Ganglion cysts
Ganglion Cysts are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. They can also appear on ankles and feet. These cysts are filled with a jelly-like fluid and can vary in size, often fluctuating with your activity level. They are also called mucous cysts when over the joints of the fingers.
Key characteristics of ganglion cysts include:
- Appearance: These cysts are typically round or oval and may be soft or firm.
- Size: They can range from the size of a pea to an inch in diameter.
- Location: Most commonly found on the back of the wrist, but can also appear on the palm side of the wrist, at the base of a finger, or near a finger joint.
At Waterfront Private Hospital, we offer expert assessment and treatment for ganglion cysts. Our approach is patient-centred, focusing on the severity of symptoms and their impact on daily life. We provide comprehensive care, from initial consultation to treatment and follow-up, ensuring our patients receive the most effective and appropriate care for their needs.
Overview
- TYPE OF ANAESTHETIC
Local - LENGTH OF SURGERY
20 minutes - HOSPITAL STAY
Walk in walkout - RECOVERY
no time to 2 weeks off work (depending on the nature of your work)
Beautiful, Immaculate & Friendly
The Waterfront is a beautiful and immaculate hospital. To me, it felt as if I were in a luxury spa. The staff are both utterly friendly and professional. The entire process was personal and seamless. Thank you.
Sandra Burns
April 2024
Understanding ganglion cysts
While the exact cause of ganglion cysts is unknown, they may arise from trauma or a flaw in the joint capsule or tendon sheath that allows the joint tissue to bulge out. They are more common in women, and people between the ages of 20 and 40.
Symptoms and Concerns:
- Pain and Discomfort: If the cyst puts pressure on nerves, it may cause pain, tingling, or muscle weakness.
- Aesthetic Concerns: Some people seek treatment due to the appearance of the cyst.
- Mobility Issues: Large cysts can hinder joint movement.
Private treatment options for ganglion cysts
At Waterfront Private Hospital, we offer a range of effective treatment options for ganglion cysts tailored to each patient’s unique needs. Our team works to provide relief from symptoms and address any concerns related to the cyst. Treatment options include:
- Observation: Many ganglion cysts are harmless and may resolve on their own. If the cyst is not causing pain or interfering with activities, we may recommend a watch-and-wait approach.
- Immobilization: Restricting movement of the affected joint can help reduce the size of the cyst. We may recommend a splint or brace to alleviate symptoms and prevent the cyst from growing.
- Aspiration: In this minimally invasive procedure, a needle is used to drain the fluid from the cyst, providing relief from discomfort. Aspiration is a simple and effective treatment, but cysts may recur after this procedure.
- Corticosteroid Injections: Injecting a steroid medication into the cyst may reduce inflammation and pain. This can be an option if the cyst is causing significant discomfort.
- Surgical Removal: Surgery may be recommended for persistent cysts or those that cause significant pain and mobility issues. Surgical removal involves excising the cyst and a portion of the joint capsule or tendon sheath. This option is typically considered when other treatments have not provided relief.
Our approach to treatment prioritizes patient comfort and functionality. We ensure that our patients are fully informed about their condition and treatment options, empowering them to make the best decisions for their health and lifestyle.
At Waterfront Private Hospital, we understand that each case of a ganglion cyst is unique. Our dedicated team is committed to providing personalised care and advanced treatment options to ensure the best possible outcomes for our patients.
Further reading:
Frequently asked questions
What exactly is a ganglion cyst?
A ganglion cyst is a noncancerous lump that forms near joints or tendons, most commonly in the wrist or hand. It is filled with a jelly-like fluid and can vary in size, sometimes growing or shrinking based on activity levels.
Are ganglion cysts harmful?
Most ganglion cysts are harmless and may not require treatment. However, they can cause pain, tingling, or muscle weakness if they press on nearby nerves or interfere with joint movement if they grow too large.
What causes a ganglion cyst?
The exact cause is unknown, but they may be linked to trauma, repetitive use of joints, or weaknesses in the joint capsule or tendon sheath. Women and individuals aged 20–40 are more likely to develop them.
Can a ganglion cyst go away on its own?
Yes, some ganglion cysts can disappear without treatment. If the cyst isn’t causing pain or interfering with daily activities, a “watch-and-wait” approach may be recommended.
How is a ganglion cyst diagnosed?
Diagnosis usually involves a physical exam, during which the doctor may shine a light through the cyst to confirm that it is fluid-filled. In some cases, imaging tests like an ultrasound or MRI might also be used.
When should I seek treatment for a ganglion cyst?
Treatment is advised if the cyst causes pain, restricts joint movement, or leads to other symptoms like tingling or numbness. Some people also seek treatment for cosmetic reasons if they are self-conscious about its appearance.
What are the treatment options for ganglion cysts?
Treatment options include:
•Observation for cysts causing no symptoms.
•Immobilisation with a splint to reduce size and symptoms.
•Aspiration to drain the fluid for temporary relief.
•Corticosteroid injections to reduce pain and inflammation.
•Surgical removal for persistent or problematic cysts.
Does aspiration cure a ganglion cyst?
Aspiration can provide relief by draining the fluid, but there is a chance the cyst may recur as the underlying cause isn’t addressed.
Is surgery always necessary for ganglion cysts?
Surgery is typically a last resort, recommended only if the cyst is persistent, causing significant pain, or interfering with your daily life.
What is the recovery time after ganglion cyst surgery?
Recovery varies depending on the nature of your work. Many patients can resume light activities quickly and fully return to normal activities within two weeks.
Can ganglion cysts come back after surgery?
There is a small chance of recurrence even after surgical removal. However, removing the cyst and part of the joint capsule or tendon sheath reduces the likelihood.
How can I prevent ganglion cysts from forming?
While there’s no guaranteed way to prevent them, avoiding repetitive stress on joints and using proper wrist support during activities may help lower the risk.
How do I get started with treatment?
Please book a consultation with our specialists at Waterfront Private Hospital. We’ll assess your symptoms and help you choose the most effective treatment plan tailored to your needs.
If you have further questions or would like to learn more, our team is here to help.
Authors
Ms. Philippa Rust, GMC 4321455, is a fully accredited Hand Surgeon on the GMC Specialist Register for Orthopaedic Surgery. Since 2010, she has been a Consultant at the Plastic Surgery Unit of St John’s Hospital in Edinburgh, specialising exclusively in hand and wrist surgery. Ms Rust is among the first in the UK to hold the Diploma of Hand Surgery and is skilled in advanced techniques, including wrist arthroscopy. Dr. Kazem Nassar, MBChB, FRCS (Plast), GMC 7131999, is a Plastic and Reconstructive Surgeon Consultant with over 10 years of experience. He practices at St John’s Hospital and the Western General Hospital in Edinburgh, specializing in melanoma, skin cancer treatments, breast surgery, and post-cancer reconstructive surgery.Dr Kazem Nassar