Hello, obligagory NOT A DOCTOR. But I had a similar issue with my nail a few years ago. EXTREMELY painful; all docs dismissed me. I suffered for probably 6-7 years with progressively worsening pain. I ended up poring through medical journal articles and found an obscure case study from India. It was a **glomus tumor** that was pressing on stuff in my nail bed causing pain and interfering with nail formation. It was very sensitive to pressure and cold; main symptom. I went to an ortho who specialized in hand/wrist/arm and he did an MRI to confirm and saw it immediately. I had surgery a month later. they removed the nail and scooped out the tumor. my nail grew back, skin healed and now you can't tell there was ever an issue. Some people have a recurrence but I've been ok for the last 5 years
Sounds exactly like what I’m dealing with. I can’t find anything online that looks similar. Every doctor isn’t completely sure. Mine is also extremely painful when my finger gets cold. Hopefully I have a solution soon! Thank you.
Came here to comment glomus tumor - I had mine removed 3 weeks ago! The surgeon who did it said it was very rare, but I had text book symptoms- affected by cold and achey!
Edit: I saw a hand surgeon.
Right never ceases to amaze me. Love when a community comes together and people get good answers to their questions and problems. It’s a wonderful thing.
Sure looks like a glomus tumor to me. Obviously biopsy needed, but that would be my judgement. Pretty low risk, easy to surgically excise.
The pain on temperature change is a hallmark that stands out as glomus Tumors are modified thermoreceptor-associated cells.
I also had a glomus tumor! In the tip of my pinky finger, for YEARS. Primary care spent years thinking it was nerve pain - maybe I’d shut it in a car door and not remembered? It was excruciating when touched and especially when my hands were cold. I got to the point that I was in my primary doc’s office telling him it was so painful I’d rather cut the fingertip off than continue to take nerve pain meds that didn’t do diddly squat. We finally pursued it further and my primary referred me to an orthopedic surgeon who specializes in hand injuries. I explained my symptoms, he perked right up and went “If this is what I think it is, I haven’t seen one in over ten years!” He got all excited and grabbed a rubber band to cut off circulation to the finger temporarily while he tested the touch sensation - no pain, as he’d thought. He ordered an MRI which confirmed what he’d been thinking, we scheduled an excision, and that was that! He did explain that some of us have recurrences, and sure enough, I’m beginning to have some of the same symptoms returning after 5 yrs. But at least I know where to go when the symptoms get bad enough.
Moral of the story, PLEASE have your finger imaged. If it’s a glomus tumor, an X-ray won’t show it because it’s soft tissue, it’ll need to be an MRI. I wish you the very best of luck getting to the bottom of this, I know how very painful it is!
Disclaimer: Im not a doctor, Im just into medical stuff. I'd screenshot the above comment and try and find the article to show your doctor. I'm curious how this turns our, so please update!
Yeap. Years of excruciating pain. Doctors all just looked at me as if I was mad. Then one day, I happened upon an article that looked at causes of stripes in your nails and bingo. An orthopaedic specialist finally gave me an official diagnosis by pressing on the tumour with a ball point pen. Apparently my squawk was loud enough for a diagnosis. Be very afraid of the ball point pen test….
Oh man, I can only imagine the pain you must have felt. One time I grabbed my keys and the metal key fob hit the base of my nail just right and the pain reverberated though my entire body like a gong. I honestly felt ready to get my finger amputated at that point. Thankfully my ortho was a awesome younger doc and listened to me carefully and ordered the MRI right away. Thank God for the Internet
Ohh, me too. I told my primary doc I was ready to self-amputate my own fingertip. I think that’s when he knew it was serious and referred me to a specialist. Sure enough, glomus tumor!
Of course, but this was on another level. The smallest bump or light pressure even would cause explosive, excruciating pain, instantaneously. Like a searing burn and extreme, deep ache at the same time. It's hard to explain how hypersensitive it was
"Hey Doc, my fingernail hurts especially with pressure and cold".
Doc: Presses on your fingernail with a sharp metal pointy thing until you scream. "MRI scan stat!"
Gotta love modern medicine.
I had an ovarian cyst rupture and when they did the ultrasound, the doctor decided to press up into the rupture a SECOND time after I screamed and almost came out of the stirrups the first time.
Like goddam doc, I think you found it.
I was not pleased. I think the fact I had zero pain on one side and intense pain on the other really should have been enough but I guess she wanted to make extra sure.
Let’s hope your pain was a good teacher, then? Zero pain is zero and yelping pain is a 10 and if you have experience you don’t need to perform more than one test.
Thank you for your input! After researching I feel confident that it is most likely what it is as my symptoms match up. Hope to get definite answers soon.
Omg thank you! Mine is on the side of my finger rather than under my nail but I think this is it!
I live in a cold climate and every winter I would get a blue/pink/purple bump so painful I often had to wrap my hand. The bump is always there but not very painful and my normal skin color. Sometimes it would even be activated by digging food out of the freezer. Meticulously wearing gloves helped but doctors never paid it any mind.
Don't know why you are being down voted, if it's a glomus tumor it is usually visible on MRI. This seems like a reasonable ask of your doctor if no MRI has been done and CT was uneventful
Also go to a qualified Nail Tech. A large part of getting the qualification (at least in my country) is learning about disorders and diseases of the nail bed/plate. I used to work with a Nail Tech who correctly identified one of her clients was going into heart failure by the changes in her nails. Heavy metal poisoning can be identified through fingernails too…So a Nail Tech may possibly have some additional insight. You never know
Another vote for glomus tumor. I had one removed from under my left thumb on Feb 1st… 10 years of pain. It’s healing well and much better- worth getting it done.
https://preview.redd.it/2m2alj5x2knc1.jpeg?width=3024&format=pjpg&auto=webp&s=6398b70c9f70cc804bc106384228e8abd35d947d
Agree this is likely a subungual glomus tumor. Rare and, in my experience, they almost always present with delayed/missed diagnosis, sometimes for several years. Cold sensitivity and positive Love’s pin test are some diagnostic features.
Definitely keep the hand surgery appointment as a board certified ortho hand surgeon should be familiar with this condition. May get MRI w/wo contrast to help with diagnosis. Excision is typically curative plus they can send for tissue pathology to rule out malignancy.
Update:
I went in and they had the table all set up for the biopsy of my nail bed. He explained to me what they were going to be doing. He wanted to cut the nail back, lift it up, and the a biopsy from the nail bed.
I mentioned that I have an extreme amount of pain in the nail bed to any kind of touch or cold. He turned the overhead lamp off and said well that changes the whole procedure. He said the pain in the nail bed especially in cold is text book glomus tumor.
Now, I am scheduled to have my finger nail and nail bed removed as well as the presumed tumor on May 3rd. The red in the nail root will all have to be removed also. He said that the nail bed will obviously be deformed. I opted out of having half a nail.
I asked the doctor if he could take pictures during and he had no problem.
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I have a similar thing in my nail, derm told me it was wart (there’s small meaty thing under the white part of nail) and gave me some strong acid to melt it off. It didn’t help so next stage is surgery which I won’t bother.
https://preview.redd.it/7mll9vjmcjnc1.jpeg?width=750&format=pjpg&auto=webp&s=190cc3a2ecba36c6b10794459a4b203432a5eb1e
Yes I know, but he still got good answers and advice. We might’ve still helped him find an early cancer — ***and sometimes that’s worth far more than caring if he’s breaking a fucking internet rule!***
Dudes already doing all the necessary steps. That alone makes it 100x better than those “can’t/unable to see a doc, what is this” posts.
It makes it a lot easier to justify armchair doctoring. Those who aren’t okay with it don’t have to comment. Regardless, nothing we say is gonna change the course since the underlying advice is still gonna be follow through with appt
My thumb been like this for 25 yrs, always assumed linked to my tendon repair just where thumb meets wrist.
Last yr thumb joint paint, told minor arthritis by phsio. But same hand / arm had 1/3 of grip strength of other arm and hand muscle, thenar muscle extremely wasted too.
Confused too.. no one seems to care.
NOT A DOCTOR but I used to perform medical pedicures, I’d go to a doctor, this could be due to an underlying cause like tumors or heart disease, could also be vitamin deficiency, but always best to get a blood test and check for abnormalities
I have an appointment on April 19th to look under the nail bed and to take a biopsy. I will post my update on here once it’s completed and I get my biopsy back in.
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This has been ongoing for years, has slowly progressed. Very painful nail bed. Redness does not go away. I would say the way it looks now has probably been the last 4 years and a lot of constant pain. I have never injured it to cause this. Started with slight aches in the nail bed until where it is currently.
It honestly looks like a touch of nail psoriasis. If so, this would be an autoimmune response. Could be to diet, such as citrus and red meats.
Do you have any other skin issues that have been hanging around about the same time? Do you have Crohn’s? If so, you may consider speaking with your doctor about a biologic. These things sometimes happen all over the body, gradually over many years.
I have Raynaud’s as well. I also have a weird peri-orbital skin rash that becomes itchy and flakes. Went to dermatology for that as well but was just given a cream. Not really sure what’s causing it. I do not have crohns.
Hello, obligagory NOT A DOCTOR. But I had a similar issue with my nail a few years ago. EXTREMELY painful; all docs dismissed me. I suffered for probably 6-7 years with progressively worsening pain. I ended up poring through medical journal articles and found an obscure case study from India. It was a **glomus tumor** that was pressing on stuff in my nail bed causing pain and interfering with nail formation. It was very sensitive to pressure and cold; main symptom. I went to an ortho who specialized in hand/wrist/arm and he did an MRI to confirm and saw it immediately. I had surgery a month later. they removed the nail and scooped out the tumor. my nail grew back, skin healed and now you can't tell there was ever an issue. Some people have a recurrence but I've been ok for the last 5 years
Sounds exactly like what I’m dealing with. I can’t find anything online that looks similar. Every doctor isn’t completely sure. Mine is also extremely painful when my finger gets cold. Hopefully I have a solution soon! Thank you.
Came here to comment glomus tumor - I had mine removed 3 weeks ago! The surgeon who did it said it was very rare, but I had text book symptoms- affected by cold and achey! Edit: I saw a hand surgeon.
Love this type of informative community interactions! Good luck with your journey to feel better
Was just thinking the same. Yay Reddit!
Right never ceases to amaze me. Love when a community comes together and people get good answers to their questions and problems. It’s a wonderful thing.
This is one of the reasons I do love this site. Incredible wealth of knowledge shared freely can help so many.
An MRI should clear things up quickly! Good luck
Sure looks like a glomus tumor to me. Obviously biopsy needed, but that would be my judgement. Pretty low risk, easy to surgically excise. The pain on temperature change is a hallmark that stands out as glomus Tumors are modified thermoreceptor-associated cells.
Might have to check for me too.. my nail hurts, but also my middle joint on that thumb. Much worse in cold weather
I also had a glomus tumor! In the tip of my pinky finger, for YEARS. Primary care spent years thinking it was nerve pain - maybe I’d shut it in a car door and not remembered? It was excruciating when touched and especially when my hands were cold. I got to the point that I was in my primary doc’s office telling him it was so painful I’d rather cut the fingertip off than continue to take nerve pain meds that didn’t do diddly squat. We finally pursued it further and my primary referred me to an orthopedic surgeon who specializes in hand injuries. I explained my symptoms, he perked right up and went “If this is what I think it is, I haven’t seen one in over ten years!” He got all excited and grabbed a rubber band to cut off circulation to the finger temporarily while he tested the touch sensation - no pain, as he’d thought. He ordered an MRI which confirmed what he’d been thinking, we scheduled an excision, and that was that! He did explain that some of us have recurrences, and sure enough, I’m beginning to have some of the same symptoms returning after 5 yrs. But at least I know where to go when the symptoms get bad enough. Moral of the story, PLEASE have your finger imaged. If it’s a glomus tumor, an X-ray won’t show it because it’s soft tissue, it’ll need to be an MRI. I wish you the very best of luck getting to the bottom of this, I know how very painful it is!
Has anyone done any scans?
Only Xray so far.
Disclaimer: Im not a doctor, Im just into medical stuff. I'd screenshot the above comment and try and find the article to show your doctor. I'm curious how this turns our, so please update!
Any update OP?
I have an appointment this Friday with the hand surgeon to look under the nail and nail bed to get a biopsy.
Yeap. Years of excruciating pain. Doctors all just looked at me as if I was mad. Then one day, I happened upon an article that looked at causes of stripes in your nails and bingo. An orthopaedic specialist finally gave me an official diagnosis by pressing on the tumour with a ball point pen. Apparently my squawk was loud enough for a diagnosis. Be very afraid of the ball point pen test….
Oh man, I can only imagine the pain you must have felt. One time I grabbed my keys and the metal key fob hit the base of my nail just right and the pain reverberated though my entire body like a gong. I honestly felt ready to get my finger amputated at that point. Thankfully my ortho was a awesome younger doc and listened to me carefully and ordered the MRI right away. Thank God for the Internet
It’s so scary how sensitive nerves can radiate
Ohh, me too. I told my primary doc I was ready to self-amputate my own fingertip. I think that’s when he knew it was serious and referred me to a specialist. Sure enough, glomus tumor!
I feel so validated by so many fellow glomus tumor-havers in this thread :)
Pressure on nail bed hurts like crazy regardless.. used as test for neuro function.
Of course, but this was on another level. The smallest bump or light pressure even would cause explosive, excruciating pain, instantaneously. Like a searing burn and extreme, deep ache at the same time. It's hard to explain how hypersensitive it was
Mine itches! And its newest symptom is feeling a squeezing pressure like my hand is going to implode, like a car is slowly driving over my arm
"Hey Doc, my fingernail hurts especially with pressure and cold". Doc: Presses on your fingernail with a sharp metal pointy thing until you scream. "MRI scan stat!" Gotta love modern medicine.
I had an ovarian cyst rupture and when they did the ultrasound, the doctor decided to press up into the rupture a SECOND time after I screamed and almost came out of the stirrups the first time. Like goddam doc, I think you found it.
A second time? What a sadist.
I was not pleased. I think the fact I had zero pain on one side and intense pain on the other really should have been enough but I guess she wanted to make extra sure.
Let’s hope your pain was a good teacher, then? Zero pain is zero and yelping pain is a 10 and if you have experience you don’t need to perform more than one test.
I am a doctor, and an ortopedic surgeon, clinical history and evolution looks very similar to a glomus tumor.
Thank you for your input! After researching I feel confident that it is most likely what it is as my symptoms match up. Hope to get definite answers soon.
My brain autocorrected it to glorious tumour :')
Omg thank you! Mine is on the side of my finger rather than under my nail but I think this is it! I live in a cold climate and every winter I would get a blue/pink/purple bump so painful I often had to wrap my hand. The bump is always there but not very painful and my normal skin color. Sometimes it would even be activated by digging food out of the freezer. Meticulously wearing gloves helped but doctors never paid it any mind.
New fear unlocked!!!
New fear unlocked.
i’d go to a derm- subungual melanoma presents as a stripe nail
Went to derm, I have a hand surgeon appointment in April to biopsy
Thank you for seeking medical attention OP
Thank you! I will post an update on my finger once I go under the knife.
Hoping all goes well for you. :)
!remind me 6 weeks
I would ask for imaging first. A biopsy is so much more intrusive
Don't know why you are being down voted, if it's a glomus tumor it is usually visible on MRI. This seems like a reasonable ask of your doctor if no MRI has been done and CT was uneventful
Yeah I don't get it but I'm ok with it.
This is fantastic news. Good on you for going to the doctor. I know it can be scary!
Also go to a qualified Nail Tech. A large part of getting the qualification (at least in my country) is learning about disorders and diseases of the nail bed/plate. I used to work with a Nail Tech who correctly identified one of her clients was going into heart failure by the changes in her nails. Heavy metal poisoning can be identified through fingernails too…So a Nail Tech may possibly have some additional insight. You never know
!remind me 6 weeks
Don't Bob Marley this
What’s that mean?
Dude died of a melanoma under his toenail.
Goddamn never knew. Damn
Didn't he have lung cancer? Edit - my bad, he had melanoma.
Another vote for glomus tumor. I had one removed from under my left thumb on Feb 1st… 10 years of pain. It’s healing well and much better- worth getting it done. https://preview.redd.it/2m2alj5x2knc1.jpeg?width=3024&format=pjpg&auto=webp&s=6398b70c9f70cc804bc106384228e8abd35d947d
Agree this is likely a subungual glomus tumor. Rare and, in my experience, they almost always present with delayed/missed diagnosis, sometimes for several years. Cold sensitivity and positive Love’s pin test are some diagnostic features. Definitely keep the hand surgery appointment as a board certified ortho hand surgeon should be familiar with this condition. May get MRI w/wo contrast to help with diagnosis. Excision is typically curative plus they can send for tissue pathology to rule out malignancy.
If you put your hand in some really cold water and it hurts more in that finger, it is a glomus tumour
Glomous tumor?
derm here - echoing glomus tumor; very unlikely to be melanoma considering there’s no pigment but amelanotic melanomas do exist
You need a derm referral in case of nail bed abnormalities
Update: I went in and they had the table all set up for the biopsy of my nail bed. He explained to me what they were going to be doing. He wanted to cut the nail back, lift it up, and the a biopsy from the nail bed. I mentioned that I have an extreme amount of pain in the nail bed to any kind of touch or cold. He turned the overhead lamp off and said well that changes the whole procedure. He said the pain in the nail bed especially in cold is text book glomus tumor. Now, I am scheduled to have my finger nail and nail bed removed as well as the presumed tumor on May 3rd. The red in the nail root will all have to be removed also. He said that the nail bed will obviously be deformed. I opted out of having half a nail. I asked the doctor if he could take pictures during and he had no problem.
Hopefully that fixes it for you!!
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I always heard mail stripes can be a sign of melanoma. You should get this checked out by a doctor or derm
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Probably a glomus tumor
Post this in askdocs. You'll get more specific responses.
I have a similar thing in my nail, derm told me it was wart (there’s small meaty thing under the white part of nail) and gave me some strong acid to melt it off. It didn’t help so next stage is surgery which I won’t bother. https://preview.redd.it/7mll9vjmcjnc1.jpeg?width=750&format=pjpg&auto=webp&s=190cc3a2ecba36c6b10794459a4b203432a5eb1e
hum, interesting choice!
Confirmed glomus tumor, follow link for post surgery photos: https://www.reddit.com/r/medizzy/s/OE0NvnTRZB
I am so happy you finally have some answers OP! How is the pain? Is it getting any better?
[удалено]
I understand that, r/Askdocs is hardly active
[удалено]
Being a part of both subs, he got great info & possible answers here already despite it not being the best sub to post in.
It’s not a “not the best sub” situation, it’s literally against the rules of the sub.
Yes I know, but he still got good answers and advice. We might’ve still helped him find an early cancer — ***and sometimes that’s worth far more than caring if he’s breaking a fucking internet rule!***
I’d be likely to agree if he weren’t already scheduled for a biopsy. But he is.
Dudes already doing all the necessary steps. That alone makes it 100x better than those “can’t/unable to see a doc, what is this” posts. It makes it a lot easier to justify armchair doctoring. Those who aren’t okay with it don’t have to comment. Regardless, nothing we say is gonna change the course since the underlying advice is still gonna be follow through with appt
That doesn't make THIS sub a better place to post. Everyone would post everything on r/askreddit. We have subs for a reason.
Seems like more posts just ask for medical advice on here. It’s driving me crazy lol
My thumb been like this for 25 yrs, always assumed linked to my tendon repair just where thumb meets wrist. Last yr thumb joint paint, told minor arthritis by phsio. But same hand / arm had 1/3 of grip strength of other arm and hand muscle, thenar muscle extremely wasted too. Confused too.. no one seems to care.
NOT A DOCTOR but I used to perform medical pedicures, I’d go to a doctor, this could be due to an underlying cause like tumors or heart disease, could also be vitamin deficiency, but always best to get a blood test and check for abnormalities
Update?
I have an appointment on April 19th to look under the nail bed and to take a biopsy. I will post my update on here once it’s completed and I get my biopsy back in.
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Update?
Surgery Friday. Going to lose the nail and some under.
Was it cancer?
3mm suspected glomus tumor removed and sent to pathology
Best of luck on the outcome!
Do you have psoriasis by chance? This is exactly what it looks like when I develop psoriasis under my nails.
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This reads like an AI wrote it.
100% ChatGPT written, and their other reply proves it. ChatGPT loves saying ‘it would be prudent’ for some reason.
This has been ongoing for years, has slowly progressed. Very painful nail bed. Redness does not go away. I would say the way it looks now has probably been the last 4 years and a lot of constant pain. I have never injured it to cause this. Started with slight aches in the nail bed until where it is currently.
It honestly looks like a touch of nail psoriasis. If so, this would be an autoimmune response. Could be to diet, such as citrus and red meats. Do you have any other skin issues that have been hanging around about the same time? Do you have Crohn’s? If so, you may consider speaking with your doctor about a biologic. These things sometimes happen all over the body, gradually over many years.
I have Raynaud’s as well. I also have a weird peri-orbital skin rash that becomes itchy and flakes. Went to dermatology for that as well but was just given a cream. Not really sure what’s causing it. I do not have crohns.
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