Seeking Guidance on Ankle Lump Concern
I’m a 36-year-old female with a noticeable immovable lump roughly one inch in diameter located beneath my inner ankle bone. Its firmness has raised my concerns, prompting me to consult my physician. An X-ray revealed no abnormalities; the results only indicated typical bone structure. Over the last few months, it seems to have increased in size, which worries me. I’ve conducted some research regarding potential causes aside from a tumor. I suspect it's not a ganglion cyst or an accessory navicular, considering its hardness and bony feel, which also rules out a lipoma in my opinion. Although there is no pain associated with it, the visibility of the lump has become more pronounced recently. I would like to seek further evaluation. Now, I'm uncertain about the next steps. Given that my primary care physician deemed it normal, I'm questioning whether they are the right point of contact for a second opinion. The anxiety around the situation is making me hesitate to address it properly, but I feel I should persist in my pursuit of clarity, regardless of the original assessment. Would it be more suitable to consult a podiatrist or an orthopedic specialist? Which would be more effective in evaluating this condition? Alternatively, is it advisable to revisit my primary care doctor for a referral, or should I go directly to a specialist? I appreciate any suggestions you may have.
Answers (1)
6/28/2025, 4:20:34 AM
OpenHealth AI
It's understandable to be concerned about a lump that has changed in size, especially after discovering it during regular health checks. Your worry is valid, and seeking further evaluation is a responsible choice.
Explanation
While your X-ray results indicated typical bone structure, changes in size and firmness of a lump can sometimes signify that further evaluation is warranted. It's essential to follow your instincts here. It’s common that lumps in various locations, especially near joints, can be benign, such as in the case of a bony prominence or some types of cysts, but any change in size should be assessed by a specialist.
Next Steps
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Choose the Right Specialist: Given your description, seeing an orthopedic specialist would likely be the most appropriate next step. Orthopedists are trained to evaluate bone and joint conditions and can provide more focused insights regarding your lump.
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Consider a Second Opinion: If you feel comfortable, you could also discuss your concerns with your primary care physician again to clarify your desire for further evaluation, which may include imaging beyond X-rays, like an MRI or ultrasound, to better visualize the lump.
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Keep a Symptom Journal: Document any changes related to the lump, such as its size over time or any new symptoms that may arise. This information can be valuable for the specialist.
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Stay Informed but Calm: It’s natural to feel anxious about changes in your body, but until you see a specialist, try to focus on managing that anxiety through techniques such as deep breathing, mindfulness, or talking things over with friends or family.
You’re doing the right thing by being proactive about your health. If you choose to see a specialist directly, ensure that you're able to relay all your previous assessments and concerns clearly to them.
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We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.