Ganglion cysts in wrist, hand, fingers
Description
 A ganglion
is a type of "lump" that may occur anywhere in the wrist, hand, or the
fingers. It may or may not be painful, and it often continues to get
larger. It is usually connected to bony joints or to tendons, and is a
ball-like sac filled with a clear viscous liquid. Although it can
happen on its own, it is sometimes associated with arthritis or prior
injury.
Treatments
 If the
ganglion is small and without symptoms, it may be watched. However,
without removing a lump, there is no way to be certain what it is. In
cases where a ganglion is painful or keeps on growing, it's possible to
remove the fluid from the ganglion sac in the office. In some cases, a
ganglion may disappear without any treatment. Unfortunately, the
ganglion returns in most cases after this simple procedure. The
most effective treatment is to to remove the ganglion surgically and
clean out the joint area where it comes from.
 Surgery
Surgery to remove the ganglion usually takes less than one hour and done
as an outpatient. Patients are discharged home after surgery,
and may wear a soft wrist splint for a period after the operation.
Sometime, hand therapy may be ordered to help in the recovery.
Advantages of
removal
 The most
obvious advantage is getting a definitive diagnosis: the "lump" is sent
to a pathologist for examination to ensure it is not a concerning tumor.
Also, surgical removal is the best way of reducing the chances that a
ganglion may return.
Results
Overall, surgery is very successful for ganglions in the hand and
wrist. Some pain and discomfort may remain for a period after the
operation, but with time, patients recover the use of their hands and
usually have less pain than they did with the ganglion.
Risks
As in any surgical procedure, there is a risk of complications, including
anesthesia reaction, bleeding, infection, and nerve or tendon injury. The
likelihood of a complication following ganglion removal is
very low. In some cases after surgery, a ganglion may return, and
repeat removal may be needed.
 
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