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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Large Knot On Shoulder Post Injury?

A dirtbike landed on my shoulder and nothing is broken but there is a huge knot on it and i ve been using hot and cold. I would like to know how to work the knot out with the least pain possible. I would also like to know how long i should wait before getting back on the bike. Thank you for taking time to help.
posted on Fri, 15 May 2015
Twitter Wed, 3 Jun 2015 Answered on
Twitter Wed, 3 Jun 2015 Last reviewed on
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General & Family Physician,  's  Response
Hello dear,

As per the case history provided in your post, it will be advisable to avoid getting back on bike till the pain & swelling subsides.
The swelling in the shoulder is due to accumulation of fluid & blood and it is called Hematoma.
The blood cells accumulated are eventually broken down and absorbed in the body.
But this is a slow process & takes times to disappear completely.
Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol/ ibuprofen)+ serratiopeptidase, ice compression & adequate rest.

If it still persists or there are any other associated symptoms like fever, loss of sensation, etc...then it will be better to consult your Doctor.
Under such circumstances, a proper clinical+ radiological evaluation (X ray of shoulder joint) will be needed to rule out any bursitis or fracture.

Till then, you should maintain adequate hydration & nutrition status.
There is no need to worry, you will be fine.

Wishing you a good health.
Take care.
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What Causes Large Knot On Shoulder Post Injury?

Hello dear, As per the case history provided in your post, it will be advisable to avoid getting back on bike till the pain & swelling subsides. The swelling in the shoulder is due to accumulation of fluid & blood and it is called Hematoma. The blood cells accumulated are eventually broken down and absorbed in the body. But this is a slow process & takes times to disappear completely. Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol/ ibuprofen)+ serratiopeptidase, ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, loss of sensation, etc...then it will be better to consult your Doctor. Under such circumstances, a proper clinical+ radiological evaluation (X ray of shoulder joint) will be needed to rule out any bursitis or fracture. Till then, you should maintain adequate hydration & nutrition status. There is no need to worry, you will be fine. Wishing you a good health. Take care.