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Hip Pointer

Thumbnail image of: Hip Pointer: Illustration

What is a hip pointer?

A hip pointer is a deep bruise on the top part of your pelvis, called the iliac crest.

What is the cause?

A hip pointer is caused by a direct blow to the pelvis. This injury happens most often in a contact sports, such as football, when a helmet is driven into the iliac crest.

What are the symptoms?

You have tenderness in the top part of your hip.

How is it diagnosed?

Your healthcare provider will examine your hip and pelvis. You may have an X-ray to check for a fracture.

How is it treated?

To reduce swelling and pain in the first day or two, your healthcare provider will probably tell you to:

  • Put an ice pack, gel pack, or package of frozen vegetables, wrapped in a cloth, on the injured area every 3 to 4 hours for up to 20 minutes at a time.
  • Take an anti-inflammatory medicine, such as ibuprofen, or other medicine as directed by your provider. Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen, may cause stomach bleeding and other problems. These risks increase with age. Read the label and take as directed. Unless recommended by your healthcare provider, do not take for more than 10 days.

The pain from a hip pointer usually lasts several weeks, sometimes longer. You may have pain whenever that area is touched for several weeks.

How can I take care of myself?

  • Put padding over the injured area to protect it from more injury.
  • Contact your healthcare provider if you have new or worsening symptoms.

When can I return to my normal activities?

Everyone recovers from an injury at a different rate. Return to your activities depends on how soon your hip recovers, not by how many days or weeks it has been since your injury has occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better. The goal is to return to your normal activities as soon as is safely possible. If you return too soon you may worsen your injury.

You may return to your normal activities after a hip pointer when you have no pain when you are walking or jogging.

How can I help revent a hip pointer?

A hip pointer is hard to prevent. However, if you are playing a contact sport, wearing proper protective padding over this area of your body may help to prevent injury.


Written by Pierre Rouzier, MD, for RelayHealth.
Adult Advisor 2012.1 published by RelayHealth.
Last modified: 2012-01-30
Last reviewed: 2012-01-02
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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