Finger Joint Issues: When to See a Doctor - Family Medicine

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Finger issues


Hello doctor, in the past couple of days, I noticed a greenish growth near the middle joint of my left index finger.
It is only visible when I bend my finger, and pressing on it causes pain.
When not pressed, there is a slight discomfort in that area.
Which specialty should I see for this issue?

Niming, 30~39 year old female. Ask Date: 2022/10/23

Dr. Xiao Yongxun reply Family Medicine


Please consult an orthopedic specialist to discuss potential issues.

Reply Date: 2022/10/23

More Info


When it comes to finger joint issues, particularly when you notice a new growth or change in the appearance of your fingers, it's essential to take these symptoms seriously. Based on your description of a green growth near the middle joint of your left index finger, which is painful when pressed and causes discomfort even at rest, it is advisable to seek medical attention.

The first step would be to consult with a healthcare professional who specializes in musculoskeletal issues, such as an orthopedic surgeon or a hand specialist. These specialists are trained to diagnose and treat conditions affecting the bones, joints, ligaments, and tendons of the hand and fingers. They will be able to perform a thorough examination, which may include imaging studies like X-rays or MRI, to determine the nature of the growth and any underlying issues.

There are several potential causes for the symptoms you are experiencing. One possibility is a ganglion cyst, which is a benign fluid-filled sac that can develop near joints or tendons. These cysts are often painless but can become uncomfortable if they press on surrounding structures. Another possibility could be a condition known as tenosynovitis, which is inflammation of the sheath surrounding a tendon, often resulting in swelling and pain. In some cases, a growth could also indicate a more serious condition, such as a tumor or infection, which would require prompt evaluation and treatment.

In addition to the physical examination, the doctor may ask about your medical history, any recent injuries, and your activities, especially if you engage in repetitive motions or sports that could strain your fingers. This information will help them make a more accurate diagnosis.

If the growth is determined to be a ganglion cyst or another benign condition, treatment options may include observation, aspiration (removing the fluid with a needle), or surgical removal if it causes significant discomfort or functional impairment. If the issue is related to inflammation or injury, the doctor may recommend rest, splinting, physical therapy, or anti-inflammatory medications.

It's important not to delay seeking medical advice, as early intervention can prevent further complications and improve your overall hand function. If you notice any additional symptoms, such as increased swelling, redness, or fever, these could indicate an infection or other serious condition, and you should seek medical attention immediately.

In summary, given your symptoms, it is advisable to see an orthopedic specialist or a hand surgeon. They will provide a comprehensive evaluation and guide you through the appropriate treatment options based on their findings. Remember, taking care of your hands is crucial, especially if you are involved in activities that require fine motor skills or heavy use of your hands.

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