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What is the swelling and pain in my hand near the wrist and thumb, and how can I prevent surgery?
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Bone and Orthopedic Conditions
Question #30120
149 days ago
401

What is the swelling and pain in my hand near the wrist and thumb, and how can I prevent surgery?

Client_ceec57

I have swelling in my hand near wrist and thumb..I can't hold my fingers towards wrist and pain increases more and more .. Doctors take medicine relief pain for sometimes and then start pain again and swelling increases again ..in the doctor says in your hand have 'gaanth '...and say for do operation...I did not do any x ray or ultrasound...suggest me what I do prevent operation of this ..is this a which type of swelling and pain happens in my hand ..never any injury happens in my hand before not bite any insects...it's happens suddenly and increases day by day also pain increases

How long have you been experiencing the swelling and pain?:

- 1-4 weeks

How would you describe the intensity of your pain?:

- Moderate — affects daily tasks

Have you noticed any specific activities that worsen the pain?:

- Using my hand for tasks

Is there any numbness or tingling in your fingers?:

- Occasionally

Have you tried any treatments for the pain and swelling?:

- Home remedies

Do you have any other health conditions that could affect your hand?:

- No, I'm generally healthy

Have you experienced swelling or pain in any other joints?:

- No, only in my hand

Do you have a family history of joint issues or autoimmune conditions?:

- No, none
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Doctors' responses

Hello

The swelling near your wrist and thumb may be a ganglion cyst (“gaanth”), tendon sheath swelling, or inflammation around the wrist joint. A ganglion cyst is a common fluid-filled swelling that can appear suddenly and gradually become painful, especially while using the hand. The occasional tingling suggests the swelling may be pressing on a nearby nerve. Since you have no injury history and the swelling keeps returning after medicines, it is important to properly diagnose it before deciding about surgery.

You should first get an ultrasound or X-ray of the wrist and hand, and sometimes an MRI if needed. Without imaging, it is difficult to know the exact type of swelling. Many wrist swellings do not immediately need surgery. Some improve with rest, wrist/thumb splints, anti-inflammatory medicines, physiotherapy, or aspiration of the cyst by a doctor. Avoid repeatedly pressing, massaging, or trying to burst the swelling yourself, as this can worsen inflammation or cause infection.

To help reduce pain and possibly avoid surgery, limit heavy hand work, avoid repetitive thumb movements, use a thumb-spica or wrist brace, and apply cold compresses for 10–15 minutes several times a day. If the swelling keeps increasing, causes severe pain, numbness, weakness, or difficulty moving the fingers, then surgical removal may become the best option to prevent long-term problems. An orthopedic or hand surgeon can guide you after imaging tests are done.

Thank you

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The symptoms you’re describing could potentially point to conditions like De Quervain’s tenosynovitis, ganglion cysts, or arthritis, among other possibilities. A “gaanth” as mentioned by your doctor can often refer to a cyst, such as a ganglion cyst, which are noncancerous lumps that commonly develop along with tendons or joints of your wrists or hands. These cysts can cause swelling and might be painful, especially when they press on a nerve. If a ganglion cyst is to blame, they sometimes resolve on their own, but not always. To get to the bottom of this, imaging studies like an ultrasound or an x-ray can be quite useful. These tests will help your doctor see what’s going on beneath the surface—like locating a cyst or ruling out other issues like bone spurs or hidden fractures that could cause similar symptoms. In the meantime, consider limiting the use of your hand and avoid activities that exacerbate the pain. Wearing a wrist splint might help to immobilize your thumb and wrist, giving any inflammation a chance to subside. Over-the-counter pain relief like ibuprofen might also ease swelling and discomfort temporarily. However, these are not long-term solutions. Regular stretching and strengthening exercises for your hands and wrist, as recommended by a physical therapist, can also contribute to reducing symptoms over time. If nonsurgical options don’t bring adequate relief or if the situation worsens, surgery might indeed be necessary to remove the issue permanently. It’s crucial to follow up with your physician to get a clear diagnosis and discuss all your treatment options, including conservative measures, before you decide on surgery. If symptoms significantly worsen, seeking immediate medical evaluation is highly advised.

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