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Found lump on hip bone, painful to touch and pain in leg and ankle. Is this serious?

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General Surgeon
Practicing since : 2008
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Found walnut size lump medial to left hip bone, painful to touch, occasional sharp stabbing pain or intermittent burning/ripping feeling now accompanied with occasional sharp stabbing pain down front of left leg all the way to ankle... Is this serious? What could it be? Went to doctor said possible inguinal hernia but have to wait a month for surgeon. Pain becoming more frequent/persistent daily. Can this wait? What else could it be?
Posted Fri, 26 Oct 2012 in Bones, Muscles and Joints
Answered by Dr. Grzegorz Stanko 27 minutes later

Thank you for the query.

Not much possibilities other than inguinal hernia in this location. Sometimes, abscess can appear which is also hard and painful to touch but the skin is read in its area and gives also symptoms like fever and shivers.
You can make a simple test. Push it gently while standing and try to cough. If you will find it moving forward while coughing, inguinal hernia is very possible. To be a 100% sure what it is, ultrasound of this region should be performed (maybe you can get it faster than surgeon visit).
Generally, patients with inguinal hernia should not wait for surgery especially when such symptoms appears, as there is always a risk that such hernia will get stuck and the contents of it (it can have intestine inside) can get necrotic due to ischemia.

Hope this will help. Feel free to ask further questions.
Above answer was peer-reviewed by
Follow-up: Found lump on hip bone, painful to touch and pain in leg and ankle. Is this serious? 15 hours later
Thank you very much! It used to "go in" when I laid down on my back, but it doesn't go away anymore. It is more prominent when I raise up and turn to right but I think it's only because I am able to feel it from a different direction. Still sensitive to touch. Only minimally bigger when coughing or sneezing, but able to produce pain that lasts a bit by doing either. More concerning is this burning electrical twinges down leg, which incidentally have been getting for around a month now, before finding lump. I believe this was really my first symptom. Having more constipation now, and when I do go, my excrement is "thinner" than usual. Having pain when bending over, curled up in bed, sitting certain ways on couch. My PCP seemed to think this was nothing to worry about, telling me to just take analgesics. Just want to make sure this is something that can wait. I'm not in excruciating pain, but it is "bothersome" and definitely more and more noticeable as days go by. Thank you
Answered by Dr. Grzegorz Stanko 8 hours later

Thank you for the query.

It is very hard to answer how urgent it is in your case not seeing it. It is a huge responsibility for your life. Simple inguinal hernia is a very problematic disease as it seems very trivial (and it is trivial in most cases) but it can immediately turn into very urgent cases.
If your pain is not hard to stand, you have no fever, your heart is not speeding up, your abdomen is not getting bigger and painful, you have no vomiting, gas and stool blockage, it can wait. But if any of this symptoms will appear, you should go to ER as soon as possible.
During waiting for the surgeon you should avoid any heavy objects lifting.

Hope this will help.
Above answer was peer-reviewed by
Follow-up: Found lump on hip bone, painful to touch and pain in leg and ankle. Is this serious? 15 hours later
Avoid heavy lifting... Can I do metabolic conditioning? Push ups, box jumps, pushing a sled, swinging light weights over head, throwing medicine ball above head... Cross fit kind of stuff? Thank you for all your help this is my last question...
Answered by Dr. Grzegorz Stanko 6 hours later

Thank you for the query.

You should avoid all mentioned by you exercises. Any abdominal pressure increasing exercise will make your hernia worst.

Hope this will help.
Above answer was peer-reviewed by
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