<s>[INST] I hit just to the right of my tibia on the center console of a car.  Then about 10 minutes later there was a large hematoma so I iced it which seemed to make the hematoma go down a little. Now I have a very large bruise that hurts even without touching it. Sometimes when it is touched it feels like a pinching sensation. The lump is small but still there and is extremely tender and sensitive. What should I do? Will this just take time? Are there any risks I should be concerned about? [/INST] Hi.When the hematoma is under tension , it will cause tremendous pain. Since this hematoma is under the periosteum, which is fixed to the bone , this causes such an extreme pain.Show to the Orthopedic Surgeon.He may decide to give you medicines or put a needle to drain this and put a pressure bandage. </s>