Why is there a big swelling on my shoulder?

Sometimes you may not notice that you are injured at the time, and only realize that something is wrong when the injury has worsened. This is especially true when doing physical work. You may not feel it at the time, but discover that you are injured later. Some people find a large swelling on their shoulder. What is the reason? If it is an external injury, don't worry, it may heal by applying some medicine. However, if it is caused by other diseases, it should be taken seriously.

Causes

The cause of the disease is still unclear, but it may be related to chronic trauma. It may be caused by injury, overstrain (especially in the hands and fingers), osteoarthritis, some systemic immune diseases, or even infection. Some occupations that require long-term repetitive joint movements, such as typists, cargo handlers, or industries that require long-term computer operation, can cause or aggravate this disease. Common affected areas include the wrists, fingers, shoulders, etc. Women and diabetic patients are more likely to suffer from this disease.

1. General symptoms

Cysts can occur at any age, but are more common in young and middle-aged people, and more common in women than in men. The cysts are slow growing, round, and usually no larger than 2 cm in diameter. There are also sudden discoverers. A few may disappear on their own or grow again. In some cases, apart from local swelling, there is no conscious discomfort and sometimes mild tenderness. In most cases, there is local soreness or discomfort, which affects activities. The size of the cyst has no direct relationship with the severity of the symptoms, but is related to the tension of the cyst. The greater the tension, the harder the tumor and the more obvious the pain.

2. Local symptoms

During the examination, a round lump with a smooth appearance and clear boundaries can be felt. The surface skin can be pushed, there is no adhesion, and there is soreness or pain when pressed. Most cysts have high tension and are firm lumps, while a few are soft but all have a cystic feeling. The cyst has a fixed base and little movement. A small number of ganglion cysts may resolve on their own, but some patients still experience recurrent attacks after multiple treatments.

1. Non-surgical treatment

Although the recurrence rate of conservative treatment of cysts is high, this method is the least invasive and easily accepted by patients, and can be used as the preferred method clinically. Ganglion cysts can be ruptured by squeezing and gradually absorbed on their own, but they may recur after treatment. Those that are connected to the joint cavity are not easy to rupture. The cyst fluid can be extracted by puncture, and then pressure and massage can be applied, or adrenal cortical hormone or hyaluronidase can be injected after the cyst fluid is extracted, and local pressure bandage can be applied for 2 days, which has a certain therapeutic effect.

2. Surgery

When other treatment methods are ineffective, ganglion cysts can be surgically removed. After surgery, strenuous activity of the affected joint should be avoided to prevent recurrence.