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Hi Rosemary,
Most likely the knot is just a bruise left over. The blood sometimes escapes from the artery while they are poking around and just hardens there to eventually breakdown and be reabsorbed. And the sharp pains are probably just a nerve getting annoyed with some of the left over swelling and such.
I have angios every month and sometimes there is more bruising and will leave a bump. I do however, ALWAYS call the docs office if something new seems to come up. And at this point I just preface it with "I know I'm turning into a hypochondriac but here is my new symptom..." They have never made me feel anything but glad to have made the call. It's always better safe than sorry.
I would say you shouldn't be too worried. As long as the puncture sight is closed and looks stable, you are prob good to go. But def tell your doc just in case. :)
Shalon
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