My (assumed) pseudolipoma is a painful little sucker

[Valdeztke]

Hi all. Great forum here, Matt! Lots of good input and active people.

I'm still playing the "Go to this Dr." game in my diagnosis process, but I think I've narrowed it down to two post traumatic pseudolipomas and boy oh boy are they causing me a world of hurt.

In July I suffered a compression injury, a shearing like tear (twisted and fell onto a handrail on my back). The pain was an immediate sharp, burning in LEFT mid-back. Pain subsided after 30 minutes. The following day more severe pain returned in the AM, unable to leave bed. About a week later two masses appeared at the site of the pain, one small one, one slightly larger one (size of a thumbnail).

Pain and sensitivity is local and increases with mechanical activity along with a renewed ‘tearing’ feel. My wife has been massaging the muscles around the injury and it has helped quite a bit, but there is still a very painful lump that no one can figure out what it is.

My GP referred me to a chiropractor. 3 weeks therapy. RESULT: no improvement.
Then one week Active Release Therapy. Helped with some of the intital referred pain, but didn't make the "tumor" pain stop. I think it's wrapped into the cutaneous branches of spinal dorsal rami (nerves near the T9 and T10)

GP referred me to an Ortho for possible traumatic hematoma with resolving fibrosis of thoracolumbar fascia or soft tissue adhesion with never entrapment. Ortho ordered MRI (w/o contrast) and was unable to distinguish masses via imaging. Ortho recommended general surgery consult for additional imaging and further diagnosis.

Went to see a surgeon and he ordered an ultrasound. The doc reading the ultrasound said he saw what looked like a barely visible lipoma, but it was unencapsulated and again, wasn't even a true lipoma, but rather "excessing fat tissue." whatever that means.

I have a family history of cancer, but none of the docs upon looking at the imagining even remotely considered this to be any form of cancer.

Now I'm just waiting to see what the next step is. In the interim, I'm curious if anyone here has ever had a traumatic lipoma, specifically one that got all wound up on your surface nerves and caused muscle spasm.

Also, is surgey any different with unencapsulated?

[fb88]

No different than any general surgery, avoid blood vessels, muscle tissue, etc...