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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can A Hard Lump Like A Knot On Leg Imply?

How can I tell if the hard lump in my upper, front leg muscle is a knot that needs to be messaged out or a blood clot? I feel no hot spot, I don t have a fever or a cough & I m not fatigued. What I have is pain since is was working where I had to squat up and down a lot for hours. I m not use to that and my leg got very sore to the point I almost couldn t get up anymore before I stopped doing it. Since then my leg swelled from the very top down to my foot. On Thursday I had my chiropractor adjust my back because I had a sore back also. She checked for heat and said to wear a full leg compression sock and elevate my leg. If the swelling didn t go down by Monday see a doctor. The swelling did go down in 2 days and that is when I found the hard lump in my upper muscle. Figuring it was a knot I started working it out but my daughter & friend who have had blood clots have questioned that. But everything they say & I read don t seem like a clot but never having had one I don t know. It hurts to bend my leg back behind me, walking & going down steps are an issue. It does not bother me other than that. It is no problem to squat or go up steps. I am now sitting with my leg in the compression sock, putting my leg on a pillow as I recline with heat on for 20 min. What do you think?
Mon, 12 Oct 2015
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General Surgeon 's  Response
HI,Dear,Welcome to HCM.
Based on the facts and data of your query,You seems to have a very confusing story about the knot in the front of your leg muscles with sore muscles.
You seem to have Chronic exertional Compartment syndrome of the leg(CECS)from the unusual stress from your working seat ups.To the extent you had leg swelling from the CECS.As the swelling went after Rest and Leg Elevation.Sore muscles are a cause for pain while waking or going down steps.
In this scenario-you seem to have-CECS of the leg with Varicose Vein Knot from the leaking perforator with Incompetant perforator valve.
As you fear,Chances of DVT need to be ruled out by Color Doppler study of the leg.
Hope this reply would help you to resolve your sever anxiety.
Welcome for any further query in this regard.
Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.

Good Day!!

Dr.Savaskar,
Senior Surgical Specialist
M.S.Genl-CVTS
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What Can A Hard Lump Like A Knot On Leg Imply?

HI,Dear,Welcome to HCM. Based on the facts and data of your query,You seems to have a very confusing story about the knot in the front of your leg muscles with sore muscles. You seem to have Chronic exertional Compartment syndrome of the leg(CECS)from the unusual stress from your working seat ups.To the extent you had leg swelling from the CECS.As the swelling went after Rest and Leg Elevation.Sore muscles are a cause for pain while waking or going down steps. In this scenario-you seem to have-CECS of the leg with Varicose Vein Knot from the leaking perforator with Incompetant perforator valve. As you fear,Chances of DVT need to be ruled out by Color Doppler study of the leg. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard. Will appreciate writing your feedback review comments,to help the needy patients like you at HCM. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS