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Leg Stress Fracture, Tibia
Liver Injury
Neck Dislocation
Neck Fracture
Neck Sprain
Neck Strain
Nose Injury
Pelvis Strain, Hip-Trunk
Pelvis Strain, Ischium
Perineum Contusion
Rib Dislocation
Rib Fracture
Rib Sprain
Rib Strain
Shoulder-Blade (Scapula) Bursitis
Shoulder-Blade (Scapula) Contusion
Shoulder-Blade Fracture, Acromion
Shoulder-Blade (Scapula) Fracture, Coracoid Process
Shoulder-Blade (Scapula) Fracture, Glenoid Fossa
Shoulder-Blade (Scapula) Fracture, Neck
Shoulder-Blade (Scapula) Strain
Shoulder Bursitis, Gleno-Humeral
Shoulder Bursitis, Subacromial
Shoulder Contusion
Shoulder Dislocation
Shoulder Sprain, Acromio-Clavicular
Shoulder Sprain, Gleno-Humeral
Shoulder Strain
Shoulder Tendinitis & Tenosynovitis
Skin Abrasion
Skin Laceration
Skin Puncture Wound
Spine Fracture, Lower Thoracic & Lumber Region
Spine Fracture, Sacrum
Spine Fracture, Tailbone
Spine Stress-Fracture, Neck or Back
Spleen Rupture
Thigh-Bone Fracture
Thigh Contusion
Thigh Hematoma
Thigh Injury, Hamstring
Thigh Strain, Quadriceps
Thigh Strain
Thumb Fracture
Thumb Sprain
Toe Dislocation
Toe Exostosis
Toe Fracture
Tooth Injury & loss
Wrist Contusion
Wrist Dislocation, Lunate
Wrist Dislocation, Radius or Ulna
Wrist Ganglion
Wrist Sprain
Wrist Strain
Wrist Tenosynovitis

Perineum Contusion

A direct blow to the floor of the pelvis and associated structures including the
genitals, causing bruising of skin and underlying tissues. Contusions cause bleeding from ruptured small capillaries that allow blood to infiltrate muscles, tendons, nerves or other soft tissue.

Body Parts Involved

  • The perineum.
  • Vaginal lips, mons pubis (pubic mound), vagina, anus, penis, scrotum, testicles.
  • Skin, subcutaneous tissue, tendons, ligaments, blood vessels (both large vessels and capillaries), periosteum (the outside lining of bone), muscles and connective tissue.


  • Direct blow to the perineum, usually by a blunt object or because of a fall.
  • Damage to tiny blood vessels causing bleeding that infiltrates into muscle and other surrounding tissue.

Signs & Symptoms

  • Swelling in the perineal area-either superficial or deep.
  • Pain in the perineum.
  • Feeling of firmness when pressure is exerted
    from outside.
  • Tenderness.
  • Discoloration under the skin beginning with redness and progressing to the characteristic "black and blue" discoloration.


Note:- Follow your doctor's instructions. These instructions are supplemental.

First Aid

Use instructions for R.I.C.E., the first letters of rest, ice, compression and elevation (If possible).

Continuing Care

  • Use an ice pack 3 or 4 times a day. Wrap ice chips or cubes in a plastic bag, and wrap the bag in a moist towel. Place it over the injured area for 20 minutes at a time.
  • After 72 hours, apply heat instead of ice, if it feels better. Use heat lamps, hot soaks, hot heating pads, or heat liniments or ointments.
  • Take whirlpool treatments, If available.
  • Protect the injured area with pads between treatments.


  • For minor discomfort, you may use non-prescription medicines such as acetaminophen or ibuprofen (available under many different brand names). Do not use aspirin for injuries involving bleeding.
  • Your doctor may prescribe stronger medicine for pain, if needed.

Home Diet

Eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid, intake to prevent constipation that may result from decreased activity.

Diagnostic Measures

  • Your own observation of symptoms.
  • Physical exam and medical history by a doctor for all except minor injuries. The total extent of injury may not be apparent for 48 to 72 hours.
  • X-rays of the pelvis to assess total injury III perineal soft tissue and to rule out the possibility of underlying fracture.
Prevention Tips

Usually cannot be prevented.

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