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Doctor insights on: I Have Carpal Tunnel And Ganglion Cyst Do I Need Surgery

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I have carpal tunnel and ganglion cyst. Do I need surgery?

I have carpal tunnel and ganglion cyst. Do I need surgery?

Both depend: On severity and most of the time does not require surgery. I would advise to be eval by rheumatologist or hand surgeon first and decide if conservative (wrist splint, medicine, physical therapy, injection) vs surgery. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


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How complicated is carpal tunnel surgery, ganglion cyst, and trigger finger. All at one time?

How complicated is carpal tunnel surgery, ganglion cyst, and trigger finger. All at one time?

More than one at tim: But there is no set "how" or amount. It is a great subject to talk about INDIVIDALLY with a surgeon if that is what someone is seeking. Much depends upon how severe each problem is by itself, how healthy the person is, age general health, risks vs benfits of doing it all at once vs having more than one trip to the OR. Where the ganglion is ie the finger near the trigger or somewhere else. ...Read more

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I had carpal tunnel surgery with removal of ganglion cyst 1 month still having a great deal of pain, heat and swelling in my hand. Normal?

I had carpal tunnel surgery with removal of ganglion cyst 1 month still having a great deal of pain, heat and swelling in my hand. Normal?

No not normal: There are four main signs of inflammation: pain, heat, redness, and swelling. Those are signs that the immune system is activated. After a surgery there can be inflammation and it's normal for a few days. If it is present a month later it is concerning that there is either infection, or some kind of immune activation. It's worth getting it checked out right away by your surgeon. ...Read more

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What are the symptoms of a ganglion cyst vs carpal tunnel?

What are the symptoms of a ganglion cyst vs carpal tunnel?

Different: Carpal tunnel typicall causes numbess and tingling in the thumb, index, long finger and half of the ring finger. It can hurt at night. The ganglion is a lump which forms over a joint, typicall the wrist or ankle and does not cause the carpal tunnel problems noted above. Though a cyst can be found in the carpal tunnel, this is not usually the case. Get checked and feel better., . ...Read more

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What's the difference between a ganglion cyst in the wrist and carpal tunnel effecting the wrist?

What's the difference between a ganglion cyst in the wrist and carpal tunnel effecting the wrist?

Symptoms: Carpal tunnel is a compression of the median nerve within a narrow canal at the base of the palm, causing numbness in the thumb, index, long, and half the ring finger, a ganglion is a synovial cyst arising from the wrist joint causing pain at the site of the ganglion. A ganglion can rarely occur within the carpal tunnel causing nerve compression and carpal tunnel syndrome. ...Read more

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What will happen to me during a ganglion cyst removal surgery?

What will happen to me during a ganglion cyst removal surgery?

Another option: Arthroscopic-assisted ganglion excision is minimally invasive, relatively painless, and has a lower reported recurrence rate. Typically performed under general anethesia, and through small portals, the ganglion stalk can be visualized and excised with precision instrumentation. The cyst can then be decompressed through an accessory portal. Local anesthesia is placed over the portal sites. ...Read more

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Ganglion cyst removal surgery: is it safe?

Ganglion cyst removal surgery: is it safe?

Yes: But you must remember nothing is 100 %. The simplest of procedures can have complications. ...Read more

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Should I get surgery or a second aspiration for my ganglion cyst?

Should I get surgery or a second aspiration for my ganglion cyst?

If it bothers you: The only indication (reason) to be treated for a ganglion with surgery or aspiration is if it bothers you. ...Read more

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Can you remove a ganglion cyst on the top side of your hand without surgery?

Can you remove a ganglion cyst on the top side of your hand without surgery?

Yes: Ganglion cysts on the top side (non-palm side) of the hand can be removed through an aspiration procedure. This is a simple office procedure where a needle is introduced into the ganglion cyst and its contents are aspirated. However, the risk of recurrence following an aspiration procedure is very high--as high as 75-80%. Consider the risks of recurrence when deciding on treatment options. ...Read more

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I have a dorsal ganglion cyst on my wrist. It is not painful but is it safe to get removed? Any complications/scaring wit surgery for this?

I have a dorsal ganglion cyst on my wrist. It is not painful but is it safe to get removed? Any complications/scaring wit surgery for this?

Try aspiration first: Ganglions are common benign cysts in the hand/wrist. You should have a doctor exam to confirm. I tell my patients who have pain-free cysts to monitor them. Cysts can go away on their own. If they becomes much larger, painful, or limit function, we can perform an aspiration procedure in the office (needle drainage). Surgery is successful for removal the majority of the time with few complications. ...Read more

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Is it okay for your hand to be numb after ganglion cyst surgery?

Is it okay for your hand to be numb after ganglion cyst surgery?

Depends for how long: Depending on the location of your ganglion cyst, it's possible that some sensory nerve branches may have been stretched, causing a temporary numbness. It is not a common occurrence, but it could happen. It should be temporary. You should discuss this issue with your surgeon. ...Read more

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Ganglion cyst surgery recovery- advice please?

Ganglion cyst surgery recovery- advice please?

B sure U C a hand..: ...surgeon 4 removal if that's where it's located. After surgery U may have a splint 4 a week, & then U gradually work into Ur daily routine. Takes 4-6 wks 4 complete healing. No sports or heavy use until U have ROM back as well as strength. Don't push it, Ur hand stays with U all Ur life, so a couple months of being careful will get U the best result. ...Read more

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Will I be admitted after my ganglion cyst surgery?

Will I be admitted after my ganglion cyst surgery?

No: This is performed as an outpatient procedure in a surgery center or hospital. ...Read more

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Can you tell me about the ganglion cyst surgery procedure?

Can you tell me about the ganglion cyst surgery procedure?

Excision: Involves excision of the cyst dissecting it free from the surrounding tissues. Most important factor to prevent recurrence is to completely remove the neck of the ganglion that extends down into the joint. Surgery is usually done under iv regional block or general anesthetic, in some cases local can be an option. Post immobilization for 2-3 weeks reduces recurrence rate. ...Read more

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Is it okay to wear a sling after a ganglion cyst removal surgery?

Is it okay to wear a sling after a ganglion cyst removal surgery?

Yes: Usually a sling isn't necessary. What you need is a wrist braces so that you do not bend your wrist until the ganglion has a chance to heal. They don't heal very fast so I would give it 6-8 weeks with the splint on all of the time and another month with the splint only if you are going to be using your hands a lot. ...Read more

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What happens after and during ganglion cyst removal the day of surgery?

Preparation: During surgery you will be asleep, if a child. The hand will be prepped antiseptically and draped. Small incision made in skin over the ganglion. Ganglion dissected out and the base of defect ligated and cyst excised. Skin closed. Wake up in recovery with ace wrap on wrist. Ace can be removed in 24 hours. Ad lib movement afterwards with no heavy lifting as discomfort allows. ...Read more

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Which is better for ganglion cyst. Surgery or aspiration?

Which is better for ganglion cyst. Surgery or aspiration?

Ganglion cyst: Try aspiration first with injection of kenalog, (triamcinolone) use surgery as a last resort. ...Read more

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Ganglion cyst on instep keeps reoccurring. Dangerous to ignore? Surgery only option?

Ganglion: It does sound like you have had prior treatment. When these recur repeatedly surgery may be the option. Drainage and pressure frequently work. See you podiatrist for help ...Read more

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Ganglion cyst surgery 2/2015. Still have quite a bit of pain in base of thumb (site surgery) it's been 5 months. Why still pain?

Ganglion cyst surgery 2/2015. Still have quite a bit of pain in base of thumb (site surgery) it's been 5 months. Why still pain?

Hand surgeon: This question is best answered by your surgeon who performed the procedure during which superficial nerves were probably disturbed and are very slow to grow back. I'm sure the surgeon will want to examine your hand if you're having so much discomfort 5 months later. ...Read more

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How common is it after a ganglion cyst surgery not being able to move the wrist forward more than 30 degrees 9 weeks after surgery?

How common is it after a ganglion cyst surgery not being able to move the wrist forward more than 30 degrees 9 weeks after surgery?

Stiffness: It sounds like you may have stiffness secondary to a wrist contracture. You probably need to return to your surgeon for a re-evaluation and possibly a occupational therapy script. ...Read more

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I had a very painful ganglion cyst for a year. 1 week before surgery it ruptured on its own. Will I be able to still get surgery to remove the stem?

I had a very painful ganglion cyst for a year. 1 week before surgery it ruptured on its own. Will I be able to still get surgery to remove the stem?

Ask your doc...: How has the ruptured cyst evolved over the past week? If getting better slowly and surely, give time & patience. Meanwhile, ask your surgeon for specific detail and expectation. Best wish to health... ...Read more

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Can you tell me about ganglion cyst on the underside of the wrist and had surgery to remove it only to have it come back on the top side of the wrist?

Can you tell me about ganglion cyst on the underside of the wrist and had surgery to remove it only to have it come back on the top side of the wrist?

Common: This is not the same cyst. There are approx. Ten small bones in the wrist. Each of them have a synovial capsule that could rupture and produce a ganglion cyst on the undersurface or top surface of the wrist. Ask your doctor if your activity or use of wrist is promoting this kind of formation. ...Read more

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Ganglion cyst wrist surgery swelling. How to reduce this?

Ganglion cyst wrist surgery swelling. How to reduce this?

Scar massage: Swelling following surgery is quite common. Stiffness is also a common complaint. Physical therapy (or hand therapy) can be beneficial in improving wrist motion and swelling. Scar massage and desensitization exercises can be helpful to reduce swelling and sensitivity. ...Read more

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Can I have my ganglion cyst surgery tomorrow if I have a stuffy nose?

Can I have my ganglion cyst surgery tomorrow if I have a stuffy nose?

May B ok: U need 2 contact ur surgeon right away and inform him/her about ur condition. Ganglion surgery is done with out general anesthetic, so u may b ok. Call now don't show up ; surprise the surgeon. This could screw up the entire surgery schedule if u r canceled. ...Read more

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Tingling in pinky finger 1 week post op from ganglion cyst surgery what can I do to relieve this?

Tingling in pinky finger 1 week post op from ganglion cyst surgery what can I do to relieve this?

Tingling: If this is in the same finger as the ganglion there may have been pressure on the nerve or need for the nerve to be handled but the otherwise may simply be swelling in the finger. ...Read more

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Ganglion cyst recurs within two to three weeks after the treatments from doctor. Without surgery, may I have any suggestions to releive?

Ganglion cyst recurs within two to three weeks after the treatments from doctor. Without surgery, may I have any suggestions to releive?

Ganglions are: Fluid filled sacs from a joint or tendon sheath. They are not harmful but can cause local irritation. And at times joint pain. They may be sign of remote injury or arthritis as well but can form in the absence of those with normal structures. They can be observed, aspirated and injected or excised depending upon location, severity and "need" for treatment. Make sure there is the right diagnosis. ...Read more

Ganglion (Definition)

Commonly associated with trauma or arthritis the joint capsule becomes stretched. As the body produces additional synovial fluid to lubricate the joint the loosened joint capsule stretches and fills with fluid...The gnaglion. As the body produces more or less the size of the ganglion will fluctuate. Best ...Read more


Dr. Jeffrey Wint
971 Doctors shared insights

Carpal Tunnel Syndrome (Definition)

A medical condition due to compression of the median nerve as it travels through the wrist at the carpal tunnel. The main symptoms are pain, numbness, and tingling, in the thumb, index finger, middle finger, and the thumb side ...Read more