What causes small lump on the anterior portion of both lower legs outside of fibula? - Online Doctor Chats
I have a small lump on the anterior portion of both lower legs that are just outside of the fibula. it generally only shows itself when I am active or squatting down. The lumps are both soft and tend to disappear during times of rest. What could this be?
I have read your question,
Ok, I am XXXXXXX
I feel the lumps you have noticed are lipomas
they are fat lumps
Yes, this soft lump has appeared on both legs and is soft to the touch. It gets bigger when I run and when I exercise.
Ok, what is the next step. Is this dangerous?
okay, If I may... when did you notice these lumps first?
They are in exactly the same spot on both legs. Is that common for lipomas?
I noticed them a few months ago
it is uncommon for lipomas to be located at an exact spot on both sides, but can happen
No to the XXXXXXX part or being in the same spot?
They have not seemed to have gotten any bigger at this point
I will answer about the XXXXXXX part, but first I need a few more answers
When you squat, can you feel any pulse in these lumps?
no. No pulse
You said they don't seem to have gotten any bigger
I don't think so
that means you noticed them recently, (a few months ago), it is quite possible that these lumps had been there for quite longer than that, but you did not notice them?
I don't think so because I am fairly active and I think I would've noticed them if they were their for a longer time
do you have any pain in these spots?
There is not any pain
Okay, I want you to fell them now, try and move them in all directions and see if you can move them in all directions
I mean, feel them
It does not move. it only presses in with no pain
it does not even feel like a lump when I press on them
can you hold these lumps between your fingers firmly?
not at all
It feels like a very loose sac filled with water?
am I right?
Now I know what they are actually
what is that
They are venous blowouts
we call them venous blowouts
Thats exactly what I thought!!!
What do I do and who do I see
will it need surgery?
You need to consult a general surgeon
or you need to consult a vascular surgeon
No, orthopedic surgeons don't deal with venous problems
You will need to consult vascular surgeons or general surgeons
because it is on a vein, I should not have to worry about bleeding out if I run 3 miles or so right? only if it were on an artery??
Ok, I will consult a vascular surgeon.
And if a surgery is planned, it is a very simple surgery wherein the communicator vein is just tied off
that is so very relieving to hear.
Venous blowouts can bleed pretty badly too
are there other types of other treatments than surgery?
Will I notice if they begin to bleed? Bruising and swelling I presume?
and embolization is another option
Any idea what a surgery like this would cost?
Yes, you will notice immediate and rapid swelling
I am sorry, I live in India, I can tell you the cost here
I do not know which country you are from
I understand. XXXXXXX
okay, I am not very familiar with the costs in XXXXXXX
I hope you have insurance
I do have insurance but it is not major medical insurance...I don't know if it will pay out
How likely is it that these spots will rupture?
They only rupture if you get hit on the particular spot
or if the skin becomes very thin over them, even scratching can cause severe bleeding
So, exercising is not likely to rupture the area?
So, it always better to get these sorted out
No, exercise is not likely to cause these to rupture
Oh yes. I will see a vascular surgeon very soon.
what were the treatment options you named again?
One is subfascial endoscopic perforator vein surgery(SEPS) or direct perforator vein surgery
second, injection sclerotherapy
Third Perforator venous embolisation
If it were cancerous, I would be able to feel a hardened lump...is that correct?
Yes, that is very correct
Great! Thank you for your help
if you feel as if there is hole under the skin, it is nothing but a venous blowout
You are most welcome
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