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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Painful Lump On The Palm

I have a hard bony lump on the little finger side of the bottom of my right palm, the size of a pea.. It s hard, bony and very different from my left hand. I m very right handed. It is getting red and sore because it s the part of the hand I lean on desk when, say, using a mouse. It s like a bunion on my wrist. The wrist is very crunchy and clicky on manipulation. Help..? Thank you
Thu, 26 Nov 2015
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General Surgeon 's  Response
Hi,Dear,Welcome with your query to HCM.
Studied your query in full depth of its details.Reviewed it in context of your health concerns.
Based On the facts, You mostly seem to suffer from-
Flexor Tenosynovitis with Palmar Bursitis on ulnar side.-Crunchy wrist indicates tenosynovitis / with flexor carpi ulnaris bursitis.
Other causes such as sesmoid bone/ bone dysplasias/ rehuematoid nodule/Ganglion from flexor tendons,gouti tophi?
MRI / CT study of the painful lump on palm would fix the cause.
Treatement-
Second Opinion from Orho-Surgeon after MRI and CT Scan study would decide the line of treatment of the painful palm lump.
Orhto-Surgeon would decide its treatment accordingly
To start with -Tab Motrin / Cold Compressess would help.
-Crunchy wrist indicates tenosynovitis / with flexor carpi ulnaris bursitis and treatment for it by NSAIDs would help .

Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.
Welcome any further query in this regard,which would be replied in next
session.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
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Suggest Treatment For A Painful Lump On The Palm

Hi,Dear,Welcome with your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from- Flexor Tenosynovitis with Palmar Bursitis on ulnar side.-Crunchy wrist indicates tenosynovitis / with flexor carpi ulnaris bursitis. Other causes such as sesmoid bone/ bone dysplasias/ rehuematoid nodule/Ganglion from flexor tendons,gouti tophi? MRI / CT study of the painful lump on palm would fix the cause. Treatement- Second Opinion from Orho-Surgeon after MRI and CT Scan study would decide the line of treatment of the painful palm lump. Orhto-Surgeon would decide its treatment accordingly To start with -Tab Motrin / Cold Compressess would help. -Crunchy wrist indicates tenosynovitis / with flexor carpi ulnaris bursitis and treatment for it by NSAIDs would help . Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery. Welcome any further query in this regard,which would be replied in next session. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist