How to Treat a Hard Lump on the Chin After an Injury - Orthopedics

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What should I do to eliminate or treat a small hard lump after a chin injury?


Dear Doctor: I accidentally fell down the stairs and hit my chin at the end of last year.
I have been applying medication to it for several months, but there is still a small hard lump at the site of the injury.
Could you please advise me on how to help it return to normal, or if I should consult a plastic surgeon for repair? Thank you!

tiā, 30~39 year old female. Ask Date: 2005/05/08

Dr. Shi Guozheng reply Orthopedics


A small hard lump on the chin may be due to a hematoma caused by trauma, which usually resolves on its own after some time.
If it remains swollen, applying a warm compress can help it dissipate more quickly, and surgery is rarely necessary.

Reply Date: 2005/05/08

More Info


When dealing with a hard lump on the chin following an injury, it is essential to understand the nature of the injury and the healing process. In your case, it appears that you sustained a trauma to the chin from a fall, which can lead to various outcomes, including soft tissue swelling, hematoma formation, or even bony changes.
The lump you are experiencing could be a result of several factors:
1. Hematoma or Scar Tissue: After an injury, blood can accumulate under the skin, forming a hematoma. As the body heals, this can turn into scar tissue, which may feel hard or firm to the touch. Scar tissue can take time to soften and may remain palpable for months or even longer.

2. Bone Changes: If the injury was severe enough, there could be changes in the underlying bone structure, such as a bone callus forming as part of the healing process. This is less common but can occur in cases of significant trauma.

3. Infection: Although less likely if the area has been stable and without signs of infection (such as redness, warmth, or discharge), it is still a possibility that should be ruled out.


Treatment Options
1. Observation: If the lump is not causing pain or discomfort and there are no signs of infection, it may be best to simply monitor the area. Many lumps will resolve on their own over time.

2. Warm Compresses: Applying warm compresses to the area can help increase blood flow and promote healing. This can also help soften any hard tissue over time.

3. Massage: Gentle massage around the area (if it is not painful) may help break down scar tissue and improve circulation, potentially aiding in the healing process.

4. Over-the-Counter Pain Relief: If you experience discomfort, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

5. Physical Therapy: If the lump is associated with tightness or limited movement, consulting a physical therapist may be beneficial. They can provide targeted exercises and treatments to improve flexibility and reduce any associated symptoms.

6. Consultation with a Specialist: If the lump persists, becomes painful, or if you have concerns about its appearance, it may be wise to consult with a plastic surgeon or an otolaryngologist (ENT specialist). They can evaluate the lump and discuss potential treatment options, including surgical intervention if necessary.

7. Imaging Studies: If there is uncertainty about the nature of the lump, imaging studies such as an ultrasound or CT scan may be warranted to assess the underlying structures and determine if there are any abnormalities.


When to Seek Immediate Care
If you notice any of the following, you should seek medical attention promptly:
- Increased pain or swelling
- Signs of infection (redness, warmth, pus)
- Changes in sensation or movement in the chin or surrounding areas
- Any new symptoms that arise
In conclusion, while a hard lump on the chin after an injury can be concerning, many cases resolve with time and conservative management. However, if the lump persists or causes significant concern, consulting with a medical professional for further evaluation and treatment options is advisable.

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