GANGLION CYSTS

Ganglion cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons (cords that connect muscle to bone). The most common locations are the top of the wrist, palm side of the wrist, base of the finger on the palm side, and top of the end joint of the finger. It often resembles a water balloon on a stalk, and is filled with clear fluid or gel. These cysts can often be observed or removed if causing pain.

While what causes the formation of a ganglion is unknown. Ganglion cysts of the wrist are more common in younger people (ages 15-40) and women are more at risk than men. Cysts in athletes like gymnasts are common because they consistently apply stress to the wrist. Ganglion cysts in the finger joints (mucous cyst) are typically found in women between the ages of 40-70 and in those who have arthritis of that joint.

Most cysts aren’t painful but do form visible lumps. If the cysts puts pressure on a nerve, it can cause pain or tingling. Sometimes, observation can be used as a treatment method because the mass isn’t cancerous and may disappear. However, if painful, you may benefit from an interventional treatment. The ganglion can be drained of fluid, but this is only a temporary solution and more often than not, the cyst will return. If non-surgical management is ineffective, surgery may be recommended. The surgeon would excise the cyst. Not only would the cyst be removed, but the associated joint capsule or tendon sheath (the root of the ganglion) would also be removed.