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  1. #1

    longitudinal fluid-filled tract in the subcutaneous tissues

    Hi Guys,


    Hoping you can health me with a problem I?m having!


    Since about early March, I?m having trouble sitting in the chair more than a few hoursl If I stay longer than 2 or 3 hours, I get extremely uncomfortable. I have had a similar discomfort for a few months previous, but not nearly as severe.



    There is significant muscle atrophy on the right side, 'gluteal fold' area. There was no external visible signs of skin breakdown or redness. Then there was was a very small red spot?but it could have been a spot.


    The right bum area in question, when touched, is described as there being a dinge or hollow underneath, in comparison to the left side. The bone underneath has been said to be more pronounced as well compared to the other side.



    I know muscle atrophy is obviously nothing new to me (10+years post SCI injury) but the pain and discomfort is acute, and I need to find a solution quickly.


    Recently, there has been small bump near the area. I got an MRI. My radiologist describes what?s under my skin as longitudinal fluid-filled tract in the subcutaneous tissues.


    I?m not sure if this is directly underneath the ?red spot? that was on my skin.


    The conclusion so far is that I need to watch the ?red spot? closely and pressure relieve if I think it is deteriorating.


    I'm getting an ultrasound in 5 weeks as a basis for follow-up.





    Any advice is welcome!? (e.g. The name of a type of consultant I should see etc)

  2. #2
    Where does it tract to and from? ( i.e from the bone/muscle to that spot?
    Sounds like pressure induced? . Have you seen a wound specialist? I would do pressure relief and stay off of it and see if it heals unless another possible cause.
    CWO

  3. #3
    Where does it tract to and from? ( i.e from the bone/muscle to that spot?

    They didn't outline that. I'll follow up.

    Sounds like pressure induced?

    Yeah, I think it was a result of bad posture over a long period on time, spending too much time on a J2.

    Have you seen a wound specialist?

    I saw a wound specialist . He wasn't specialised with spinals. He basically said it wasnt bad enough to operate..but that there was oedema ( slight swelling) on the deeper tissues. but this was 6 weeks ago.


    I would do pressure relief and stay off of it and see if it heals unless another possible cause.


    Would you stay off it until the slight bump goes away...cause otherwise there is not much sign of anything at the surface...I would be checking to see if the 'bump/swelling' goes down...
    Last edited by C5QuadGuy; 06-01-2016 at 03:59 AM.

  4. #4
    Everything isn't about an operation unless you are a surgeon.!? Theoretically, if fluid edema in the deep tissues I would stay off of it till that goes away. Edema+ swelling+ pressure. Did he have any recommendations? Just hope it is not near bone and results in osteomyelitis.
    CWO

  5. #5
    Hi again!

    My comfort level has increased a lot since my last post but I am in still a lot of pain some days. Attached is my latest MRI report.

    Even though I've been told the fluid filled tract is a lot better, do you think it is still responsible for the pain?

    Is there anything to increase the recovery time?

    Also, maybe could the pain be some sort of knock effect...like potentially the fluid filled tract causing sciatic nerve issues? (I have no history of anything like that though)


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