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Ganglion Cyst

Dr. Steven Rueda is one of the most sought after doctors for ganglion cyst in Palm Beach. Cysts present as lumps and bumps in different areas of the hand and wrist. Ganglion cyst in particular are commonly found in the back of the wrist and the front of the wrist on the side of the thumb. These cyst arise from the joints in the wrist and are filled with gel-like joint fluid.

Ganglion Cyst Symptoms and Diagnosis

The symptoms arising from ganglion cyst are related to the effect the cyst as on nearby structures and its connection to the joint. Some of the most common symptoms include:

 

  • Visible lump on the back or front of the wrist
  • Lump that changes in size or stays the same in the wrist
  • Wrist pain that is worse with bending the wrist

In some cases patients present with all of the symptoms, and in some cases only with some of them. It is not uncommon to have ganglion cysts that completely shrink and reappear later on.

The diagnosis of ganglion cyst is usually performed by clinical examination and history. Dr. Rueda uses diagnostic ultrasound to confirm the diagnosis and make sure it is not confused with other masses that can arise in the hand.

WHAT CAUSES Ganglion Cyst?

Although the cause of a ganglion cyst is not fully understood, its thought to arise from weakening of the joint soft tissue. This area of weakness forms a “ballon” or “cyst” from the underlying joint fluid pressure. In the case of ganglion cysts, arthritis of the wrist joints and bony spurs are thought to cause the weakening of the joint tissue.

Ganglion Cyst Treatment Options

There are three main ways to treat ganglion cysts: activity modification and splints, aspiration with steroid injections, and surgery. Although splints are not very effective in making the cyst go away, most patient’s find the pain relief from the splint enough to treat the condition. Aspiration and steroid injection is an alternative that removes the fluid from the cyst and injects steroids to reduce the inflammation and improve pain. Aspiration usually has a success rate of 30-60% in completely eliminating the cyst. Surgery is indicated for patients who have failed conservative treatment and dislike the appearance of the cyst, or that continue to have symptoms. The advantage of surgery is it has a very high success rate in completely eliminating the cyst when compared to all other forms of treatment.

Ganglion Cyst Procedure

Dr. Rueda performs cyst removal using a traditional open surgery. The procedure removes the cyst, stalk, and a small portion of the joint soft tissue. In this way, the cyst and its causing agent are removed.

 

 

Incisions

Made along a horizontal or vertical crease in the back of the wrist of 1-3cms.

RECOVERY AND DOWNTIME

Outpatient procedure. Most patients are actually surprised at having less pain that they expected. There is tightness, swelling and bruising for first few days after surgery. An elastic bandage is applied and removed in a day or two. The patient begins therapy to gradually increase the movement in the wrist joint.

Most patients generally return to work in 1 week. Weight lifting and heavy manual exercise is not allowed until 3 weeks after the surgery.

Why Choose Precision Hand Center for your Ganglion Cyst Procedure?

Dr. Rueda, a Hand Fellowship trained surgeon who has 7 years and 2,000 procedures of experience will be your safe and best choice for carpal ganglion cyst. Successful results in this procedure requires a surgeon that is experienced and knowledgeable in hand surgery and hand anatomy. Dr. Rueda has published articles in expert peer reviewed journals and his work has been presented in several national conferences. Dr. Rueda’s passion for patient education and custom centered approach will guarantee you feel comfortable every step of the way. Dr. Rueda also believes in treating his patients as if he was treating his own family; you can trust you will enter a trusting and long-term relationship and have some of the best ganglion cyst treatment Palm Beach can offer.

FREQUENTLY ASKED QUESTIONS (FAQ)

Patients with classic history, symptoms, and exam who have failed conservative treatment are good candidates for the procedure.

It is uncommon but its possible. The recurrence rate is higher with procedures like aspiration and injection and lowest with surgery. If the cyst recurs, a diligent assessment of the wrist and hand must be done by the surgeon to make sure there are no other pathologies or conditions that are triggering its occurrence.

Complications are very rare in ganglion cyst surgery; it is a very safe procedure. Some of the uncommon risks include infection and bleeding of the surgical site. There are also other major complications that are very unlikely including damage to the tendons, nerves, or arteries in the wrist.