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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What I Should Do About Painful Knot In Right Forearm Which Was Painless Since 5 Years?

I have a knot about the size of a BB in my right forearm about 2-3 inches from my elbow. It's been there for about 5 years and hurts sometimes. Mostly only notice it when i put pressure on it. You can't see it but can feel it pretty good. It will move about a cm in any direction. I went to the doctors about 4 years ago to have it looked at but they did no xray and said its prob a BB from when i was younger. It's starting to hurt more now without me putting pressure on it so i'm thinking i need to have something done about it. Any ideas on what it could be or what i should do about it?
Wed, 8 Jan 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A swelling that is persisting from last five years and has recently caused pain is suggestive of a benign lesion.
Benign lesions are ones which grow slowly over a period of time, do not spread to distant sites and cause little functional disability.
Now that the lesion has become symptomatic that is it is causing pain, you need to get few investigations done.
A X-ray will determine the relation of the lesion to the underlying bone.
A fine needle aspiration needle aspiration (FNA) also needs to be done.
In FNA a thin needle is put in the lesion and cells are aspirated from it.
The cells are spread on slide and stained.
These cells are examined microscopically.
This examination determines the origin and character of the lesion.
After knowing the origin, nature and character of the lesion, the lesion can be managed.
You need to consult your surgeon for the clinical examination and relevant investigations.

Thanks and take care
Dr Shailja P Wahal
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What I Should Do About Painful Knot In Right Forearm Which Was Painless Since 5 Years?

Hello and welcome to HCM, A swelling that is persisting from last five years and has recently caused pain is suggestive of a benign lesion. Benign lesions are ones which grow slowly over a period of time, do not spread to distant sites and cause little functional disability. Now that the lesion has become symptomatic that is it is causing pain, you need to get few investigations done. A X-ray will determine the relation of the lesion to the underlying bone. A fine needle aspiration needle aspiration (FNA) also needs to be done. In FNA a thin needle is put in the lesion and cells are aspirated from it. The cells are spread on slide and stained. These cells are examined microscopically. This examination determines the origin and character of the lesion. After knowing the origin, nature and character of the lesion, the lesion can be managed. You need to consult your surgeon for the clinical examination and relevant investigations. Thanks and take care Dr Shailja P Wahal