Muscle Pain - I had a very large hematoma in my right thigh two months ago. During this episode I?
Question posted by ST3 on 17 Aug 2012
Last updated on 18 August 2012
... could not move my leg at all. I had emergency surgery to to remove the hematoma, and a 1.5 liter of blood clot was removed from my thigh. However, my leg remained extremely swollen for 3 weeks (normal circumference = 22"; swollen circumference = 36"). The first two weeks of this three week period, I was bedfast, and underwent physical therapy to use a walker. I am currently walking with a cane, but I have an indentation on the quadricep that is 1" wide and roughly 4" long and runs perpendicular to my leg. I have a constant burning sensation in this indentation. Palpating the muscle under this indentation causes a very sharp, very intense stabbing pain with severe burning pain for several hours after palpation. The pain associated with this indentation follows the quadricep to the knee, and makes it painful to bend my knee.
Finally, my questions:
1.) Is this pain related to permanent damage? 2.) What are my pain management options?
Added 21 Aug 2012:
The original surgery was a cardiac ablation for atrial fibrilation. In post-Op, the post operative nurses removed the catheter sheath from my right femoral vein, and ripped three holes in my femoral artery. The hematoma formed over the next 17 hours, until I was eventually in hypovolemic shock. During this time, the hematoma enlarged, and my thigh circumference max'd out at 36"
Please only ask me about ppain and paindrugs those are my qualifying mojos.
18 Aug 2012
It sounds like you have some nerve damage from the pressure of the blood clot and then swelling. Usually those kind of things repair themselves, but it takes time. How in the world did you get such a huge hematoma? Your doc should be able to help you out with pain, or send you to a pain management doc. There are several meds that are used for nerve pain. One of the simple things that may work is lidoderm patches. They are a local anesthetic, and numb the area.