Hygroma brush: causes, symptoms and treatment
Hygroma brush is one type of cyst, which is a dense rounded education on the dorsum of the wrist, inside of which contains synovial fluid. The tumor may arise as a result of injury to the brush or inflammatory process involving the wrist joint. Also, the causes of diseases can be associated with a constant load on the hands occurring during execution of a large number of monotonous movements. So, the hygroma on a brush often occurs in athletes, musicians and programmers.
A ganglion cyst is a benign tumor formation, and is usually not painful, but some patients may experience moderate pain. Most often such a cyst occurs in the wrist joint, but is sometimes on the palms. The size of the formation depends on the degree of development of the disease and can range from 1 to 5 cm.
Symptoms and diagnosis of tumors
A ganglion cyst may develop for a long time, but sometimes the seal on the brush appears suddenly and after only a few days grows to 2-3 cm In some cases, education does not show itself, patients notice a tumor on the brush only after the surrounding tissue will start to ache. Hygroma on the palms can occur after a time to disappear on their own.
Clinical symptoms of brush:
- in the wrist formed a dense rounded swelling;
- skin in place of occurrence hygroma has a slightly rough surface;
- with a sharp progression of the disease the skin becomes red;
- in the hand may experience dull pain, aggravated by movement;
- the sensitivity of the skin the brush is changed (increases or decreases).
Diagnosis is usually enough to pass examination by an orthopedic surgeon. Sometimes to the exclusion of other diseases, the doctor may order additional testing. It will include an ultrasound or magnetic resonance imaging.
In some cases, the puncture of hygroma brush to explore the content of education. Treatment depends on the location of the seal and the characteristics of the disease.
Conservative and surgical treatments
Approximately half of the cases of hygroma of the hand may disappear on their own without special treatment. It is enough to reduce the load on the brush and the wrist joint below the swelling has subsided. However, to obtain the maximum therapeutic effect the patient is recommended to completely eliminate the load on the brush. The affected area is treated with anti-inflammatory ointments and gels. Sometimes prescribed heat application and ultraviolet irradiation.
One of the common methods of conservative therapy of hygroma brush is puncturing. Of cavity formation with a syringe pump out the liquid, but instead is administered glucocorticosteroid drugs that block the re-development of cysts. The procedure is performed under local anesthesia. It is only effective in the early stages of the disease, when the size of the seal does not exceed 1 cm. If the formation is large, some time after puncturevine it will appear again, especially if you do not eliminate the root cause of the hygroma.
After the procedure, the wrist joint is overlaid with a retentive bandage. It must be worn for at least 5 weeks. If you remove the bandage early in the movement in the wrist joint will be the allocation of synovial fluid. This can cause re-formation of hygroma on the hand, so that the edges of the devastated tumors do not have time to fully coalesce and the liquid re-enters the cyst cavity.
Surgical removal of hygroma brush is carried out, if the seal on the hand disrupts motor activity of the joint, limiting the function of the hand causes severe pain. Indications for removal may be the discomfort of the patient, if the tumor is extremely ugly looks, because of which people hesitate to show their hands. The operation is performed under local anesthesia and usually lasts no more than 30 minutes. During the operation the articular capsule of the wrist joint is strengthened with a special seam that allows you to minimize the risk of disease recurrence. After the end of the deletion area for 7-10 days suture. During this period a daily treatment and dressing of surgical wounds.
After surgery, the wrist is immobilized composition by using a fixing bandage. The minimum period during which it is necessary to ensure the immobility of the joint, is 5 weeks. In some cases the fixation of the hand with a plaster splint.
Folk remedies fight against ganglion cyst
Treatment of folk remedies when the hygroma is inefficient as it allows to get rid of the seal on his arm. However, some traditional methods can be applied as a subsidiary. Their action is aimed at reducing the inflammatory process and eliminate pain.
The most common folk remedies for for treating hygromas on the hand are a hot compress with the addition of alcohol and vegetable components, paraffin baths and steaming in hot water. For compresses applied honey, cabbage leaves, chopped tarragon, celandine, blue and red clay mud.
Preventive measures largely depend on the cause of the disease. If education arose because of the peculiarities of professional activity, the likelihood is high that regardless of the effectiveness of treatment over time, the ganglion cyst of the brush will appear again.