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A ganglion cyst is a tumor or bulging on top a joint of the shelter of a tendon (tissue that attaches muscle to bone). It looks like a sac of liquid (Cyst). Inside the cyst is a heavy, sticky, clear, colorless, jellylike material. Depending on the size, the cyst may feel firm or spongy.
One large c use or any smaller ones may develop multi or small cyst can give the appearance of more than once cyst, but a common stalk with the deeper tissue normally connecting them. This type of cyst is not dangerous and accounts for about half of al soft tissue tumors of the hand.
Ganglion Cysts are also referred to as “Bible bumps,” as they are more common in women and 70% of the cases occur in people between the age of 20-40. Rarely ganglion cyst occurs in children younger than the age of 10.
Ganglion cyst most commonly occurs on the back of the hand at the wrist joint, but they can also be developed on the palm side of the wrist is flexed forward. Another site although less common, include theseL:
These base of the finger on the palm, where they appear as small pea-sized bumps
The fingertip, just below the cuticle, where they are called mucous cyst.
The outside of the knee and angle
The top of the foot.
Ganglion Cyst Causes
Reasons of the ganglion cyst are not known. One theory suggests that trauma causes the tissue of the joint to break down, forming small cysts the then join into a large, more obvious mass. The Most likely theory involves a flaw in the joint capsule or tendon sheath that allows the joint tissue to bulge out.
Ganglion Cyst Symptoms
The ganglion cyst` normally appears as a mass or bump that antlers and size.
It is usually soft. Somewhere from 1-3 cm in diameter, and will not move.
The inflammation may appear over time or appear abruptly, it may get smaller in size, and can even go away, only to come back at another period.
Most ganglion cysts cause some degree of pain, typically following repetitive or acute drama, however up to 35% are without symptoms besides the obvious appearance.
If the pain is present, it is typically chronic and made worse by joint movement.
When the cyst is attached to a tendon, you may feel a sense of weakness in the affected limb
When should you inquire about medical care?
Whether you have symptoms or not, ganglion cyst may improve from medical evaluation. Your physician can confirm that your have a ganglion cyst and keep you from working as well develop the most suitable treatment plan for you.
A ganglion cyst does not require to have emergency treatment unless it is causing significant pain and trauma. A routine check by either your physician or specialist in bones and joints an orthopedist is often enough.
Exam and Test
A physical exam is frequently all that is required to diagnose a ganglion cyst.
Your doctor may get fetch configuration by using a needle to draw out a portion of the fluid in the cyst ( needle aspiration ) or by utilizing ultrasound. An ultrasound image is made as sound waves jump off of different tissues. It can determine whether the bump is fluid -filled (cyst) or if it is solid. Ultrasound can also detect whether there is an artery or blood vessels creating the lump.
Your physician may send you to a hand surgeon if the lump becomes large or solid, which could involve blood vessel (artery)
Magnetic imaging (MRI) is used to see the wires and is very useful for ganglions. One drawback to this diagnostic method is the cost of the procedure.
Ganglion Cyst Treatment: Self-Care at home
In the past, home care has encompassed heat, topical plaster, and different types of poultices. It even extended to the use of a thick book to physically smash the cyst. Which is was called “bible therapy.” These forms of treatment are no longer supported. However, they were never shown to keep the ganglion cyst from recurring and could, in fact, cause further injury.
Various treatments have been suggested over the years. Some include no specific treatment other than reducing worry regarding the cyst. Using a needle to extract the contents or aspiration of the cyst via surgery.
Aspiration commonly includes placing a needle into the cyst. Drawing the liquid material out, inserting a steroid compound (anti-inflammatory ) and then reinforcement the wires to keep it from moving.
If you have the fluid extracted out of ganglia on the first three sperate times, your possibility of being cured by between 30% and 50%. The rate of success is higher with a ganglion cyst on the hand’ds flexor tendon sheath.
If you compare aspiration injections and surgical removal to other forms of treatment for cysts, tend to return less often.
Surgical removal of the cyst may be wanted when the mass is a painful interview with function (especially when your dominant hand is affected ) or causes dullness or tingling sensation of the hand or fingers.
Next Steps Follow-up
After you have been diagnosed with a ganglion cyst and have chosen your treatment, follow-up will be another based on what you have chosen to do.
After simple aspiration, your doctor may ask you start moving your joint.
Most likely after the surgery, you joint will need to be placed in a splint for up to 7-10 days. A splint is a hard wrap that will prevent you from moving your joint.
Recent evidence shows that splinting for a longer than recommended period does not help. It is recommended that earlier use of the joint can help in recovery.
Your doctor may ask you to return for a check-up after your procedure and will decide if physical therapy is required. Follow-up care will be based on your personal needs.
Because the cause of ganglion cyst is not understood it is difficult to tell how to prevent the.m. Early evaluation and treatment are recommended.
Because this is a harmless tumor that goes away on its own or is removed by a simple needle aspiration or minor surgery, odds that you will have a full recovery are very good. Because ganglion cyst may come back after any of these treatments, however, a single treatment may not be enough.