There is a hard lump on the hand that is painful?
There is a lump between my elbow and wrist...
It started off small, but then it grew larger and has become painful.
What could this be? Should I see a doctor? If so, which specialist should I consult? Thank you!
Rong, 20~29 year old female. Ask Date: 2005/04/10
Dr. Lu Shangbin reply Surgery
Hello, the most commonly encountered subcutaneous benign tumors (such as epidermoid cysts and lipomas) typically do not cause pain.
However, if there is associated local inflammation, they may become red, swollen, painful, and warm.
It is advisable to consult a surgeon to determine whether surgical removal or medication management is necessary, depending on the condition.
Reply Date: 2005/04/10
More Info
When you notice a painful lump between your elbow and wrist that has progressively grown larger, it is essential to take this symptom seriously. There are several potential causes for such a lump, and understanding these can help you determine the appropriate course of action.
One common cause of a lump in this area could be a ganglion cyst. These are fluid-filled sacs that often develop near joints or tendons, particularly in the wrist. They can vary in size and may become painful if they press on nearby nerves or tissues. Another possibility is a lipoma, which is a benign tumor made of fatty tissue. While lipomas are generally painless, they can sometimes cause discomfort if they grow large enough to press on surrounding structures.
In some cases, the lump could be related to an inflammatory condition, such as bursitis or tendinitis. Bursitis occurs when the bursae, small fluid-filled sacs that cushion the bones, tendons, and muscles near your joints, become inflamed. Tendinitis, on the other hand, is the inflammation of a tendon, often due to repetitive motion or overuse. Both conditions can lead to swelling and pain in the affected area.
Infections can also cause lumps, particularly if there is redness, warmth, or fever accompanying the swelling. An abscess, which is a collection of pus that can form due to infection, may also present as a painful lump. If the lump is accompanied by systemic symptoms like fever or chills, it is crucial to seek medical attention promptly.
Given the variety of potential causes, it is advisable to consult a healthcare professional. You should consider seeing a primary care physician first, who can evaluate your symptoms and may refer you to a specialist if necessary. Depending on the findings, you might be referred to an orthopedic surgeon, a rheumatologist (if an inflammatory condition is suspected), or a dermatologist (if a skin-related issue is involved).
During your visit, be prepared to discuss the following:
1. The duration of the lump and any changes in size or pain level.
2. Any associated symptoms, such as redness, warmth, or fever.
3. Your medical history, including any previous injuries or conditions affecting your joints or tendons.
4. Any activities that may have contributed to the development of the lump, such as repetitive motions or trauma.
In summary, while a lump between the elbow and wrist can have various causes, it is essential to seek medical advice, especially if it is painful and growing. Early evaluation can lead to a proper diagnosis and treatment plan, helping to alleviate your symptoms and address any underlying issues. Remember, it is always better to err on the side of caution when it comes to changes in your body.
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