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Ganglion cysts

A ganglion cyst is a swelling that often appears on or around joints and tendons in the hand (or sometimes feet). Ganglion cysts may develop suddenly or progress gradually. They occur when the lubricating fluid in your joints or around the nearby tendons accumulates, giving rise to a cyst. The cause of these cysts is unknown although they may form in the presence of joint or tendon irritation or mechanical changes. The backs of the hands and wrists are most commonly affected, but ganglion cysts can sometimes grow on the feet, knees and ankles. A ganglion cyst is the most common lump on the hand, and tends to target women between the ages of 20 and 40 years of age, for reasons unknown. As tendons anchor muscle to bone, a ganglion cyst on a tendon may cause muscle weakness. Depending on the individual, there may be just one large lump or a collection of many smaller ones attached to a single 'stalk' deeper in the tissue. At first, when you feel them, they feel soft and moveable.  This is because they're filled with a jelly-like fluid.  And, in some cases, they do seem to grow, especially when the surrounding tissue is irritated, but they are not real tumors and they are not cancerous. They can increase in size when the tissue is irritated and often can "disappear" spontaneously. These masses or cysts appear to grow sometimes but they are not tumours or cancerous. When treatment of ganglion cysts is necessary due to pain or interference with joint movement or for cosmetic concerns, it usually consists of removing the fluid from the ganglion cyst (aspiration) or surgery to remove the cyst.

A ganglion cyst is a bump or mass that forms under the skin. It looks like a sac of liquid (cyst). Inside the cyst is a thick, sticky, clear, colorless, jellylike material. Although they most often occur on the wrist, they also frequently develop on the foot usually on the top, but elsewhere as well. The cavity is covered with a thin membrane called the synovial membrane and in the cavity is a thick fluid similar to the white of an uncooked egg.  They may be soft or quite hard, and they are usually either painless or only somewhat bothersome. These are benign, fluid-filled capsules. In most cases, ganglion cysts cause no pain and require no treatment. In many cases, ganglion cysts go away on their own. If the cyst does not clear up over time and becomes painful or uncomfortable, it can be drained. Reccurent cysts may be surgically removed if necessary. However, it is best to consult your doctor to make sure the swelling is not a symptom of some other type of illness.

Causes of Ganglion cysts

The comman Causes of Ganglion cysts :

  • The body responds to injury, trauma or overuse by forming an internal 'blister'.
  • Small tears in the tendon membrane or joint capsule allow the contents to squeeze out.
  • These cysts are usually the result of an injury or trauma that you may not recall.
  • Those occupations that require workers to excessively overuse certain joints such as the wrist and fingers pose the risk for ganglion cysts.

Symptoms of Ganglion cysts

Some comman Ganglion cysts :

  • Difficulty wearing shoes due to irritation between the lump and the shoe.
  • The back of the hands and wrists are most commonly affected.
  • Tingling or burning, if the cyst is touching a nerve.
  • In some cases, the lump is painful and aching, particularly those at the base of fingers.
  • Other sites include the back of the knee (Bakers cyst), ankle, foot, palm and fingers.
  • Dull pain or ache, which may indicate the cyst is pressing against a tendon or joint.
  • Numbness, swelling, or muscle weakness around the affected joint.

Treatment of Ganglion cysts

  • If the ganglion cyst isn't causing pain or interfering with movement, some doctors prefer to wait and see. The cyst may simply disappear on its own.
  • The cyst or cysts are surgically removed, usually by a specialist such as an orthopaedic surgeon. Ganglion cysts of the feet will usually require surgery.
  • If the cyst causes no pain and does not interfere with walking, the surgeon may decide it is best to carefully watch the cyst over a period of time.
  • The treatment can consist of rest, splinting the affected joint and, in some cases, aspiration of fluid is recommended.
  • one of the tests to diagnose ganglion cysts involves drawing off the fluid with a fine needle. In many cases (around 75 per cent), this treatment empties the cyst and no further action is needed.
  • Ibuprofen (Advil, Motrin) or aspirin to relieve pain and swelling .


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