Logical Explanation for Hand Dent?

[jerryTwo]

Is there any logical explanation for the dent I didn't have (rest of the "atrophied" hand is the same as before) other than atrophy? I dind it wierd that the atrophy would only make a small dent...I am stretching this weeks some ball, can some other muscle mass make such dent? Can it be that the hand changes over time? It is dent, I can feel it but the color of the skin is also more red because of it Would the atrophy be in only 1cm spot?I guess this is better comparasion (light and everything)

 

[BobJazzy]

Jerry, I can see the dent in both pics (May and December). The difference is in the lighting. That looks like a perfectly normal hand to me. I have dents like that in my hand.

 

[jerryTwo]

Thanx Mat, I sent with 2 different lightnings (both pictures compare May and December 2012).On May there is a red "stain", but now it is dent there. I am not saying it will kill me or anything. It is now more visible than my big dent in the brevis muscle. In picture you can not see 3D.I guess atrophy doesn't develop in 1cm square area, can the muscle mass change or muscle move or something? If it was there I would see it clearly before and the pictures show there was a stain there (red) and now it is deeper dent, I can feel it.I don't know if my hands are normal or not, neuro thought this hand is atrophied. 31.12.2012 I intent to make a big note: I don't care about it any more, even if there is a dent that was not there before, I am still alive and I don't feel any weakness in thumb (apart from this hand being weaker than the other in general - I am right handed).It is so HARD. I have to say to myself that the neuro was WRONG That I know myself better than he does... I have to do it, no neuro is going to tell me it is nothing I think, ever

 

[TwitchyAz]

your hand actually looks more atrophied in the May picture.

 

[TwitchyMD]

Atrophy is not that focal (unless the muscles are interlacing and one is atrophied) - the whole musle slowly loses its shape and becomes flat, sunken. I would not be absolutely worried about that in your pictures, can be subcutaneous tissue changes,

 

[jerryTwo]

Thanx. May picture looks more atrophied because of the lightning and there was "more blood" in my hand and the fluffiness was more visible. I think the rest of the hand is the same than it was (when looking myself, not pictures), only this focal dent worries me. It comes from the other dent I see, maybe it is spreading. Don't know.

 

[TwitchyMD]

Focal dimple etc. is not atrophy. You would notice the muscle to be softer (hypotonia) and slowly sinking down as a whole. This is not atrophy, at least not musle one. You still can have fat tissue atrophy etc. from injury, as happened to me 6 months ago.

 

[jerryTwo]

Ah, this is focal dimple... As you can see I do have atrophy in the thenar muscle on this hand, confirmed by neuro. It seems to stay the same this 14 months so not ALS atrophy. So every dimple and change in the hand should not be concerning, after all, I am older every year...