[29M] Experiencing severe wrist pain with a hard bump

Patient Description

A 29-year-old male presents with severe, dull aching wrist pain that worsens with movement, persisting for 3 weeks. The patient also reports a small, hard bump on the top of the wrist that has been present for the same duration as the pain. The bump does not change in size, is not red or swollen, and remains firmly in place when pressed. There are no associated symptoms of tingling, numbness, or radiating pain, and the patient can move his thumb and make a fist without difficulty. The patient engages in activities that require repetitive motion, which could be related to the symptoms. There is no family history of similar wrist issues or joint problems, and the patient has no known allergies or adverse reactions to medications. The patient does not report any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Ganglion Cyst: These are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. They might appear suddenly or grow slowly over time, and they might get smaller in size or even disappear, only to possibly return. They are typically round or oval and filled with a jellylike fluid. Small ganglion cysts can be pea-sized, while larger ones can be around an inch (2.5 centimeters) in diameter. Ganglion cysts can be painful if they press on a nearby nerve. Their location can sometimes interfere with joint movement.

    • Treatment: If the cyst is causing you pain or interfering with your joint movement, your doctor might recommend draining the fluid from the cyst with a needle. Removing the cyst surgically is usually a last resort because it does not guarantee that the cyst will not come back and the surgery carries risks.
  • Wrist Sprain: This is an injury to a ligament within the wrist. The severity of wrist sprains can range from a minor stretch of the ligament to a complete tear. Symptoms of a sprained wrist can vary in severity and may include pain, swelling, tenderness, bruising, and a popping or tearing sensation at the time of injury. A severe sprain can make your wrist feel unstable, and can make moving your wrist and hand painful and difficult.

    • Treatment: Treatment for a sprained wrist typically involves resting the joint, icing it, compressing the area with a bandage, and elevating the wrist to reduce swelling. Over-the-counter pain relievers might be recommended to reduce pain and inflammation. For severe sprains, a cast or splint might be needed, and physical therapy exercises can help restore the wrist's range of motion and strength.

What you can do

You should definitely see a healthcare professional to get a formal diagnosis. They might order imaging tests, such as an X-ray, to confirm the diagnosis. In the meantime, you can try the following to alleviate your symptoms:

  1. Rest your wrist and avoid activities that cause pain.
  2. Apply an ice pack to your wrist for 15 to 20 minutes every two to three hours.
  3. Use a wrist brace or splint to support your wrist and limit its movement.
  4. Take over-the-counter pain relievers, such as ibuprofen or acetaminophen, to reduce pain and inflammation.

What you should look out for

You should seek immediate medical attention if:

  • Your wrist pain is severe or accompanied by tingling, numbness, or weakness.
  • Your wrist is deformed or swollen.
  • You are unable to move your wrist or hand.
  • You are unable to carry objects or use your hand.
  • Your symptoms do not improve after a week of home treatment.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis.

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10 mo ago

People Also Ask


What is a ganglion cyst and how is it treated?

A ganglion cyst is a noncancerous lump that typically develops along the tendons or joints of the wrists or hands. It is filled with a jellylike fluid and can vary in size. Treatment may involve draining the fluid with a needle if it causes pain or interferes with movement, but surgical removal is usually a last resort.


What are the symptoms of a wrist sprain and how can it be managed?

A wrist sprain is an injury to a ligament in the wrist, with symptoms including pain, swelling, tenderness, and sometimes bruising. Management involves resting the wrist, applying ice, using a compression bandage, and taking over-the-counter pain relievers. Severe cases may require a splint or physical therapy.


When should I seek medical attention for wrist pain?

You should seek medical attention if your wrist pain is severe, accompanied by tingling, numbness, or weakness, if the wrist is deformed or swollen, if you cannot move your wrist or hand, or if symptoms do not improve after a week of home treatment.


Can repetitive motion activities cause wrist pain or lumps?

Yes, repetitive motion activities can lead to wrist pain or the development of lumps like ganglion cysts. These activities can strain the wrist, leading to conditions such as sprains or cysts due to overuse or stress on the joint.


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