Painful Lumps: What Could This Spine Growth Be?

The lump is painful?

Yesterday, I discovered a hard lump approximately 1 to 2 centimeters to the right side of my spine, measuring about 1.5 centimeters in length.
It is painful when pressed, but I do not feel any discomfort when it is not touched.
This lump has been present for about two days.
The surface feels smooth, but it cannot be moved.
I would like to know what this symptom could be.
Is it possible that it is a dermatological papule?

Ms. Wu, 10~19 year old female. Ask Date: 2020/05/31

Dr. Chen Jiaming reply Surgery

I sincerely apologize, but an online consultation cannot provide a further diagnosis based solely on your description, as it is difficult to determine whether there are visible skin lesions or a subcutaneous tumor.
I recommend asking a family member or friend for assistance in confirming this.
If the lesions are externally visible, you should see a dermatologist; if it is a subcutaneous mass, you can consult a general surgeon.

Reply Date: 2020/05/31

More Info

When you discover a painful lump near your spine, particularly one that has developed rapidly over a couple of days, it can understandably cause concern. Based on your description, the lump is approximately 1.5 centimeters in size, hard to the touch, smooth on the surface, and painful when pressed. While I cannot provide a definitive diagnosis without a physical examination and possibly imaging studies, I can offer some insights into what this lump might be and the potential next steps.

Firstly, the lump could be a variety of things, including a lipoma (a benign fatty tumor), a cyst, or even a muscle knot (myofascial trigger point). Given that it is painful when pressed, it may also be related to muscle tension or inflammation in the surrounding tissues. Muscle knots can occur due to overuse, poor posture, or stress, and they can sometimes feel like hard lumps under the skin.
Another possibility is that it could be a ganglion cyst, which is a fluid-filled sac that often forms near joints or tendons. These cysts can be painful, especially if they are pressing on nearby nerves or tissues.
In some cases, a lump could indicate a more serious condition, such as a herniated disc or a bone spur, particularly if it is associated with other symptoms like radiating pain, numbness, or weakness in the limbs. However, since you mentioned that the lump is not causing any other symptoms apart from localized pain, this may reduce the likelihood of a serious underlying issue.

It is also important to consider the possibility of a dermatological condition, such as a dermatofibroma or a sebaceous cyst, which can also present as hard lumps on the skin. These conditions are typically benign but can cause discomfort if they become inflamed or infected.

Given that the lump has appeared suddenly and is causing you pain, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound or MRI, to better understand the nature of the lump. They may also consider a biopsy if there is any concern about malignancy.

In the meantime, it is essential to avoid pressing on the lump or engaging in activities that may exacerbate the pain. Applying a warm compress may help alleviate discomfort, but be cautious and consult with a healthcare professional before trying any home remedies.

In summary, while there are several potential explanations for the lump you have discovered, it is crucial to have it evaluated by a medical professional to determine the exact cause and appropriate treatment. Early intervention can help prevent any complications and provide you with peace of mind regarding your health.

Similar Q&A

Understanding Tumors: Insights on Growths and Health Concerns

Hello Dr. Yang, 1. I have recently discovered a protrusion approximately 3 cm in diameter located centrally below the sternum (at the junction of the ribs on both sides). This has been present for over six months. For the past ten years, I have occasionally experienced pain radi...

Dr. Yang Youhua reply Oncology
The concern you raised seems to be about the possibility of a malignant tumor; however, based on your description, the lump does not appear to be malignant. The lump in the right groin may be related to a tinea infection, and since your brother is also experiencing a similar lump...

Which Specialist to See for a Growing Tumor on the Spine?

I have a tumor on the upper right side of my spine. A few years ago, it was small and painless, but at the end of October this year, it suddenly started to grow larger and has become increasingly painful. The pain is sharp, and I feel it even without touching it. Which department...

Dr. Chen Junyi reply Oncology
You can go to the neurosurgery department.

Understanding a Growing Lump on the Back: When to Seek Medical Advice

Hello Dr. Tsai: My brother has had an unknown lump on his back for about 5-6 years. It has been growing larger with age; it was not very noticeable before, but now it is approximately 3 cm in size. However, it is not painful and he feels nothing at all. What could this condition ...

Dr. Cai Jueren reply Family Medicine
Hello: The unidentified mass you described may be a lipoma. It is recommended that you take him to a dermatology clinic, and it would be best to have it excised and undergo pathological examination. Thank you for your correspondence. Dr. Tsai Jue-Ren, Hualien Hospital.

Understanding Painful Upper Back Lumps: Causes and When to Seek Help

Waking up in the middle of the night with sudden back pain, I found a small hard lump on my upper back that is painful to touch. After researching online, I came across information suggesting it could be a posterior protrusion of the thoracic vertebra, or possibly a bone tumor or...

Dr. Chen Yongxue reply Orthopedics
Hello, you should first see an orthopedic specialist for further examination. Thank you.