Treatment For Ganglion Cysts

Conservative Non-Invasive Treatment For Ganglion Cysts

The initial treatment of a ganglion cyst is generally not a surgical one. Because these cysts are not cancerous, and many disappear given time. If there are no symptoms beyond simply a visual lump, then it may be recommended to take the “wait and see approach”. Load and stress to the associated area will often cause the cyst to increase in size. And potentially with this, an increase associated symptoms. The wearing of a wrist brace may help relieve symptoms, and encourage the ganglion to reduce in size. As symptoms calm, a more active therapy approach may be recommended. Where your physiotherapist may look at prescribing some exercises to help strengthen the wrist, and improve range of motion as indicated. Generally, it is no longer a recommended treatment approach to “slam” the cyst with a heavy book. Historically this was a technique employed, but due to the risk of causing further injury, it has mostly been abandoned.

Minimally-Invasive Treatment For Ganglion Cysts

Failing conservative approaches in reducing ganglion size, or associated symptom. More invasive options may be considered. The use of Aspiration is a logical next step. Aspiration is where the fluid will be drained from the cyst via a needle. Cortisone, which is a powerful anti-inflammatory may be injected following any aspiration procedure. Cortisone is used in an attempt to achieve a more lasting result. Aspiration as a treatment approach will frequently fail to eliminate the cyst completely, because the “stalk” still remains. When the stalk of the ganglion remains, the “root” (connection) to the tendon sheath, or joint has not been removed. Meaning, like a weed the cyst will return if the root is not completely removed. Hence aspiration often offers only temporary relief. And given time the cyst eventually returns.

Surgical Treatment Of Cysts

Surgery may be recommended if symptoms are not relieved by prior non-surgical methods. In this case excision of the cyst including the “stork” will be performed. Surgical removal is usually performed by a specialist such as an orthopaedic hand surgeon. Cysts may return after treatment, however this is less likely if surgically removed. Aspirated cysts have a higher recurrence rate than surgical removal. However even after surgical excision, there is still a small chance the ganglion will return. Conservative treatment of cysts via physiotherapy guidance will look mainly at activity modification to unload the area. Use of equipment/technique adjustments, or changes when symptoms occur with specifical work, sport or hobbies. As well as guidance regarding appropriate strengthening, or mobility work as previously mentioned.

• Manual therapy and electrotherapy are low risk and occasionally beneficial in helping manage symptoms.

Disclaimer: Sydney Physio Clinic provides this information as an educational service and is not intended to serve as medical advice. Anyone seeking specific advice or assistance on Treatment For Ganglion Cysts should consult his or her physiotherapist, general practitioner or sports medicine specialist.