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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lump Under Skin

I have a hard lump under the skin on my thigh exactly an inch above my knee. It looks purple-ish under the skin. There is no surface bruise on top of the skin, and no injury to the area. It is sensitive to pressure. Help please. Don t know what to do. I was kneeling and picking up my daughter and then suddenly this happened.
Mon, 9 Jan 2017
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Dermatologist 's  Response
Hi,

I reviewed your question. There can be many reasons for a hard, purplish lump under the skin With your history of it suddenly appearing after kneeling and straining (picking up your daughter), it is most likely a small ruptured varicose vein, which would be like a deep-seated bruise. There is also perforating veins that can rupture or form little lumps.

Do you have spider veins or varicose veins? This lesion should be self-limiting and heal within 2-3 weeks. If it is sensitive, ice or a heparin gel application might make it better.If you were my patient and it is not disappearing within a few weeks, I would take it out (excision) and submit it to microscopic examination (histopathology) to rule out anything more serious.

I used to treat many patients with varicose veins in my practice, and if you have any of these, it may be advisable to either have them treated by a phlebology specialist (specialist in leg vein diseases), or just wearing compression stockings or - pantyhose to prevent it from happening again.

Hope I have answered your question. If you have any further questions I will be happy to help and to explain further.

Regards,
Dr Christine Sauer
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Suggest Treatment For Lump Under Skin

Hi, I reviewed your question. There can be many reasons for a hard, purplish lump under the skin With your history of it suddenly appearing after kneeling and straining (picking up your daughter), it is most likely a small ruptured varicose vein, which would be like a deep-seated bruise. There is also perforating veins that can rupture or form little lumps. Do you have spider veins or varicose veins? This lesion should be self-limiting and heal within 2-3 weeks. If it is sensitive, ice or a heparin gel application might make it better.If you were my patient and it is not disappearing within a few weeks, I would take it out (excision) and submit it to microscopic examination (histopathology) to rule out anything more serious. I used to treat many patients with varicose veins in my practice, and if you have any of these, it may be advisable to either have them treated by a phlebology specialist (specialist in leg vein diseases), or just wearing compression stockings or - pantyhose to prevent it from happening again. Hope I have answered your question. If you have any further questions I will be happy to help and to explain further. Regards, Dr Christine Sauer