Painful Lump on Wrist: Which Specialist Should You See? - Surgery

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If you have a painful lump on your wrist that has persisted for over a year and does not seem to resolve on its own, it is important to seek medical attention. Given the location of the lump, which is just below the thumb, there are a few specialists you might consider consulting.

1. Orthopedic Surgeon: This type of specialist focuses on the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles. If the lump is related to a bone or joint issue, an orthopedic surgeon would be well-equipped to diagnose and treat it. They can perform imaging studies, such as X-rays or MRIs, to determine the nature of the lump.

2. Hand Surgeon: A hand surgeon is a type of orthopedic surgeon who specializes specifically in conditions affecting the hand and wrist. They have advanced training in the surgical and non-surgical treatment of hand and wrist conditions. If your lump is causing pain or affecting your wrist function, a hand surgeon would be an excellent choice.

3. Rheumatologist: If there is a suspicion that the lump could be related to an inflammatory condition, such as rheumatoid arthritis or another autoimmune disorder, a rheumatologist would be the appropriate specialist to consult. They can evaluate for systemic conditions that might be contributing to your symptoms.

4. Dermatologist: If the lump appears to be a skin-related issue, such as a cyst or lipoma, a dermatologist could evaluate it. They specialize in skin conditions and can provide treatment options, including removal if necessary.

5. Primary Care Physician: If you are unsure which specialist to see, starting with your primary care physician is a good option. They can perform an initial evaluation and refer you to the appropriate specialist based on their findings.


Additional Considerations
When you visit a specialist, be prepared to provide detailed information about the lump, including:
- When you first noticed it.

- Any changes in size, shape, or color.

- Whether it has caused any other symptoms, such as swelling, redness, or changes in wrist function.

- Any previous treatments you have tried, even if they were not successful.


Potential Causes of a Wrist Lump
There are several potential causes for a lump on the wrist, including:
- Ganglion Cyst: These are fluid-filled sacs that often develop along the tendons or joints of the wrist. They can be painful, especially if they press on nearby nerves.

- Lipoma: A benign tumor made of fat tissue that can occur anywhere in the body, including the wrist.

- Tendonitis or Tenosynovitis: Inflammation of the tendons or the sheath surrounding the tendons can lead to swelling and lumps.

- Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues, can also cause lumps.

- Infection or Abscess: Infections can lead to swelling and lumps, often accompanied by redness and warmth.


Conclusion
In summary, given the persistence and pain associated with the lump on your wrist, it is advisable to seek medical evaluation. An orthopedic surgeon or hand surgeon would likely be the most appropriate specialists to consult first. They can help determine the cause of the lump and recommend appropriate treatment options. Early evaluation and treatment can prevent potential complications and improve your wrist function and comfort.