Finding or feeling a lump under the skin can be unsettling. Sometimes a small mass or lump on the wrist or hands can be a ganglion cyst. Should you worry? Here’s more information from Makovicka Physical Therapy’s Hand Therapist about ganglion cysts:
What is a ganglion cyst?
A ganglion cyst is a lump that is either oval or round and is full of fluid associated with a tendon or joint. It is most commonly found on the top or bottom side of the wrist. It can cause pain in the wrist but usually is pain-free. Cysts vary in size from pea size up to 2.5cm in diameter. The size of the cyst can also fluctuate, often becoming larger with repetitive wrist motions.
Who does a ganglion cyst affect?
Anyone can get a ganglion cyst, although younger people between the ages of 15-40, women, and people with osteoarthritis have a higher probability of developing a ganglion cyst. A cyst can also form when a person participates in activities that require repetitive motion of the wrist or bearing weight onto the hands such as during pushups and plank exercises.
How do I know if I have a ganglion cyst?
Some of the most common symptoms of a ganglion cyst are wrist pain, loss of wrist motion, and/or a noticeable lump on the top or the bottom side of the wrist.
What is the treatment or therapy for a ganglion cyst?
Generally, surgery is not needed, and nonsurgical treatments are trialed first, especially if no pain is present. Nonsurgical treatments are guided by a hand therapist. Treatment includes wearing a brace and immobilizing the wrist to decrease repetitive motions that caused the cyst. Sometimes the cyst needs to be aspirated at a medical clinic, and with all treatments, rest is a must.
If surgery is required, surgery is performed in an outpatient setting, meaning you will be able to go home that day. A hand therapist referral is recommended after therapy to guide you through your recovery and improve motion, reduce pain and swelling, and improve strength. Therapy may consist of pain/edema management, soft tissue mobilization, applying a hot/cold compress, stretching, strengthening, and scar management.
Makovicka Physical Therapy Hand Therapist can assist with providing quality therapy for ganglion cysts.