Carpal Boss2024-05-08T09:26:35+00:00

Carpal Boss

Carpal Boss

Recognising the Symptoms of Carpal Boss

Lump on the back of the hand – Carpal Boss

Noticed a bump on the back of your hand? It might be a carpal boss. These are usually harmless, but I can assess it to confirm the diagnosis and answer any questions you may have. Often, we can manage them without any intervention but surgery, often under local anaesthetic, my specialty, is also an option.

Understanding Carpal Boss

Noticed a bump on the back of your hand near your wrist? This might be a carpal boss, which is a harmless bony growth. Here’s the breakdown:

  • Symptoms: Most carpal bosses cause NO pain or discomfort whatsoever.
  • Causes: Usually unknown, but can be associated with underlying arthritis.
  • Treatment: In the vast majority of cases, no treatment is required!

If you’re concerned about a bump on your wrist, I can examine it and put your mind at ease.

Carpal Boss FAQs

A Carpal Boss, often referred to as a “bossing,” is a bony overgrowth or lump on the back of the hand at the junction of the long hand bones (metacarpals) and the small wrist bones (carpals). It typically occurs over the second and third metacarpal bones.

The exact cause of a Carpal Boss is not well understood, but it is thought to be related to osteoarthritis or repetitive strain injuries. It may also be associated with past trauma to the wrist or chronic stress on the wrist joints.

Carpal Boss is more commonly seen in adults between the ages of 20 and 40. It appears to affect both males and females equally and may be more prevalent in individuals who engage in activities that put repetitive stress on the wrist.

Many individuals with a Carpal Boss may not have any symptoms. When symptoms do occur, they can include a visible bump on the back of the hand, pain, and restricted movement or discomfort during wrist extension or when gripping objects.

Diagnosis typically involves a physical examination and the review of the patient’s medical history. Imaging tests, such as X-rays, can confirm the presence of a bony overgrowth and help rule out other conditions.

A Carpal Boss is a permanent bony growth and does not typically go away on its own. Treatment focuses on managing symptoms and improving hand function.

Treatment options may vary depending on the severity of symptoms. They can range from non-surgical approaches such as rest, ice application, and the use of anti-inflammatory medications, to more invasive procedures like corticosteroid injections or surgery to remove the bony growth if it causes significant discomfort or restricts movement.

Managing pain can involve several strategies such as modifying activities to avoid pain triggers, using wrist supports or splints, and engaging in hand and wrist exercises to strengthen the area and reduce stiffness.

Surgery is considered only when conservative treatments have failed to relieve symptoms, or if the bossing significantly interferes with hand function or causes severe pain. The surgical procedure typically involves removing the bony prominence.

Recovery times can vary, but patients often return to light activities within a few weeks. Full recovery, including returning to heavy lifting or high-stress activities involving the hand, may take several months. Rehabilitation exercises might be recommended to enhance flexibility and strength.

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