Doctor Explains Khris Middleton Thigh Contusion and Season Ending Complication that Could Develop

NBA Milwaukee Bucks All-Star Khris Middleton suffered a thigh contusion and is going to be out 3-4 weeks. While sounding like just a simple bruise, these are actually serious injuries that have the potential to be season ending in some situations. This video will review his injury, the physiology of how it heals, and the risk of a condition called myositis ossificans that could end his season if it develops.
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DISCLAIMER: Content not intended to be taken as medical advice. Opinions are my own and do not represent those of my employer. I have not personally treated or evaluated the individual(s) discussed in this video. Content used with educational and transformative intent within Fair Use Guidelines
Content owned and produced by Brian Sutterer LLC 2019
#NBA

[@BrianSuttererMD]

3:06 meant to say collagen not cartilage :/ cartilage is made up of collagen, but in this case its the collagen forming that scar

[@VelocitySnipes]

Brian Sutterer MD Hey Doc, you think you can take a look at Nick Diaz interview with Ariel Helwani? The community is really worried about him... Maybe you can break down what you see. He's got a lot of social anxiety, and struggles with sobriety and the mma fans want to make sure he's okay! Appreciate it 🤞🏼

[@MrPushupp]

I have a dent in my rectus femoras from a tear that never healed years ago….. surgery? I did all the stretching when it first happened, no results so I just moved on… but I can’t push myself in a workout without hurting it again… what’s going on doc !? Lol my docs never care about it when I talk to them

[@joecoolberry911]

@@MrPushupp that’s not a good sign. The docs are brushing off this injury I have where I got the worst dead leg and it still hurts a week after. The weird thing is I can walk just fine but when I get up or sit down straightening it I get this insanely painful dull ache/burn for a bit

[@joecoolberry911]

I have this injury I have where I got the worst dead leg playing basketball and it still hurts a week after. No bruise and The weird thing is I can walk just fine but when I get up or sit down straightening it I get this insanely painful dull ache/burn for a bit. Seems to have moved lower too closer to the knee

[@worganalamala2817]

@@joecoolberry911 i have this same exact problem now. you ever figure out what it was?

[@mar21182]

Watching this video made me realize how crazy I was playing through injuries in high school. I suffered a pretty nasty thigh contusion my senior year. I remember my thigh swelling and bruising. I also remember being woken up in the middle of the night by muscle spasms in the thigh. I never stopped playing. Through force of will, I would stretch and massage it until I had some flexibility and strength so I could continue to play. I had symptoms of that contusion for at least a couple weeks. As long as I could figure out a way to run and jump on whatever injury I had, I just ignored the pain and kept playing. Now I'm nearly 38 years old and recovering from ankle surgery due to the accumulation of damage from all the poorly treated ankle sprains I had in my teens and twenties. I should have taken better care of myself. I wish I had someone that explained the importance of proper recovery and conditioning to me. Now, I'm probably going to have to live with ankle pain for the rest of my life.

[@awalmendy1541]

Damn you tough af. I just had a thigh contusion lasted a week was fairly mild in pain and bruising but I was limping round like a paraplegic on the frist day and it killed to massage on the foam roller don''t know how you did it.

[@jacquesgodard]

I had a knee contusion for like 6 months and never stopped playing and now I have a foot contusion and it swells so bad after each practice and it’s been like 2 months and it’s not getting better and I do EVERYTHING to take care of it it’s so frustrating cause I was out for two year with a different knee injury and I’m just 13 and I can’t play without pain😔

[@ernestcooper4103]

I had a thigh contusion my junior year took a knee to right thigh In a 7 on 7 tournament. It’s no joke ! The worst pain EVER!

[@TylerFuze]

Ur channel is inspiring me to want to go in to the medical field this stuff is sooo interesting

[@leopoldakaleopoldalsoknown5050]

Do it! I'm a Physio myself (not in the US) and I couldn't imagine a better Job!

[@rayhanrana3757]

Hello i have the same problem, i am footballer, now i am out of any sports because long pain

[@yagate8165]

My favorite channel easily

[@BrianSuttererMD]

Thank you!!!

[@lamusicadelblas]

My girlfriend doesn’t watch basketball, but we always watch your videos together since she loves anatomy! Thank you for your videos Dr. Brian! :)

[@BrianSuttererMD]

Thanks to both of you!!

[@AleKaiTheGreat]

Thats not the only thing she loves while watching...

[@wildk5367]

Alek Ai bruhhh

[@aaronvirdee5813]

Anyone else get contused thinking it said "thigh confusion"

[@kalicodavid7527]

Aaron Virdee no jus u bitch

[@AleKaiTheGreat]

Kalico is right, you are a bitch.

[@KenWLR]

Nah

[@SamIverson]

Why so agressive guys?

[@sambino8427]

No because I can read

[@TechMyLifeVideo]

I had a horrific bleed in my quad after a guy intentionally kneed in the quad at mid court in the dying seconds of a game. It bled so much my leg was rock hard and eventually turn black as the blood came up the skin in the sides. I could work for over a month and could not exercise for 3 months as the pain of the blood moving around initially was unbearable and then the scar tissue. Rolling over bed was like knives in my leg, in fact moving at all was hell. Had very strong pain killers. The player at the time, leant over me and said ‘stop complaining that was nothing’. Wish I saw him again after that 🔨. I heard recently a bleed that extreme could result in death.

[@trentphillips1856]

TechMyLifeVideo dude holy... it’s a miracle your leg is still in one piece. But glad it’s doing better!

[@TechMyLifeVideo]

Trent Phillips thanks, made a full recovery after about 6 months. All good now.

[@d.arredondo2430]

Techmylifevideo, thanks for the info, I'm on my second week since my injury and dam I feel the pain waiting on my Insurance to approve a MRI. Your comment brought hope to me since you gave me a first hand time frame.

[@victorcheng3576]

This injury ended my senior year of high school basketball. I was devastated and took a huge leap from my junior to senior year. I couldn’t bend my knee past from a 45 degree angle motion for 8 months. I still feel the lump in my thigh till this day.

[@d.arredondo2430]

Did you get a MRI? Dont you think you may have that calcium build up? I'm on my second week since my injury and it hurts pretty bad still. I'm waiting on my insurance to approve an MRI. I'll keep you updated.

[@victorcheng3576]

Cold Winters haha this happened in 2009. But I’m even better athletically since then. The grind will get you there.

[@victorcheng3576]

D. Arredondo I didn’t. I didn’t think it was that serious which I probably should have to get a proper diagnosis. I just thought it was a bad Charlie horse type injury. But good luck! I hope it isn’t as bad as mines.

[@chaosknight2914]

My team mate just kneed me on my thigh really hard... Can should I play my game today..

[@silver_suit1472]

I love hearing epidemic sound in the intros lol great vid doc

[@lucky88711]

Could you do Tyler Lockett’s contusion even though he is ok

[@jackobrien9625]

Always a quick upload and so informative! Great work!

[@jovanyfranco3196]

Brian, love the vids. @ 3:06 did my mean to say “collagen” rather than “cartilage”?

[@BrianSuttererMD]

Yes :/

[@jovanyfranco3196]

@@BrianSuttererMD Right on, love your videos!

[@gillpeakperformance4945]

Your NBA videos are my favorite!

[@zerokozmo]

Can you do OG Anunoby’s Eye Contusion? It looked bad during the game.

[@krollpeter]

Best and most concise information about thigh contusion around

[@achillemonnet3972]

Great channel - a very unique angle on the nba for the casual fan. I was wondering if you could do an updated Kevin Durant video in the next several weeks / month. Not sure how much has changed since your last one but he's by far the biggest injury story in the nba. Thanks

[@BrianSuttererMD]

I did one a month or so ago, will do a new one if we get more info on his progress

[@JunoItaliano]

Thank you for this video. I do martial arts and I just got kneed to the thigh, and it’s very painful.

[@jaleelflowers13]

How are u feeling now ? It just happen to me 2 days ago

[@JunoItaliano]

@@jaleelflowers13 I feel much better. It just takes a little while for it to heal. You just have to let it rest and once it’s better, you can go back to training without having any problems.

[@jaleelflowers13]

@@JunoItaliano thanks 🙏

[@JunoItaliano]

@@jaleelflowers13 You’re welcome bro.

[@antonioreyes5945]

@@JunoItalianobeen 3 weeks shit still hurts

[@calvindong8]

How did this happen rather than a simple bruise to the thigh? I'd imagine the force of impact would play a factor, but Ferguson's knee didn't seem to hit Middleton exceptionally hard. Love the vids btw!

[@jamessmith4374]

Terrific stuff. You are absolutely fantastic. Could you please do one about Caris LeVert, too?

[@KaijukeyMon]

Love the vids🤩

[@abdoudjam6846]

Can't thank you enough, the best of the best :)

[@cosmoid]

Can you look at what happened to Tyler Lockett? I heard he was hospitalized, but I dont exactly know what happened.

[@BrianSuttererMD]

He was risk of something called compartment syndrome. I talked about this in a UFC fighter recently, go check it out on my page!

[@cosmoid]

@@BrianSuttererMD ok, thank you.

[@WutTheDeuceGaming]

a serious shin bruise that needed immediate medical attention is what was posted on ESPN. The video Brian is talking about is the video he did on Austin Hubbard.

[@TheGrindcorps]

Bad for the Bucks. Hope Middleton feels better soon and Heals well. He should take his time to get healthy.

[@ballwolf320]

Wow fast vid love your channel good luck with the channel

[@StefBryant]

super fast doc as always

[@sam.0021]

change your name to sonic md because you drop these fast af

[@rossjn9885]

This muscle contusion happened when I was playing ball and it was to my calf muscle next to my shin bone. I kept playing through it but when I looked down there was a huge bubble of pooling blood in the area. I immediately began to massage the area pressing deep into it to move the blood. Because there was no ice in the gym I had to do this non stop for the rest of the time and over the next couple weeks utilized a salt stone to perform deep tissue massages in the area to ensure blood flow.

[@sethrollins5163]

What was the outcome

[@nihonbunka]

May not be a good idea to massage immediately post trauma, but rather once the bleeding has stopped. Elevation and compression help, even in the absence of ice. I lie O＿ſ with my calves on a few pillows.

[@ultimatetbawesomness]

Can you do a vid on Sidney Crosby’s sports hernia injury ?

[@shaquillegamingchannel3130]

I had this injury but worse. Its good to keep that knee bent to keep flexibility cause it goes away damn near 100% if you dont work on that flexibility. Then the rehab takes months. Also myositis ossificans is a real setback cause a year later i still have hardened tissue in my quad. Im sure its matured but it most likely have to get removed and wont go away on its own. That also made it take about a year to get back to 90%. That calcified tissue holds you back, would be 100% without it.

[@d.arredondo2430]

Thank for the first hand info. I'm only two weeks in since my injury. My pessimist mind has already decided I'm getting calcification but hopefully I'm wrong just waiting on a MRI.

[@DStabs720]

I had this injury in the exact same way. Super painful, and I had to walk to class. It took me forever to get there!

[@d.arredondo2430]

How long did it take to get back to 100%

[@DStabs720]

@@d.arredondo2430 4-6 weeks

[@d.arredondo2430]

@@DStabs720 3rd week....stiff but I see hope, going to a MRI the 5th.....thanks for the reply

[@tropicalstudios8347]

Hey Brian, could you talk about the rehabilitation phase of this injury a little bit more? I know you stressed that motion is going to be a key aspect of it but could you elaborate on how ROM, some exercises that are typically done during thigh contusion rehab, etc.? Thanks!

[@nihonbunka]

I find cycling helps. If you do it too soon, or too strenuously you can re-rupture the veins but one bleeding has stopped, the repetitive but not too strenuous movements help to move the goo (see the videos where surgery is used, yuck, to get the goo out) around and help prevent perhaps ossification in the muscle. I have ossification but only adjacent to the bone. www.flickr.com/photos/nihonbunka/51295978149 I also use (heated) massage to move the goo away from my knee up towards my butt where it reduces range of motion less, ideally lying on my back with my thigh pointing upwards. Standing, conversely allows the goo to go down towards you knee, and reduce range of motion, so once you can move keep moving rather than stand still.

[@Moe-ib6ml]

That shit hurts

[@deemariedubois4916]

Interesting video. Thanks.

[@DonKJB]

Ossification in thigh bruise area / "Myositis Ossifocans", is that not what happened to Kawhi but was misdiagnosed by Spurs???

[@usagidubu_]

Can you talk about Lonzo Ball's injury and the severity of having a grade 3 sprain?

[@MrJustwhatyouneed]

I was wondering about nba rules and regulations. How they can be changed to better suit player health. Example. The rule that prevents players from holding on to the rim for an extended period after a dunk. Just dropping down has to cause damage over time. Are there any other rule changes you'd suggest to prevent injury?

[@cocorocks88]

Thanks for the info. Suffered a contusion to my VMO last week after getting hit by a car whilst riding my bicycle (The frame's top tube hit my leg pretty hard). So far trying to keep motion up along with gentle spins and stretch sessiond, plus some light foam rolling. Hopefully this isn't too aggressive, can really feel the stiffness in the muscle form as soon as i leave it straight for too long though...

[@HeyIntegrity]

What were your symptoms : swelling bruising anything?

[@Impact59]

Such a humble ending... “bye 👋”

[@MrTeff999]

I searched for this because I suffered a severe contusion on my calf three days ago. Although I’m athletic and in good shape, at age 70 I’m very concerned about how to optimize my recovery. I did 48 hours of ice and compression. Now on day three I’m thinking heat might be helpful. Can you please expand on the “motion motion motion” phase? Also, my understanding is that NSAIDs are contraindicated because they increase bleeding. You might comment on that. I think your audience would appreciate it.

[@USAjudo]

Hi, how is your calf now. I am experiencing a calf contusion as well

[@MrTeff999]

@@USAjudo I began applying heat and massage on the fourth or fifth day. Massage was painful even to areas other than the point of injury. Three months after the injury I could still feel a lump of hard tissue deep in the muscle, and when I stretched it was tighter than the uninjured calf. Five months after the injury, the lump was gone and the amount of stretch was 80% of normal. Now, at eight months I've regained almost all of the stretch and injury is forgotten. Hang in the there.

[@USAjudo]

@@MrTeff999 thank you very much for the reply

[@easymoneysniper0077]

same thing happened to me on a euro step

[@Leftatalbuquerque]

I was kicked by a cow above the knee to the outside of the thigh. The impact literally moved my leg at the hip, knee and ankle. This was now three months ago. There was never any visible bruising. I was not able to wrap or splint as I am running the farm so, movement every day since.

[@hanks_2210]

One of the most painful injuries ive ever experienced

[@drvelocci]

This happened to me in football this year. I could barely walk for a week

[@carven4072]

Thank you! Have him in fantasy and I wanted some explanation on this

[@neoevans7833]

Here after KD injury

[@Carmelle747]

What a fascinating etiology. I had never heard of myositis ossificans, so of course the first thing that came to mind was ossificans progressiva. Is there a known predisposition for MO? Or is it an outcome precipitated by lacking aftercare? Anyway, very interesting subject! *runs off to scour pubmed for articles*

[@chapo2x89]

Would you do a Q & A ?

[@MJ-bi1ud]

I'm curious about the Tyler Locket injury with severe swelling thst required hospitalization for 2 days??? Any thoughts on that one?

[@bestbuyjb]

When would recommend massage therapy treatment start up?

[@luisjr5289]

Can u do Avery Bradley's hairline fracture it's on a non weight bearing bone on the right leg... It was diagnosed today, thank you! And awesome channel brotha💯

[@psyoperator]

My last name is Sutterest and I am a rocket scientist.

[@andyhaung8106]

Hi Dr. Sutterer! Could you talk about Adam Thielen’s hamstring injury? He’s been out for awhile! Thanks!

[@ksawat823]

This is much better than sitting and read textbook!

[@cholovallado1477]

Can you do a video about the recent increase of NBA injuries?

[@Metalpazallteway]

I have ruptured both my quads in the past but have yet to fully recover.. It takes forever for the rectus femoris to heal.

[@grizz_fan3243]

very informative! i have a quad contusion now and this video was helpful in understanding what the dangers are in improper healing

[@dethklokdavid]

Even though Tyler Lockett is okay can you please talk about his injury

[@juancontreras6284]

Ay bruh dis my fav channel on hood. Got a dumbass like me understanding shit. We out here

[@rock_oclock]

Did Kawhi have Myositis Ossificans?

[@MusicYoutube-s5u]

Hi doc, I hope you'll notice I had a severe contusion and 'til now the hitted part of the body is still hurting And my muscle feels tight and the bruising is still visible What treatment can help? Thank you doc

[@imjr4070]

He playing this week lol so u might wanna add that

[@tomloggins3523]

Can u do a video on Kevin Huerter’s left rotator cuff strain?

[@skateata1]

You acid "motion" is key to recovery. You mean we should keep moving around from the beginning or just during the remodeling phase?

[@realmadrid-cx8yd]

is there a way to condition my thighs, because I get into a lot of duels in sports

[@vubot1]

Dr. Brian, What type of doctor should I see if I got a hematoma next to my shin from a hard impact?

[@ianski2227]

Hi Brian👋

[@Zuchhhhh]

Does Brian like the comments of the first 20 people that comment ? :) but ello

[@BrianSuttererMD]

It's easier to see them haha

[@LeBronJames-ss9ij]

Make a video on avery Bradley injury

[@AlexCuri15]

I think I have Myositis Ossifcans in my thigh. I play baseball and a few years ago I got hit in the thigh really hard with the ball, I assume I had a contusion. And the pain went away, but I noticed a while after this happened that I have small hard ball thing in my thigh, it’s not visible to the eye but you can feel it if you pass your hand over it. Should I get it checked out or am I fine. I’ve had it for over 2 years already and it doesn’t hurt at all

[@AlexCuri15]

I might be using the term Myositis Ossifcans wrong, but if anyone knows what it is please let me know. I asked my school athletic trainer and he said it was dead cartilage from the impact but it’s never gone away.

[@scottpalmersheim1646]

Could also be a lipoma - a benign buildup of fat. I have several in each of my thighs but they can easily be removed.

[@AlexCuri15]

Scott Palmersheim I searched it up but lipoma is visible to the eye, you wouldn’t be able to tell it’s there, if you don’t pass your hand over it. It’s not really a lump it’s like a tiny ball

[@shaquillegamingchannel3130]

Yes that is myositis ossificans. I have it in my quad after a grade 2 tear / near grade 3 rupture. Took 2 months to heal somewhat and took 6 months to get to 75% normal flexibility (considering strength, lifting loads, and doing it compared to pre injury) now im about 90% healthy in the leg a year and two months later, but there is a hardened mass there. It been there ever since the 2 month mark. Doesnt go away on its own smh. Its myositis ossificans. I just dont wanna go through getting it removed yet

[@AlexCuri15]

Shaquille Gaming Channel Yea man I’ve had it for like 2 years now and It just hasn’t gone away, is the only way to get it removed surgically? And hope you make that full recovery brother

[@wetnesseverdeen6750]

Bro that wrapping position hurts so much with a thigh contusion

[@babbittron]

Wasnt the calcium buildup thing Andrew luck's issue also?

[@GoodByeSkyHarborLive]

so when contusion happens, if you continue to play with it and further injure it, myositis ossifications happen rather than scarring?

[@otfnlmb150ripnuski]

Just got that from basketball shit painful and can’t walk

[@cadecarpenter3490]

The calcified bone happened to my friend and he lost his football season

[@d.arredondo2430]

Did he have it surgically removed, did nothing or did it go away over time? How long did it take for him to get better if that was the case?

[@Overdosed_Llama]

Can you please explain Otto Porter Jr’s Foot Contusion

[@tonysins1233]

Fantasy basketball is such a painful thing to go through lmaooo. Speedy recovery Middleton 🙏🏼

[@kevinseveneleven]

Does it hurt more than a broken hand or thigh contusion? How long are you out before you can play fantasy basketball again?

[@tonysins1233]

kevinseveneleven I’m prob gonna be out for like 2 weeks. Possibly 3. But I’ll be back 🔥😤

[@rebeccatrishel]

Could you explain the "sports hernia" that Sidney Crosby has? The term is really confusing

[@SportsFan-gr8zx]

Can you do Nicola Adams (boxing) retiring because she tore something in her eye?

[@VILEPAINTS]

Hey doc when kickboxers kick hard things with their shins to make them stronger, is it the same calcified tissue process taking place?

[@nihonbunka]

I don't think so. The calcification would be painful. It would be like having thin chicken scull in gaps in your muscles.

[@zachlaabs5257]

I had one and was limping horribly for a month i couldnt imagine running and jumping on it

[@mattphatanothai7812]

Why do I feel throbbing pain whenever I move or stretch my leg slightly. The pain lasts for about a minute then goes away. Last night I woke up to the pain because it was so excruciating.

[@jokerdc-qh6dd]

Yo they should show your vids in school to educate us. On how these type of things happen.

[@leonardfrroku727]

I can run but and move very good but if i get hit there it hurts a lot its like acheles heel

[@brendanhall3310]

I didn’t wrapped the leg in a flexed position, now my leg is full of blood and can’t move or stand on it.😢

[@charlesparker7719]

Giving your kid brother a Charlie horse don't seem so fun now

[@nihonbunka]

Is there any danger of deep vein thrombosis when compressing the knee in flexion? I get this a lot in karate since opponents attempt to cause it, and I am old. I use Ice spray, ice pack, compression, elevation in the short term and I will use flexion having seen this video. Followed by exercise that does not result in haemorrhaging, elevation and upward heated massage to attempt to get the goo to move up the thigh rather than nearer the knee where it is more inclined to to reduce range of motion. What about Fish oil, thinners (aspirin, onions?), heat packs, pineapple, rubs (deep heat, Zheng Gu Shui etc) and other things dietary or long term? Taping did not do much for me. I am lucky that my ossification has so far only occurred near to my femur X-Ray www.flickr.com/photos/nihonbunka/51295978149/in/photostream perhaps, I think, because I keep active ensuring that the goo is squeegeed out of my my muscles.

[@KingWayne714]

I swear some of these team doctors probably be watching this page for tips.

[@ibojofamily8472]

Giannis better go MVP mode now

[@anirmendbattulga3748]

Bruh why hasn't an NBA team hired this man?

[@christianmclaughlin8656]

Thank you doc! I was playing basketball today had the same exact injury! Had ice on but had my leg straight after your video , I have wrapped in ice as you showed now it I feels soooo much better!!! It was a hard hit still limp but it makes some much sense as far as flexibility. I still got weeks to got for the healing process, what type of light exercises can I to help repair the muscle or stretches Thank you so much!!!!

[@dontaveonlove626]

I literally just got this but mines is a grade 1

[@daijeancoates1921]

Dontaveon Love 🙏

[@djpatel78]

When to use heat?

[@giovanny2284]

You should do Curry next

[@sidrens5292]

They don’t lay down cartilage in the proliferation phase - you mean collagen. Not being a know it all, just important for people listening to have correct anatomy and physiology 🙌🏼

[@drillaboyzent.1668]

One of the worse injury you can get I Played Division 1 soccer I got kneed in my thigh and it took 2 months to heal but it took 6 to 7 months to fully heal with no discomfort.

[@d.arredondo2430]

Thanks for the first hand info, I'm only two weeks in since my injury and it hurts so bad. I lose sleep and at least I know there is hope over time. Just waiting on my Insurance to approve a MRI.

[@jakejimenez6188]

Happened to me once when I played soccer when I was young so it went away quick but this time I was playing basketball with my ripped as friend and ran into his knee felt like I couldn’t move walked it off and then later I stopped moving my leg and layed down big mistake feel like I can’t bend my leg completely

[@sherlock4791]

I think now NBA teams needs to get ready for the beast within the greek freak will be released

[@fatalxviperx4958]

OG Anunoby eye contusion? What is that?

[@Weasel_Blaster49]

You should take a look at bears linebacker Danny trevathan his elbow isn't doing to good at the moment.

[@osideish]

I have a contusion any tips