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Dealing with a Dent and Bump in My Buttocks Following a Bad Fall

7/8/2025, 2:01:12 AMMale25-34

I'm reaching out for some guidance because I'm uncertain about the type of medical professional I should consult. Thank you in advance for any advice! I'm a 41-year-old female who had an accident about two months ago, causing me to fall from a stool. Initially, I suffered a significant bruise that encompassed almost my whole right gluteus. Although the bruise has completely healed, a noticeable dent and bump have remained. While I have some fat in that region and engage in weight training four times per week, I suspect this might be fat necrosis, which could possibly be permanent. The idea of needing surgery to address this cosmetic issue is quite frustrating for me. I have a few questions: 1. Will continuing with my weight training worsen the condition? I've noticed that after completing my glute exercises, the lump seems more pronounced. 2. Could deep tissue massage be beneficial in healing this? 3. What kind of physician should I see to have this evaluated?

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

7/8/2025, 2:01:48 AM

OpenHealth AI

I'm glad you're reaching out about your concerns following your fall. It sounds like you are dealing with a dent and bump in your buttocks that has remained after healing from a significant bruise. Let’s break down your questions and concerns.

Main Points:

  1. Weight Training: Continuing your weight training may not worsen the dent and bump, but it could lead to more prominence after workouts.
  2. Deep Tissue Massage: Gentle massage might help improve circulation and promote healing, but caution is necessary.
  3. Medical Evaluation: An orthopedist or a sports medicine specialist would be the most appropriate professionals to evaluate your condition.

Explanation:

After a significant bruise, the body can sometimes heal in ways that leave residual effects, such as lumps or dents. This could indeed be due to fat necrosis, which may involve changes in fat tissue after an injury. It's good that the initial bruise has resolved, but these lumps can be frustrating.

  1. Weight Training: If you notice the bump becoming more pronounced after glute exercises, it's likely tied to the muscle activation in that area. While your training itself might not exacerbate the actual issue of fat necrosis, it can affect the appearance. You may consider adjusting your exercises or reducing the intensity to see if it helps manage the appearance of the bump.

  2. Deep Tissue Massage: Gentle massage may improve blood flow and help your body recover. However, be cautious and avoid aggressive techniques directly over the dent and bump, as this might cause irritation.

  3. Consulting a Physician: To get a thorough evaluation and the best advice tailored to your condition, see either an orthopedic specialist or a sports medicine doctor. They can assess whether your symptoms are due to tissue changes from the injury or if something else may be contributing.

Next Steps:

  1. Adjust Your Workouts: Consider evaluating the weight and intensity of your glute exercises and see if lighter workouts help with the appearance.
  2. Try Gentle Massage: If comfortable, incorporate gentle massage to the area to promote circulation, but avoid aggressive pressure.
  3. Find a Specialist: Look for an orthopedic or sports medicine doctor, and schedule an appointment to discuss your concerns and get a professional evaluation of the dent and bump.

Feel free to reach out if you have more questions or need further guidance! Your comfort and health are important, and it's great that you're taking steps to understand and address your situation.

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