From Larry Brandt
Posted February 10, 2006 at 09:11 PM
So my question is whether this could just be a random bump on my hand, particular just to myself, or whether this might be some kind of violin anomaly. The bump is pretty hard, so I'm guessing it's bone. I know that when I used to practise really a lot in one day (and I had rather bad technique, playing with a very tense hand) this point exactly used to hurt (not very much and not for long, but still). If I run my fingers of my other hand over my entire hand, I find the bump quite easily, and my right hand is completely smooth and free of any bumps.
Before any of you run in and shout "inflammation" or "athritis" I am still very young, and I have now been using a far more relaxed technique for a couple of years. I still practise a lot every day (I play at least 4-6 hours a day) but I never hurt at all from playing (even previously, I very rarely hurt at all, only if I really played a lot, which was seldom).
I would appreciate any feedback :D
In any case, it is natural to have a bump slightly below the wrist on the thumb side and slightly above on the pinky side. It is also normal to feel bone where your metatarsals meet your proximal phalanx (at the base of your fingers), but this isn't prominent or visible to the eye at all...
as you can see, your description is a little vague ^^U
Edit: wait...is this on the BACK of your hand near the wrist? I'm confused...
Is this anything to do with `When Harry met Sally?`
It is on the back of my hand, on the right hand side of my hand (that is, nearer to the thumb). I am not talking about the bones on the sides of just below the wrist, which stick out a bit.
In the following diagram: http://www.esg.montana.edu/esg/kla/ta/hand.jpg the area I am talking about appears a little about number 32.
I doubt that Mr Galamba is a doctor, otherwise he'd know that the metatarsals are by your feet, and metacarpals by your hands....
Judging by this diagram: http://n2.bioeng5.bioeng.auckland.ac.nz/ontology/images/RightHandAnteriorViewRightArmAnteriorView.png I'd venture that the exact point I'm talking about is known as the "trapezoid", number 44 in the diagram.
This little bump is evident in my hand even when it is level with my forearm, and becomes slightly more pronounced if I move my hand downwards. I noticed now that if I move my right hand downwards I can feel a bump a little bit, but it's not as much as my left hand...
I'm talking about a bump about half a centimeter in diameter, and it's not a particularly noticeable protrusion, as I mentioned earlier.
I hope that helps you all a bit more.
Larry, it's possible that it is a cyst on a tendon or something of the sort. My brother has had a problem similar to yours in a similar area. You do need to see a doctor and they will refer you to a hand surgeon to get it removed. Be aware though that it may come back in time. So it did with him.
It is really quite hard in that area, so I doubt it's a cyst. I will maybe try to post some photos so you can see exactly what I'm talking about.
I might add that it doesn't bother me at all, however, sometimes when I do get pain in my hand from extensive playing, this area seems to hurt more than anywhere else....
I'm certainly not going to have surgery or anything drastic done to my hand until it starts to really bug me. If it ain't broke, don't fix it is my motto...
But yea, it's better safe than sorry. You'll only get a really good diagnosis with a real doctor actually looking at you.
I'm just really not comfortable with some doctor sticking a needle into my hand and sucking fluid out of the cyst! Eww!!
Does anybody here have any experience with ganglion cysts? (Maybe somebody here has had one?) I would never ever have come up with that possibility if it hadn't been pointed out here! So thanks a ton!
I used to have a little bump in the middle of my left palm for years...it was some kind of air bubble. I popped it with a needle (cuz Mom said to) and it went away.
I've never seen it again...but don't pop it until you know what it is!
They can disappear and re-appear spontaneously, and if they are removed, they often return.
I would advise you to have a doctor confirm that its a ganglion cyst, then if it doesn't really bother you- ignore it. The treatment itself might put you out of business short-term, and there is a good likelyhood it might return.
If, on the other hand, it is painful or gets in the way of your playing, you might just have to bite the bullet and try to have it removed.
I have encountered them in many students of the violin. Must be related to repetitive use. Not sure, though.
When I was in medical school, an orthopedic surgeon told me that there was "a name" for the muscle in the back of my hand. According to him, it really WAS a muscle. However, his belief was anecdotal at best.
I have a friend who is an ex-Joffrey ballerina who has these same muscles on the back of her feet. She claims that the muscles gave her extra strength, which I don't doubt since she last appeared on the Joffrey stage in the 1970s but can still do just about all the same moves she was doing then today.
Then one relative of mine from America came to visit and he's a doctor and I asked him and he said it's definitely a ganglion cyst and he showed me how it can move and how it actually is soft if you press it in the right manner.
Anyway, it's not disturbing me at all, so for now I'm completely leaving it alone!!
My wife had a ganglion on the back of her hand a few years ago. The doctor said his father used to treat them by whacking it with a heavy book. The ganglion would burst and be resorbed. He suggested leaving it alone unless it caused a problem, in which case the surgery is quick and generally safe.
She looked into the Edgar Cayce information on
ganglions, and the remedy he gave was a flannel pad soaked in warm castor oil, applied every night for a month. Cover it with plastic to protect bed clothes. She tried it, and the ganglion was gone in a couple of weeks, never to return.
No guarantees, of course, but for a violinist's left hand the heavy book is a bit too scary, and surgery is to be avoided unless there is no other choice.
This is a riveting image. : )
or morning wood =)
I don't doubt that it works, and I'm not surprised
that surgery sometimes doesn't, but if I ever
get a ganglion, I'll put up with castor oil
packs for quite a while before smacking my
hand with anything heavy!
Everyone's experience seems to differ with these cysts. I had one on the inside of my left wrist area, pretty prominent, that just seemed to appear fully formed one day. I read of, and used, the book method - no pain, and the bump was reduced totally, but it gradually grew back (within a week) leaving a large discoloured area (old fluids, perhaps) surrounding the bump.
Next I tried leaving it alone - over the course of, maybe 3-4 weeks, it reduced on its own, along with the discolouration going away, and has not come back.
Reading on the net, it seems like both types of treatment (whacking/leaving it alone) may work, but there's no good prediction of results ...
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