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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hard Lump In Between The Knuckles After Punching On A Heavy Bag. Severe Bruising On The Hand. What Happened?

I punched a 100 lb heavy bag 5 days ago & immediately after the punch I had a large hard lump form right between my pointer & middle knuckles..since then I ve had severe bruising throughout my hand , from the middle of my fingers to my wrist and from one side across to the other-entire top of my hand. I can make a fist & use it with only minimal pain but when I hit the lump on accident at all it s very painful & when I let my arm hang down by my side my hand throbs..what could it be?
Tue, 13 Aug 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
When strike with a blunt object than there develops hematoma ( collection of blood ) underneath skin.
Same thing happened in your case.
As you stated that when hangs down ( hand ) , you feel pain means due to anti gravity.
Ice pack massage , serratiopeptudase , aceclofenack will provide complete relief.
Rest and raise hand above body , support under soft pillow.
Within 3-5 days , you will be alright.
Good luck.
Dr. HET
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi and welcome to HCM

It might be soft tissue injury or fracture.Large lump might be due to haematoma formation(collection of blood).

Without X-ray, it is difficult to differentiate a fracture from others. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance.

In the interim, take anti-inflammatory drug like motrin to reduce pain and inflammation. Avoid lifting and rest well.

Hope this will helps you. Take care.
You can consult me again directly through my profile http://www.healthcaremagic.com/doctors/dr-saurabh-gupta/64132
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Hard Lump In Between The Knuckles After Punching On A Heavy Bag. Severe Bruising On The Hand. What Happened?

Hello, Thanks for the query to H.C.M. Forum. When strike with a blunt object than there develops hematoma ( collection of blood ) underneath skin. Same thing happened in your case. As you stated that when hangs down ( hand ) , you feel pain means due to anti gravity. Ice pack massage , serratiopeptudase , aceclofenack will provide complete relief. Rest and raise hand above body , support under soft pillow. Within 3-5 days , you will be alright. Good luck. Dr. HET