Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to - TOS-(Thorasic Outlet Syndrome)VEnous. This is caused by the obstructions from Extra Cervical Rib or long C-7 transverse process, obstructing the Subclavian or the Axillary veins in the neck and arm. They are not cyst or ganglion of the wrist, but are prominent wrist veins from the TOS-V caused by Cervical Rib. You should consult Chest and Vascular Surgeon-from Cardiothorasic and Vascular Surgery department. Hence Other causes - need to be ruled out,by verification with Chest and Vascular Surgeon Do s- Consult with Chest and Vascular Surgeon,who would investigate history and physically examine to fix the cause of -ball like swellings with arm down. This would resolve the complaints of your s. Constant follow-up with local family or specialist Chest and Vascular Surgeon for long term would give you long remissions of such pains in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS