[42F] With persistent muscle pain and skin lump

Patient Description

A 42-year-old female reports experiencing constant, severe muscle pain in the thighs for the past 9 months, rated as a 10 on a severity scale. The pain worsens when laying on her sides or walking. Additionally, there is a tender lump in the skin with associated bruising, which has not changed in size or color over time. There is no history of recent injuries related to these symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Lipoma or Cyst: These are common, benign lumps under the skin that can be tender if they press on nearby structures. They usually remain the same size and color.

    • Treatment typically involves monitoring, but if it's painful, a doctor might suggest removal.
  • Hematoma: This is a collection of blood outside of blood vessels, often due to an injury you might not remember. It can cause bruising and tenderness.

    • Treatment usually involves rest and applying ice to reduce swelling.
  • Fibromyalgia: This condition can cause widespread muscle pain and tenderness, often accompanied by fatigue and sleep issues.

    • Treatment includes pain management, physical therapy, and sometimes medication.

What you can do

  • Consult a Doctor: It's important to see a healthcare provider for a proper diagnosis and treatment plan.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your doctor.
  • Pain Management: Over-the-counter pain relievers like ibuprofen may help reduce pain and inflammation.
  • Rest and Ice: Resting the affected area and applying ice can help with tenderness and swelling.

What you should look out for

  • Seek Immediate Care: If you notice rapid changes in the lump, such as increased size, redness, or warmth, or if you develop a fever.
  • Monitor Symptoms: Keep track of any new symptoms or changes in your current symptoms.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

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People Also Ask


What could cause a tender lump in the skin with bruising?

A tender lump in the skin with bruising could be caused by a lipoma, cyst, or hematoma. Lipomas and cysts are benign growths, while a hematoma is a collection of blood outside of blood vessels, often due to an injury.


How is fibromyalgia diagnosed and treated?

Fibromyalgia is diagnosed based on a history of widespread pain lasting more than three months, along with other symptoms like fatigue and sleep disturbances. Treatment typically includes pain management, physical therapy, and sometimes medication.


What are the common symptoms of a hematoma?

Common symptoms of a hematoma include swelling, tenderness, and discoloration of the skin (bruising). It may occur after an injury, even if the injury is not remembered.


When should I seek immediate medical attention for a lump?

You should seek immediate medical attention if the lump changes rapidly in size, becomes red or warm, or if you develop a fever, as these could be signs of infection or other complications.


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