How to Address Persistent Painful Bump After Fish Spine Injury - Dermatology

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Why haven't you responded to the consultation on August 28th?


Hello: A year ago, while cleaning a fish that had not completely thawed, I was injured by a fish bone that pierced my finger.
After the wound healed, a small lump formed at the site.
It has not disappeared until now, and sometimes it becomes inflamed and painful when pressure is applied to the lump.
I am unsure how to handle this.
Please advise me, thank you! Sandy 91.9.2

sandy, 40~49 year old female. Ask Date: 2002/09/02

Dr. Zheng Lizhen reply Dermatology


It could be a wart, a granuloma, or something else; it is not possible to make a diagnosis based solely on your description.
Please consult a nearby dermatologist for an accurate diagnosis and treatment.

Reply Date: 2002/09/02

More Info


Dear Sandy,
Thank you for reaching out regarding your persistent painful bump following your fish spine injury. It sounds like you've been dealing with a challenging situation for quite some time, and I understand how frustrating it can be to have a lingering issue that affects your daily life.

From your description, it seems that the small bump you are experiencing may be a result of a few different factors. After an injury like the one you described, it is not uncommon for scar tissue to form, which can sometimes lead to the development of a small lump or nodule at the site of the injury. This lump could also be a result of a foreign body reaction, where your body is reacting to residual material from the fish spine that may have been left behind, or it could be a cyst or a benign growth that has developed in response to the injury.

The inflammation and pain you experience when pressure is applied to the bump suggest that there may be some ongoing irritation or inflammation in that area. This could be due to the body’s natural healing process, which can sometimes become prolonged, especially if there is any residual foreign material or if the area has not healed properly.

Here are some steps you can take to address this issue:
1. Consult a Healthcare Professional: Since the bump has persisted for a year and is causing pain, it is advisable to consult a healthcare professional, such as a dermatologist or an orthopedic specialist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound or X-ray, to assess the bump more thoroughly.

2. Consider Minor Surgical Intervention: If the bump is determined to be a foreign body or a cyst, your doctor may recommend a minor surgical procedure to remove it. This can often provide immediate relief from pain and inflammation.

3. Anti-inflammatory Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help reduce inflammation and alleviate pain. However, it is essential to use these medications as directed and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

4. Warm Compresses: Applying a warm compress to the area may help reduce inflammation and promote blood flow, which can aid in the healing process. Make sure the compress is not too hot to avoid burns.

5. Avoid Irritation: Try to avoid activities that may irritate the bump further, such as pressing on it or exposing it to tight clothing or jewelry.

6. Monitor for Changes: Keep an eye on the bump for any changes in size, color, or pain level. If you notice any significant changes, it is crucial to seek medical attention promptly.

7. Physical Therapy: If the bump is affecting your range of motion or causing discomfort in your hand, a physical therapist may be able to provide exercises and treatments to help alleviate pain and improve function.

In summary, while it is possible that the bump is a benign condition, it is essential to have it evaluated by a healthcare professional to rule out any serious issues and to discuss the best course of action for treatment. Your health and comfort are paramount, and addressing this issue sooner rather than later can help you return to your normal activities without pain.

Best wishes for your recovery, and I hope you find relief soon.

Sincerely,
Doctor Q&A Teams

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