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Lumps and Bumps
Lumps and bumps around the hand and wrist are common and can develop for a number of reasons. Many are harmless and are often caused by cysts, particularly ganglion cysts, which are fluid-filled swellings arising from a joint or tendon sheath. Other possible causes include tendon sheath cysts, mucous cysts near the finger joints, fatty lumps such as lipomas, or bony prominence related to arthritis. Some lumps are painless, while others may cause discomfort, stiffness, weakness, tingling, or concern because of their appearance. A proper assessment is important to confirm the diagnosis and decide whether any treatment is needed.
Diagnosis
The diagnosis of lumps and bumps in the hand or wrist often begins with a careful clinical examination. In many cases, the nature of the lump can be suspected from its location, size, and feel. X-rays may be arranged if there is concern about the underlying bone or nearby arthritis. Ultrasound or MRI scans can also be useful when the diagnosis is unclear, to show whether the lump is fluid-filled or solid and to assess its relationship to the surrounding joints, tendons, or soft tissues.
Treatment
Treatment depends on the type of lump, the severity of symptoms, and whether it affects hand function. In many cases, conservative treatment is appropriate, particularly when the lump is painless and not causing any functional difficulty. This may include reassurance, observation, and review over time, as some cysts can settle on their own. For suitable cases, aspiration and sometimes injection may be considered. If the lump is persistent, painful, recurring, increasing in size, or interfering with hand or wrist function, surgical excision may be recommended. This is usually carried out as a day-case procedure.
Mr Ayoub will be able to provide you with further details and recommend appropriate treatment options during a consultation with him. Back…
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