Ganglion Cysts
A ganglion cyst is a fluid-filled lump that develops along tendons or joints in the wrist and hand. These benign cysts are the most common soft tissue masses in the hand and wrist, typically painless but sometimes causing discomfort, functional limitation, or cosmetic concern. Many resolve spontaneously without treatment. When treatment is needed, options include aspiration or surgical excision, with excision providing the lowest recurrence rate.
Treatment Options for Ganglion Cysts
Treatment depends on symptoms and patient preference:
Observation: Appropriate for asymptomatic cysts. Many resolve spontaneously over months to years.
Aspiration: A needle drains the cyst fluid under local anaesthetic, usually in clinic. Minimally invasive with no recovery period, but recurrence rates are high (fifty to seventy per cent) as the cyst wall remains.
Surgical excision: The cyst is excised along with a small portion of the joint capsule or tendon sheath from which it arises. This provides the lowest recurrence rate (five to fifteen per cent). Surgery takes thirty to sixty minutes under local anaesthetic with sedation or general anaesthetic as a day case.
Your Recovery
After excision, soreness and swelling are expected for one to two weeks. A splint may be worn for one to two weeks. Sutures are removed at ten to fourteen days. Desk work is possible within one week; heavier manual work within two to three weeks. Full recovery typically occurs by six to eight weeks.
Risks and Complications
Nerve or arterial injury (particularly with volar wrist ganglia near the radial artery)
Recurrence after excision (five to fifteen per cent)
Wrist stiffness
Infection or haematoma
Chronic pain at the surgical site
Scarring
Frequently Asked Questions
Should I have it aspirated rather than operated on?
Aspiration is less invasive, but recurrence is much more likely. Many patients undergo multiple aspirations before eventually having surgery. If you want a more definitive solution, excision is preferable.
Can I just ignore it?
Yes, if the cyst is asymptomatic. Observation is a reasonable choice. However, if it causes discomfort, limits function, or is cosmetically troubling, treatment is available.
Are ganglion cysts dangerous?
No. They are completely benign and never become cancerous.
THE SPECIALIST CLINIC DUBLIN
Plastic, Reconstructive & Aesthetic Surgery performed with Care & Compassion
To discuss treatment options for your ganglion cyst, contact us to arrange a consultation.