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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Center Of Hands?

Hi I am currently experiencing pain in the middle of the top of my hand (other side of Palm) right in the centre in both hands but mainly my right hand. It hurts similar to a swelling pain but only when I grip lightly, no pain when I grip strongly. Any ideas what it could be or what I can research? Thank you
Fri, 15 May 2015
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General & Family Physician,  's  Response
Hello
As per the description of your clinical symptoms it seems that you have the following probabilities:

1. you might be having Carpal Tunnel Syndrome, A compression neuropathy of the hand causing pain and tingling in the hand. It is usually bilateral. Definitive treatment for this would be surgical management. you need to visit a surgeon for further evaluation and management. ( Investigation may include Routine blood tests, X ray of the hand and NCV study of both the upper limbs)

2. Another probability is, you might be having Bursitis of the wrist. This also presents with similar symptoms. Treatment for this is conservative ( Anangesics, anti inflammatory drugs and hot and cold compression may relieve the symptoms).

Thank you.
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What Causes Pain In Center Of Hands?

Hello As per the description of your clinical symptoms it seems that you have the following probabilities: 1. you might be having Carpal Tunnel Syndrome, A compression neuropathy of the hand causing pain and tingling in the hand. It is usually bilateral. Definitive treatment for this would be surgical management. you need to visit a surgeon for further evaluation and management. ( Investigation may include Routine blood tests, X ray of the hand and NCV study of both the upper limbs) 2. Another probability is, you might be having Bursitis of the wrist. This also presents with similar symptoms. Treatment for this is conservative ( Anangesics, anti inflammatory drugs and hot and cold compression may relieve the symptoms). Thank you.