a Lump Beneath the Ring Finger: Causes and Concerns - Orthopedics

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There is a growth located beneath the ring finger on the palm?


I recently discovered a lump beneath my ring finger on my palm that moves around when I press on it.
I usually don't feel anything, but it can be somewhat painful when I apply pressure.
What could this be? Additionally, I have shoulder and neck issues related to my work and am currently seeing a rehabilitation specialist.
Could the numbness and discomfort in my palm be related to this lump? Should I consider consulting a different specialist? Thank you for taking the time to answer my questions!

Yi, 20~29 year old female. Ask Date: 2006/06/27

Dr. Shi Guozheng reply Orthopedics


It could be a ganglion cyst, which means that the tendon sheath has been damaged, causing fluid to accumulate inside and form a tumor.
It typically develops near the tendon and usually does not require surgical treatment.
If it is not painful, there is no need to worry about it, and it is unrelated to shoulder or neck issues.

Reply Date: 2006/06/27

More Info


A lump beneath the ring finger can be concerning, especially if it is movable and causes pain when pressed. Based on your description, there are several potential causes for this lump, and understanding them can help you determine the best course of action.

One common possibility is a ganglion cyst, which is a fluid-filled sac that often forms near joints or tendons. These cysts are typically benign and can vary in size. They may feel firm or soft and can move slightly when pressed. Ganglion cysts often do not cause pain unless they press on nearby nerves or structures. If the lump is indeed a ganglion cyst, it may not require treatment unless it becomes painful or limits your range of motion.

Another possibility is a lipoma, which is a benign tumor made of fat tissue. Lipomas are usually soft, movable, and painless. They can occur anywhere in the body, including the hand. While they are generally harmless, if they grow or cause discomfort, you might consider having them evaluated by a healthcare professional.

A third consideration could be a tendon sheath cyst or a bursa, which can also develop in the hand and may cause discomfort during certain activities. These conditions are often related to repetitive motion or overuse, which could be relevant given your work-related shoulder and neck issues.

Regarding the relationship between your shoulder and neck problems and the lump in your hand, it is possible that the two are connected. Nerve compression or irritation in the cervical spine can lead to referred pain or sensations in the arms and hands. If you are experiencing numbness or tingling in your hand, it may be worthwhile to discuss this with your physical therapist or healthcare provider, as they can assess whether there is a neurological component to your symptoms.

In terms of whether you should switch specialists, it may be beneficial to consult with an orthopedic surgeon or a hand specialist who can provide a more focused evaluation of your hand. They can perform a physical examination, possibly order imaging studies (like an ultrasound or MRI), and help determine the exact nature of the lump. If it is indeed a ganglion cyst or another benign condition, they can discuss treatment options, which may include observation, aspiration, or surgical removal if necessary.

In summary, while the lump beneath your ring finger may not be a cause for immediate concern, it is essential to have it evaluated by a healthcare professional to rule out any serious conditions and to address any pain or discomfort you may be experiencing. Additionally, discussing your shoulder and neck issues in conjunction with your hand symptoms can provide a more comprehensive understanding of your overall condition and help guide your treatment plan.

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