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19 years old possible nodule
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01/31/15 04:52
Maxhenry1 
01/31/15 04:52
Maxhenry1 
19 years old possible nodule

19 years old and have been having issues for around 3-4 months now. Consulted several doctors that had no answers, so I decided to do research on my own. Came across Dupuytren's and worried myself sick for weeks now.

Have always been a competitive weightlifter. Most excersises (bench, squat etc.) have no affect by the "bumps" in my hand, though I can't grasp a barbell with immense pressure.

Pictures below are taken to date, after I irritated my hand from deadlifts (wasn't listening to my body, yet again)

I'm praying that this isn't DD, seeing that I'm 19, no family history, no problems using fingers, as well as no problem laying my hand flat. Have only noticed one bump below ring finger, and pain about a CM toward the pinky finger in the same area.

All responses are greatly appreciated and all info/advice will be taken with all attentiveness. Thank you so much, and I really hope my lifting career is still in my future.

PS, the callus looking things are calluses, not anything associated with what is wrong with my palm.

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01/31/15 10:36
spanishbuddha 

Administrator

01/31/15 10:36
spanishbuddha 

Administrator

Re: 19 years old possible nodule

Welcome to the forum Maxhenry

In general 19 is rather young to be showing symptoms of DD, but it does happen. The photos are not clear enough really to make a comment, and there are several possible reasons for lumps in the hands as well as the calluses. I always advise people with DD to just take a bit of extra protection with their hands, gloves or strapping, including a bit more in their daily life. Also keep a photo log with symptoms; you don't say what other symptoms you have apart from 'irritated'.

A hand surgeon who is experienced with treating DD is best for helping with a diagnosis. But in very early stages it's difficult to do. Only by ruling out other possible reasons for lumps or hardness and combining with other symptoms and family history.

So, maybe rest or ease up a bit, with RICE, 6 weeks is typical for joint or tendon injuries, see a hand OT or physio, look for that experienced hand specialist, start the photo log, and let's see if it recovers or there are ongoing changes. In older people with DD the majority just get a few lumps, skin puckering and dimples, and that's it, most do not get finger contracture. Younger people with DD may have a more active form but even then outlook is usually manageable.

Best wishes
SB

01/31/15 13:12
Maxhenry1 
01/31/15 13:12
Maxhenry1 
Re: 19 years old possible nodule

spanishbuddha:
Welcome to the forum Maxhenry

In general 19 is rather young to be showing symptoms of DD, but it does happen. The photos are not clear enough really to make a comment, and there are several possible reasons for lumps in the hands as well as the calluses. I always advise people with DD to just take a bit of extra protection with their hands, gloves or strapping, including a bit more in their daily life. Also keep a photo log with symptoms; you don't say what other symptoms you have apart from 'irritated'.

A hand surgeon who is experienced with treating DD is best for helping with a diagnosis. But in very early stages it's difficult to do. Only by ruling out other possible reasons for lumps or hardness and combining with other symptoms and family history.

So, maybe rest or ease up a bit, with RICE, 6 weeks is typical for joint or tendon injuries, see a hand OT or physio, look for that experienced hand specialist, start the photo log, and let's see if it recovers or there are ongoing changes. In older people with DD the majority just get a few lumps, skin puckering and dimples, and that's it, most do not get finger contracture. Younger people with DD may have a more active form but even then outlook is usually manageable.

Best wishes
SB

I greatly appreciate your response Spanish, you lifted somewhat of a great weight off my shoulders with hope that it could be something rather than DD. my fingers, joints, and everything else involved in my hand work fine as they do in my left, other than an irritating feeling when pressing on the affected area.

All I can do now is wait for my appointment with my GP to refer me to a specialist that can hopefuly rule out any possibility of DD.

Once again, thank you so much

01/31/15 14:42
Seph 
01/31/15 14:42
Seph 

Re: 19 years old possible nodule

Maxhenry1; Like spanishbuddha I can't tell from the photographs if you have DD. My guess is that it is not as I can't see the deformation around the affected area that I would normally expect to see. By way of reference I developed LD in my early teens and DD in my late teens. By your age I had it in both feet and one hand. By 25 both hands.

Perhaps relevant to you I have always been an active weightlifter. I understand why spanishbuddha advises people to take a bit of extra protection with their hands and if you play piano or violin I think you should take his advice. But, in my case, I have zero skills with musical instruments so my hands matter but they are not that important. For people like me I say just go for it. Push through and wait until it is getting in your way.

I still go to the gym 5-7 days per week and play tennis 3 times per week. I wear gloves in the gym to reduce the rubbing on the nodules and I have thickened my tennis grip to avoid getting cramp. That's it.

Attached photograph taken when I was protesting about placement of equipment in the gym last year and right hand just before NA a few months earlier. I will be 61 in a couple of months so I have been living with this disease for more than 40 years.

My message - If you do have DD it is not big deal. Its inconvenient and you might need NA or surgery from time to time but it should not restrict you from doing anything you want to do.

01/31/15 20:44
Maxhenry1 
01/31/15 20:44
Maxhenry1 
Re: 19 years old possible nodule

Seph:
Maxhenry1; Like spanishbuddha I can't tell from the photographs if you have DD. My guess is that it is not as I can't see the deformation around the affected area that I would normally expect to see. By way of reference I developed LD in my early teens and DD in my late teens. By your age I had it in both feet and one hand. By 25 both hands.

Perhaps relevant to you I have always been an active weightlifter. I understand why spanishbuddha advises people to take a bit of extra protection with their hands and if you play piano or violin I think you should take his advice. But, in my case, I have zero skills with musical instruments so my hands matter but they are not that important. For people like me I say just go for it. Push through and wait until it is getting in your way.

I still go to the gym 5-7 days per week and play tennis 3 times per week. I wear gloves in the gym to reduce the rubbing on the nodules and I have thickened my tennis grip to avoid getting cramp. That's it.

Attached photograph taken when I was protesting about placement of equipment in the gym last year and right hand just before NA a few months earlier. I will be 61 in a couple of months so I have been living with this disease for more than 40 years.

My message - If you do have DD it is not big deal. Its inconvenient and you might need NA or surgery from time to time but it should not restrict you from doing anything you want to do.
Thanks for the reply, seph, I geeatly appreciate your words of wisdom.

My only concern was the ignorance I have for any other medical problem with the symptoms I show. Simply a bump under my ring finger, and discoloration from deadlifting last night. No burning, or itching sensation has ever occurred, just a "bruised" feeling with a high ammount of preasure. Full range of motion in all finger, 100% strength in both hands, and no progress or regress of the bump I examined.

I'm really glad I found this sight seeing that both of your answers have given me hope that it could be something other than DD.

02/01/15 18:58
Maxhenry1 
02/01/15 18:58
Maxhenry1 
Re: 19 years old possible nodule

Attached is another picture from today. The "bruised" feeling is still exists, though not as prominent. The discoloration of being bruised is also fading. Once again, strength is 100%, as well as range of motion.

Pictures may not be much, but I would like another opinion on what else this could be aside from DD.

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02/01/15 19:14
spanishbuddha 

Administrator

02/01/15 19:14
spanishbuddha 

Administrator

Re: 19 years old possible nodule

Maxhenry1:
Attached is another picture from today. The "bruised" feeling is still exists, though not as prominent. The discoloration of being bruised is also fading. Once again, strength is 100%, as well as range of motion.

Pictures may not be much, but I would like another opinion on what else this could be aside from DD.
OK that's a bit clearer. Bruising that's fading suggests maybe joint capsule, ligament or tendon damage or a tear in some of the tissues below the skin (fascia, bands). Is the swelling directly over the knuckle joint (MCP) on the palm side? If so maybe attached to the joint? Can you grab it as one lump and move it around or is it just swelling liquid that moves about? Hard or soft? Even so it would take someone present to distinguish between a ganglion, DD nodule, or something else.

02/01/15 20:05
Maxhenry1 
02/01/15 20:05
Maxhenry1 
Re: 19 years old possible nodule

spanishbuddha:
Maxhenry1:
Attached is another picture from today. The "bruised" feeling is still exists, though not as prominent. The discoloration of being bruised is also fading. Once again, strength is 100%, as well as range of motion.

Pictures may not be much, but I would like another opinion on what else this could be aside from DD.
OK that's a bit clearer. Bruising that's fading suggests maybe joint capsule, ligament or tendon damage or a tear in some of the tissues below the skin (fascia, bands). Is the swelling directly over the knuckle joint (MCP) on the palm side? If so maybe attached to the joint? Can you grab it as one lump and move it around or is it just swelling liquid that moves about? Hard or soft? Even so it would take someone present to distinguish between a ganglion, DD nodule, or something else.

The swelling/bruising is right below the lump you see. More toward the middle of my palm. I've noticed recently pain on the outter side of my palm on the pinky side (between the palm side of my hand and the upper side. Alongside pinky, but toward wrist more). I can "pinch" the lump, and move it around slightly, not sure if hard or soft, though when pushed it feels somewhat squishy.

I'm hoping that since I'm getting pain on a completely different area of my hand that tendon damage is present and nerves are being pushed.

Thank you so much Spanish for your input, you've been a great help.

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bruised   something   Attached   spanishbuddha   photographs   possible   deformation   contracture   symptoms   inconvenient   experienced   instruments   Maxhenry1   attentiveness   discoloration   weightlifter   swelling   protection   specialist   another