and Treating Bumps on the Back of Your Hand - Dermatology

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Itchy dorsal hand?


Recently, I've noticed small, raised bumps on the back of my hand.
They are not very large, but they cover a significant area, and sometimes I find one or two bumps in other places as well.
I've tried essential oils and other remedies, but they haven't been effective.
What should I do about this?

Bao'er, 10~19 year old female. Ask Date: 2016/09/29

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is difficult to make a definitive diagnosis.
If it is causing significant distress, please seek medical attention as soon as possible.

Reply Date: 2016/09/29

More Info


When it comes to bumps on the back of your hand, it’s essential to first understand what these bumps could be. Based on your description, they could be a variety of conditions, including ganglion cysts, lipomas, or even dermatological issues like warts or seborrheic keratosis. Each of these conditions has different characteristics and treatment options.

Ganglion Cysts: These are fluid-filled sacs that often develop near joints or tendons, particularly in the wrist and hand. They can vary in size and may feel firm or soft. Ganglion cysts are typically benign and may not require treatment unless they cause pain or discomfort. If they are bothersome, options include aspiration (removing the fluid with a needle) or surgical removal.

Lipomas: These are benign tumors made of fat tissue. They are usually soft, movable, and painless. Lipomas can occur anywhere on the body, including the hands. If a lipoma is causing discomfort or if you simply want it removed for cosmetic reasons, surgical excision is the most common treatment.

Dermatological Conditions: Conditions like warts (caused by the human papillomavirus) or seborrheic keratosis (a non-cancerous skin growth) can also present as bumps on the skin. Warts may require treatments such as cryotherapy (freezing), topical treatments, or laser therapy. Seborrheic keratosis is often left untreated unless it becomes irritated or bothersome, in which case it can be removed through various methods, including cryotherapy or curettage.

Diagnosis and Treatment: Since you mentioned that essential oils and other home remedies haven’t worked, it’s advisable to consult a healthcare professional for a proper diagnosis. A dermatologist can examine the bumps and may perform a biopsy if necessary to rule out any serious conditions.
In terms of treatment, the approach will depend on the diagnosis. For benign conditions like ganglion cysts or lipomas, monitoring may be sufficient if they are not causing any symptoms. If they are painful or affecting your daily activities, surgical options are available.
Self-Care and Management: In the meantime, you can manage any discomfort by avoiding activities that exacerbate the pain. Applying ice to the area may help reduce swelling if there is any inflammation. Over-the-counter pain relievers like ibuprofen or acetaminophen can also be used to alleviate pain.

Preventive Measures: If you suspect that repetitive activities or strain from your occupation (such as gripping or using tools) might be contributing to the bumps, consider taking regular breaks and using ergonomic tools to reduce strain on your hands.

In conclusion, while bumps on the back of your hand can be concerning, many are benign and manageable. Seeking a professional evaluation is the best course of action to determine the exact nature of the bumps and to discuss appropriate treatment options. Remember, early intervention can often lead to better outcomes and peace of mind.

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