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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Painful Hard Knots At The Site Of Injection Be Due To Swelling Of Soft Tissue?

Hi. My name is Patricia I been giving myself injections in my stomach, thighs and back side since 2007. Now I developed hard knots there the size a lemon and very very painful. I went to ER I was told I had soft tissue swelling and it will take time. What else can I do? HELP
Thu, 19 Feb 2015
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General & Family Physician,  's  Response
Hi Patricia,
You have not mentioned the injection name and route in your question which will help to make a clear diagnosis since you are taking it from 8 years.
It could be superficial thrombophlebitis or lipohypertrophy or vasculitis.
If it has grown lemon size then you can take antibiotics ( cephalosporins preferred), analgesics with antiinflammatories, anticoagulants ( oral warfarin) or can apply thrombophob cream or ointment topically.
Frequent change of injection site with anticoagulants helps to prevent further problem.
You should consult surgeon for further advice.
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Could Painful Hard Knots At The Site Of Injection Be Due To Swelling Of Soft Tissue?

Hi Patricia, You have not mentioned the injection name and route in your question which will help to make a clear diagnosis since you are taking it from 8 years. It could be superficial thrombophlebitis or lipohypertrophy or vasculitis. If it has grown lemon size then you can take antibiotics ( cephalosporins preferred), analgesics with antiinflammatories, anticoagulants ( oral warfarin) or can apply thrombophob cream or ointment topically. Frequent change of injection site with anticoagulants helps to prevent further problem. You should consult surgeon for further advice.