What are ganglion cysts. How are ganglion cysts diagnosed. What treatments are available for ganglion cysts. Are ganglion cysts dangerous. Can ganglion cysts be prevented. How long do ganglion cysts last. When should you see a doctor for a ganglion cyst.

Understanding Ganglion Cysts: A Comprehensive Overview

Ganglion cysts are noncancerous lumps that commonly develop along the tendons or joints of wrists or hands. These fluid-filled sacs can vary in size, from as small as a pea to as large as a golf ball. While they’re typically harmless, ganglion cysts can sometimes cause discomfort or interfere with joint movement.

These cysts often appear suddenly and may disappear on their own. They’re most common in women between the ages of 20 and 40, but can affect anyone at any age. Understanding the nature of ganglion cysts is crucial for proper management and treatment.

Key Characteristics of Ganglion Cysts

• Typically round or oval in shape
• Filled with a clear, jelly-like fluid
• Can fluctuate in size over time
• Most common on the back of the wrist, but can occur on other joints
• Generally painless, but may cause discomfort if pressing on a nerve

Causes and Risk Factors of Ganglion Cysts

The exact cause of ganglion cysts remains unclear. However, several factors have been associated with their development. Understanding these potential causes can help in prevention and management strategies.

Potential Causes

• Joint or tendon irritation
• Injury to the joint or tendon sheath
• Structural changes in the joint due to arthritis
• Overuse or repetitive stress on the joint

Risk Factors

Who is more likely to develop ganglion cysts? While anyone can develop these cysts, certain factors may increase the risk:

• Age: Most common in individuals between 20 and 40 years old
• Gender: Women are more likely to be affected than men
• Occupation: People who frequently use their joints in repetitive motions
• Previous joint injury: Damaged joints are more susceptible
• Osteoarthritis: Can increase the likelihood of cyst formation

Recognizing the Symptoms of Ganglion Cysts

Identifying a ganglion cyst early can lead to more effective management. While these cysts are often asymptomatic, they can sometimes cause noticeable symptoms. Being aware of these signs can help in timely diagnosis and treatment.

Common Symptoms

• A visible lump or swelling near a joint or tendon
• Mild pain or aching, especially with prolonged or repetitive joint use
• A tingling sensation or numbness if the cyst presses on a nerve
• Weakness in the affected joint or difficulty with certain movements
• Changes in the size of the lump over time

Can ganglion cysts cause severe pain? While typically not painful, larger cysts or those pressing on nerves can cause discomfort. If you experience severe or persistent pain, it’s important to consult a healthcare professional for proper evaluation.

Diagnostic Approaches for Ganglion Cysts

Accurate diagnosis of ganglion cysts is crucial for appropriate treatment. Healthcare providers use various methods to confirm the presence of these cysts and rule out other potential conditions.

Physical Examination

The first step in diagnosis usually involves a thorough physical examination. The healthcare provider will:

• Visually inspect the affected area
• Palpate the lump to assess its consistency and mobility
• Shine a light through the cyst (transillumination) to check for fluid
• Evaluate joint movement and any associated pain

Imaging Tests

To confirm the diagnosis and gather more information about the cyst, imaging tests may be recommended:

• X-rays: To rule out bone abnormalities or arthritis
• Ultrasound: To visualize the cyst’s structure and confirm it’s fluid-filled
• MRI: For a detailed view of the cyst and surrounding tissues

Aspiration

In some cases, the doctor may perform aspiration, which involves removing fluid from the cyst with a needle. This can serve both diagnostic and therapeutic purposes:

• Confirms the cyst is fluid-filled
• Allows for fluid analysis if necessary
• May provide temporary relief by reducing the cyst’s size

Treatment Options for Ganglion Cysts

The approach to treating ganglion cysts varies depending on the symptoms, size, and location of the cyst. Many cysts resolve on their own without intervention, but treatment may be necessary if the cyst causes pain or interferes with joint function.

Non-Surgical Treatments

1. Observation: If the cyst is painless and doesn’t hinder movement, your doctor may recommend simply monitoring it.
2. Immobilization: Using a splint or brace can help reduce movement and alleviate pain.
3. Aspiration: Draining the fluid from the cyst can provide temporary relief, though recurrence is common.
4. Anti-inflammatory medications: Over-the-counter pain relievers can help manage discomfort.

Surgical Intervention

If conservative treatments fail or the cyst returns after aspiration, surgery may be recommended. The two main surgical approaches are:

1. Open excision: The cyst and part of its surrounding joint capsule or tendon sheath are removed.
2. Arthroscopic excision: A minimally invasive procedure using small incisions and a camera to remove the cyst.

Is surgery always necessary for ganglion cysts? No, surgery is typically reserved for cases where the cyst causes significant pain, interferes with joint function, or recurs after non-surgical treatments.

Prevention and Self-Care for Ganglion Cysts

While it’s not always possible to prevent ganglion cysts, certain measures may help reduce the risk of their formation or recurrence. Understanding these preventive strategies can be beneficial for individuals prone to developing these cysts.

Preventive Measures

• Avoid repetitive wrist and hand movements when possible
• Use proper ergonomics when working or performing repetitive tasks
• Strengthen the muscles around joints through targeted exercises
• Wear protective gear during activities that may stress the joints

Self-Care Techniques

For those who have developed a ganglion cyst, self-care can help manage symptoms and potentially prevent recurrence:

• Apply ice or heat to reduce discomfort
• Practice gentle range-of-motion exercises to maintain flexibility
• Use over-the-counter pain relievers as needed
• Avoid activities that exacerbate symptoms
• Monitor the cyst for any changes in size or associated pain

Can lifestyle changes prevent ganglion cysts? While no method is guaranteed to prevent ganglion cysts, maintaining joint health through proper ergonomics and avoiding repetitive stress can potentially reduce the risk.

Living with Ganglion Cysts: Long-Term Outlook and Management

Understanding the long-term prognosis and management strategies for ganglion cysts is crucial for those affected by this condition. While these cysts are generally benign and often resolve on their own, some individuals may experience recurring or persistent cysts that require ongoing management.

Prognosis and Recurrence

The outlook for ganglion cysts is generally positive, but recurrence is a common concern:

• Many cysts disappear without treatment within a few months to years
• Recurrence rates after aspiration can be as high as 50%
• Surgical removal has a lower recurrence rate, typically around 10-20%
• Even with recurrence, most cysts remain benign and manageable

Long-Term Management Strategies

For individuals dealing with persistent or recurring ganglion cysts, long-term management may involve:

1. Regular monitoring: Keeping track of changes in size or symptoms
2. Periodic evaluations: Scheduled check-ups with a healthcare provider
3. Adaptive techniques: Modifying activities or using assistive devices to reduce joint stress
4. Ongoing self-care: Continuing with preventive measures and symptom management
5. Consideration of definitive treatment: Discussing surgical options if cysts significantly impact quality of life

How long can you live with a ganglion cyst? Many people live with ganglion cysts indefinitely without significant issues. However, if a cyst causes persistent pain or functional limitations, it’s important to discuss treatment options with a healthcare provider.

Impact on Daily Life

While ganglion cysts are generally not life-threatening, they can affect daily activities:

• Occupational considerations: May require workplace modifications or temporary job changes
• Sports and hobbies: Might need to adapt or temporarily avoid certain activities
• Cosmetic concerns: Some individuals may feel self-conscious about visible cysts
• Pain management: Ongoing strategies may be needed for symptomatic cysts

When to Seek Medical Attention for Ganglion Cysts

While many ganglion cysts are harmless and can be managed with self-care, certain situations warrant medical attention. Recognizing these signs can help ensure timely and appropriate care.

Signs to Consult a Healthcare Provider

• Rapid growth or significant increase in size of the cyst
• Persistent or worsening pain associated with the cyst
• Numbness, tingling, or weakness in the affected area
• Interference with joint movement or daily activities
• Signs of infection, such as redness, warmth, or fever
• Uncertainty about the nature of the lump

Should you be concerned if a ganglion cyst doesn’t go away? Not necessarily. Many cysts persist without causing problems. However, if it’s accompanied by troublesome symptoms or affects your quality of life, it’s worth discussing with a healthcare provider.

What to Expect During a Medical Consultation

When you visit a healthcare provider for a ganglion cyst, you can expect:

1. A thorough medical history and physical examination
2. Possible imaging tests to confirm the diagnosis
3. Discussion of treatment options based on your specific situation
4. Advice on managing symptoms and preventing recurrence
5. Follow-up plans if necessary

By understanding when to seek medical attention and what to expect during a consultation, individuals can ensure they receive appropriate care for their ganglion cysts, leading to better outcomes and improved 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)

HH-I-416  8/16 Copyright 2016, Nationwide Children’s Hospital

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.

Expert advice can be obtained by phone: +7(495) 961-27-67

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.

For more information and appointment for a consultation, call us at +7(812) 295-50-65.

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.