Unnoticed Firmness in Thigh Above the Knee
At 32 years old, I am a woman residing in Europe, with a height of approximately 165 cm and a body type that's considered average (I unfortunately don’t have access to a scale). I am diagnosed with rheumatoid arthritis and currently receive treatment with tocilizumab. Recently, I’ve been experiencing a persistent dull discomfort in my leg that has lasted for six weeks. Initially, I attributed this ache to reduced physical activity over the festive period, particularly since the weather has been quite rainy, limiting my opportunities for outdoor walking. Upon further examination, I discovered a hard, immovable lump beneath the skin in my thigh when I press down on the area. This lump is not visible externally; it can only be detected through touch. Notably, it isn't causing me any pain. Given this situation, I find myself pondering whether it would be wise to consult a general practitioner or if this concern is minor enough to dismiss. I haven’t included any images, as there is nothing to illustrate. I appreciate any guidance you might offer!
Answers (1)
2/7/2026, 8:50:39 PM
OpenHealth AI
It's understandable to be concerned about the new firm lump in your thigh, especially given your medical history. The lump's firmness combined with your rheumatoid arthritis and ongoing treatment indicates it’s wise to take this seriously, even if it is not causing pain.
Explanation
A hard lump in the thigh can have various causes, including:
- Benign growths: Such as lipomas (fatty tumors) or fibromas, which are usually harmless.
- Inflammatory conditions: Related to your rheumatoid arthritis, which can cause localized swelling.
- Other conditions: Important to rule out more serious issues, even if the lump is not painful.
Given that it has been present for six weeks, it's essential to monitor this change. While many lumps can be benign, your rheumatoid arthritis and the potential impacts of tocilizumab on your immune system warrant further evaluation to ensure it isn’t indicative of something requiring medical attention.
Next Steps
- Monitor the Lump: Keep track of any changes in size, shape, or texture of the lump. Note any new symptoms such as pain, warmth, or changes in mobility.
- Document Symptoms: Continue to monitor the dull discomfort in your leg, including any patterns related to activity levels, and document these.
- Consult a General Practitioner: Given your medication and the persistence of the lump, arrange for a visit to a healthcare professional. It's better to be cautious, especially with your medical history.
- Limit Activities if Necessary: While you wait for the appointment, consider limiting activities that may aggravate your leg discomfort to avoid any undue strain.
Taking these proactive steps will help ensure that your concerns are addressed properly and your health monitored comprehensively. If any symptoms worsen prior to your appointment, seek medical advice sooner.
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