Ganglion Cyst Treatment - Removal Procedure, Video & Result

A ganglion cyst is a non-cancerous lump or sac filled with a jelly-like fluid that typically appears on the joints or tendons of the hands or wrists. It is caused by fluid leakage from a joint or tendon sheath and can cause discomfort or interfere with joint movement.

Non Cancerous bumps called ganglion cysts typically appear around your hands, wrist tendons, or joints. They can also happen in the feet and ankles. Here are some key characteristics:

1. Ganglion cysts often have an oval or circular shape and contain a jelly-like fluid.
2. They do not usually cause severe health problems, but they can be unsightly and cause discomfort or interfere with movement. 
3. In some cases, ganglion cyst removal is not required if the cyst is not causing any problems.

Anatomy and Physiology of Hand and Wrist

The hand and wrist are complex structures that allow humans to perform intricate movements and manipulate objects. Here is a brief overview of their anatomy and physiology:

Anatomy:

1. The hand is composed of 27 bones, including the wrist bones (8 carpal bones), the palm bones (5 metacarpal bones), and the finger bones (14 phalanges).
2. The wrist joint is formed by the radius and ulna bones in the forearm and the carpal bones in the wrist.
3. The fingers are connected to the hand by ligaments, tendons, and muscles, which provide movement and stability to the hand and wrist.

Physiology:

1. The hand and wrist are responsible for various movements, including flexion, extension, abduction, adduction, and rotation.
2. The muscles that control hand and wrist movement are located in the forearm and are connected to the hand and wrist by tendons.
3. The tendons are covered by a sheath of synovial fluid, which allows for smooth movement of the tendons as they slide through the wrist and hand.
4. The nerves that control hand and wrist movement are also located in the forearm and extend into the hand and fingers, allowing for sensory feedback and precise control of activity.
5. The hand and wrist are also crucial for gripping and manipulating objects. The fingers have specialized structures such as nails and pads to assist in these functions.

Overall, the hand and wrist are essential structures for everyday activities and require a delicate balance of bones, muscles, tendons, and nerves to function correctly.

The best candidates for ganglion cyst removal are individuals who are in good overall health and do not have any underlying medical conditions that could increase the risk of complications from surgery. This surgery is recommended for individuals with the following:

1. A ganglion cyst that causes discomfort or functional problems. This may include cases where the cyst is pressing on a nerve or other tissue, causing pain or numbness, or where the cyst is interfering with the movement of a joint.
2. A large cyst that is visibly distressing or cosmetically undesirable.

Ganglion cyst wrist treatment is a surgical procedure typically performed using local anaesthesia, which numbs the area around the cyst. The procedure usually takes about 10 to 15 minutes, depending on the patient’s health and the complexity of the condition.

Here is an overview of the steps involved in ganglion cyst removal:

1. Preparing for the procedure: The patient will be given local anaesthesia to numb the area around the cyst.
2. Making the incision: The surgeon will make a small incision in the skin over the cyst.
3. Removing the cyst: The surgeon will remove the cyst and the stalk that connects it to the joint or tendon with specialized instruments.
4. Closing the incision: The surgeon will close the incision with stitches and may place a bandage over the area to protect it.

Here is a brief overview of each surgical method for ganglion cyst removal:

Aspiration (removal of the fluid):

1. Aspiration is a minimally invasive process where a needle is inserted into the cyst, and the fluid is drained.
2. The cyst may be injected with a corticosteroid to reduce inflammation and prevent a recurrence.
3. Aspiration is typically performed in an office or outpatient setting and has a relatively low risk of complications.

Wrist Brace:

1. A wrist brace may be recommended for ganglion cysts that are causing pain or discomfort but are not significantly affecting hand function.
2. The brace immobilizes the wrist and reduces pressure on the cyst, allowing it to decrease in size gradually.
3. This treatment method may take several weeks or months to be effective.

Surgery:

1. Surgical ganglion cyst removal is usually recommended when other treatments have failed or when the cyst is causing significant pain or impairing hand function.

There are two main surgical approaches: open surgery and arthroscopic surgery.

1. Open surgery involves an incision over the cyst and removing it along with the associated stalk or tendon.
2. Arthroscopic surgery is a minimally invasive approach where a tiny camera is inserted into the wrist joint, and the cyst is removed using specialized tools.
3. Both surgical methods are typically performed under local anaesthesia with sedation or general anaesthesia.

Before having a ganglion cyst hand treatment, the patient will typically have a consultation with a surgeon to discuss the procedure and determine whether it is the right ganglion cyst treatment option. 

Before Ganglion Cyst Treatment

Before undergoing ganglion treatment, the patient would need to consult the surgeon, who assesses the ganglion cyst based on the patient's medical history and physical examination.

The surgeon may also take X-rays or other imaging tests to understand the cyst's size and location better.

The surgeon will also provide the patient with instructions on preparing for the procedure, including:

1. Stopping certain medications such as blood thinners or nonsteroidal anti-inflammatory drugs.
2. Fasting for several hours before the procedure.
3. Arrange for someone to drive the patient home after the procedure.

On the day of the Ganglion Cyst Treatment

On the day of a ganglion cyst surgery:

1. The patient should arrive at the hospital or surgery centre on time, wearing comfortable clothing. 
2. Before the procedure, the healthcare staff will ask the patient to remove jewellery or any other valuables.
3. The patient will be requested to change into a hospital gown in the pre-operative area as soon as they arrive.
4. The patient's vital signs (blood pressure, pulse, and temperature) will be checked.
5. The healthcare staff will take the patient to the operating room, where the procedure will be performed. 
6. The patient will be given local anaesthesia to numb the area around the cyst, and the procedure will be performed. 
7. The patient may go home on the same day as the procedure.

It is essential to follow the surgeon's post-procedure instructions carefully to ensure a smooth recovery and to minimise the risk of complications. 

After the ganglion cyst surgery, it is expected to experience pain, swelling, and bruising around the incision site. These symptoms should gradually improve over time. The patient may be given a compression bandage or splint for a few days after the procedure to help reduce swelling and support the area. Below are some general points that a patient can expect after the ganglion cyst hand treatment.

The recovery process at the hospital

Here are some general points about the recovery process for ganglion cyst excision at the hospital:

1. After the procedure, the patient will be taken to a recovery room to rest and monitored for complications.
2. The healthcare provider will check the pulse, blood pressure, and other vital signs to ensure the patient is stable.
3. You may be given pain medication to help manage discomfort after the surgery.
4. The healthcare provider will provide instructions for caring for the wound, including how to clean the site and apply an antibiotic ointment to help prevent infection.
5. The healthcare provider will instruct the patient to elevate the limb to reduce swelling and promote healing if needed.
6. The patient will be given instructions for physical activity, such as when to resume normal activities and avoid specific movements to prevent complications.
7. Most patients can return to their usual activities within a few days of the procedure. However, listening to the body and taking it easy during recovery is crucial to allow the incision to heal properly. Avoiding activities that could cause the incision to reopen or become infected is also essential.

Recovery process after hospital discharge

After being discharged from the hospital following ganglion cyst wrist treatment, the patient can expect swelling, pain, and stiffness in the incision area. These symptoms are typical and should improve over time. Here are some general guidelines for recovery after hospital discharge:

1. Take pain medication as needed: The patient may be prescribed pain medication to help manage discomfort after the surgery. It is essential to take the medication as directed. The patient should contact the doctor if they have severe pain or have questions about the medication.
2. Keep the wound clean and dry: The surgeon will provide instructions for caring for the wound, including cleaning the site with soap and water and applying an antibiotic ointment to help prevent infection. The patient should avoid getting the wound wet or soaking it in water until it fully recovers.
3. Protect the wound:  The patient should avoid activities that could pressure the wound, such as heavy lifting or high-impact exercise, until the doctor suggests resuming.
4. Monitor the recovery: If the patient experiences any unexpected symptoms or has concerns about the recovery, they should not hesitate to contact the surgeon for advice.

First follow-up appointment

The first follow-up appointment after ganglion cyst treatment will be after a week. The surgeon will check on the recovery and address any patient concerns. The patient may expect a few things at the first follow-up appointment:

1. Physical examination: The surgeon will examine the site where the cyst was removed to ensure it is healing correctly.
2. Removal of stitches: If the wound were closed using stitches, the surgeon would remove them at the follow-up appointment.
3. Wound care instructions: To care for the wound, the surgeon will give instructions on how to clean the area and apply an antibiotic ointment to help prevent infection.
4. Physical activity recommendations: The surgeon may also suggest a physical activity, such as when the patient can resume normal activities and when he/she should avoid specific actions to prevent complications.
5. Pain management: If the patient experiences pain or discomfort, the surgeon will discuss options for managing it.
6. Questions and concerns: This would be an opportunity for the patient to ask questions or raise any concerns about the recovery to the surgeon.

Attending follow-up appointments as scheduled is essential to ensure the recovery progresses smoothly. 

Fortunately, several treatment options can provide relief and improve the condition of individuals with ganglion cysts. However, ganglion cyst treatment offers several benefits to patients. Some of these include:

1. Relief of symptoms: Ganglion cyst wrist removal can relieve symptoms caused by the cyst, such as pain, numbness, or functional problems.
2. Improved cosmetic appearance: Removing the cyst can also improve the appearance of the affected area, especially if the cyst is large or visibly distressing.
3. Reduced risk of recurrence: Ganglion cysts tend to recur after being drained or removed. Removing the cyst and the stalk that connects it to the joint or tendon can reduce the risk of recurrence.
4. Long-term results: Ganglion cyst treatment provides long-term results as the cyst is removed completely. This contrasts with other treatment options, such as draining the cyst, which may only provide temporary relief.

Ganglion cyst wrist treatment is a safe and effective procedure. However, as with surgical procedures, certain risks are associated with them. Below are some risks associated with ganglion cyst hand treatment:

1. Infection: There are chances of infection at the incision site after the procedure. This risk can be minimised by following the surgeon's instructions for wound care and taking any prescribed antibiotics given.
2. Bleeding: Bleeding might happen during or after the surgery. This risk can be reduced by avoiding drugs before the surgery that raise the risk of bleeding (such as blood thinners).
3. Nerve damage: There is a chance of nerve injury during the surgery, which might leave the afflicted area numb, weak, or tingly. An expert surgeon can reduce this risk by performing the surgery with care. 
4. Scarring: There is a risk of scarring after the procedure, which can vary depending on the size and location of the incision.
5. Recurrence: There is a risk of recurrence after the procedure, although this risk is generally lower when the cyst and the stalk that connects it to the joint or tendon are deleted.

Discussing the potential risks and complications of ganglion cyst excision with a surgeon before the procedure is essential. The surgeon will be able to provide more detailed information about the risks and complications that are specific to the patient's situation.

When is consultation with the doctor needed?

It is essential to seek medical advice if you experience any symptoms or concerns related to a ganglion cyst or other hand or wrist conditions. A doctor can provide a proper diagnosis, recommend appropriate treatment options, and help ensure the best possible outcome for your condition.

Consultation with a doctor is necessary for the following situations:

1. The appearance of a new or unusual lump or swelling on the wrist or hand
2. Pain, discomfort, or tenderness in the affected area
3. Difficulty moving the hand or wrist
4. Numbness, tingling, or weakness in the hand or fingers
5. Signs of infection include redness, warmth, or drainage from the cyst
6. Recurrence of a previously treated ganglion cyst
7. Concerns about the appearance or size of the cyst
8. Pre-existing medical conditions or medications that may affect treatment options or increase the risk of complications
9. Family history of cysts or other hand or wrist conditions
10. Questions or concerns about treatment options, recovery, or long-term outlook.

While ganglion cysts are usually harmless, delaying treatment for a ganglion cyst can increase the risk of complications. Some potential risks of delayed ganglion cyst treatment include the following:

1. Pain and discomfort
2. Limitation of movement
3. Nerve damage
4. Rupture
5. Infection

The cost of ganglion cyst treatment in India can range from ₹9,000 to ₹18,000. This cost varies due to several factors, including:

1. Age of the patient
2. The medical health of the patient
3. Size and number of the cyst
4. Surgeon’s skills and expertise
5. Type of technique and equipment used
6. Type of hospital or surgery centre where the procedure is performed. 

Procedure Name	Cost Value
Ganglion Cyst Treatment	₹9,000 to ₹18,000

In conclusion, ganglion cysts are usually harmless and may not require any treatment. However, if they are causing pain or interfering with daily activities, treatment options include aspiration, surgery, or immobilization. Aspiration can provide temporary relief, but the cyst may recur. Surgery can remove the cyst, but it carries risks.

Immobilization can help reduce the size of the cyst, but it may take several weeks to see results. Patients should consult with their doctor to determine the best course of action for their case. If you or your loved ones have doubts about ganglion cyst treatment, contact our team of experts at HexaHealth. Our expert team of doctors can consult you and treat you properly. Get in touch with us TODAY!