Palm lump – what is it?
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The lump on palm of hand related to Dupuytren disease is a buildup of excess collagen and fibrin on and within the supporting tissue (fascia) of the palm, just below the skin. There are multiple causes for this unregulated collagen to collect: heredity (Northern Europe and Scandinavia), surgery, trauma, diabetes, lung and liver disease.
Simply because someone has a small lump on palm of hand does not mean they have Dupuytren disease. Other possibilities exist, although not very likely. A cyst, infection or even a callus might explain a raised palm lump. However, these are usually associated with redness, heat, redness, acute pain or a work history that often accompany these other issues. Conduct a brief online web search for ‘lump on palm of hand” and you will learn that small nodules and lumps on the palm are almost always Dupuytren contracture.
For these reasons, Dupuytren disease is the most common reason for an unusual palm lump, especially when it is located near the base of the little or ring finger.
In the beginning of Dupuytren disease a small lump on palm of hand appears near the base of the little or ring finger. It can also start as a series of lumps or tiny pits in the palm. The lump on palm is made of an excess amount of collagen and fibrin – two primary components of skin. On the surface, it has a swirled appearance, like melted candle wax that did not go straight down.
Natural Dupuytren disease treatment can heal a lump on palm of hand
Good news! When people with early Dupuytren’s disease use the large DCI treatment plan, good things can happen. DCI receives 8-10 reports of moderate to marked improvement, even elimination, of the palm lump when using the DCI large plan, for every one report of failure.
Most people DCI works with – and helps – early stage Dupuytren’s contracture. This is why DCI encourages those with palm lumps to treat their problem while it is small, soft and less embedded within the normal tissues of the hand. It is not wise to ignore the bumps on the palm. Treat them while they are smaller and more responsive to self-care.
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Finger cords are the real problem
If the lump on palm of hand never gets any worse, or extends beyond this early stage, it would remain a simple curious bump that has little consequence. But that is not the case. Most (73%) of all palm bumps become larger and develop a finger cord. What comes next, after the small lump, bump or dimple stage, is what all the fuss is about.
With all DC palm bumps, over several months or years, a dense cord of tissue may develop from the palm lump that extends to one or more fingers. These fingers are almost always the ring and little fingers. And, almost never the index finger or thumb. The cords look like tendons when the fingers move. They also feel like tendons under the skin. However, these cords actually lay on top of the tendons, just below the skin.
Given enough time, each lump on palm of the hand will get larger and more problematic. Some grow faster than others, but all eventually become larger and stronger. When this happens, normal use of the involved fingers becomes increasingly difficult. This is why doctors say if a person gets a palm lump before age 50, the Dupuytren’s contracture will be a worse problem than someone who gets a lump on palm of hand at age 70. It is simply because the younger person will statistically and on average live long enough to encounter greater changes in the Dupuytren contracture.
When a finger cord has contracted enough, it pulls the finger down to curl toward the palm. This makes it first difficult, then later impossible, to straighten the finger. When the finger begins to bend down toward the palm, the Dupuytren’s disease condition becomes correctly known as Dupuytren’s contracture.
Distribution of lump on palm of hand
It is common (62%) for both hands to have one lump on palm of the hand, occasionally two or more. When DC affects both hands the number and pattern of palm lumps and cords will vary. Sometimes one hand has two or three lumps on the palm, while the other hand has only one. And sometimes one hand has different fingers affected than the other hand. When the pattern is the same it is purely random.
Dupuytren contracture is not typically a painful condition. When the lump on palm of the hand first appears it might be painful, but only slightly. Seldom is the pain severe. For this reason, the primary complaint of Dupuytren’s contracture is the restricted finger movement and limited use of the hand due to the continued thickening of the lump on palm of hand that extends into the finger.
The simplest and most dependable method to evaluate Dupuytrens contracture is the tabletop test. It easily measures the ability, or inability, to completely flatten the involved palm on a flat firm surface. As the nodule and lump on the palm of the hand progress in size and density, the finger curls more and more into the palm, making it difficult and later impossible to lay the palm flat on a tabletop. This causes great difficulty doing simple tasks that are part of daily life:
- Wash the hands and face.
- Go to the bathroom.
- Use a knife and fork while eating.
- Button clothing.
- Wear gloves.
- Drive a car.
- Put your hands in a small space like a pocket.
Learn how to treat this problem with the Alternative Medicine methods of the Dupuytren Contracture Institute.
12 thoughts on “Lump on Palm of Hand”
I have had these lumps in both palms removed but now after 3 years later they have grown back. This Dupuytren’s contracture palm lumps are on the muscle of each hand which makes the fingers hard to bend.
Every day I receive emails and phone calls from people who notice a lump on the palm of the hand returning after having Dupuytren’s contracture surgery. Many of these palm lumps return in a year or so; sometimes it takes up to 10 years to return. Based on the reports I receive, I estimate that the average DC palm lump returns in about 2-3 years.
It is the nature of the tissue in Dupuytren’s contracture for the fibrous palm lump to eventually return. In fact, most of these people report that the second time the Dupuytren’s contracture appears it is usually larger and a greater problem. I suggest you consider doing all that you can to avoid additional Dupuytren’s contracture surgery; it will likely result in yet another return of even more palm lumps. I have heard from people who have had 4-5 hand surgeries, each one leaving the hand more limited and painful than the last.
DCI has been around since 2002. We receive 8-10 reports of moderate to marked success for natural treatment of Dupuytren’s contracture, for every one report of failure; that is a whole lot of success compared to failure. Also, we have never received a report of recurrence of a palm lump after successful DCI treatment.
If you have any questions about DCI treatment, please let me know. Good luck to you. TRH
I have 3 lumps on my left palm and one on my right. How soon should I start treatment, if it is dupuytren’s contracture?
You should start natural Dupuytren’s contracture treatment as soon as possible; the earlier the better. Early treatment assures that the problem is as small and less developed as possible. TRH
I have one Dupuytren’s lump in left hand and two severe ones in right hand.
I suggest you get busy trying to do all that you can to help your body eliminate that fibrous tissue. People who use the DCI method the way we suggest get good results: For years we have been told by 8-10 people that they see moderate to marked improvement of various aspects of their Dupuytren’s contracture, for every one report that not much happened. Those are some pretty good reports. Consider trying to see if you can get your body to do a better job of reducing your DC. Let me know if you need any help. TRH
What is DCI treatment for Dupuytren’s contracture, is it a cream or what?
The DCI treatment for Dupuytren’s contracture is not one thing; it is a group of many different therapies. These therapies are combined, meaning they are done at the same time, to support and improve your natural healing response. Using many therapies at the same time is what makes the DCI treatment so unique and effective. The DCI approach is a serious effort to build you up and support your healing response against Dupuytren’s contracture. DCI attacks the palm lump from many directions at the same time.
Dupuytren’s contracture is a difficult problem to treat. Surgery so often makes the problem worse because it stirs up the tendency of the body to produce too much collagen and fibrin in the palm. Rather than trying to help DC with one “silver bullet” treatment, DCI treatment works to overwhelm the problem from different directions at the same time. DCI uses many different vitamins, minerals, enzymes, ultrasound, topical therapies like DMSO, plus stretching and dietary changes.
As a result, DCI gets reports of moderate to marked improvement of Dupuytren’s contracture from 8-10 users of our Large Plan, for every one report of failure. We get reports from people who cancel their hand surgery because of improvement, and people who have had hand surgery. Wonderful things can happen when the program is done according to the instructions that come with each order.
Please spend some time reviewing the DCI website. Contact me if you have specific questions. TRH
I need to get on your regime to treat Dupuytren’s contracture. I have a knot in my palm that hurts when I twist a doorknob and drive. The pea size knot or lump has not affected my finger movement. My dad also has a couple of these knots in his palm. Please send me more information.
Yes, you should do something to help your palm lumps heal before they get develop further. When people follow the large PDI treatment plan we get reports from 8-10 saying they have moderate to marked reduction of hte size. shape, density and adhesion of the nodules, for every one who report of failure. Those are good odds to reduce the need of needless hand surgery.
The best information to get started is here, start treating DC. Best of luck to you. TRH
I am a 57-year-old woman and developed painful lumps from Dupuytren’s contracture in both hands September 2021. My GP in UK is unhelpful, no advice or interest in me. My dad who died in 2015 had the same in both hands when he was 60 but an operation on his hands didn’t help. I can put hands flat but aware of bumps. Is it hereditary as haven’t damaged my hands to my knowledge? I don’t know what exercises or treatment to use and feel scared. Can you help please as am getting nowhere with help here. Thank you.
Sorry to learn of your hand problem and fears. Many people eventually use natural self-help care for their Dupuytren’s contracture because their MDs have little interest in the problem. It puts them in control of their hand problem, and it often works better than they imagined. MDs do not seem to care much about Dupuytren’s contracture because they know they can do so little for the problem, and because the Xiaflex and hand surgery they use often makes the problem worse.
Yes, there is a strong hereditary connection in many cases of Dupuytren’s contracture. Some say as many as 70% or more cases of DC are found in families who share this terrible hand condition. However, injury, overuse, certain drugs, and hand surgery can also trigger or aggravate Dupuytren’s contracture.
Please consider using natural treatment for your hand lumps to see if you can eliminate or at least slow down this problem. When people faithfully use the large DCI treatment plan as described, 8-10 report moderate to marked improvement of their Dupuytren’s contracture for each report of failure. Very good results, and no risk of side effects or aggravation of the problem as with surgery and Xiaflex injections.
Exercises by themselves will not help Dupuytren’s contracture too much — the problem is very difficult to treat. But certain hand stretching exercises are an important and helpful part of a good DC treatment plan. Please go to hand stretches for Dupuytren’s contracture for more information. TRH