Ganglion Cysts

Ganglion cysts come from joints.  When there is damage to the ligaments or joint capsule (balloon) around the joint, an area of weakness is created.  The joint fluid that lubricates your joint can herniate through this area of weakness, forming a fluid-filled cyst called a ganglion.  A one-way valve mechanism forms from the joint lining and prevents the fluid from going back into the wrist, trapping it in the cyst.  Because they come from your joints, ganglions can sometimes get bigger during periods of heavy activity and get smaller during periods of rest.

Ganglions on the back of your wrist are initially treated by aspirating them.  This provides a permanent cure in 1/3 to 1/2 of patients.  If the ganglion returns you can either live with it or have it removed surgically.  Ganglions on the front of your wrist shouldn’t be aspirated, because they’re usually directly over the radial artery.  These can be left alone or removed surgically.

You can type and use computers as much as you want immediately after surgery.  You can do as much other activity as you want, but if you want to minimize pain and swelling than you should probably avoid heavy lifting and gripping for a month.  You won’t damage yourself, but this stress may cause extra pain and swelling.  Keep the wound clean and dry for 5 days.  After 5 days you can remove your dressings and get your incision wet in the shower.  Blot it dry.  After 5 days, stretch your wrist up and down to prevent stiffness.  This is best done when your body temperature is raised, such as in a hot shower or after jogging, etc.  You’ll feel a pulling when you do this; this is normal and nothing to worry about.  You should have regained full wrist motion by the time of your first postoperative visit at 2 weeks.