Persistent Bruise After 3.5 Months: Seeking Guidance
I am a 48-year-old Caucasian woman, standing at 5'3" and weighing 190 pounds. My medical history includes autism, ADHD, POTS, Ehlers-Danlos syndrome (type yet to be specified), chronic migraines, and Raynaud's phenomenon. For migraine management, I am prescribed Nortriptyline, and I have a Mirena IUD along with a 50 mcg Estradot patch to help manage symptoms related to perimenopause. I try to include B12, vitamin D, and magnesium in my daily routine as supplements whenever I can. Recent lab tests indicated that all my results are within standard limits. In October, while distracted, I unintentionally collided with a steel post, resulting in a substantial bruise measuring about 5 to 6 inches across on the front lower part of my thigh. I applied ice to the bruise later, approximately five hours post-injury, and the skin discoloration resolved within what seemed like a typical time frame, roughly a few weeks. However, I still have a significant, hard mass that measures about 2 by 3 inches, and it remains tender to the touch. My inquiry is whether this is a normal reaction or if I should consider scheduling a visit with my healthcare provider. I have concerns about making unnecessary appointments, as I'm anxious about being seen as a high-maintenance patient due to my frequent visits. What steps can I take regarding this issue, if any? I appreciate any advice you can provide.
Answers (1)
2/17/2026, 11:00:51 PM
OpenHealth AI
It's understandable to be concerned about a persistent bruise and hard mass following an injury. While the resolution of the discoloration is typical after a bruise, the remaining lump and tenderness could indicate lingering tissue changes beneath the skin, such as a hematoma or scar tissue.
Explanation: Bruises occur when blood vessels break under the skin, leading to discoloration. In some cases, a collection of blood (hematoma) can persist if the blood didn't fully reabsorb, especially given your existing conditions that might affect tissue healing, like Ehlers-Danlos syndrome (which can impact vascular stability). The tenderness suggests that the area is still sensitive, which can be normal, but persistence beyond several weeks might also warrant further investigation.
Next Steps:
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Monitor Symptoms: Keep an eye on the mass for any changes. If it gets larger, becomes increasingly painful, or if you notice other symptoms (e.g., fever, spreading redness), it is important to seek medical advice sooner.
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Self-Care Measures: Apply warm compresses to the area to promote blood flow and healing. Regular gentle movement can help, but avoid aggravating the area or engaging in any activities that cause stress or pain to the thigh.
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Document Changes: Keep a record of the size, shape, and any changes in tenderness or color. This will be helpful information if you decide to consult your healthcare provider.
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Consider Consultation: If the hard mass has not resolved over the next few weeks, or if you have persisting discomfort, it's prudent to schedule an appointment. You are not "high-maintenance"; your history of conditions deserves attention, and addressing ongoing issues is important to your overall well-being.
Your concerns are valid, and it's essential to listen to your body. Engaging your healthcare provider when necessary is part of managing your health, so don't hesitate if you feel the need for support.
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