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Is It Time to Check for a Hematoma?

8/8/2025, 3:01:03 PMMale25-34

I'm sharing on behalf of my husband who is 41 years old and weighs 220 pounds. He had an accident while jumping off a dock where he landed straddling a rope connected to a tube. The impact was severe, especially in his groin area, and this incident occurred 12 days ago. Initially, he developed an enormous bruise on the upper inner part of his thigh. This bruise was quite pronounced and lasted for around 10 days before it started to fade. At first, it seemed somewhat swollen, which was expected, but he didn’t apply any ice or treatment to it. Although the bruise was painful, it didn’t seem to limit his physical abilities significantly. However, beginning two days ago, he began to experience intense, sharp pains when he moved in specific ways, particularly in that region. These pains are so severe that they almost cause him to collapse, making it difficult for him to remain standing. He has experienced this sharp pain about 5 to 7 times recently, which is a new development although not overly frequent. I've been contemplating whether this could be a hematoma that his body is in the process of reabsorbing. There doesn’t appear to be any additional swelling, nor has he developed any other symptoms. I am drawing on my own experience; after giving birth, I dealt with a hematoma the size of a tennis ball in my perineal area, which also caused acute pain with certain movements. The doctor at the time indicated that it would naturally be reabsorbed by my body. Given the circumstances, do you think he should consult a healthcare professional? The bruise has almost completely disappeared and there’s no visible swelling, yet he is now facing these new, sharp pains associated with movements that apply pressure to that area, without experiencing any other changes in his health.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

8/8/2025, 3:02:09 PM

OpenHealth AI

Based on your description, it sounds like your husband might be experiencing complications from his previous injury, possibly a hematoma or even a muscle strain in the groin area. The development of sharp, intense pain, especially after a recent accident, is concerning and should be evaluated further.

Explanation:

A hematoma occurs when blood collects outside of vessels after an injury, leading to bruising and swelling. While it is common for bruises to fade, the new sharp pain, particularly with movement, suggests that there may still be underlying trauma or tissue damage. Muscle strains, especially in the groin area, can also lead to similar symptoms and may require rest and specific treatments to heal properly.

Next Steps:

  1. Monitor Symptoms: Continue to observe his pain patterns. Note any specific movements that trigger pain and any changes in intensity or frequency.

  2. Rest and Limit Activities: Encourage your husband to avoid activities that exacerbate his pain. This can help prevent further injury and allow healing.

  3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce any inflammation. Ensure he follows the instructions on the label for dosage.

  4. Consult a Healthcare Professional: Given the recent onset of sharp pain after an accident, it is advisable to have him evaluated by a healthcare professional. They may conduct a physical exam and possibly imaging (like an ultrasound or MRI) to check for any lingering issues, such as a hematoma or muscle strain.

  5. Gentle Stretching: If his healthcare provider allows, gentle stretching of the groin area can sometimes help alleviate tightness. However, this should only be done if it doesn't cause additional pain.

It’s understandable to feel concerned given the context of his injury, especially since you have personal experience with similar symptoms. Seeking professional advice will provide clarity and ensure appropriate treatment. Please monitor his situation closely and encourage him to seek care if pain worsens or he develops new symptoms.

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