Mid thigh lump
Sorry for the long post, but there is a fair story ...
Back in 2021 I fell off a bicycle whilst travelling at a speed or around 20mph. I landed on my right thigh, which took the brunt of the impact about half way between the hip and knee as it met a tree root. I was seen in an acute injuries clinic and they identjfied I had additional minor soft tissue damage to my legs. I haf some tingling sensations in my right calf and a DVT risk assessment came back as low, staff were happy with my circulation at the time.
I had a bad bruise at the main impact site and the haematoma took over 8 months to resolve with physical therapy at 3 months and 6 to 9 months post injury. During an ultrasound scan by a physio 6 months after the injury was told I have some calcification of the muscle and some evidence of rupture.
About 18 months after the original injury, I still had a lump (18cm x 8cm) at the site of the impact and I also was aware of some tenderness in my right hip. I saw an orthopedic surgeon who had an MRI done and I was told I had trauma to my spine (referred pain in hip) and the lump was linked to the trauma to the muscle and further physio was reccommended. The orthopedic surgeon mainly seemed impressed my femur was intact.
I did another course of physiotherapy following the ortho consultation. During massage my lump would disappear but during exercise it would reappear. Walking up stairs or riding a bicycle was a guarantee the lump would pop out. When the lump is prenounced I feel like there is an elastic band around my thigh and the discomfort impedes mobility and I end up with a lop-sided gait. I applied a compression/support bandage mid thigh and with this I was able to exercise without the lump forming. I continued this bandage use for about 9 months. During this time I also learnt I could pop it back in by using a foam roller to apply pressure whilst extending my leg.
Then I developed psoratic arthritis in early 2024 (high disease activity) and the lump became rather academic. I struggled with all exercise and I couldn't tolerate the compression sleeve as it increased muscle fatigue and gave me pins and needles. Stiff joints plus reduced sensation was causing me to fall and it became dangerous so I stopped using the compression sleeve. That said, I also wasn't active enough for it to be an issue.
The 9 months of compression has helped my lump, it is smaller now (15cm x 5cm) and doesn't pop out so readily. I am finally on a medication that seems to be working for my arthritis, with more good days I want to be more active, but more activity makes the muscle more of an issue, my fitness is also crap after 2.5 years of battling the arthritis and for a good portion of that unable to walk more than a few meters. I am still using aids for stability as I build strength and I am not yet able to tolerate the compression bandage again. So, when I do walk, this lump pops out and makes it tricky for me to use my right leg.
I also suffer from Raynaulds syndrome, migraines, skin psorasis, asthma, eczema, and PTSD. I have evidence the arthritis is linked to digestive issues, bladder symptoms, eye issues and mouth dryness. I take a small pharmacy's worth of supplements, anti-depressants, beta blockers and methotrexate, sometimes adding steroids into the mix.
Is there likely to be a permenant "cure" for my troublesome lump? If so do you think surgery is likely? Are you able to give an indicative recovery time for a "normal" person (my athritis obviously makes any recovery time more unpredictable).