Dead Leg

Have you ever suffered from a 'Dead Leg'?...

'Dead Leg', also known as 'Charley Horse', 'Cork Thigh' or 'Quadriceps Contusion' is a common injury in contact sports, such as rugby or football.

It is caused by a traumatic blow to the quadriceps (thigh) muscle or the IT Band (thick band down the outside of the thigh), which crushes the muscle against the underlying bone, causing bleeding with varying levels of damage to the muscle.

The main symptoms include bruising and swelling, and possible lack of movement. They are often graded I-III in order of severity:

Grade I:

- Tightness in the quadriceps
- Unable to walk properly
- Not too much swelling

Grade II:
- Unable to walk properly
- Occasional sudden twinges of pain
- Possible swelling
- Pressing on the area causes pain
- Unable to fully bend knee

Grade III:
- Usually need crutches to walk
- Severe pain
- Swelling will appear immediately
- Contraction of the muscle will be painful and may cause a bulge

The first 24 hours of treatment will involve the P.R.I.C.E protocol - Protect, Rest, Ice, Compress, and Elevate. It is important to apply the ice to the contusion in a position of pain-free stretch, which will help to decrease the amount of movement lost.

Pain-free stretching is important in the early stages, and strengthening exercises can be introduced as necessary. Massage and heat should be avoided in the early stages and may lead to a condition known as 'Myositis Ossificans' - calcification within the muscle, but may be used further down the line.