Symptoms: Hip Lump, Leg Pain, and Frequent Urination

A subcutaneous lump on the right hip and leg pain could indicate several conditions, such as a lipoma, cyst, or other soft tissue tumors. It is advisable to consult an orthopedic specialist or a general surgeon for evaluation and diagnosis?

I have read a lot, but none of the information matches all my symptoms...
I'm unsure what is wrong with my body.
Which specialty should I consult? Currently, I have the following discomforts:
* A lump: There is a small lump about 2 cm in size located in the lower right corner of my right hip, approximately 8 cm from my buttocks, which I discovered a few months ago.
It was painless initially, but now it is tender to the touch.
* Severe soreness in my right leg: I usually experience soreness on the first day of my menstrual period, but this time, even after my period has ended, I have been experiencing significant soreness for several consecutive days.
I had a car accident when I was about 6 years old, and my right thigh was fractured; I'm unsure if this is related.
* Chronic frequent urination: I have been experiencing frequent urination for about 5 years, averaging once an hour, and waking up about twice a night to urinate.
Recently, it has become more severe.
Two years ago, I underwent a comprehensive examination regarding this issue, and there were no problems found with my kidneys or brain, but the frequent urination issue remains unresolved.
These are my current obvious symptoms.
I wonder if they are related? Is it one disease or three different diseases? Should I focus on treating this "lump"? What could the problem be? Which specialty should I consult? Thank you for your help.

Kelly, 30~39 year old female. Ask Date: 2011/03/01

Dr. Liao Yaopan reply Family Medicine

Hello, regarding these issues, it is still recommended to visit the outpatient clinic for a thorough evaluation of the right hip subcutaneous mass before deciding whether further examinations are necessary.
Additionally, we need to investigate whether it is related to your leg pain.
You may want to consult your family physician first.
As for the frequent urination, have you sought the opinion of a urologist? We hope to help address your concerns.
Changhua Hospital cares about you.

Reply Date: 2011/03/01

More Info

Based on the symptoms you've described, it seems you are experiencing a complex set of issues that may or may not be interrelated. Let's break down your symptoms and discuss potential causes and the appropriate medical specialties to consult.

Symptoms Overview
1. Hip Lump: You mentioned a lump located on the right side of your hip, approximately 2 cm in size, which has become painful upon pressure. This could potentially be a lipoma (a benign fatty tumor), a cyst, or another type of soft tissue mass. While many lumps are benign, any new or changing lump should be evaluated by a healthcare professional to rule out more serious conditions, including tumors.

2. Right Leg Pain: The persistent soreness in your right leg, especially following your menstrual cycle, could be due to several factors. Given your history of a leg fracture from a car accident at age six, it’s possible that there could be lingering effects from that injury, such as post-traumatic arthritis or soft tissue issues. Additionally, muscle strain or overuse could also contribute to your discomfort.

3. Frequent Urination: The long-standing issue of frequent urination, particularly if it has worsened recently, is concerning. This could be related to urinary tract issues, bladder conditions, or even systemic conditions such as diabetes. Since you have already undergone extensive testing two years ago, it may be worth revisiting this issue, especially if new symptoms have developed.

Potential Connections
While it’s challenging to determine if these symptoms are related without a thorough examination, there are a few possibilities:
- Musculoskeletal Issues: The pain in your leg and the lump could be related to musculoskeletal problems, such as a strain or a condition affecting the hip joint or surrounding tissues. This could also explain the discomfort you feel when pressing on the lump.

- Neurological Factors: If the pain in your leg is accompanied by any numbness or tingling, it could suggest nerve involvement, possibly due to a pinched nerve in the lower back or hip area.

- Systemic Conditions: Frequent urination can sometimes be a symptom of systemic conditions that may also affect musculoskeletal health, such as diabetes or other metabolic disorders.

Recommended Medical Specialties
1. Orthopedic Specialist: Given the lump and leg pain, an orthopedic doctor would be well-suited to evaluate any musculoskeletal issues. They can perform imaging studies (like X-rays or MRIs) to assess the lump and any potential underlying bone or joint problems.

2. Urologist: For your frequent urination, a urologist would be the appropriate specialist to consult. They can conduct tests to evaluate bladder function and rule out any urinary tract issues.

3. Primary Care Physician: It may also be beneficial to start with your primary care physician, who can coordinate your care and refer you to the appropriate specialists based on their initial assessment.

Conclusion
In summary, your symptoms warrant a comprehensive evaluation to determine if they are interconnected or if they stem from separate issues. It is crucial to address the lump on your hip, the persistent leg pain, and the frequent urination with the appropriate specialists. Early diagnosis and treatment can lead to better outcomes, so I encourage you to seek medical attention promptly.

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