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Bump on left hand base of the thumb
My mother is having a hard bump near the base of the thumb finger (left hand). She is having pain on pressing the area and also while doing work. There is no pain other wise. I am attaching the picture
Answers (6)
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It’s a trigger if the thumb is getting stuck while flexing and straightening
Looks more like a ganglion
Simple anti inflammatory meds will suffice for now
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It is usually a trigger thumb or a ganglion
Next Steps
Use - thumb spicca through out the day
Tab dolo650mg /bd
Control dm , or any hypothroid issues if any
Health Tips
May reqire trigger thumb relase if it is not subsided by the above tratment
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Hello,
I understand you mother has swelling on the palmar aspect of base of thumb. This is usually seen with tenosynovitis and trigger thumb
Did she ever have locking sensation while extending thumb ,then it seems to be trigger thumb. If no episodes of trigger thumb then it could be early tenosynovitis.
Some modalities that may help in this condition early on -
1. Hot water fomentation
2. Ultrasonic therapy
3. Stretching
4. Splint to keep thumb extended at night
5. Tab Dolo 650 for pain
If no relief I would suggest you to consult with me directly or thorugh online appointment on Practo and I can help to suggest accurate treatment
Next Steps
Consult directly with me, your orthopaedic doctor, through Practo for detail history, discussion and treatment plan. Here we can chat or can also do audio or video consultation for detailed management. Take appointment for thorough prescription and consultation
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Please tell whether she had locking sensation while extending thumb ,seems to be trigger thumb ,constricting synovial sheath.
Next Steps
needs physical examination, x ray hand AP ,Oblique and lateral view . CBC,CRP, ESR, BS( R). RA factor
Health Tips
hot water fomentation
tab ibrufen 600 x SOS
volini gel
ultrasonic therapy
stretching
splint to keep thumb extended at night
avoid repeating maneuver like gripping, grinding, .
if no relief ,then steroidal injection or
percutaneous release may be required
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The lump shown is thickening of A1 pulley causing TRIGGER THUMB. Try anti inflammatory tablets for five days and then warm fomentation. Then take an opinion from orthopaedic surgeon
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It seems tenosynovitis and may be tendinitis leading to swelling and pain. Local ultrasonic therapy and rest of affected part may help. Exact diagnosis can be by examination and investigations. Is there any history of rheumatoid or gout arthritis?
NSAID drugs will be helpful if not contraindicated
Next Steps
Rest , ultrasound
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.