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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hard Lump On Arm Below Thumb Joint, Wrist Pain. CAT Scan Scheduled. Cure?

I have a hard bump on my radius on the inside of my arm an inch below my thumb joint I had an xray and the nurse practitioner said the X ray was clean she told me I needed to see an orthopedic surgeon and have a cat scan but she didn t refer me to a surgeon or write me an order for a cat scan I can t really afford to go to a specialist only to get an order for cat scan to go back again for the results I m not sure what to do next most surgeons won t even see you without a referral from a doctor but my wrist hurts pretty bad and I m scared to continue using it without treatment
Wed, 26 Jun 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM. As your xray could not show up an bony lesion, the swelling could be due to soft tissue pathology and most probably, it could be "dequervains disease". This problem presents as small, tense swelling which produces severe pain with the movements of the thumb and wrist.
Initially, the condition can be managed conservatively with antiinflammatory medications and ice compressions. If there is no response to this, then a local steroid injection at the site of maximum tenderness will resolve the problem.
If everything else fails, then a surgical release is needed. Hope this helps
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Hard Lump On Arm Below Thumb Joint, Wrist Pain. CAT Scan Scheduled. Cure?

Hi, thanks for writing to HCM. As your xray could not show up an bony lesion, the swelling could be due to soft tissue pathology and most probably, it could be dequervains disease . This problem presents as small, tense swelling which produces severe pain with the movements of the thumb and wrist. Initially, the condition can be managed conservatively with antiinflammatory medications and ice compressions. If there is no response to this, then a local steroid injection at the site of maximum tenderness will resolve the problem. If everything else fails, then a surgical release is needed. Hope this helps