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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can I Get Rid Of My Knuckle Pads ?

How can I get rid of my knuckle pads? They are on all of my knucles, I ve visited a dermatologists, and she gave me Tazorac & Uramaxin and so far they ve gotten a tiny bit smaller, but still frustrating that they are there. I ve had them since I was about 4 or 6 (im 14 now) and i hate them. Like none of my friends know i have them cuz its just weird and i d really like them to go away. So please help!
Sat, 10 Mar 2012
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Dermatologist 's  Response
Hi...dear user..,
Thanks for choosing HCM.,
Knuckle pads are benign, asymptomatic...,
well-circumscribed, smooth, firm, skin-colored papules...,
Nodules, or plaques, located in the skin over the dorsal aspects...,
of the metacarpophalangeal (MCP) and interphalangeal (IP) joints...,
A history of repetitive trauma related to sports or occupation...,
may be present..,
So follow these...,
1) Wearing protective gloves or changing occupation may be necessary....,
2) Intralesional injections of corticosteroids...(mainly Trimcinolone) ...,
or fluorouracil may reduce the size of the lesions....,
3) Lesions caused by biting or sucking may require a psychiatrist...,
to treat the underlying psychological problem....,
A cast or splint placed temporarily on the involved areas...,
4) Application of silicone gel sheeting has had limited success...,
5) Applications of keratolytics, such as salicylic acid or urea, have helped to soften and even reduce the lesions....,
6) Radiation therapy and application of solid carbon dioxide have been reported to be of some help in selected cases....,
So consult Dermato surgeon and follow his treatment ok..good luck.,
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Dermatologist Dr. Sudarshan's  Response
hi dear,
Welcome to HCM
Knuckle pads are a type of superficial fibromatosis.
Treatment is not very effective.
Consult a good dermatologist.
Cryotherapy with a liquid nitrogen can be effective.
Surgical excision is curative .

Take care.
I find this answer helpful

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How Can I Get Rid Of My Knuckle Pads ?

Hi...dear user.., Thanks for choosing HCM., Knuckle pads are benign, asymptomatic..., well-circumscribed, smooth, firm, skin-colored papules..., Nodules, or plaques, located in the skin over the dorsal aspects..., of the metacarpophalangeal (MCP) and interphalangeal (IP) joints..., A history of repetitive trauma related to sports or occupation..., may be present.., So follow these..., 1) Wearing protective gloves or changing occupation may be necessary...., 2) Intralesional injections of corticosteroids...(mainly Trimcinolone) ..., or fluorouracil may reduce the size of the lesions...., 3) Lesions caused by biting or sucking may require a psychiatrist..., to treat the underlying psychological problem...., A cast or splint placed temporarily on the involved areas..., 4) Application of silicone gel sheeting has had limited success..., 5) Applications of keratolytics, such as salicylic acid or urea, have helped to soften and even reduce the lesions...., 6) Radiation therapy and application of solid carbon dioxide have been reported to be of some help in selected cases...., So consult Dermato surgeon and follow his treatment ok..good luck.,