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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 34664
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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i have swelling between my thumb and index finger on my right

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i have swelling between my thumb and index finger on my right hand...and also between my index and middle finger on the same hand. I haven't had any injury that i'm aware of. the swelling between the thumb and index finger is new the swelling between the index finger and middle finger has been there for about 2 weeks. Any suggestions as to what this might be and do i need to see a physician right away?



I am sorry that your question was unanswered for long.


How big are the swelling/

Are they painful and tender?

Are your finger and thumb movements painful?


Dr. Arun

Customer: replied 6 years ago.
The swelling is about twice the normal size. It is not painful to move but it is tender to the touch.



Following are the possibilites of diagnosis;


A) Tenosynovitis; it is inflammation of the tendon and tendon covering (synovium). It is treated as following;


1) Anti-inflammatory analgesics like Motrin / Advil for around 10-14 days.
2) Brace (on fingers)
3) Physical therapy
4) Warm compresses
5) Local analgesic patch / ointment / spray

These are the initial modalities and if the swelling and tenderness does not respond than the further interventions would be required (called as deep electro therapies and done at physical therapy center);

1) iontophoresis, phonophoresis
2) electrical stimulation
3) shock wave therapy
4) local steroid shots


B) Ganglion or synovial cyst; This is fluid filled in the tendon sheath. This needs sometimes aspiration or minor surgery but can respond to deep electro therapies mentioned above.


Both of these condition do not need any emergency measures so you may seek appointment with your primary care physician in routine hours.


Please feel free for your follow up questions.


Dr. Arun

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