Can a intramuscular lipoma on lower back/iliac crest cause severe pain?How long until I am back to sports after removal surgery?

Question

I have a deep lipoma on my iliac crest and lower back.My orthopedic surgeon that performed two arthroscopic for a torn labrum, said he would suggest an injection.I am in a severe amount of pain and he does not seem to want to remove it.The pain is a shocking sensation on my lower right back, weakness to front of groin and down my right leg.I consulted with a dermatologist,he told me it was intramuscular and a general surgeon is a good option.(The lipoma did not show on a mri but you can feel it)

Daniel Barrett, MD · Answer

Dear cassidymarie,lipoma usually don't create any symptoms unless it provides pressure on nerve and it should be seen on MRI. If you have pain, I suggest you to consult neurologist or neurosurgeon and get an examination.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jerimiah Mason, MD · Answer

A lipoma should definitely show up on an MRI, unless it simply wasn't in the field imaged by the MRI.  It would be very unusual for a lipoma to cause the type of pain you are describing, even if it is intramuscular.  I would suggest seeing a neurologist or neurosurgeon to rule out your spine is not the source of your pain, which sounds more likely.

Can a intramuscular lipoma on lower back/iliac crest cause severe pain?How long until I am back to sports after removal surgery?

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