usually minor injury happens when an object or another person makes forceful contact with the surface of your skin and injures muscle, tiny blood vessels called capillaries, and other connective tissues below the skin.
Bruises are especially common if you play any kind of sports that can (literally) knock you on your butt, such as:
You can also get them easily if you:
And like most other bruises, they typically aren't that serious. You'll probably get bruises all over your body throughout your life, some of which you may look at and think: How did that get there?
But when is a bruise just a bruise, and when is it worth talking to your doctor about? Let's get into the details.
A tender or painful reddish, bluish, yellowish spot with a clear border around it distinguishing it from surrounding skin is the most visible symptom of a bruise.
Capillary bleeding is what causes the reddish-blue color of most bruises. Muscle or other tissue damage tends to cause additional tenderness or pain around the bruise when you touch it.
Most of the time, these are the only symptoms you'll notice, and the bruise will go away on its own in mere days. More severe bruises or one that covers a large area of skin may take longer to heal, especially if you keep getting hit in that area.
Other possible symptoms of bruises include:
Typically, none of these symptoms require a visit to your doctor, but if you believe that your bruise may be a symptom of a more severe injury or condition, see your doctor to have it diagnosed.
See your doctor right away if you're concerned about a bruise or its symptoms following an injury.
In most cases, a bruise isn't a cause for concern, but if symptoms don't go away on their own after a few days or become worse over time, you may need immediate medical attention.
Your doctor will begin by performing a full physical examination of your entire body, including the bruised area in particular to look for any signs of severe injury.
If your doctor is concerned that you might have injured any tissues around the bruised area, they may also use imaging technologies to get a more detailed look at the area, such as:
A typical butt bruise is treated easily. Start with the RICE method to keep pain and swelling down:
Continue using this method several times a day, 20 minutes a time, until pain and swelling aren't bothering you anymore. Replace any bandages at least once a day, such as when you bathe or shower.
Here are some other ways to treat a bruise and its symptoms:
Some complications of a severe butt bruise or other injury may require more than just at-home treatments. These require your doctor's care and may include:
See your doctor right away if you experience any of the following symptoms:
Follow your doctor's instructions about returning to playing sports or other physical activities after a major bruise or butt injury. Getting back into action too quickly can cause further injury, especially if muscles or other tissues haven't fully healed.
Take some of the following measures to prevent butt bruises and other butt injuries from happening:
Butt bruises usually aren't a serious matter. Small, minor bruises should start to go away in a few days on their own, and larger bruises may take more than a couple weeks to fully heal.
See your doctor as soon as possible if you notice any abnormal symptoms, such as numbness, tingling, loss of range of motion or sensation, or if symptoms don't go away on their own. Your doctor can diagnose any injury or underlying condition that may be affecting your bruise.