Should You See a Doctor for a Persistent Lump After an Injury? - Family Medicine

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Hematoma


Hello Doctor: I had a car accident a month ago and had an X-ray done, which showed no abnormalities in the bones.
The bruising has subsided, but there is still a lump, and it still hurts when pressed.
Should I go to a clinic or hospital to see a doctor?

Niming, 20~29 year old female. Ask Date: 2022/07/06

Dr. Lin Zhebin reply Family Medicine


Hello: If the X-ray of your bones taken after the car accident showed no abnormalities and the bruising has disappeared, the painful lump you are pressing on may be due to a muscle contusion causing localized tightness and inflammation.
It is recommended that you apply a warm compress to see if it alleviates your discomfort.
If there is no improvement or if you experience abnormal pain during activity or exertion, it is advisable to seek medical attention.

Reply Date: 2022/07/06

More Info


After an injury, particularly one sustained from a car accident, it is crucial to monitor any persistent symptoms, including lumps or swelling. In your case, you mentioned that a month has passed since the accident, and while the bruising has resolved, you still have a lump that is painful to the touch. This situation warrants further evaluation by a healthcare professional.

Persistent lumps following an injury can be indicative of several underlying issues. They may represent hematomas (localized collections of blood outside of blood vessels), seromas (fluid collections), or even soft tissue injuries such as contusions or sprains. In some cases, they could also signify more serious conditions such as infections or the formation of scar tissue. Given that the lump is still painful, it is essential to rule out any complications that may have arisen from the initial injury.

Here are some reasons why you should consider seeing a doctor:
1. Assessment of Soft Tissue Injury: Even if X-rays show no bone fractures, soft tissue injuries can still cause significant pain and swelling. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to assess the extent of the injury.

2. Monitoring for Complications: Persistent pain and swelling can sometimes indicate complications such as infection or the development of a chronic condition. A healthcare professional can evaluate the lump and determine if it requires treatment.

3. Pain Management: If the lump is causing discomfort, a doctor can provide recommendations for pain management, which may include medications, physical therapy, or other interventions.

4. Reassurance and Guidance: Visiting a doctor can provide peace of mind. They can explain what to expect in terms of recovery and whether the lump is a normal part of the healing process or something that needs further intervention.

5. Preventing Long-term Issues: Addressing any ongoing symptoms early can help prevent potential long-term complications, such as chronic pain or reduced mobility.

In conclusion, while it may be tempting to wait and see if the lump resolves on its own, given the pain and the duration since the injury, it is advisable to consult with a healthcare provider. They can provide a thorough evaluation and appropriate management to ensure your recovery is on track and to address any concerns you may have. Remember, it is always better to err on the side of caution when it comes to your health.

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