Decades-Old Bump After Car Accident: Which Specialist to Consult? - Surgery

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Issues with swelling after a car accident over a decade ago?


Hello, doctor.
I would like to ask, there is a lump at the site of a car accident from over ten years ago that has not resolved.
It feels tingly and numb when touched, and there is a hard mass.
Which specialty should I see, and what kind of treatment should I expect? Thank you.

Niming, 20~29 year old female. Ask Date: 2020/06/23

Dr. Chen Jiaming reply Surgery


Based solely on your description, it is difficult to confirm whether it is scar tissue.
If you wish to remove the scar tissue, you may consider consulting a plastic surgeon; however, factors such as your individual physiology and the location of the scar (whether it is under tension or not) should also be taken into account.

Reply Date: 2020/06/23

More Info


Based on your description of a decades-old bump that remains after a car accident, it is advisable to consult with a specialist in orthopedics or a neurologist. The choice between these two specialties depends on the specific characteristics of the bump and the symptoms you are experiencing.

1. Orthopedic Consultation: If the bump is located on a bone or joint area, or if you have experienced any pain or discomfort associated with movement, an orthopedic surgeon would be the appropriate specialist to see. They can evaluate the bump through physical examination and imaging studies such as X-rays or MRIs to determine if there are any underlying issues related to the musculoskeletal system, such as a bone spur, calcification, or soft tissue injury.

2. Neurological Consultation: If the bump is associated with neurological symptoms, such as numbness, tingling, or weakness in the surrounding areas, a neurologist would be the better choice. They can assess whether the bump is affecting any nerves or if there is a possibility of nerve entrapment or other neurological conditions. They may conduct nerve conduction studies or electromyography (EMG) to evaluate nerve function.


Possible Treatments
The treatment for the bump will depend on the underlying cause identified by the specialist. Here are some potential treatment options:
- Observation: If the bump is not causing significant symptoms or complications, the doctor may recommend simply monitoring it over time.

- Medication: If there is pain or inflammation associated with the bump, anti-inflammatory medications or pain relievers may be prescribed.

- Physical Therapy: If the bump affects mobility or function, physical therapy may help improve strength and reduce discomfort.

- Surgical Intervention: If the bump is causing significant problems, such as pain, restricted movement, or neurological symptoms, surgical removal may be considered. This is particularly relevant if the bump is a result of a previous injury that has led to the formation of a cyst, scar tissue, or other abnormal growth.


Importance of Follow-Up
Given that this bump has persisted for many years, it is crucial to have it evaluated by a specialist. Chronic conditions can sometimes lead to complications if left untreated. Additionally, the sensation of "tingling" or "pins and needles" could indicate nerve involvement, which should be assessed promptly to prevent further issues.


Conclusion
In summary, I recommend scheduling an appointment with either an orthopedic surgeon or a neurologist based on the symptoms you are experiencing. They will be able to provide a thorough evaluation and recommend appropriate treatment options. It is essential to address any long-standing issues, especially those that involve sensations or discomfort, to ensure your overall health and well-being.

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