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  1. #1
    PeT
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    Localized swelling at impact site (hip) appeared week later...

    First off, I do have an appointment with a physician in a week (earliest available), but wondered if someone could proffer an explanation for my issue in the meantime. I crashed hard in a race two weeks ago, smashing down on my hip and shoulder. Sat stunned for a minute, then got up and rode a lap before dropping. Requisite and expected road rash and bruising, but a week later I developed a fist sized soft lump on my hip with no obvious discoloration. It formerly was not sensitive to the touch, but now is. The joints all feel fine, but as the rest of my scrapes and bruises are resolving, this bizarre "mass" is hanging on. I'm noticeably asymmetric in the mirror, with my regular boney left side hip and a womanly rounded hip on the right side. I've crashed and banged myself in various ways over the years (lots of standard road rash and bruises, broken scaphoid, separated rib cartilage) but this one's new to me -- any ideas? Thanks
    "The plural of anecdote is not data." -- Attributed to various people in a variety of forms, but always worth remembering...

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    I had the same thing happen to me when I hairline cracked the tip of one of my elbows. Never got an official explanation, but my various nursing knowledge led me to believe it was just a lot of fluid buildup and an inflammatory process going on. My elbow was a good 2 or 3" bigger than the other. It slowly resolved over a few weeks. Super sensitive and the lump/mass wasn't bruised itself, though the surrounding area on my arm was. I was prescribed naproxen ('script strength Aleve, essentially) and it helped with the tenderness.

    I'm curious to see what your doctor says!

  3. #3
    PeT
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    If anyone cares, here's how my swelling resolved and the diagnosis. Recap: swelling started a week after accident, lasted about 10 days and then rapidly resided, no significant pain associated with the site. Physician (good sports doc with lots of cycling experience, including team doc for domestic professional team) was confident it was due to having "separated my skin from underlying tissue due to shear forces" as I slid across the ground on the wreck. So basically there was a pocket for fluid to seep into and the body "abhors a vacuum". As it heals, the fluid is reabsorbed. She said it was common and nothing to worry about -- she's seen some big ones in her time. Despite crashing any number of times over the past 35 years of serious cycling, this is one that was new to me. Just FYI...
    "The plural of anecdote is not data." -- Attributed to various people in a variety of forms, but always worth remembering...

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    I have the same thing right now, ventral surface just proximal to my knee. It comes and goes a bit depending on whether I'm walking, sitting, etc. Everything has checked out fine at the hospital, and there's no real pain. The only problem is that the fluid buildup prevents me from fully flexing my knee: I have to gradually flex it to let the fluid disperse, otherwise it just puts too much pressure on the joint.

  5. #5
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    Quote Originally Posted by PeT View Post
    If anyone cares, here's how my swelling resolved and the diagnosis. Recap: swelling started a week after accident, lasted about 10 days and then rapidly resided, no significant pain associated with the site. Physician (good sports doc with lots of cycling experience, including team doc for domestic professional team) was confident it was due to having "separated my skin from underlying tissue due to shear forces" as I slid across the ground on the wreck. So basically there was a pocket for fluid to seep into and the body "abhors a vacuum". As it heals, the fluid is reabsorbed. She said it was common and nothing to worry about -- she's seen some big ones in her time. Despite crashing any number of times over the past 35 years of serious cycling, this is one that was new to me. Just FYI...
    thanks for the update! Makes sense why it happens, but kind of makes me shudder! Skin shearing away, yuck!

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