Bumps on the hand or wrist are most often ganglion cysts: a fluid-filled sac that bulges up. They can appear quickly, and disappear just as quickly. But sometimes the cysts remain, and are unsightly or cause impaired function or pain in the hand or wrists. Why these cysts develop is still unknown, but they are more common in younger people from ages 15 to 40, and they are more common in women than in men. One theory posits that they are caused by repetitive motion of the hand or wrist. Gymnasts have been noted to experience the problem more frequently, due to the extra stress and pressure on their hands and wrists.
Treatment for ganglion cysts is often non-invasive, and may involve the use of wrist splints to immobilize the hand, thus allowing the overworked area to rest. Sometimes this can reduce the cyst. If the cyst is quite bothersome or painful, an aspiration procedure may be performed. In this procedure, the affected area is numbed and a needle is inserted into the fluid-filled cyst, withdrawing the fluid. This can relieve the pressure that may have been placed on nerves or tendons, causing the tingling or pain in the hand or wrist. If the cyst grows back, sometimes this procedure can be repeated with success.
Failing that, and if the cyst is quite bothersome or creating pain, a surgical procedure may be required. In this case a special orthopedic surgeon such as Dr. Rehman will perform a procedure to remove the ganglion and its root. This is typically an outpatient procedure, and the patient can go home later in the day. Splints and dressings are required, and often Occupation Therapy is prescribed to return full strength and range of motion to the hand and wrist. Because the structure of the hands and wrists is so delicate, it is best to have a specially trained doctor, such as a hand surgeon, perform this procedure.
If you are experiencing pain, stiffness or tenderness in your hands, arms, should or elbow, contact Dr. Rehman today at 586-532-0803. Her team of orthopedic experts will implement a comprehensive treatment plan to help you attain a full recovery.
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