Ganglion Cysts

The treatment of ganglion cysts by our hand surgeon can involve both non-surgical and surgical interventions, depending on the size, location, and symptoms associated with the cyst. Here is an overview of the treatment options commonly employed by our hand surgeons for ganglion cysts:

1. Observation and Monitoring:
   • In some cases, ganglion cysts may be asymptomatic or cause minimal discomfort. In such situations, a hand surgeon may choose to observe the cyst without immediate intervention.
   • The hand surgeon will monitor the cyst’s size, symptoms, and any changes over time.
2. Aspiration or Needle Aspiration:
   • Aspiration involves using a needle and syringe to drain the fluid from the ganglion cyst.
   • The hand surgeon may perform this procedure in the office or clinic setting.
   • Aspiration is typically recommended for cysts that are causing pain or interfering with hand function.
   • However, it’s important to note that ganglion cysts have a tendency to recur after aspiration alone.
3. Surgical Excision:
   • Surgical excision is a more definitive treatment option for ganglion cysts, especially if they are large, causing significant pain or functional limitations, or have recurred after aspiration.
   • The hand surgeon will make an incision over the cyst and carefully remove the cyst and its associated stalk or connection to the joint or tendon sheath.
   • Surgical excision is typically performed on an outpatient basis, and recovery time is generally quick, although hand therapy may be recommended to aid in recovery and regain hand function.
4. Arthroscopy:
   • For ganglion cysts that are located within a joint or adjacent to a joint, arthroscopy may be utilized for both diagnostic and treatment purposes.
   • Arthroscopy involves inserting a small camera (arthroscope) into the joint through tiny incisions, allowing the surgeon to visualize and treat the cyst.
   • The surgeon can excise or remove the cyst through the arthroscope, minimizing the need for larger incisions.

After any intervention, our hand surgeons may recommend immobilization with a splint or dressing, as well as hand therapy to promote healing, reduce swelling, and improve range of motion and strength.

It’s important to consult with the hand surgeon of the Eisenhower Clinic for an accurate diagnosis and appropriate treatment plan for a ganglion cyst. Our hand surgeon will consider factors such as the cyst’s location, size, symptoms, and impact on hand function in determining the most suitable treatment approach for the individual patient.