[36F] Experiencing painful swollen lumps and limited movement

Patient Description

A 36-year-old female reports painful, swollen lumps around her elbow and calf that have been present for approximately four months. Initially, there was one hard bump in the inner elbow area that was fixed in place. Over time, the number of lumps has increased, and similar symptoms have appeared in the calf. The patient describes the pain as throbbing, sharp, and sometimes like a ripping sensation, rating it a 5 on a scale of 1-10, with occasional spikes to a 9. The lumps have caused limited movement, preventing the patient from bringing her arm up to her chest, which has been ongoing for about three months. Heat application seems to alleviate the limited movement. Additionally, the patient experiences numbness or tingling at night. There have been no changes in skin color or temperature over the lumps, and the patient's weight has remained stable. The patient's medication regimen includes low dose naltrexone, magnesium glycinate, and vitamin D, with no known drug allergies. There is no significant past medical history or chronic illness reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Soft Tissue Infections: These are infections that involve the skin, muscles, tendons, and fat. They can cause painful lumps, swelling, and limited movement. However, these usually also cause redness, warmth, and fever, which you did not report.

    • Treatment typically involves antibiotics and sometimes drainage of the infected area.
  • Lipomas: These are benign (non-cancerous) fatty tumors that can occur anywhere in the body where there is fat tissue. They are usually soft, movable lumps under the skin. They can sometimes cause pain or limited movement if they press on nerves or restrict joint movement.

    • Treatment is usually not necessary unless they cause symptoms, in which case they can be surgically removed.
  • Rheumatoid Arthritis: This is a chronic inflammatory disorder that can cause pain, swelling, and stiffness in joints. It can also cause rheumatoid nodules, which are firm lumps under the skin. However, these nodules are usually not painful unless they are subjected to pressure or rubbing.

    • Treatment typically involves medications to reduce inflammation and slow the progression of the disease.
  • Deep Vein Thrombosis (DVT): This is a blood clot in a deep vein, usually in the leg. It can cause pain, swelling, and a heavy ache in the affected area. However, it usually does not cause lumps unless the clot is very large or there is a severe complication like a venous aneurysm.

    • Treatment typically involves anticoagulant medications to prevent the clot from getting bigger and to stop it from breaking off and traveling to your lungs.

What you can do

You should definitely see a healthcare provider about your symptoms. They can examine you and order tests if necessary to figure out what's going on. In the meantime, you can try the following to relieve your symptoms:

  1. Apply a warm compress to the painful areas. This can help to reduce pain and inflammation.
  2. Over-the-counter pain relievers like ibuprofen or acetaminophen can help to reduce pain and swelling.
  3. Try to avoid putting pressure on the painful areas. This can help to reduce pain and prevent further injury.

What you should look out for

Reasons to seek urgent medical care include:

  • If you develop a fever, chills, or redness and warmth over the lumps
  • If the lumps rapidly increase in size
  • If you develop severe pain or your pain significantly worsens
  • If you develop new symptoms, such as difficulty breathing, chest pain, or a severe headache

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What are the possible causes of painful, swollen lumps around joints?

Possible causes of painful, swollen lumps around joints include soft tissue infections, lipomas, rheumatoid arthritis, and deep vein thrombosis. Each condition has distinct characteristics and may require different treatments.


How can lipomas affect movement and cause pain?

Lipomas are benign fatty tumors that are usually soft and movable. They can cause pain or limited movement if they press on nerves or restrict joint movement. Treatment is not usually necessary unless they cause symptoms, in which case they can be surgically removed.


What are the symptoms of rheumatoid arthritis and how is it treated?

Rheumatoid arthritis is a chronic inflammatory disorder that causes pain, swelling, and stiffness in joints. It can also cause firm lumps under the skin called rheumatoid nodules. Treatment typically involves medications to reduce inflammation and slow the progression of the disease.


When should I seek urgent medical care for lumps and pain?

You should seek urgent medical care if you develop a fever, chills, or redness and warmth over the lumps, if the lumps rapidly increase in size, if you experience severe pain or a significant worsening of pain, or if you develop new symptoms like difficulty breathing, chest pain, or a severe headache.


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