Do I Really Need Surgery for My Wrist Pain and Bumps?

Q: Do I Really Need Surgery for My Wrist Pain and Bumps?

Hello： Based on your description, it is possible that there are issues with the wrist bones and ligaments. <br>The decision to proceed with surgery will depend on the location of the lesions and the degree of wrist function limitation. <br>If you have concerns about the recommend

Do I really need surgery?

Hello! About three years ago, I slipped and injured my left wrist, but at that time, I didn't seek any treatment because I felt it was not serious.
Now, my wrist is very painful, and the frequency of the pain is increasing.
Previously, I received treatment at a traditional martial arts clinic, but there has been no improvement.
I have also noticed that there seems to be a lump on the left side of my wrist, and another lump on the lower right side of my wrist.
Therefore, I went to the hospital for a thorough examination.
The doctor said that my bones are misaligned and there are signs of ligament rupture.
I also saw a small shadow in the middle of the wrist bones on the X-ray.
The doctor mentioned that I need surgery, but did not explain the lumps on my wrist.
Could the lumps be a result of a tenosynovial tumor, or are they caused by long-term poor posture? Also, do I definitely need surgery? I would appreciate your answers.
Thank you!

Mrs. Tang, 20~29 year old female. Ask Date: 2006/04/17

Dr. Shi Qiming reply Orthopedics

Hello: Based on your description, it is possible that there are issues with the wrist bones and ligaments.
The decision to proceed with surgery will depend on the location of the lesions and the degree of wrist function limitation.
If you have concerns about the recommendations from your original physician, I suggest you visit our orthopedic outpatient clinic for further examination and discussion of your condition with a physician.
As for the lump on your wrist, a clinic examination is necessary to diagnose the specific lesion; it cannot be determined solely based on your description.
Thank you!

Reply Date: 2006/04/17

More Info

It sounds like you are experiencing significant wrist pain and have developed bumps that may be concerning. Based on your description, it seems that you have sustained an injury to your wrist three years ago, which has led to ongoing pain and the development of hard lumps. The fact that your doctor has indicated that there is a bone displacement and signs of ligament damage is important and suggests that there may be underlying structural issues that need to be addressed.

Firstly, let's discuss the potential causes of the bumps you are experiencing. The hard lumps on your wrist could be due to a variety of reasons, including ganglion cysts, which are fluid-filled sacs that can develop near joints or tendons, or they could be related to the injury you sustained. If the lumps are indeed ganglion cysts, they are typically benign and may not require surgical intervention unless they are causing significant pain or functional impairment. However, if the lumps are indicative of a more serious condition, such as a tumor or a result of chronic inflammation due to poor wrist posture or repetitive strain, further evaluation would be necessary.

Regarding the need for surgery, it is crucial to weigh the benefits and risks. Surgery may be recommended if conservative treatments (such as physical therapy, splinting, or corticosteroid injections) have failed to alleviate your symptoms, or if the structural damage is severe enough to warrant surgical intervention. Surgical options could include repairing the ligaments, realigning the bones, or removing any cysts or tumors that may be present.

It is also important to consider the long-term implications of not having surgery. If your wrist is indeed misaligned and the ligaments are damaged, this could lead to chronic pain, decreased range of motion, and potentially arthritis in the future. Therefore, if your doctor has recommended surgery, it is likely because they believe that it is the best option to restore function and alleviate pain in the long run.

Before making a decision, it may be beneficial to seek a second opinion from another orthopedic specialist, particularly one who specializes in wrist injuries. They can provide further insight into your condition and discuss alternative treatment options if surgery is not the only path forward.

In summary, while surgery may be necessary to address the underlying issues in your wrist, it is essential to have a thorough discussion with your healthcare provider about the reasons for the recommendation, the expected outcomes, and any potential risks involved. Additionally, exploring non-surgical options and obtaining a second opinion can help you make a more informed decision regarding your treatment plan.

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