While muscles can take months to get back to full strength following a strain or a bruise, typically, after 2-3 weeks there should be continued improvement in pain and performance. Persistent pain in previously injured muscle. Re-injury to the same area as a previous injury.Intensive stretching, therapy, or massage after an injury are thought to increase bleeding into the muscle and inhibit healing, thus leading to myositis ossificans.Not taking measures to reduce inflammation and swelling in the injured muscle, including not icing or applying compression.Not appropriately resting muscle after a bruise or muscle strain, thus causing repetitive injury to the injured muscle.Calcification typically occurs 2-4 weeks after the initial muscle injury and the bone fully matures by 3-6 months. Additionally, not taking measures to reduce inflammation in the muscle after the initial injury also leads to in an increased risk of developing myositis ossificans. While the exact cause of this reaction is unknown, athletes who subject the area to repetitive trauma before it is able to fully heal are more likely to have calcification and bony formation in the injured muscle. When a muscle is injured or bruised, bony tissue can be deposited into the bruise during the healing process. A hard bump may also be felt in the muscle. Range of motion and strength of the limb may be compromised. The athlete will often complain of pain in the muscle associated with exercise. Bony tissue formation can occur 2-4 weeks after the muscle injury or bruise. Myositis ossificans can also occur in other muscles. It is most common in the thigh muscles, which include the hamstrings and quadriceps, the muscles in the back and front of the thigh, respectively. However, myositis ossificans only occurs in 9-17% of muscle bruises. When a bruise (contusion), repetitive trauma, or strain occurs to a muscle, myositis ossificans can develop. In this condition, bone tissue forms within a muscle. Myositis ossificans is a condition stemming from an injury that can occur in many types of sports.
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