Butt Bruises: Overview and More

hip bruises or buttocks contusion, is an injury to the gluteal muscles. Butt bruising most often results in pain and noticeable discoloration of the skin at the site of the injury.

This article will describe the symptoms and causes of hip bruising, how to diagnose and treat it.

Buttock Bruise Symptoms

A contusion or bruise is a muscle injury that can affect any skeletal muscle in the body. Butt bruising can be painful, and the black and blue markings change color over time. Other symptoms may include:

  • Softness to touch the injured area
  • Pain that worsens when the hip is contracted
  • swelling
  • uncomfortable sitting


A hip bruise is caused by direct trauma to the gluteus muscle of the hip. A strong blow to the muscle can cause damage to the muscle fibers and underlying blood vessels, leading to bleeding under the skin.

Direct effects on the buttock muscles that can cause hip bruising include:

  • decline
  • A direct blow to the buttocks by another person or sports equipment
  • bumping into doors, counters, or furniture
  • motor vehicle accident
  • intramuscular injection into the buttocks

If you take blood thinners or anticoagulant medications, such as warfarin and coumarin, your risk of direct contact and front yard bruising is increased.


Buttock bruises are usually diagnosed with a physical examination, as they are usually easy to diagnose based on appearance, symptoms, and type of injury.

All bruises or contusions can be graded according to severity according to the following criteria:

  • Grade I: A Grade I bruise is an injury that affects only a few muscle fibers, resulting in minimal tenderness, pain, and possible swelling. Grade I bruises result in little or no loss of strength in the affected muscle or limited range of motion. Muscle use is usually unaffected by Grade I bruising.
  • Grade II: Grade II bruises cause greater damage to muscle fibers, resulting in increased pain and impaired ability to contract the muscles. Grade II bruises can touch small muscle defects. Increased discoloration under the skin occurs within two to three days, and full healing may take two to three weeks. Exercise is usually resumed after a month.
  • Grade III: A grade III bruise is an injury that involves extensive muscle fiber damage and bleeding throughout the muscle area, resulting in severe and sometimes complete loss of muscle function. Grade III bruises can also cause severe pain and noticeable skin discoloration. Grade III bruises can take up to four to six weeks to heal and usually require rehabilitation to regain muscle strength and range of motion.

When bruises are larger, deeper, and involve large amounts of blood pooling and swelling under the skin, they are called hematomas.

If the bruise is severe, a diagnostic ultrasound, CT scan, or MRI of your buttocks may be done to determine if any underlying structures are damaged.


Treating a hip bruise usually requires rest and time to allow your body to heal so the bleeding and bruising under the skin subsides. Butt bruises are usually mild injuries that do not require further treatment.

Applying ice to the injured area can help relieve pain and inflammation. If the bruise is severe, important physical activities such as exercise, dancing, running, jumping, and weightlifting should be avoided until the injured glute has healed. With more severe bruises, the constriction and stretching of the hip can be painful and delay healing.

For more severe injuries, rehabilitation with physical therapy may be required to restore muscle function.


A hip bruise is usually a minor injury that heals on its own with time and rest. More serious injuries take longer to heal, and if muscle function is affected, physical therapy may be needed to increase strength and range of motion.


A hip contusion or gluteal contusion is an injury to the gluteus muscle of the hip due to damage to the muscle fibers and blood vessels, resulting in subcutaneous bleeding. Buttock bruises are caused by direct impact to the body, usually a fall, a motor vehicle accident, hitting something or being struck by an object or other person.

Like all bruises, hip bruises range in severity from grade I to grade III, with higher grades taking more time to heal. Most hip bruises heal on their own with time and rest, but if your bruise is severe, you may need physical therapy to restore full muscle function.

VigorTip words

While they can be unsightly, hip bruises are usually minor injuries that heal on their own with time and rest from activity. Small bruises usually don’t affect muscle function, but larger injuries affecting a larger percentage of muscle fibers can limit your strength and range of motion in your hips. If your bruise is severe, be sure to see your healthcare provider to determine if there are any other injuries to the underlying structures, including muscle or tendon tears.