Doctor insights on:
I Have Carpal Tunnel And Ganglion Cyst Do I Need Surgery
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
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
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
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
I have carpal tunnel and a ganglion cyst on my left inner wrist. The cyst is approx. 2inches in diameter. What procedure will be used to treat both?
Surgery is an option: Procedure is surgeon dependent.Get a more detailed answer ›
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
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
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
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
I have a ganglion cyst on my left wrist. My only option is surgery which I don't want to do. With my cyst would doing push-ups make the cyst worst or?
Well: Probably will not get worse but not better either. Follow the advice of your doctor ...Read more
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
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
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
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
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
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
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?
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
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
Tingling in pinky finger 1 week post op from ganglion cyst surgery what can I do to relieve this?
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
Is it possible to get a waterproof cast after a ganglion cyst removal surgery because I have to teach swimming lessons in the water two weeks later.
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
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