Traumatic injuries from a car accident?
I had a car accident on February 9th, and I have a bruise on the outer side of my thigh.
The injured area looks like it has healed, but I still feel pain whenever I press on it.
For the past two days, I have noticed that the internal muscle or something feels swollen, and there is a lump that feels raised when I touch it.
Is this normal?
Xiao Rong, 20~29 year old female. Ask Date: 2016/04/11
Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see a general surgeon and get an ultrasound to check if there are any blood clots that have not been absorbed.
Take care! Changhua Hospital cares about you!
Reply Date: 2016/04/11
More Info
After a car accident, it's common to experience bruising and muscle pain, especially in areas that have sustained direct impact. In your case, the bruising on the outer thigh and the persistent pain upon pressure indicate that there may still be some underlying issues that need to be addressed.
When you sustain a bruise, it typically involves damage to the small blood vessels under the skin, leading to bleeding and swelling in the affected area. This can result in a visible discoloration, which may fade over time as the body heals. However, even after the visible signs of a bruise have diminished, it is not unusual to experience lingering pain or tenderness when pressure is applied to the area. This is often due to residual inflammation or muscle strain that can occur alongside the bruise.
The "bump" you are feeling under the skin could be a few things. It might be a localized area of swelling due to inflammation, a hematoma (a collection of blood outside of blood vessels), or even a muscle knot (trigger point) that has developed as a result of the trauma. Muscle knots can form when muscles are strained or overworked, and they can cause discomfort and pain in the surrounding areas.
In terms of whether this is normal, it is not uncommon for pain and swelling to persist for a few weeks after an injury. However, if the pain is significant, if the swelling does not decrease, or if you notice any other concerning symptoms (such as increased redness, warmth, or fever), it would be wise to seek medical attention. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to rule out any serious underlying injuries.
For treatment, here are some general recommendations:
1. Rest: Avoid activities that exacerbate the pain. Allow your body time to heal.
2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Use ice packs for 15-20 minutes every few hours, especially during the first 48 hours after the injury.
3. Compression: Using a compression bandage can help minimize swelling. Just be careful not to wrap it too tightly, as this can impede circulation.
4. Elevation: Keeping the injured leg elevated can help reduce swelling.
5. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation.
6. Physical Therapy: If pain persists, a physical therapist can provide exercises and treatments to help restore strength and flexibility to the affected area.
7. Monitor Symptoms: Keep an eye on your symptoms. If they worsen or do not improve, follow up with a healthcare provider for further evaluation.
In conclusion, while some residual pain and swelling after a bruise is normal, it is essential to monitor your symptoms closely. If you have any concerns or if the pain significantly affects your daily activities, do not hesitate to consult a healthcare professional for a thorough assessment and tailored treatment plan.
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