What are ganglion cysts. How do ganglion cysts form. What causes ganglion cysts. What are the symptoms of ganglion cysts. How are ganglion cysts diagnosed. What are the treatment options for ganglion cysts. When should you see a doctor for a ganglion cyst.

Understanding Ganglion Cysts: A Comprehensive Overview

Ganglion cysts are noncancerous lumps that most commonly develop along the tendons or joints of your wrists or hands. These fluid-filled cysts can also appear on the ankles and feet. While they’re typically harmless, they can sometimes be painful and interfere with joint movement.

Ganglion cysts vary in size, ranging from pea-sized to around an inch in diameter. They’re characterized by their round or oval shape and their ability to increase or decrease in size over time. Some may even disappear on their own.

What Causes Ganglion Cysts?

The exact cause of ganglion cysts remains unclear. However, they’re believed to form when the tissue surrounding a joint or tendon bulges out of place. This bulging tissue then fills with a jelly-like fluid, creating the cyst.

Factors that may contribute to the development of ganglion cysts include:

• Joint or tendon irritation
• Injury
• Repetitive stress to the affected area

Are certain people more prone to developing ganglion cysts? Research suggests that women are more likely to develop these cysts than men. They’re also more common in people between the ages of 20 and 40, gymnasts, and those with osteoarthritis.

Recognizing the Symptoms of Ganglion Cysts

Identifying a ganglion cyst is crucial for proper treatment. The primary sign is the appearance of a lump or mass under the skin. This lump may have the following characteristics:

• Round or oval in shape
• Firm or spongy to the touch
• Immobile (doesn’t move when pressed)
• May increase in size with repetitive joint movement
• May decrease in size with rest

Can ganglion cysts cause pain? While many ganglion cysts are painless, some can cause discomfort, especially if they press on a nerve. The pain may be constant or may occur only when the affected joint is used.

Other symptoms may include:

• Tingling or burning sensations if the cyst is pressing on a nerve
• Weakness in the affected limb
• Difficulty moving the joint

Diagnosing Ganglion Cysts: What to Expect

If you suspect you have a ganglion cyst, it’s important to seek medical advice for a proper diagnosis. Your doctor will likely perform the following:

1. Physical examination: The doctor will inspect the lump, checking its location, size, and consistency.
2. Illumination test: A bright light may be shone through the cyst to determine if it’s fluid-filled.
3. Imaging tests: An X-ray might be ordered to rule out other conditions. Ultrasound or MRI scans can confirm the diagnosis and provide more details about the cyst’s size and location.
4. Aspiration: In some cases, the doctor may use a needle to remove some of the fluid from the cyst for testing.

How accurate are these diagnostic methods? While physical examination and illumination tests can provide strong indications, imaging tests like ultrasound and MRI offer the most accurate diagnosis, with accuracy rates of over 90%.

Treatment Options for Ganglion Cysts: From Conservative to Surgical

The treatment for ganglion cysts depends on their size, location, and whether they’re causing pain or interfering with joint function. Here are the main treatment options:

1. Observation

Many ganglion cysts disappear on their own without any treatment. Your doctor might recommend a “wait and see” approach if the cyst isn’t causing any discomfort.

2. Immobilization

If the cyst is causing pain, your doctor may recommend wearing a wrist brace or splint to immobilize the area. This can help reduce irritation and allow the cyst to shrink.

3. Aspiration

This procedure involves draining the fluid from the cyst using a needle. While it can provide immediate relief, there’s a high chance of recurrence.

4. Surgery

If other treatments haven’t been effective, or if the cyst is interfering with joint function, surgery may be recommended. The two main surgical options are:

• Open surgery: The cyst is removed through an incision in the skin.
• Arthroscopic surgery: A tiny camera and surgical tools are inserted through small incisions to remove the cyst.

What is the success rate of ganglion cyst treatments? While aspiration has a recurrence rate of up to 50%, surgical removal is generally more successful, with recurrence rates of 5-15%.

Prevention and Self-Care for Ganglion Cysts

While it’s not always possible to prevent ganglion cysts, there are some steps you can take to reduce your risk or manage existing cysts:

• Avoid repetitive wrist movements if possible
• Use proper technique when performing repetitive tasks
• Take frequent breaks during activities that stress your wrists
• Strengthen the muscles around your wrists through exercise

Are there any home remedies for ganglion cysts? Some people claim that applying warm compresses or massaging the area can help reduce the size of ganglion cysts. However, these methods aren’t scientifically proven and should be used with caution.

When to See a Doctor for a Ganglion Cyst

While many ganglion cysts are harmless, there are situations where medical attention is necessary. You should consult a doctor if:

• The cyst is painful or interferes with joint movement
• The cyst is growing rapidly
• You’re unsure whether the lump is a ganglion cyst
• The cyst is causing numbness or tingling in the affected limb

How urgent is it to see a doctor for a ganglion cyst? While ganglion cysts are generally not emergencies, it’s best to have them evaluated within a few weeks of noticing them, especially if they’re causing discomfort or affecting your daily activities.

Living with Ganglion Cysts: Impact on Daily Life and Long-Term Outlook

For many people, ganglion cysts are more of a nuisance than a serious medical condition. However, they can impact daily life in various ways:

• Discomfort or pain when using the affected joint
• Difficulty performing certain tasks or gripping objects
• Self-consciousness about the appearance of the cyst
• Anxiety about potential growth or recurrence

What is the long-term outlook for people with ganglion cysts? The prognosis is generally good. Many cysts disappear on their own over time, and even those that require treatment rarely cause long-term complications.

However, it’s important to note that ganglion cysts can recur, even after successful treatment. Regular follow-ups with your doctor can help monitor for any changes or recurrence.

Myths and Misconceptions About Ganglion Cysts

There are several myths surrounding ganglion cysts that can lead to misunderstandings about their nature and treatment. Let’s debunk some of these misconceptions:

Myth 1: Ganglion cysts are cancerous

This is false. Ganglion cysts are benign (non-cancerous) growths. They do not spread to other parts of the body and are not life-threatening.

Myth 2: Hitting a ganglion cyst with a heavy object will cure it

This is a dangerous myth. In the past, people would try to “pop” ganglion cysts by hitting them with a heavy object like a book (hence the old name “Bible cyst”). This method is not only ineffective but can also cause injury and infection.

Myth 3: Ganglion cysts always require surgery

This is not true. Many ganglion cysts resolve on their own or with conservative treatments. Surgery is typically only recommended when other treatments have failed or if the cyst is causing significant problems.

Myth 4: Once removed, ganglion cysts never come back

Unfortunately, this isn’t always the case. While surgical removal has a high success rate, there’s still a possibility of recurrence.

Why do these myths persist? Many of these misconceptions stem from outdated practices or misunderstandings about the nature of ganglion cysts. It’s important to rely on current, evidence-based information when dealing with any medical condition.

Research and Future Directions in Ganglion Cyst Treatment

While ganglion cysts have been known to medical science for centuries, research continues to improve our understanding and treatment of these common growths. Some areas of current research include:

• Investigating the molecular mechanisms behind cyst formation
• Developing new, less invasive treatment options
• Improving surgical techniques to reduce recurrence rates
• Studying risk factors to develop better prevention strategies

What new treatments for ganglion cysts are on the horizon? Some promising areas of research include:

1. Gene therapy: Researchers are exploring ways to manipulate the genes involved in cyst formation.
2. Targeted drug delivery: This could involve injecting medications directly into the cyst to shrink it or prevent recurrence.
3. Regenerative medicine: Techniques using stem cells or growth factors might help prevent cyst formation or promote healing after treatment.

While these potential treatments are still in the experimental stages, they offer hope for more effective management of ganglion cysts in the future.

Coping with Ganglion Cysts: Practical Tips and Support

Living with a ganglion cyst can be challenging, especially if it’s causing pain or affecting your daily activities. Here are some practical tips for coping:

• Use ergonomic tools and equipment to reduce stress on affected joints
• Practice gentle stretching exercises to maintain flexibility
• Apply ice or heat to the area to manage pain (as recommended by your doctor)
• Wear supportive braces or splints as advised by your healthcare provider
• Consider joining a support group for people with chronic pain or joint issues

How can you maintain a positive outlook while dealing with a ganglion cyst? It’s important to remember that ganglion cysts are benign and often temporary. Focus on the activities you can do, rather than those you can’t, and don’t hesitate to seek emotional support if needed.

Remember, while ganglion cysts can be frustrating, they’re generally not serious and there are many effective treatment options available. With proper care and patience, most people can manage these cysts successfully and maintain their quality of life.

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ganglienzyste an der hand des mannes. handhaltende computermaus – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes. Handhaltende Computermaus

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

myxoid zyste – ganglion cyst stock-fotos und bilder

Myxoid Zyste

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit…

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglionectomy – ganglion cyst stock-fotos und bilder

Ganglionectomy

Ganglionektomie – Chirurgischer Eingriff

ganglienzyste von harter arbeit – ganglion cyst stock-fotos und bilder

Ganglienzyste von harter Arbeit

Ganglienzyste von harter Arbeit und schmerzhaft

ganglion zyste oder synovial zyste – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Ganglion Zyste oder synovial Zyste

Ganglienzyste, auch bekannt als Synovialzyste oder Gideon-Krankheit oder Bibelzyste oder Bibelbeule

karpaltunnelsyndrom ganglion zyste – ganglion cyst stock-fotos und bilder

Karpaltunnelsyndrom Ganglion Zyste

reparieren fishing net – ganglion cyst stock-fotos und bilder

Reparieren fishing net

Fisherman repariert das Fischernetz.

ganglienzyste des handgelenks und der hand. synovialzyste oder eine gideon-krankheit oder eine bibelzyste oder eine bibelbeule. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Ganglienzyste des Handgelenks und der Hand. Synovialzyste oder…

Ganglienzyste des Handgelenks und der Hand. Synovialzyste oder eine Gideon-Krankheit oder eine Bibelzyste oder eine Bibelbeule. Vektor-Illustration

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau Hand auf weißem Hintergrund

reparatur der fishing net – ganglion cyst stock-fotos und bilder

Reparatur der Fishing Net

medizinische vektorabbildung der ganglion-fußzyste mit knochen. große ganglienzysten, ein sack mit gelee wie flüssigkeit, ist auf dem fuß des mannes gesetzt – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Medizinische Vektorabbildung der Ganglion-Fußzyste mit Knochen….

Medizinische Vektordarstellung der Ganglienfußzyste mit Knochen. Große Ganglienzysten, ein Sack aus geleeartiger Flüssigkeit, wird am Fuße des Menschen auf den weißen Hintergrund gelegt.

ganglion cyst lump on left hand – ganglion cyst stock-fotos und bilder

Ganglion Cyst Lump On Left Hand

Nahaufnahme eines weißen kaukasischen Mannes in der linken Hand mit einem Ganglienzystenknoten, der zwischen den dorsalen digitalen Nerven oder dem Ulnarnerv steckt.

karpaltunnelsyndrom ganglion zyste – ganglion cyst stock-fotos und bilder

Karpaltunnelsyndrom Ganglion Zyste

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

große kegelzyste (hygrom), flüssigkeitsgefüllter knoten im zusammenhang mit einem gelenk, ein tumor oder eine schwellung auf einem gelenk oder die abdeckung einer sehne. – ganglion cyst stock-fotos und bilder

Große Kegelzyste (Hygrom), flüssigkeitsgefüllter Knoten im…

Große Kegelzyste (Hygrom) , flüssigkeitsgefüllter Klumpen, der mit einem Gelenk, einem Tumor oder einer Schwellung auf einem Gelenk oder der Abdeckung einer Sehne verbunden ist.

ganglion-zyste – ganglion cyst stock-fotos und bilder

Ganglion-Zyste

Ganglienzyste an Menschenhand isoliert auf weißem Hintergrund

medizinische ganglienfußzyste mit knochen und ärztliche injektion – ganglion cyst stock-fotos und bilder

Medizinische Ganglienfußzyste mit Knochen und ärztliche Injektion

vektorillustration eines verängstigten mannes, der seine hand untersucht. der mann fand einen tumor an seinem arm. symptome von lipom, zyste, tumor und krebs. illustration für medizinische artikel, plakate, ständer. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Vektorillustration eines verängstigten Mannes, der seine Hand…

vektorgrafik eines verängstigten mannes, der seine hand untersucht. der mann fand eine schwellung an seiner hand. symptome von lipomen, zysten, tumoren und krebs. illustration für medizinische artikel, plakate, ständer. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Vektorgrafik eines verängstigten Mannes, der seine Hand. ..

vektorillustration eines verängstigten mannes, der seine hand untersucht. der mann fand einen tumor an seinem arm. symptome von lipom, zyste, tumor und krebs. illustration für medizinische artikel, plakate, ständer. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Vektorillustration eines verängstigten Mannes, der seine Hand…

ganglienzyste – ganglion cyst stock-fotos und bilder

Ganglienzyste

medizinische ganglienfußzyste mit knochen und ärztliche injektion – ganglion cyst stock-fotos und bilder

Medizinische Ganglienfußzyste mit Knochen und ärztliche Injektion

Medizinische Ganglienfußzyste mit Knochen und Arztinjektion. Große Ganglienzysten

karpaltunnelsyndrom ganglion zyste – ganglion cyst stock-fotos und bilder

Karpaltunnelsyndrom Ganglion Zyste

Karpalganglionzyste im Handgelenk auf schwarzem Grund

ganglienzyste an der hand des mannes. handhaltende computermaus – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes. Handhaltende Computermaus

linke hand mit gebrochenem finger und ganglion cyst – ganglion cyst stock-fotos und bilder

Linke Hand mit gebrochenem Finger und Ganglion Cyst

Aufnahme einer linken Hand eines weißen kaukasischen Mannes “u2019” mit einem gebrochenen kleinen Finger, der nicht richtig verheilt ist, und einem Ganglienzystenknoten, der zwischen den dorsalen digitalen Nerven des Ulnarnervs liegt.

asiatische frauen alter dreißig kranken mit der krankheit, die zyste am handgelenk isoliert auf weißem hintergrund mit beschneidungspfad. karpaltunnelsyndrom ganglion zyste in medizinische bezeichnung. – ganglion cyst stock-fotos und bilder

Asiatische Frauen Alter dreißig Kranken mit der Krankheit, die…

Asiatische Frauen im Alter von dreißig Jahren Krank mit Krankheit, Die Zyste am Handgelenk isoliert auf weißem Hintergrund mit Schnittweg. Karpalganglionzyste im medizinischen Namen

großen talgdrüsen – ganglion cyst stock-fotos und bilder

Großen Talgdrüsen

zyste an der hand – ganglion cyst stock-fotos und bilder

Zyste an der Hand

zyste – ganglion cyst stock-fotos und bilderganglion zyste drei tage nach der operation – ganglion cyst stock-fotos und bilder

Ganglion Zyste drei Tage nach der Operation

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

ganglion zyste – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Ganglion Zyste

ganglien – ganglion cyst stock-fotos und bilder

Ganglien

Ganglienzyste an Menschenhand isoliert auf weißem Hintergrund

ganglion zyste im handgelenk isoliert auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste im Handgelenk isoliert auf weißem Hintergrund

ganglienzyste an der hand des mannes auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit…

Großes Zystenhygrom, flüssigkeitsgefüllter Knoten im Zusammenhang mit einem Gelenk, ein Tumor oder Schwellungen auf einem Gelenk.

ganglienzyste von harter arbeit – ganglion cyst stock-fotos und bilder

Ganglienzyste von harter Arbeit

Ganglienzyste von harter Arbeit und schmerzhaft

ganglion cyst lump on hand – ganglion cyst stock-fotos und bilder

Ganglion Cyst Lump On Hand

Nahaufnahme eines weißen kaukasischen Mannes in der linken Hand mit einem Ganglienzystenknoten, der zwischen den dorsalen digitalen Nerven oder dem Ulnarnerv steckt.

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit…

Großes Zystenhygrom, flüssigkeitsgefüllter Knoten im Zusammenhang mit einem Gelenk, ein Tumor oder Schwellungen auf einem Gelenk.

ganglienzyste an der hand des mannes auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit. ..

große kegelzyste (hygrom), flüssigkeitsgefüllter knoten im zusammenhang mit einem gelenk, einem tumor oder einer schwellung auf einem gelenk oder der abdeckung einer sehne – ganglion cyst stock-fotos und bilder

Große Kegelzyste (Hygrom), flüssigkeitsgefüllter Knoten im…

Große Kegelzyste (Hygrom) , flüssigkeitsgefüllter Klumpen, der mit einem Gelenk, einem Tumor oder einer Schwellung auf einem Gelenk oder der Abdeckung einer Sehne verbunden ist.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglienzyste an der hand des mannes auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund

ganglienzyste an der hand des mannes. handhaltende computermaus – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes. Handhaltende Computermaus

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau Hand auf weißem Hintergrund

großen talgdrüsen – ganglion cyst stock-fotos und bilder

Großen Talgdrüsen

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

großen talgdrüsen – ganglion cyst stock-fotos und bilder

Großen Talgdrüsen

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

ganglienzyste von harter arbeit – ganglion cyst stock-fotos und bilder

Ganglienzyste von harter Arbeit

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Ganglion Cysts: Symptoms, Diagnosis and Treatment

Nationwide Children’s Hospital

A ganglion (gang-glee-uhn) cyst is a fluid-filled lump under the skin. It is often found over a joint or in a tendon in the hand or wrist (Picture 1). A ganglion cyst forms when there is a small tear in the sleeve of thin tissue that covers a joint or tendon. The tissue bulges and forms a sac. Fluid from the joint leaks into the sac and causes swelling.

• The name of the ganglion cyst changes with its place on the body. If it appears on top of the wrist, it’s a dorsal wrist ganglion cyst (Picture 1). A cyst on the palm side of the wrist is a volar wrist ganglion cyst. Ganglion cysts are most often seen in these two areas. If it’s in the hand, it’s called a retinacular cyst.
• Children of all ages can get ganglion cysts. They are typically seen in people between the ages of 15 and 40, but they can be seen in very young children as well.
• Girls are more likely than boys to have ganglion cysts.
• While ganglion cysts are common, they are usually harmless.

Cause

• The cause of ganglion cysts is unknown. They can appear suddenly or slowly and may go away on their own. If they go away, they may come back for no reason.
• Exercise or using the joint where the ganglion cyst has formed more often may cause it to get bigger over time. Resting the joint may help it get smaller.

Signs and Symptoms

Ganglion cysts don’t usually hurt, but there are some symptoms your child may notice.

• Appearance of a lump
• Pressure or pain when bending the joint if a cyst is big
• Discomfort, tingling, or numbness if the cyst is pressing on a nerve
• Pain is not usually intense if there’s pain at all
• Skin over the cyst may feel smooth, round, and rubbery
• Less range of motion where the cyst is or less strength to grip things

Diagnosis

A ganglion cyst can often be diagnosed during a clinic visit. The doctor or health care provider will take your child’s medical history and do a physical exam.

• Special testing is not needed unless your child has a lot of pain where the cyst is.
• Sometimes an X-ray, ultrasound, or magnetic resonance imaging (MRI) test may be ordered. X-rays will not show a ganglion cyst, but they may show other problems. An MRI can find hidden cysts under the skin or reveal other causes of your child’s pain.

Treatment

Most ganglion cysts go away without treatment. However, some may come back after treatment. It may take a long time, up to 12 to 18 months, before the cyst goes away. If it’s not causing any pain, the doctor or health care provider may suggest simply watching and waiting.

If the ganglion cyst is causing your child many problems, the doctor or health care provider will discuss doing one of the following:

• Splinting:  A brace is used to keep the area with the cyst from moving. That will help prevent more irritation that’s caused when the joint moves. It may help the swelling go down and your child may be more comfortable.
• Aspiration:  The fluid is drained from the ganglion cyst by using a needle (Picture 2). A doctor will numb the area, then insert a needle into the cyst to remove the fluid. The cyst may fill with fluid again since it wasn’t fully removed. This procedure is done in the outpatient clinic.
  • Aspiration is not recommended for volar wrist cysts. There is too much of a risk for damage to blood vessels in this area.
• Surgical excision:  Your child will be put to sleep with anesthesia. This will keep them from feeling pain during surgery. A surgeon will cut out (excise) the whole ganglion cyst. This includes the thin sleeve covering the tendon or joint. Excision greatly reduces the chance of the cyst coming back, but it can still return.
  • Patients wear a splint for 2 weeks after surgery.
  • Surgery is a safe choice, but the recovery time is longer and there are risks like:  infection, scarring, pain, problems healing, bleeding at the surgical site, recurrence (return of the cyst), and possible harm to the blood vessels, nerves, and tissues around the surgical site.

Hand specialists in Plastic Surgery and in Orthopedic Surgery at Nationwide Children’s Hospital take care of many patients with ganglion cysts. They are here to help you and
your child. 

Nationwide Children’s Columbus – call (614) 722-HAND (4263) to schedule an appointment

Nationwide Children’s Toledo – call (419) 251-2061 to schedule an appointment

Ganglion Cyst (PDF)

HH-I-416 • ©2016, revised 2022• Nationwide Children’s Hospital

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Ganglion Cysts (PDF)

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Ganglia. Full description: causes, symptoms, diagnosis, treatment

Tendon ganglion (hygroma) is a benign, neoplastic, cystic neoplasm that occurs in the area of ​​tendon sheaths or joints.

Most often, the tendon ganglion is formed on the back of the hand, but there are also quite frequent cases of hygroma of the knee joint, less often on the back of the foot. Not a single case of degeneration of the ganglion into a malignant tumor has been recorded.

Symptoms:

The tendon ganglion is not considered dangerous, but it can cause pain during the work of the tendon and often becomes quite noticeable visually, and in advanced stages, squeezing of the vessels begins, which leads to stagnation of blood in the veins and pain. On palpation, the ganglion is defined as a tumor-like, round and inactive formation with clear boundaries. Occurs in the region of the joint and is distinguished by a hard-elastic consistency.

When the tendon ganglion is still small, the patient usually does not experience any discomfort.

Reasons for :

In most cases, the causes of the emergence and development of the tendon ganglion is the constant impact (for example, friction or pressure) on a certain area, which is why this disease is often called an occupational disease.

In essence, the hygroma is a degenerative synovial cyst. So, tendon ganglion symptoms, treatment and everything you need to know about this disease.

When to go to the doctor:

As soon as you have a neoplasm, contact a specialist immediately

Forms of the disease:

The ganglion has a connective tissue capsule, often multi-layered. Inside the capsule consists of cavities, which may be several or only one. These cavities contain thickened synovial fluid.

There are several types of hygroma:

• Valve – a valve is formed at the junction of the hygroma capsule and the maternal membrane. When the pressure in the parental cavity is increased by stress or trauma, the synovial fluid begins to flow into the ganglion cavity, but does not move back, as it is blocked by a valve.
• Fistula – tendinous ganglion cavities have an anastomosis together with connections to the tendon sheath or joint. In such cases, the liquid from the hygroma, from time to time, pours out and fills the maternal cavity.
• Isolated – in this case, the ganglion cavity is completely isolated and separated from the maternal membrane. But it still has a place of adhesion with it.

Diagnosis:

The diagnosis is usually made on the basis of the history and characteristic clinical manifestations. X-rays may be ordered to rule out osteoarticular pathology. In doubtful cases, ultrasound, magnetic resonance imaging or ganglion puncture are performed.

Treatment:

Tendon ganglion, conservative and surgical treatment:

Conservative treatment: When the ganglion is still small, the method of mechanical crushing can be used. This is a very painful procedure, which is also generous with relapses. The fact is that when crushed, the liquid in the ganglion cavities can pour out into the surrounding tissues. Sometimes inflammatory reactions or even suppuration may begin. And the damaged shell, after a certain period of time, can recover and then most likely a new ganglion will appear. In official medicine, this method has hardly been used since the 80s of the last century because of its cruelty, pain and inefficiency.

Another method of conservative treatment is ganglion puncture, this method is used not only for therapeutic purposes (when for some reason it is not possible to perform an operation), but also for diagnosis (the contents of the ganglion are taken for research).

For treatment, fluid is pumped out of the ganglion, then the cavity is filled with specialized preparations that contribute to the sclerosis of the ganglion capsule. After that, a bandage and plaster are applied to the place where the ganglion is located to immobilize the limb for a week. Immobilization is important to reduce the production of synovial fluid.

Surgical treatment: when conservative methods are ineffective, and the ganglion causes pain, grows or is too prominent, then only surgical intervention remains – bursectomy.

During this operation, the synovial bag is completely cut, then the tendon ganglion and all its membranes are removed. The operation can be performed under local anesthesia, on an outpatient basis. An anesthetic is injected around the site of ganglion formation and the entire operation takes no more than half an hour.

However, unfortunately, it is impossible to carry out a complete and adequate removal of the ganglion during an outpatient operation, since pain sensitivity remains inside the tissues. Best of all, if the operation is performed under general anesthesia, then there will be a complete shutdown of tissue sensitivity. After the operation, the site where the ganglion was is stitched together and in most cases heals in just 10 or 12 days.

It is very important that after the operation to remove the tendon ganglion, the operated area of ​​the limb is firmly fixed using a plaster splint, which is removed after 2-3 weeks. While the scar is forming, you should not allow movements of the limb in the area where the ganglion was, otherwise there will be a risk of relapse.

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Diagnostics and treatment of hygromas and ganglia.

In our clinic you can get accurate diagnosis and effective treatment for hygromas and ganglia at any stage.

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Hygromas, ganglia, synovial cysts are tumor-like neoplasms on the human body. Hygroma is an accumulation of fluid in the serous sac above the joint (sometimes mixed with fibrin, mucus). Pain is not felt in the early stages, making it difficult to detect and treat. Ganglia , in turn, grow more often over the tendons and also represent outgrowths. Synovial cyst is a benign tumor that is filled with fluid. Similar neoplasms are localized on the wrists, lower leg and spine. Often such growths are accompanied by arthrosis.

Causes of

As for synovial cysts, the causes of their occurrence are different:

• Arthritis, osteoporosis;
• infectious diseases;
• joint instability;
• injuries;
• congenital predisposition.

The exact causes of the formation of ganglia and hygromas have not been established, however, according to statistics, young girls with joint hypermobility are at risk. It is most likely to assume that this is due to a too weak shell and a difference in the pressure of the joint fluid in different positions.

Symptoms.

The main symptoms of these diseases are:

1. Pain in affected area.
2. Neurological disorders.
3. Restriction of the affected area in mobility.
4. Bulge formation.
5. If the disease has become chronic, then digestive and urination disorders are likely.

How do hygromas and ganglia appear?

There is a bulge at the wrist joint that is best seen when the arm is flexed. The skin over the tumor moves quite easily, but the formation itself cannot be pushed back. If the hygroma is of an impressive size, then the movements in the articular part are significantly limited. Also, the “bump” presses on the tendons and nerves, which will cause pain. In some cases, hygromas go away on their own and do not require treatment. Ganglia grow out of the tendons and are a rather dense outgrowth, which mainly grows at the base of one of the fingers. However, they are very small and rarely larger than a grain of rice. However, when clenching a fist and other movements, they can cause severe pain. The shape of the nail plate changes. As a rule, this type of synovial cyst occurs in old age as a consequence of arthrosis.

Complications.

It is not recommended to open the “bump” at home – due to the high risk of complications. Since when the cyst is injured, the fluid can squeeze into the joint cavity and surrounding tissues. After that, the ganglion sheath grows together, and it fills up again. Sometimes, in place of one crushed one, several hygromas are formed at once. There is also the possibility of inflammation, as well as suppuration and infection. It is highly not recommended to carry out this operation yourself, because of the very negative consequences.

Treatment.

If the synovial cyst is small and does not cause significant inconvenience, then the doctor suggests not disturbing the tumor – often they disappear on their own, leaving no complications behind. However, if the situation is more serious, then conservative treatment or surgical intervention is prescribed – it all depends on the clinical picture. Basically, during the treatment, the contents are pumped out and a bandage is applied. In some cases, a substance is introduced into the hygroma that prevents its further growth. It should be noted that the success of this procedure is about 50%, if it is performed incorrectly, violations occur, including in the articular cavity. The conservative method usually involves massage, diet, vitamin complexes, antiviral therapy. When the state is running, the specialist recommends resorting to a cardinal method – removal with the help of an operation.