Low Back Contusion (Bruise) Causes, Symptoms & Treatment

A low back contusion (bruise) or lumbar bruise occurs as a result of a direct blow or impact to the lower back. This type of injury may occur as a result of a fall or collision. Low back contusions are common injuries. While low back bruises may cause significant pain, they always get better with conservative care.

Low back contusions occur as a result of a back impact injury from a direct blow or collision.

Low back bruises are most common in these sports:

• Football
• Hockey
• Rugby
• Gymnastics

Low back contusions often cause localized back pain in the lower back.

Other symptoms of a low back contusion (bruise) are:

• bruising or swelling
• Tenderness
• No radiation of the pain down the legs
• No numbness or tingling in the legs
• No weakness in the legs

If you experience symptoms of a low back contusion (bruise) that don’t resolve after a week or prevent you from doing your normal activities, you should see your doctor. You should also seek medical treatment if you experience radiating leg pain, as this symptom may suggest nerve damage.

Usually, a diagnosis can be made by taking a medical history and conducting a physical examination. Your doctor will want to examine your back and look for signs of a lumbar bruise or contusion, such as swelling and tenderness in the lower back area. An X-ray and/or MRI may be ordered to rule out other causes of your symptoms.

Treatment of low back contusions always involves non-surgical measures.

Conservative treatments include:

• Rest from activities and sports that place strain on the back
• Ice to reduce swelling
• Over-the-counter medications if necessary to relieve pain
• Physical therapy, such as stretching and strengthening exercises, should be performed after the initial swelling and pain have resolved

Try these exercises to help address your condition:

Below is a PDF of the Exercise Program

Lumbar Strain

There is never a need for surgical treatment of a low back bruise or low  back contusion.

Usually, the recovery from a low back contusion (bruise) or lumbar bruise is quite quick. Often, the pain resolves in less than a week. Your doctor will advise you on a plan to get you back to a full recovery and return to activities, including sports.