Treating Cauliflower Ear

So how do you treat cauliflower ear? What needs to be done is you have to drain blood from the formed hematoma as soon as possible. Any infection must be prevented and therefore you should definitely go to the doctor for this. (you need a syringe if you really want to do it yourself and you may not be able to prevent infection so better go to the doctor) It is also not that easy to do this yourself due to the angle, visibility etc.

Draining the hematoma will re-establish the connection of the skin to the underlying cartilage and hopefully allow the ear to heal and look normal again.

The draining normally involves an incision in the ear and a syringe (in my experience) is used to suck the blood out. If there is no blood to drain then it is likely too long has passed or no hematoma has formed and therefore the ear should really heal by itself.

It is definitely worth wearing an earguard right after you have done this. What may happen if you dont wear the earguard is that the area where the hematoma formed may get filled with blood again in which case the blood has to be drained once again. In practice in judo or bjj this may happen especially if you are sparring with someone and he gets you in kesa gatame or headlock.

Now the other method I've seen instead of using an earguard is tape. Tape is tied right around the head to secure the injured ear. In Russia I've seen this done a few times but it seems to me as an ineffective (and cheaper) way to deal with the problem. You will still get contact with the injured ear after all during training.

Headgear for bjj and judo (ear guards)

Now, quite a natural question arises if you read my previous blog is what ear guard to use for bjj and judo.

In fact there are quite a few options available and thankfully earguards dont cost a lot. For $20-$50, you should be able to buy the one you need on the Internet. Amazon.com sells quite a few but the one I have so far enjoyed the most is from dragonbleu.fr called Cliff Keen Tornado Headgear.

In the past, I used the adidas Adistrike Earguard which was good for me as well but the Cliff Keen Tornado Headgear ear guard has those adjustable straps which make a much tighter, more secure fit that helps protect my ears far better against cauliflower.

The other thing about the Tornado ear guard is that the sides are made from soft plastic while the Adidas one has hard plastic. (at least the one I purchased, it did say for wrestling for sure)

This probably does not matter for you wearing it, but may be not so comfortable for your partner. (i had a couple of guys point this out, to the point that they said that it is not for grappling/wrestling but for another sport)

I also ordered on amazon.com an ear guard called "Ultra Soft Earguard-adult" sold by GRECCOGEAR. Still waiting for it to be delivered. Will sure to let you know what i think about it.

I have also noticed something about the "Judo Head Mask/Professional" being sold on the Black Eagle website. There is no way that ear guard can protect you against cauliflower ear properly. Yes, it does help, but it wont help prevent entirely cauliflower ear especially if you already have it. It looks expensive at 61.22 pounds compared to other options available and it is not clear what are you getting for the extra money.

Cauliflower ear in bjj and judo

I never even heard of cauliflower ear, until i got a bit more serious with my training. For those that don't know what it is:

"Cauliflower ear (also hematoma auris or perichondrial hematoma) is a condition most common among amateur wrestlers, rugby players, mixed martial artists, and grapplers. If the external portion of the ear suffers a blow, a blood clot or other fluid may collect under the perichondrium. This separates the cartilage from the overlying perichondrium that is its source of nutrients, causing the cartilage to die. This leads to a formation of fibrous tissue in the overlying skin. When this happens, the outer ear becomes permanently swollen and deformed, resembling a cauliflower." - Wikipedia

This kind of crap happens to pretty much everyone involved in bjj and judo at some point but these are not the only sports where people get them. Boxing, rugby and a bunch of other activities where there is physical contact typically have to deal with cauliflower ear.

Headlocks and pretty much any kind of rough contact with the ear can cause this. Randy Couture, a famous wrestler and MMA fighter who you can see above has a bad case of cauliflower ear. The picture basically shows what can happen when it is untreated. The only thing that really can be done to help prevent it is using an ear guard.

First lets look at the reasons to avoid cauliflower ear:

1. IT SCARES PEOPLE AND LOOKS UGLY

I think this really is the #1 reason not to have it. Some say that guys look tough with cauliflower ear and some women are in fact attracted to this. For some its like a "badge of honor"! I would however not recommend it. At the end of the day, its way better to keep your ears the way they are. Your new girlfriend may not appreciate it as much as the old one.

For girls of course it is far worse. Certainly no guy in my opinion would ever appreciate cauliflower ear. Something to look into though. I wonder what do all the top female bjj players do about this. Do they really wear headgear all the time? Of course competitions in bjj do not allow ear guards which means many will still get it.

If you've got a really bad case of cauliflower ear that is easily noticeable, then this will certainly be a problem with the employer. Imagine going to an interview with huge swollen ears! It just makes you look nasty and why would your company want a nasty looking guy working with its clients. This just makes you less desirable.

2. HEARING LOSS

If you didn’t care much about the first one, the second one is a reason to wear an ear guard. The swelling can occur in different parts of the ear, and if it does occur near your ear hole and swells heavily, you may struggle to hear (not only from your bjj instructor but everywhere else! :)
If untreated, the ear will deform, then swell, then deform again and this will go on and on. In addition to that you may also run the risk of ear infection. The swollen skin may be less resistant to germs. The ear being continuously hit will also cause pain - putting a hat on, washing your head.. pretty much anything.

And yes, if you go to the doctor quick enough, he may drain most of the blood out. If you wait, you can do cosmetic surgery which is going to be very expensive. In any case, I think i have just mentioned another couple of reasons why cauliflower ear sucks.

3. NO MUSIC

Cant really enjoy listening to music with your ipod! Well. I think that’s small but also not great.
The other thing, don’t do it yourself. You really run the risk of screwing your ear up even worse. Infection is one reason not to do it. If you didn’t go to the doctor right away, just buy yourself an ear guard or head guard for wrestling and use it all the time.

Personal Experience: this is a really nasty thing to have guys... and does not look good at all! You walk around with screwed-up ears. You feel pain when somebody grabs your head or if its really bad when just somebody hugs you and makes contact with your ear.

I drained once each of my ears and wear the ear guard every time I train now with no exceptions. Once you get cauliflower ear, you seem to keep getting it more and more. Draining also did not do much for the second time I did it because I think too much time went before the ear got drained. It dried up and so there wasn’t much blood to drain.

The annoying thing is also that the ear fills up back with blood afterwards so if you haven’t got time to go to the doctor and keep draining ears all the time then just wear the head guard.

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The only way to prevent cauliflower ear is to use protective head gear. Please see my post about head gear and ear guards here.