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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hard, White, Tiny Bump On Pointer Finger Where It Meets The Palm, Pain With Pressure, Getting Bigger. Advice

Hi, I got this hard white tiny bump on my pointer finger right where my finger meets my palm. It seems like bone or something. Hurts when I apply pressure. I've had it for probably a month now, it has gotten a bit bigger I think. Probably from messing with it. I lift weights regularly, I think that could be the cause. What is it? And how should I proceed?
Mon, 19 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi and welcome to HCM

Well, without a clinical evaluation it would be difficult to determine the cause of the bump. Possibilities that may need to be considered include benign bony growth, ganglion, growths from underlying connective tissue etc.
I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. You may get the X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance.

Hope this will helps you. Take care.
Regards.
Dr Saurabh Gupta.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Based on the description, I suppose it could be a Callus (not callus that occurs in bone) which is nothing but a thickened and roughened area of skin that commonly occurs in hands which may result from the repeated pressure of using tools on the job (in your case repeating lifting of weights).

Treatment for calluses usually involves avoiding the repetitive actions that cause them to develop.

If a callus persists or becomes painful,then either trimming (to be done by a doctor) or local application of salicylic acid may be helpful.

Hope this information is helpful. Good day
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Pain Medicine & Palliative Care Specialist Dr. Kerry Pottinger's  Response
Hi,
This may be a ganglion which is a fluid-filled cyst that develops near a joint or tendon. Ganglions are harmless but may cause some pain or discomfort.
If your swelling is causing you a problem, I suggest you consider seeing a hand surgeon to discuss treatment options. This usually involves a minor operation which can sometimes be carried out under local anesthesia.
Regards,
Dr K A Pottinger,
MBChB FRCA
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Orthopaedic Surgeon, Joint Replacement Dr. Milind Merchant's  Response
Hello,

I see that you lift weights regularly,
The thick white bump seems to be a callosity of the skin (thickening of the skin) caused by constant friction of the skin of palm with the heavy object like the dumbell in a gym.
Usually a callosity is painless, may pain a little only on deep pressure, is harmless and will resolve on its own if the constant friction is discontinued for some time like for a month or two.
If you can not stop lifting weights, then you can alternatively use a padded glove/ cotton glove for you and/ or use gym weights with rubber coating if possible.
Hope this helps to solve your problem,
Regards,
Dr Merchant
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Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
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Hard, White, Tiny Bump On Pointer Finger Where It Meets The Palm, Pain With Pressure, Getting Bigger. Advice

Hi and welcome to HCM Well, without a clinical evaluation it would be difficult to determine the cause of the bump. Possibilities that may need to be considered include benign bony growth, ganglion, growths from underlying connective tissue etc. I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. You may get the X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance. Hope this will helps you. Take care. Regards. Dr Saurabh Gupta.