Ganglion Cyst Removal

What is a Ganglion Cyst in the Hand and Wrist?

A ganglion cyst is a fluid-filled sac that commonly develops along the tendons or joints of the hand and wrist. These cysts are noncancerous and filled with a jelly-like fluid. While some are painless and cause no issues, others can interfere with hand function, grip strength, or cause discomfort during daily activities. Ganglion cysts often appear as a visible lump on the back or palm side of the wrist, but they may also occur around the fingers.

When is Ganglion Cyst Removal Recommended?

Not all cysts require surgery. However, removal may be recommended in the following situations:

• Persistent pain or discomfort that affects hand or wrist use.
• Restricted movement or reduced grip strength.
• Nerve compression leading to numbness, tingling, or weakness.
• Large or enlarging cysts that interfere with daily activities.
• Failure of conservative management, such as aspiration or splinting.

How is Ganglion Cyst Removal Performed?

Surgical removal, known as excision, is usually performed as an outpatient procedure. A small incision is made over the cyst, and both the sac and its stalk (connection to the joint or tendon sheath) are removed to lower the chance of recurrence. Depending on the cyst’s location, surgery can be done under local or regional anaesthesia. In some cases, minimally invasive techniques using smaller incisions may be used.

What to Expect during Recovery after Ganglion Cyst Removal?

Most patients go home the same day. The hand and wrist are typically bandaged or placed in a light splint for a short period to protect the surgical site. Mild soreness, swelling, or stiffness is common in the first few days. Patients are encouraged to move their fingers soon after surgery to prevent stiffness. Full recovery and return to normal activities, including typing or sports, usually occur within 2–6 weeks depending on the individual’s healing.

What are the Risks of Ganglion Cyst Removal?

Although generally safe, risks can include:

• Infection at the incision site.
• Recurrence of the cyst.
• Temporary or prolonged stiffness.
• Injury to nearby nerves, blood vessels, or tendons.
• Scarring or tenderness at the surgical site.

What are the Benefits of Ganglion Cyst Removal?

Surgery offers several advantages for those with troublesome cysts:

• Relief from pain and pressure.
• Improved grip strength and hand function.
• Decreased risk of nerve irritation or compression.
• Reduced chance of recurrence compared to aspiration.
• Improved appearance and confidence in using the hand or wrist.