Posted by: Sally | 2008/09/29

Heamatoma: gluteal area

I' ve been diagnosed with a heamatoma in the gluteal area between the muscle and the subcutaneous fat. This was sustained during a martial arts training session due to a kick on the glute / bum. I' ve been given cream, Synap Forte and Cataflam.
A week later I' ve finished my prescribed pain medication and anti-inflammatory. Even though the heamatoma does feel smaller (it was about 8 x 8 cm - now 5 x 5 cm) the pain is still excrutiating and without medication I am unable to sit, drive or sleep.
How long is it supposed to take to heal or should I return to my doctor. I don' t want to end up with an ulcer because of all the medication as well. In what cases are these surgically removed?

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Our expert says:
Expert ImageCyberDoc

Dear Sally
We usually try not to interfere with it surgically unless it makes an abcess - if you cut into it you only give germs an opening to walk into! Hematomas are usually painful because the blood causes a chemical inflammation in the area. Ultrasound given by a physiotherapist may help this to resolve quicker. You may need to use pain medication a while longer.
Dr Bets

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