People, whose activities are associated with regular small movements of brushes, often find on their wrists a lump( hygroma).This pathology is a benign tumor filled with fluid. The problem of the cone is not only unattractive, but also that the hygroma is accompanied by extremely severe pain sensations.
What is the hygroma of the wrist
The ball formed on the arm under the skin is called a hygroma. This benign tumorous cone is a capsule( cyst) with serous contents. The liquid contains fibers of fibrin( high molecular weight protein) and mucus. The disease can be single chamber and multi-chamber, depending on the number of capsules in the middle of the wrist. The second option, as a rule, is diagnosed already in neglected cases. On average, the bump on the wrist can reach 2-5 centimeters. First, the tumor does not cause pain, but as it grows, it squeezes nerves, causing pain.
Causes of synovial cysts
Often a cyst in the wrist is formed immediately behind the fold. The appearance of the cone is caused by regular irritation of the tendons that run across the joint. The main reasons for the hygroma on the hand:
- repeated movements in the wrist of a large range, when a person constantly swings an object( tennis players, seamstresses, musicians);
- inflammation of synovial cavities;
- injury, mechanical damage to the hands.
How the hygroma of the wrist is manifested - the first signs and symptoms of
The disease begins with a slight swelling of the wrist. The first symptoms of hygroma can easily be confused with inflammation from a bruise or an insect bite. When the lump on the wrist acquires a round shape, then the liquid is probed in it, so it is not difficult to establish a diagnosis in this period. The hygroma of the wrist joint can remain small for many years, but at one point it begins to grow very quickly, and to deliver a lot of unpleasant sensations to a person. Subsequently, because of this new growth on the skin, it becomes difficult to move the hand. The main symptoms of the disease:
- tight formation near the wrist joint;
- blunt pain and sensitivity disorder near the cyst;
- skin tone change under neoplasm;
- if the seal burst, the fluid emerges, the wound oozes and hurts.
Diagnostic methods
A bump on the arm under the skin on the wrist is diagnosed easily - the doctor suffices even a visual examination of the build-up filled with liquid. To reinforce the diagnosis of the patient can send an X-ray. This study will help the specialist differentiate the hygroma from the lipoma and other types of cysts and tumors. Sometimes for diagnosis appoint MRI and ultrasound of the wrist joint.
How to treat a hygro
You can remove a bump on your wrist in several ways. If the hygroma is diagnosed at the initial stage, then physiotherapeutic procedures will help to cope with it: mud therapy, electrophoresis, paraffin applications. More neglected forms of hernia of the hand are treated conservatively with the use of folk remedies. If the neoplasm can not be removed by other methods, the patient will be assigned a surgical operation.
Conservative treatment of hygroma on wrist
The cone is removed from the outer or inner side of the wrist for medical or cosmetic indications. When the hygroma sticks out and does not look aesthetically pleasing, but there are no symptoms, physioprocedures are prescribed. If the lump under the skin on the wrist is symptomatic, that is, the movement of the joint is limited, pain appears, then the following conservative methods are used:
- Puncture. Under anesthesia( local) using a syringe, the skin is punctured at the top of the bump. The accumulation of synovial fluid is pumped out, and antiseptics are injected inside.
- Sclerotherapy. The procedure is similar to the previous method, only after the evacuation of the contents is introduced sclerotic substances that reduce the capsule.
- Blockade. It is shown only with a small bump on the wrist - not more than 1 cm in diameter. Inside the capsule, a glucocorticoid is injected. After the patient wears an immobilization bandage for 3 to 5 weeks. During this period, the cavity overgrows, and the capsule sticks together.
- Crushing. Now almost not used in medicine, since the method is very painful. However, sometimes a patient can accidentally crush a hygromist about a hard object. In this case, the capsule is ruptured, and the contents spread between the tissues. Often such treatment leads to infection of tissues and purulent lesions.
Surgical intervention
The most radical method of getting rid of a hernia of the wrist is surgical removal. If the cone can not be cured by conservative therapy, then remove the problem area in one of three ways: laser, endoscopic instruments, simple excision.
- Laser beam removal is a method of burning out, which is performed after opening the skin with a scalpel.
- Endoscopic removal is a more modern technique. With it, the incision is made not from above, but in the area of wrist flexion, and its dimensions do not exceed a couple of millimeters. As a result, the rehabilitation period of the patient is reduced, there is no scar after the operation.
- An open surgery is prescribed when the hernia has come out in an uncomfortable place or has formed too deep. For example, if the cone pops up on the right or left palm, then other surgical methods are very risky, since there are a lot of blood vessels and nerve fibers in this place. During the operation, an incision corresponding to the size of the cyst is made, then it is excised, the wound is sutured, and the arm is immobilized with gypsum for one week.
Folk remedies
Traditional medicine recipes can not completely rid the person of a hygroma, but in combination with a basic therapeutic program they can remove problem symptoms. Compresses and ointments that help treat the bump at home:
- Mix one spoonful of sea salt, red clay and water. In the end, you get a thick ointment. Put it on cheesecloth, put it on gigroma for the night. Carry out the procedure for 2-3 weeks.
- Several fresh wormwood stems grind, then put the gruel on the pine cone, wrap it around the bandage, leave it for 6 hours. Compress for three weeks.
- Cut the cabbage leaf to softness. Lubricate the inner surface with honey and attach to the growth. Fix the cabbage compress with a bandage, hold for up to 10 hours. Carry out the procedure for 10 days.
Than a disease
Tumor formation on the wrist does not develop into a malignant tumor, but it can deliver a lot of unpleasant sensations to the wearer. The cone causes severe pain in the movements of the hand, and the skin above it coarsens, turns red, flakes off. At the late stage of the brush hygroma, the sensitivity or total numbness of the skin in the area of its formation decreases, and the motor function of the wrist joint can be disturbed.