Bump on left hand base of the thumb

2020-04-25 15:52:42
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
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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

Answered2020-04-26 07:24:12

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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

Answered2020-04-26 06:36:15

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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

Answered2020-04-26 05:44:39

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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

Answered2020-04-25 17:31:52

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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

Answered2020-04-25 17:23:18

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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

Answered2020-04-25 15:59:18

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