Forehead Bumps: Bone or Bruise? When to Seek Help

Cranial bone issues?

1.
When I was a child, I had two raised areas on my forehead from bumping into things.
They did not turn black or purple, and since it has been a long time, I am unsure whether this is bone swelling or a bruise.

2.
Which specialist should I see?
3.
If it is bone swelling, what can be done to reduce it? (The injuries are located on the forehead, about 1-2 cm above the eyebrows.)

Lin Xiansheng, 10~19 year old female. Ask Date: 2017/02/19

Dr. Hong Ximing reply Orthopedics

Bone swelling may be caused by periosteal injury leading to proliferation.
An X-ray can be taken in the orthopedic department to confirm this.
If it is periosteal proliferation, it will not subside.

Reply Date: 2017/02/19

More Info

When it comes to understanding forehead bumps, especially those that have been present since childhood, it is essential to differentiate between a bone growth and a bruise. Given your description of the bumps being present for a long time without any discoloration, it is likely that these are not bruises but rather some form of bony prominence or benign growth.

1. Understanding the Nature of the Bumps:
- Bone Growths: If the bumps are hard and do not change in size or color, they could be benign bone growths such as osteomas, which are benign tumors of bone. They can occur in various locations on the skull and are generally asymptomatic unless they cause cosmetic concerns or pressure on surrounding structures.

- Bruises: Bruises typically present with discoloration and tenderness, and they usually resolve over time. Since you mentioned that the bumps have been there for a long time without any bruising or pain, it is less likely that they are bruises.

2. When to Seek Help:
- It is advisable to consult a healthcare professional if you notice any changes in the bumps, such as an increase in size, pain, or if they begin to affect your daily activities. Additionally, if you have any concerns about the appearance or if they cause discomfort, it is prudent to seek medical advice.

- You should consider visiting a primary care physician or a dermatologist first. They can perform a physical examination and may refer you to a specialist, such as an orthopedic surgeon or a neurosurgeon, if necessary.

3. Treatment Options:
- If the bumps are determined to be benign bone growths and are not causing any symptoms, treatment may not be necessary. However, if they are bothersome or if there is a concern about their nature, surgical removal may be an option. This would typically involve a minor surgical procedure where the growth is excised.

- If the bumps are indeed bony and you are looking for ways to reduce their appearance, options may be limited. Non-surgical treatments such as corticosteroid injections are generally not effective for bone growths. The most definitive treatment would be surgical intervention.

4. Monitoring and Follow-Up:
- Regular monitoring of the bumps is essential. If they remain stable and asymptomatic, they may not require any intervention. However, if there are any changes, follow-up with your healthcare provider is crucial.

In summary, while the bumps on your forehead may not be a cause for immediate concern, understanding their nature is important. Consulting with a healthcare professional can provide clarity and guide you on the best course of action. If surgical intervention is deemed necessary, it can effectively address any cosmetic or functional concerns you may have.

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