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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tenderness And Swelling On Pisiform Bone On Right Hand?

i have a very tender area near my pisiform bone rt hand. x-rays are negative for fracture just arthritis near triscaphe joint. Must use a wrist brace while using computer mouse to keep swollen area away from desk surface. Even after non use (early am upon waking) the area remains sore and swollen.
Thu, 23 Apr 2020
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General Surgeon 's  Response
Hi,

Noted your history well and understood the concerns. The swelling near pisiform bone at wrist in spite of using brace while working on computer indicates one of the following reasons in face of normal X-ray.
Peri-arthritis of the bone and joints as there are more bones and joints.
Osteoarthritis due to misuse.
Tenosynovitis is a common cause.
Stress fractures get diagnosed after callus is formed, as seen on X-rays.
This can be diagnosed and treated in the following ways:
Consult an Orthopedic Surgeon for proper clinical history, examination and evaluation with correlation of the X-ray/MRI findings.
Anti-inflammatory medicines.
Oral or local steroids if there is tenosynovitis after ruling out diabetes.
Stop misusing and have proper brace and such things as would be advised by your Orthopedic Surgeon or Physiotherapist.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT and General Surgeon
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What Causes Tenderness And Swelling On Pisiform Bone On Right Hand?

Hi, Noted your history well and understood the concerns. The swelling near pisiform bone at wrist in spite of using brace while working on computer indicates one of the following reasons in face of normal X-ray. Peri-arthritis of the bone and joints as there are more bones and joints. Osteoarthritis due to misuse. Tenosynovitis is a common cause. Stress fractures get diagnosed after callus is formed, as seen on X-rays. This can be diagnosed and treated in the following ways: Consult an Orthopedic Surgeon for proper clinical history, examination and evaluation with correlation of the X-ray/MRI findings. Anti-inflammatory medicines. Oral or local steroids if there is tenosynovitis after ruling out diabetes. Stop misusing and have proper brace and such things as would be advised by your Orthopedic Surgeon or Physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT and General Surgeon