Ganglion Cysts

Ganglion cysts can cause lumps, discomfort, or limited movement in your wrist. The orthopedic specialists at Premier Podiatry and Orthopedics are here to help you understand your condition and restore pain-free wrist function.

Ganglion Cysts

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Introduction

A ganglion cyst is a fluid-filled lump that commonly appears on the back or front of the wrist. While usually not dangerous, it can cause pain, discomfort, or interfere with wrist movement. Ganglion cysts can occur after repetitive wrist movements, injury, or for unknown reasons. Early evaluation can help determine the best treatment and prevent complications.

What is a Ganglion cyst?

Ganglion cysts are noncancerous lumps filled with a jelly-like fluid. They often form near joints or tendons in the wrist. The cyst can vary in size, sometimes becoming larger with activity and shrinking with rest. Some cysts cause pain, weakness, or numbness if they press on nearby nerves, while others are painless and primarily a cosmetic concern.

Treatments for Ganglion Cysts

Treatment options depend on the size, location, and symptoms of the cyst:

Observation: Many cysts cause no pain and can be monitored without intervention.
Immobilization: A wrist brace or splint can reduce swelling and irritation.
Aspiration: The cyst can be drained using a needle to remove the fluid.

Do I Need Surgery?

Surgery may be recommended if the cyst is painful, limits wrist movement, recurs after aspiration, or affects daily activities. Surgical removal involves excising the cyst and its stalk to reduce the chance of recurrence. The procedure is typically performed on an outpatient basis.

Recovery and Rehabilitation

Recovery depends on whether the cyst is treated conservatively or surgically. After surgery, you may need a period of rest and gentle exercises to restore wrist motion and strength. The orthopedic specialists at Premier Podiatry and Orthopedics will guide your recovery, providing a tailored plan to help your wrist regain function and enable you to safely return to your normal activities and work tasks.

References

Zoller SD, Benner NR, Iannuzzi NP. Ganglions in the Hand and Wrist: Advances in 2 Decades. J Am Acad Orthop Surg. 2023;31(2):e58-e67. doi:10.5435/JAAOS-D-22-00105.

Head L, Gencarelli JR, Allen M, Boyd KU. Wrist Ganglion Treatment: Systematic Review and Meta-Analysis. J Hand Surg. 2015;40(3):546-53.e8. doi:10.1016/j.jhsa.2014.12.014.

Thornburg LE. Ganglions of the Hand and Wrist. J Am Acad Orthop Surg. 1999;7(4):231-238. doi:10.5435/00124635-199907000-00003.