Could This Be a Hernia on My Shin?
I’m a 49-year-old woman, standing at 5’4” and weighing 135 pounds. I maintain a healthy lifestyle, don’t smoke, and I am fairly active. Currently, I’m on Nexium, a small dose of Trazodone to help with sleep, and Singulair for allergies. For the past month, I’ve noticed a lump on my shin. This issue began after a paddleboarding excursion during which I encountered a fallen tree. My board flipped, and I found myself briefly trapped underneath it, thrashing to escape. My leg scraped against the tree, and I ended up with some cuts and bleeding in the area where the lump has appeared. I suspect I may have kicked the tree while trying to get back on my board. The lump itself seems to expand when I flex my leg muscles. It’s positioned slightly to the right of my shinbone (tibia). While it feels soft on the surface, there seems to be a firmer mass underneath if I press down. The sensation is mildly painful, akin to a bruise, but not severe. I’m contemplating whether it’s necessary to seek medical advice regarding this lump. Thank you for your assistance!
Answers (1)
6/26/2025, 4:40:36 PM
OpenHealth AI
It sounds like you're dealing with a concerning lump on your shin that developed after an injury. While it’s understandable to be worried, many lumps can be benign or related to soft tissue injuries. Let’s break this down:
Main Points:
- Potential Causes: The lump may be a hematoma (a collection of blood outside of blood vessels), a swelling from a soft tissue injury, or another benign condition.
- Symptoms Monitoring: The way the lump expands when you flex your leg can indicate it’s related to muscle or soft tissue rather than a hernia.
Explanation:
A hematoma is common after trauma; it forms when blood pools in the tissues due to an injury, especially after the impact you described. The fact that it feels soft on the surface but has firmness underneath suggests it could be a bruise or swelling. Hernias typically present differently and usually can be felt in the abdominal region.
Next Steps:
- Observe the Lump: Keep an eye on any changes in size, color, or pain levels.
- Limit Strain: Avoid activities that strain your leg or could aggravate the lump until you assess how it's evolving.
- Apply Ice: Consider applying ice wrapped in a cloth for 15-20 minutes several times a day to reduce swelling and pain, especially in the first few days.
- Pain Management: Over-the-counter pain relief (like acetaminophen or ibuprofen) can help manage discomfort if needed.
- Consultation Advice: If the lump grows significantly, becomes painful, or you notice other symptoms (like fever or spreading redness), consider seeking medical evaluation as soon as possible.
Please monitor your symptoms closely, and take these steps to promote healing. If you have any concerns or if your symptoms change, do not hesitate to seek professional advice. Take care!
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