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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does A Painful Swelling Below The Knuckle Indicate?

I have a hard, very painfull swelling of my left index finger, just below the knuckle. Started as pain and severe itching down deep a bit below the knuckle, next day when woke up it was swollen. Day later it came to head, but small. Sqeezing it produces at first just a dab of white puss, no odor, then only clear fluid, but not much. No matter how hard I sqeeze it, nothing really comes out. The swelling does not appear to have fluid in it, like a cyst. Ran a needs through it in hopes of popping the cycst if it was one, nothing popps, and no blood to speak of. About an 1 inch diameter, slightly warm to tough in center around the head, very sensitive to touch for 3 inch diameter. Then though bite, but head did not form for a day until after the swelling, and there was no indicating of a bite. Please advise thoughts,,, tried peroxide on open head after sqeezing for 3 days, neosporine, also tried doing nothing for 2 days. No change either way, just extremely painfull. thanks,,,
Sun, 3 Dec 2023
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General & Family Physician 's  Response
Hello,

Your symptoms are indicative of cyst, growths/nodules, tumor (benign / malignant), or ganglion cysts. You are advised to get clinically examined by a GP, get required blood tests and imaging tests (X-rays, MRI) done. You are advised not to touch or fiddle with it. Take care of your hygiene and do not let it get infected.

Your treatment will depend on the pathology diagnosed. Benign tumors are treated with ointments containing salicylic acid, or aspiration, drainage and antiseptic dressing with conservative treatment with antibiotics and analgesic. Painful tumors are commonly require surgical removal. Get clinically examined and evaluated. You will be accordingly treated. For relief from pain you can take naproxen, one stat after food.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Does A Painful Swelling Below The Knuckle Indicate?

Hello, Your symptoms are indicative of cyst, growths/nodules, tumor (benign / malignant), or ganglion cysts. You are advised to get clinically examined by a GP, get required blood tests and imaging tests (X-rays, MRI) done. You are advised not to touch or fiddle with it. Take care of your hygiene and do not let it get infected. Your treatment will depend on the pathology diagnosed. Benign tumors are treated with ointments containing salicylic acid, or aspiration, drainage and antiseptic dressing with conservative treatment with antibiotics and analgesic. Painful tumors are commonly require surgical removal. Get clinically examined and evaluated. You will be accordingly treated. For relief from pain you can take naproxen, one stat after food. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician