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What to do for swelling and pain in my hand near the wrist and thumb?
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Bone and Orthopedic Conditions
Question #30121
149 days ago
454

What to do for swelling and pain in my hand near the wrist and thumb?

Client_ceec57

I have swelling in my hand near wrist and thumb not holding my fingers towards wrist and but I can move my fingers and pain increases by antibiotics sometimes relieve but the pain again dr say operation doctors say you have gaanth in your hand

How long have you been experiencing swelling and pain in your hand?:

- 1-4 weeks

How would you describe the intensity of your pain?:

- Moderate — affects daily activities

Does the swelling change in size throughout the day?:

- No, it stays the same

Have you noticed any specific activities that make the pain worse?:

- Using the hand for tasks

Have you experienced any other symptoms along with the swelling?:

- Stiffness in the hand

What medications have you taken for this condition?:

- Only antibiotics

Have you had any prior injuries to your hand or wrist?:

- No injuries
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Doctors' responses

Hello

The swelling and pain near your wrist and thumb could be due to a ganglion cyst (“gaanth”), tendon inflammation, or another soft tissue swelling around the wrist joint. Since you are unable to bend the hand properly toward the wrist and the pain increases with hand use, it suggests that the swelling may be irritating the tendons or nearby nerves. Antibiotics giving only temporary relief also makes infection less likely unless there is redness, warmth, or fever.

If doctors are recommending an operation, it is probably because the swelling has persisted, is painful, or is interfering with normal hand movement. An orthopedic doctor or hand surgeon may advise an ultrasound, X-ray, or MRI to confirm the diagnosis before treatment. Some ganglion cysts can be treated with observation or aspiration, but recurrent or painful ones sometimes need surgical removal.

For now, try to avoid activities that strain the wrist and thumb, avoid lifting heavy objects, and use a wrist/thumb splint or brace to reduce movement. Cold compresses for 10–15 minutes a few times daily and pain medicines prescribed by a doctor may help reduce discomfort. Do not repeatedly massage or press the lump. You should seek urgent medical attention if you develop severe swelling, redness, fever, numbness, tingling, weakness of fingers, or sudden worsening pain.

Take care Feel free to reach out again

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Swelling and pain around the wrist and thumb can have multiple causes, and understanding the specific nature of the pain and swelling is key. If doctors have mentioned a “gaanth,” they’re likely referring to some form of a nodule or cyst, which may actually be a ganglion cyst, a common benign swelling that can sometimes cause discomfort or restrict movement. Such cysts can fluctuate in size and cause pain by pressing on nearby structures, which could explain why symptoms sometimes improve with antibiotics if there’s a slight infection or inflammation involved. If surgery has been suggested, it’s crucial to weigh the benefits and risks thoroughly. Surgery might be recommended if the cyst is causing significant discomfort, restricting motion, or impacting your daily activities severely. Before proceeding, consider having an MRI or ultrasound if not already done, to confirm the diagnosis. Meanwhile, to manage pain, consider NSAIDs like ibuprofen if not contraindicated, and perhaps a wrist splint might help to stabilize the area temporarily. Avoid repetitive motions that exacerbate the pain, and applying ice can sometimes help reduce swelling. If pain persists or worsens, consider a second or even third medical opinion. Discuss with your doctor an approach that delays surgery until other less invasive measures have been tried if appropriate, or it’s clear surgery is necessary. Make sure you’re fully informed on both the short-term and potential long-term outcomes of all treatment options.

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