What is the first treatment for muscle contusion?

A contusion is a bruise within muscle tissue, often caused by a direct blow. Small blood vessels can leak into the muscle, producing tenderness, swelling, skin discoloration, and pain when the area is used. Early care aims to avoid adding stress while the irritated tissue settles. Learn more about [Muscle Contusion](/conditions/muscle-contusion/).

Stop the activity that caused pain and support the injured limb in a comfortable position. Apply a cold pack wrapped in cloth for short periods, allowing the skin to warm between applications. Gentle compression may help swelling if it does not cause numbness, tingling, or increased pain. Avoid forceful stretching, deep pressure, and sports massage while the bruise is newly painful, because these can irritate the area. As movement becomes easier, a clinician or physiotherapist can guide a gradual return to activity. See [Hot and Cold Therapy](/treatments/physiotherapy-and-rehabilitation/hot-and-cold-therapy/) and [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) for related care.

Arrange prompt medical assessment if swelling becomes tense, pain is severe or worsening, the limb is difficult to move, or you develop weakness, numbness, or unusual coldness. Seek urgent help after a major blow if the shape of the limb looks abnormal or you cannot bear weight. Fever, spreading redness, or drainage also needs assessment.

Ask whether the injury needs imaging, when gentle movement should begin, and which activities are safe during recovery. You can also ask whether [Sports Massage](/treatments/manual-and-manipulative-therapy/sports-massage/) is appropriate later and what signs would suggest a deeper muscle injury.