Persistent Lump Near Right Shin After Car Accident: What to Do?

Swelling near the tibia of the right calf has not resolved after a car accident?

Hello Doctor, I was in a car accident a few months ago, and I sustained multiple abrasions all over my body, along with swelling in my right calf.
After being taken to the hospital, the doctor performed an X-ray to confirm there were no fractures.
The subsequent treatment and follow-up visits focused on managing the abrasions.
However, a day or two later, my entire right calf developed bruising.
After applying ice and heat until the bruising completely resolved, I now have a hard lump next to the tibia on my right calf, which is painful when pressed lightly.
Additionally, coarse and thick leg hair has grown in the area where it was previously fine and soft.
Could you please advise which specialty I should consult for this condition, or how I should manage it myself? Thank you.

W, 20~29 year old female. Ask Date: 2021/09/12

Dr. Ye Qianyu reply Family Medicine

Hello! Regarding the mass, you can seek treatment from an orthopedic specialist.
As for the hair issue, you can consult a dermatologist.

Reply Date: 2021/09/12

More Info

After a car accident, it's not uncommon to experience various symptoms, including persistent lumps or swelling in the affected areas. In your case, the lump near your right shin, which has persisted for several months after the accident, warrants careful consideration and evaluation.

First and foremost, it's important to understand that the presence of a lump in the area where you experienced trauma could be due to several factors. The initial swelling and bruising you experienced were likely a result of soft tissue injury, which is common after accidents. As the body heals, it can sometimes form scar tissue or a hematoma (a localized collection of blood outside of blood vessels), which may feel firm or hard to the touch. The fact that you mentioned the lump is painful when pressed could indicate that there is still some inflammation or irritation in the area.

The growth of coarse hair in the area of the lump is also noteworthy. Changes in hair texture or growth can occur due to various reasons, including changes in blood flow or hormonal influences following injury. However, this is not typically a cause for concern unless accompanied by other symptoms.

Given your symptoms, it is advisable to consult with a healthcare professional. The most appropriate specialist to see would be an orthopedic doctor, as they specialize in injuries related to bones, joints, and soft tissues. They can perform a thorough examination and may recommend imaging studies, such as an ultrasound or MRI, to assess the lump further and rule out any underlying issues, such as a residual hematoma or other soft tissue injury.

In the meantime, here are some self-care measures you can take to manage your symptoms:
1. Rest: Avoid activities that exacerbate the pain or discomfort in your shin. Giving your body time to heal is crucial.

2. Ice Therapy: If the lump is still swollen or painful, applying ice packs for 15-20 minutes several times a day can help reduce inflammation.

3. Compression: Using a compression bandage can help manage swelling and provide support to the area.

4. Elevation: Keeping your leg elevated can also help reduce swelling, especially after periods of activity.

5. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult with a healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.

6. Monitoring: Keep an eye on the lump for any changes in size, shape, or color, and note any new symptoms that may arise, such as increased pain, fever, or changes in mobility.

In summary, while some post-accident symptoms can be normal, the persistence of a lump with associated pain should not be ignored. Seeking evaluation from an orthopedic specialist will provide you with a clearer understanding of your condition and the best course of action for treatment. Remember, timely intervention can often lead to better outcomes and prevent potential complications.

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