Treatment For Ganglion Cysts

Conservative Non-Invasive Treatment For Ganglion Cysts

The initial treatment of a ganglion cyst is generally not surgical. Because these cysts are not cancerous and many disappear given time, if there are no symptoms beyond a visual lump then it may be recommend to take the wait and see approach. Because load and stress to the associated area will often cause the cyst to increase in size and potentially therefore increase any other associated symptoms a wrist brace may help relieve symptoms and encourage the ganglion to reduce in size. As things calm more active therpay may be recommended and your physiotherapist may look at prescribing some exercises to help strengthen the wrist and improve range of motion. Generally these days it is not recommended treating the issue by slamming the cyst with a heavy book as this technique could cause further injury.

Minimally-Invasive Treatment For Ganglion Cysts

Failing more conservative approaches to reduce the size of the ganglion or any associated symptoms more invasive options may be considered. The use of Aspiration is a logical next step where the fluid will be drained from the cyst via a needle. Cortisone, which is a powerful anti-inflammatory may well be injected following the aspiration procedure to try and achieve a more lasting result.
Aspiration as a treatment approach can frequently fail to eliminate the cysts completely because the “stalk” still remains. Because 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 from the complaint as the cyst eventually returns.

Surgical Treatment Of Cysts

Surgery may be recommended if symptoms are not relieved by prior nonsurgical methods. In this case excision of the cyst will be performed. Surgery involves removing the cyst as well as the root of the ganglion. This surgical removal is usually performed by a specialist such as an orthopaedic surgeon. Cysts may grow back after treatment. This is less likely if surgically removed rather than aspirated however even after excision, there is a small chance the ganglion will return.

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.