Treatment of Ganglion Cyst
The treatment of ganglion cyst depends on symptoms, cyst size, and how much it interferes with daily life. Many ganglion cysts go away on their own or remain stable without causing problems. Whenever doctors need to intervene, they have a variety of non-surgical and surgical options available.
Observation (Watch and Wait)
If the cyst is painless and not affecting function, doctors do not need to administer any treatment.
Many cysts shrink or disappear spontaneously
Regular monitoring ensures it doesn’t grow or cause new symptoms
Non-Surgical Treatments
1. Immobilisation
Wearing a brace or splint can reduce movement and pressure, especially in the wrist
May relieve discomfort and help the cyst shrink
Doctors do not reccoment long-term use, due to risks of stiffness or muscle weakening
2. Aspiration (Needle Drainage)
Fluid is withdrawn using a needle and syringe
Steroid injection may be added to reduce recurrence, though this is debated
Quick and low-risk, but recurrence rates are high (over 50%)
Aspiration may provide temporary relief but does not remove the cyst wall.
Surgical Removal (Excision)
Surgery may be recommended when:
The cyst is painful, recurrent, or restricts movement
Non-surgical options fail
There’s concern about nerve compression
Performed under local or general anaesthetic, the procedure involves:
Removing the entire cyst and its stalk, which often connects to a joint or tendon
Outpatient recovery with stitches removed in 1–2 weeks
Lower recurrence rate compared to aspiration, though recurrence is still possible
Recovery and Self-Care
After surgery or aspiration:
Keep the area clean and bandaged
Avoid strenuous activity for several days
Gentle exercises may be prescribed to restore movement and strength
Treatment of Ganglion Cyst
The treatment of ganglion cyst should be tailored to each individual, balancing symptom relief with the risk of recurrence or complications.
