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What Causes A Soft Lump On The Bridge Of The Nose?
Question: I hard yet soft limp on left sidevof nose bridge. It doesnt hurt but has gotten bigger over time. Feels like hard yet movable grape when I massage it. I also jave neuropathic pain from compressed supraorbital nerves and feel pain over nosebridge along with pins and needles compressing nerves. What is it and can it be examined and drained surgically for biopsy?
I also want to know dofference between neuroma on brow nerves and scar tissue. I havee been told I have scar tissue to supraorbital nerves and to live woth thos but I cannot. The pain is burning is nature and I would like to know who you can recommend outside or on Canada who would consider evaliating me for surgical repair to remove entrapment to these nerves. It is miserable constant agony and no neurologists I seen (3) will consider referring me elsewhere and only tell me live with it. Pain is so miserable I cannot live with it anymore and no pain meds help.
I also want to know dofference between neuroma on brow nerves and scar tissue. I havee been told I have scar tissue to supraorbital nerves and to live woth thos but I cannot. The pain is burning is nature and I would like to know who you can recommend outside or on Canada who would consider evaliating me for surgical repair to remove entrapment to these nerves. It is miserable constant agony and no neurologists I seen (3) will consider referring me elsewhere and only tell me live with it. Pain is so miserable I cannot live with it anymore and no pain meds help.
Brief Answer:
Explained below...
Detailed Answer:
Hello XXXXX,
I read your message and I fully understood your medical problem.
I see that you have noticed a soft lump on your left side of your nose that has increased its sizes over time but it is painless. I need to see a picture of your nose lump in order to evaluate it properly, so send me a picture of it through the module.
You have pain symptoms like:
- neuropathic pain due to compressed supraorbital nerves (pin and needles pain)
- pain over the nose bridge
Neurinoma and scar tissue formation have some characteristics in common but they are not the same thing. Both of them can happen in traumatic events of the nerves (in your case supraorbital nerves).
Scar tissue is mostly described as a formation of fibrous tissue which tends to fill the damaged normal tissue. It is good because it helps the nerves to attach but it compresses the nerves, has less vascularization which means that less oxygen is going to the nerve.
Less oxygen to the tissue causes acidic environment which increases the pain as well. On the other side, the healing tissue is proved to have hypersensitivity to pain which means it transmit pain more than the normal nerves.
The neurinoma term is also used when nerve tumors form without any history of previous nerve trauma. Scar tissue is a term used only when is information of a previous trauma that has dismissed the integration of nerves.
Neurinomas have many causes. They can be due to genetic disorders,because of trauma or the cause is not known (idiopathic form). It is important to understand that it is not the nerve cell itself that forms the tumor. The tumor is formed by the cells that surround the nerves (axons). So it can be a schwannoma, haemangioma etc.
A biopsy is the gold standard to identify the nature of the lesion and to plan the treatment so ask for it.
Pain is often managed through local injection of anesthetics but this is temporary and pain comes back. Surgery is one other choice, procedures of neurolysis, removal of the overgrown tissue, nerve wrapping with anti adhesion devices, nerve coverage with vascularized tissue are the surgical procedures available nowadays.
My opinion is that you need to consult a neurosurgeon instead of just a neurologist doctor. Also, a pain doctor can help you manage the pain until the problem will be definitely resolved.
Try to keep up the humor, avoid the pain triggers and take medication if you need them and please send me a photo of the nose lump.
Hope this is helpful.
Dr.Albana
Explained below...
Detailed Answer:
Hello XXXXX,
I read your message and I fully understood your medical problem.
I see that you have noticed a soft lump on your left side of your nose that has increased its sizes over time but it is painless. I need to see a picture of your nose lump in order to evaluate it properly, so send me a picture of it through the module.
You have pain symptoms like:
- neuropathic pain due to compressed supraorbital nerves (pin and needles pain)
- pain over the nose bridge
Neurinoma and scar tissue formation have some characteristics in common but they are not the same thing. Both of them can happen in traumatic events of the nerves (in your case supraorbital nerves).
Scar tissue is mostly described as a formation of fibrous tissue which tends to fill the damaged normal tissue. It is good because it helps the nerves to attach but it compresses the nerves, has less vascularization which means that less oxygen is going to the nerve.
Less oxygen to the tissue causes acidic environment which increases the pain as well. On the other side, the healing tissue is proved to have hypersensitivity to pain which means it transmit pain more than the normal nerves.
The neurinoma term is also used when nerve tumors form without any history of previous nerve trauma. Scar tissue is a term used only when is information of a previous trauma that has dismissed the integration of nerves.
Neurinomas have many causes. They can be due to genetic disorders,because of trauma or the cause is not known (idiopathic form). It is important to understand that it is not the nerve cell itself that forms the tumor. The tumor is formed by the cells that surround the nerves (axons). So it can be a schwannoma, haemangioma etc.
A biopsy is the gold standard to identify the nature of the lesion and to plan the treatment so ask for it.
Pain is often managed through local injection of anesthetics but this is temporary and pain comes back. Surgery is one other choice, procedures of neurolysis, removal of the overgrown tissue, nerve wrapping with anti adhesion devices, nerve coverage with vascularized tissue are the surgical procedures available nowadays.
My opinion is that you need to consult a neurosurgeon instead of just a neurologist doctor. Also, a pain doctor can help you manage the pain until the problem will be definitely resolved.
Try to keep up the humor, avoid the pain triggers and take medication if you need them and please send me a photo of the nose lump.
Hope this is helpful.
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have seen many neurologists and they refuse to send me to a neurosurgeon as does my family doctor. I have asked repeatedly tp see a neurosurgeon and no one will help me. Also couldnt me having 3 eyebrow hair graft procedures (2 in 2006 amd 2012 with no complications), and this recent procedure (jan 2015) be trauma that would form a neuroma? Also if I can feel hardened small lumps... Smaller than peas at thickest part of eyebrows but cant feel them, is it really a true neuroma(s)? I cant see hard lumps from outside of my forehead. I need to see a neurologist and no one will see me. In addition can a surgeon safely remove scar tissue compressing nerves and could my smoking after injections caise more scar tissue (lack of oxygen), makijg more scar tissue? I will send nose pic but lump is hard to see...also internal. I need someone to find me a good neurosurgeon and I cannot. Can you please help? I live in Canada, B.C. I am desperate.
Sorry I meant I cannot see neuroma or lump outside of brow only feel hard tender knots the size of a very tiny pea on each side.
Sorry I meant I cannot see neuroma or lump outside of brow only feel hard tender knots the size of a very tiny pea on each side.
Brief Answer:
You have the right to get further specialized consultation...
Detailed Answer:
Hi back,
If you feel like hard lumps from outside of your forehead, then, it seems not to be a neuroma; it seems more like a scar tissue. X-ray of the affected area is recommended to evaluate the changes for proper treatment strategy.
Again, it's your right to get further and more specialized consultation with neuro-surgeon.
With regards to smoking, the toxins produced during smoking cannot create more scar tissues, but will negatively affect the healing process.
Hope this answers to your questions.
Dr.Albana
You have the right to get further specialized consultation...
Detailed Answer:
Hi back,
If you feel like hard lumps from outside of your forehead, then, it seems not to be a neuroma; it seems more like a scar tissue. X-ray of the affected area is recommended to evaluate the changes for proper treatment strategy.
Again, it's your right to get further and more specialized consultation with neuro-surgeon.
With regards to smoking, the toxins produced during smoking cannot create more scar tissues, but will negatively affect the healing process.
Hope this answers to your questions.
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have the problem of finding a neurosurgeon as my dr wont refer me nor will other neurologists i saw nor will any new dr accept me. I have tried 7. Do you know any in Canada or Us who may do this repair or see me? No one will help me. I am doing this alone and getting nowhere. :-( :'(
Brief Answer:
Following advice...
Detailed Answer:
Hi back,
Sorry for the late reply.
I have done some research for you and found some neurological specialist in XXXXXXX Canada at following address:
https://www.ratemds.com/best-doctors/on/?specialty=neurosurgeon
Hope this helps.
Dr.Albana
Following advice...
Detailed Answer:
Hi back,
Sorry for the late reply.
I have done some research for you and found some neurological specialist in XXXXXXX Canada at following address:
https://www.ratemds.com/best-doctors/on/?specialty=neurosurgeon
Hope this helps.
Dr.Albana
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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