[20F] Experiencing wrist lump and associated pain

Patient Description

A 20-year-old female presents with a hard, unmovable lump on her wrist that has grown recently and is described as being quite large. She has noticed the lump for about a year, and it has been associated with pain in the lower arm and shoulder, which she rates as a 5 out of 10 in severity. The pain is described as a deep, aching bone pain that occurs especially when carrying objects, even as light as a phone. This pain sometimes makes her feel like her bone might snap. Additionally, she reports that the lump feels warm to the touch and has experienced numbness or tingling in her hand or fingers. There has been no recent injury or trauma to the area, but she has noticed difficulty with wrist bending and carrying items due to pain. The patient has not reported any changes in skin color or temperature, aside from the warmth over the lump.

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Arora's Assessment

What might be happening

Based on the information you've provided, a few possible conditions could be causing your symptoms:

  • Ganglion Cyst: These are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. They might appear suddenly, change size, and may cause pain when they press on a nerve.

    • Treatment: If the cyst is causing discomfort or interfering with function, options include aspiration, steroid injections, or surgical removal.
  • Lipoma: A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. A lipoma isn't cancer and is usually harmless. The most common symptom is a soft, rubbery lump under your skin that moves when you touch it.

    • Treatment: Lipomas usually don't require treatment unless they become painful or restrict movement. They are usually removed if they are bothersome.
  • Osteoarthritis: This is a type of joint disease that results from breakdown of joint cartilage and underlying bone. Symptoms include joint pain and stiffness.

    • Treatment: Treatment options include lifestyle changes, physical and other therapies, medications, and surgery.
  • Carpal Tunnel Syndrome: This condition causes numbness, tingling, and other symptoms in the hand and arm. It is caused by a pinched nerve in your wrist.

    • Treatment: Treatment options include wrist splinting, medications, and surgery.

Please remember, these are just possibilities and not a definitive diagnosis.

What you can do

You should seek medical attention to get a proper diagnosis. In the meantime, here are some things you can do:

  1. Avoid activities that make your symptoms worse.
  2. Apply a warm or cold compress to the affected area to help alleviate any pain or discomfort.
  3. Over-the-counter pain relievers might help with the pain.

What you should look out for

You should seek immediate medical attention if:

  • The lump increases in size rapidly.
  • You experience severe pain.
  • You notice redness, warmth or tenderness over the lump, which could indicate an infection.
  • You have difficulty moving your wrist or hand.

Remember, it's important to get a proper diagnosis from a healthcare professional.

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10 mo ago

People Also Ask


What could cause a hard, unmovable lump on the wrist that is warm to the touch?

A hard, unmovable lump on the wrist that is warm to the touch could be caused by a ganglion cyst, lipoma, or other conditions like osteoarthritis or carpal tunnel syndrome. It's important to consult a healthcare professional for an accurate diagnosis.


Why might a lump on the wrist cause numbness or tingling in the hand or fingers?

A lump on the wrist might cause numbness or tingling in the hand or fingers if it is pressing on a nerve. This is common with conditions like ganglion cysts or carpal tunnel syndrome.


What are the treatment options for a ganglion cyst on the wrist?

Treatment options for a ganglion cyst on the wrist include aspiration (draining the fluid), steroid injections, or surgical removal if the cyst is causing discomfort or interfering with wrist function.


When should I seek immediate medical attention for a lump on my wrist?

You should seek immediate medical attention if the lump increases in size rapidly, you experience severe pain, notice redness or tenderness over the lump, or have difficulty moving your wrist or hand.


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