hand - ganglions
Introduction
Ganglion cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons. The most common locations are the back of the wrist, the front of the wrist, the base of the fingers, and the back of the end joint of the finger. The ganglion cyst often resembles a water balloon on a stalk, and is filled with clear fluid or gel. The cause of these cysts is unknown although they may form in the presence of joint or tendon irritation or mechanical changes. These cysts may change in size or even disappear completely, and they may or may not be painful. These cysts are not cancerous, do not cause arthritis and will not spread to other areas.
Treatment of Ganglion Cysts
Treatment can often be non-surgical. In many cases, these cysts can simply be observed, especially if they are painless. The natural history of most cysts is to disappear on their own over a 5 year period. If the cyst becomes painful, limits activity, or is cosmetically unacceptable, other treatment options are available.
Aspiration of the cyst can be performed to remove the fluid from the cyst and decompress it. This requires placing a needle into the cyst, which can be done in the office at the time of consultation.
If non-surgical options fail to provide relief or if the cyst recurs, surgical alternatives are available. Surgery involves removing the cyst along with a portion of the joint capsule or tendon sheath.
Surgical treatment is generally successful although cysts may recur.
After your Surgery
In most situations you will able to go home on the day of your surgery, however the length of your hospital stay will depend on your general health, the extent of the procedure, and your surgeon's advice.
At the time of discharge your hand will be in a splint and covered in a bandage.
The bandage and splint will be removed at your first postoperative appointment and you will be encouraged to start using the hand at this stage.
As with all operations although uncommon, there are some risks involved. These include wound infection, painful scar, swelling and stiffness. If stiffness and swelling persist it may be necessary to refer you to a hand therapist to regain your mobility.
Returning to normal activities is an individual matter, but most people return to work within two to four weeks and to more vigorous activities after six weeks.