Concerns About Long-lasting Hematoma After Injury
In 2020, I (27F) experienced a fall from a height of approximately 4 feet onto a concrete and steel surface while at work, leading to a concussion and a severe bruise on my shin. After undergoing physiotherapy for my concussion, I became curious about the bruise during one of my later sessions, which took place around three months post-accident. My physiotherapist indicated that it appeared to be a hematoma and recommended that I consult my physician, as it might require drainage. I scheduled an appointment with my doctor, who casually acknowledged that it looked like a hematoma. Fast forward to January of this year; I decided to revisit the issue as it has been several years since the initial injury. The area still causes discomfort, particularly when shaving my legs, and has taken on an indented form that has persisted for three years. Once again, my doctor glanced at it and essentially dismissed my concerns. I can’t shake the feeling that I might be bothering my doctor with repeated inquiries about this matter. Is it typical for a hematoma to endure for such an extended period, and could it potentially be a permanent condition? Even though my mother isn’t a medical professional, her worried comments about the possibility of developing a blood clot or needing amputation have added to my anxiety. Should I consider making another appointment, or is it likely that everything is fine? Thanks in advance for any advice! (On a separate note, I have been taking Vyvanse for the past two years.)
Answers (1)
7/3/2025, 11:40:38 PM
OpenHealth AI
It's understandable to feel concerned about a long-lasting hematoma and its implications, particularly after such a significant injury. Here's a breakdown of your situation and some guidance on what to do next.
Main Points:
- Persistent Hematoma: Hematomas can take a long time to heal, sometimes lasting months or years. However, persistent discomfort and changes in the area warrant further evaluation.
- Possible Complications: While the risk of a serious condition such as a blood clot is low if you've had no other symptoms (like swelling, pain, or redness elsewhere), ongoing issues should be investigated.
Explanation:
A hematoma forms when blood collects outside of blood vessels, typically due to trauma. Over time, many hematomas resolve completely, but in some cases, they can lead to persistent swelling, tenderness, or indented scars, especially if the area didn’t heal properly or the injury was significant. The indentation you see could be due to changes in the underlying muscle or tissue from the injury itself.
Your mother's concerns about blood clots and amputation are likely overstated given the context, especially if you're not experiencing symptoms commonly associated with blood clots (like significant pain, swelling, or discoloration). However, it’s completely valid to feel anxious about this and to seek reassurance about your health.
Next Steps:
- Document Symptoms: Keep a diary noting any changes in the appearance of the area, discomfort levels, or any new symptoms. This will help clarify what has been happening and give specific points to discuss with your doctor.
- Schedule Another Appointment: Don’t hesitate to make another appointment with your doctor or consider seeking a second opinion. Explain your concerns clearly and ask specifically about the persistence of the hematoma and whether further imaging (like an ultrasound) or a referral to a specialist such as a dermatologist or vascular surgeon is warranted.
- Self-Care: Continue to avoid any activities that might further irritate the area, like rough shaving techniques. Use gentle skincare products to promote healing if the skin is sensitive.
Always remember that your health concerns are valid, and it’s important to advocate for yourself. If symptoms persist or worsen, don’t feel like you’re bothering your doctor by seeking clarity about your condition.
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