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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should A Painful Thigh Lump With Bruising And Hardness Be Treated?

I fell down stairs 3 weeks ago and landed badly on my right thigh. This resulted in bad bruising but also a massive lump which still hasn t gone down and is very hard. It is still painful. I saw a doctor who told me to take ibuprofen but feel I need to do more than this! Please could you suggest anything?
Mon, 30 Nov 2015
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General Surgeon,  's  Response
Hi,Dear,Welcome with your query to HCM.
Studied your query in full depth of its details.Reviewed it in context of your health concerns.
Based On the facts, You mostly seem to suffer from-
Big Hematoma with cellulitis -from stair case fall.
The contused tissue is edematous and the Lump is hard due to the Hematoma which is resolving in to fibrous mass.Both these facts make thi painful thigh lump hard.
Treatment-
Ibuprofen alone would not help it.
Cold Compresses.
Compression Bandages
Tab Chymoral fort 1 tds x 3 times x 10-14 days
Wide bore needle aspiration -and Compression Bandage x 14 days.
IF not -X-ray and CT study prior to -Would debridement and evacuation of the hematoma is needed if required.
Vit ADK with Bplex Fort to recoup fast.
Rest / Good Diet should not be missed.

Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.
Welcome any further query in this regard,which would be replied in next
session.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
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How Should A Painful Thigh Lump With Bruising And Hardness Be Treated?

Hi,Dear,Welcome with your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from- Big Hematoma with cellulitis -from stair case fall. The contused tissue is edematous and the Lump is hard due to the Hematoma which is resolving in to fibrous mass.Both these facts make thi painful thigh lump hard. Treatment- Ibuprofen alone would not help it. Cold Compresses. Compression Bandages Tab Chymoral fort 1 tds x 3 times x 10-14 days Wide bore needle aspiration -and Compression Bandage x 14 days. IF not -X-ray and CT study prior to -Would debridement and evacuation of the hematoma is needed if required. Vit ADK with Bplex Fort to recoup fast. Rest / Good Diet should not be missed. Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery. Welcome any further query in this regard,which would be replied in next session. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist