About Ganglions

It is generally unknown the cause or triggers in the formation of a ganglion cyst.

Signs & Symptoms

Most ganglion cysts form a visible lump, however some can remain hidden. Some people may experience pain and occasionally neurological symptoms. Ganglion cysts may be generally diagnosed by clinical and ultrasound assessment. However, a MRI may be required also.

Treatment Options

What are the non-surgical treatment options for ganglion cysts?

Initial treatment may include observation. Another option of which may be offered initially is aspiration. Aspiration of the ganglion is normally performed with a needle and syringe and sometimes with an injection of a steroid, by a Radiologist. Recurrence of the ganglion cyst may occur.

What are the surgical treatment options for ganglion cysts?

Ganglion cysts can be removed either by excision or arthroscopic removal, as a day procedure and an anaesthetic is used.

What happens after surgical removal of a ganglion?

Following surgery, you will not be able to drive immediately due to the anaesthetic used, so arrangements for transport will need to be made prior to the surgery booking.

If required, you may take paracetamol or prescribed pain medication by your anaesthetist or GP.
In most cases, you will be placed in a plaster cast for approximately 2 weeks and this will be removed at your post-operative appointment. There will be dressings under this plaster cast. You will need to keep these clean and dry. Dissolvable sutures are generally used. The wound site will be tender and will resolve with time. Recovery times differ from patient to patient.

For all advice regarding work requirements or leave, you will need to discuss this prior to the surgery with A/Prof Matthew Lawson-Smith or your GP. Heavy lifting or heavy manual labor is generally not recommended until you obtain clearance at your post-operative appointment..

Risks & Concerns

Risks of ganglion removal surgery

The associated risks of surgery include;

Infection
Scar
Pain
Stiffness
Swelling
Complex Regional Pain Syndrome
Need for further surgery

Failure to relieve symptoms
Worsening pain
Bleeding
Neurovascular deficit or injury
Risk of anaesthetic
Recurrence

Concerns or Problems

If you experience any problems or have any concerns following your surgical removal of a ganglion, please contact us. We will ensure that A/Prof Matthew Lawson-Smith is kept informed of what is occurring and will advise you the best course of action.

If you are unable to reach our office, please contact your GP or if it is an emergency, please present to your nearest Emergency Department.