Wrist Bumps: When to Worry About Tendonitis - Orthopedics

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Protrusion near the wrist?


As shown in the attached image, the area with the black pigment spots is raised.
However, I visited a doctor two weeks ago, and the doctor diagnosed it as tendinitis and applied Dexamethasone tape for two weeks, but there are still no signs of reduction.
Although there is no pain, I am unsure if this situation is normal.

Lin Xiansheng, 20~29 year old female. Ask Date: 2022/09/25

Dr. Shi Guozheng reply Orthopedics


It can be observed for a while to see if it is indeed tendinitis, which sometimes can be accompanied by a tendon sheath cyst.

Reply Date: 2022/09/25

More Info


When it comes to understanding wrist bumps, particularly in the context of tendonitis, it is essential to consider several factors, including the nature of the bump, accompanying symptoms, and the duration of the condition. Based on your description, it seems that you have been diagnosed with tendonitis, and despite treatment with a topical medication, the bump has not decreased in size over the past two weeks.
Tendonitis is an inflammation of a tendon, which is the fibrous tissue that connects muscle to bone. It can occur in various parts of the body, including the wrist, and is often caused by repetitive movements or overuse. Common symptoms of tendonitis include pain, swelling, and stiffness in the affected area. However, you mentioned that you are not experiencing any pain, which is a positive sign.
The presence of a bump or swelling in the wrist area can be concerning, but it is not uncommon for tendonitis to manifest as a lump. This bump may be due to inflammation or thickening of the tendon itself. In some cases, the swelling may persist even after the pain has subsided, as the body continues to heal.
It is also worth noting that the effectiveness of the treatment can vary from person to person. The use of a topical medication like Dexamethasone (德山菲比) can help reduce inflammation, but it may take time to see significant changes, especially if the tendonitis has been present for an extended period. If the bump has not decreased in size after two weeks of treatment, it may be advisable to follow up with your healthcare provider for further evaluation.

In terms of when to worry about tendonitis, consider the following signs that may warrant further medical attention:
1. Persistent Swelling: If the bump continues to grow or does not show signs of improvement after a few weeks of treatment, it is essential to consult your doctor.

2. Pain Development: While you currently do not have pain, the sudden onset of pain or discomfort in the area could indicate a worsening condition.

3. Limited Range of Motion: If you start to experience difficulty moving your wrist or if the bump restricts your ability to perform daily activities, this could be a cause for concern.

4. Changes in Color or Temperature: If the area around the bump becomes red, warm, or shows other signs of infection, you should seek medical advice promptly.

5. Accompanying Symptoms: If you experience fever, chills, or other systemic symptoms, it is crucial to consult a healthcare professional.

In conclusion, while the absence of pain is a good sign, the persistence of the bump after treatment may require further investigation. It is always best to err on the side of caution and discuss your concerns with your healthcare provider, who may recommend imaging studies or alternative treatments to address the underlying issue. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek further medical advice if you feel it is necessary.

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