Expert Ganglion Cyst Treatment in Nebraska

Ganglion Cyst Causes and Symptoms

A ganglion cyst forms when fluid from a nearby joint or tendon sheath leaks into surrounding tissue. This may occur due to degeneration of the joint capsule or connective tissue, sometimes in association with arthritis. The cyst is often connected to the joint by a narrow stalk that functions like a one-way valve, allowing fluid to enter but not return.

Some ganglia, particularly mucous cysts, develop in response to degenerative arthritis at the end joints of the fingers. These can cause fingernail deformities, and if left untreated, they may rupture and become infected.

Advanced degenerative arthritis at the end joint of the finger (DIP joint) frequently results in a cyst known as a mucous cyst and may cause significant nail deformity.

Cyst caused by arthritis

Cyst at nail fold that has popped

Pressure from a cyst just above the nail fold has caused a deep trough in the nail. Removal of the cyst will allow the nail to grow back normally in about 4 months.

Ganglion Cyst Diagnosis and Treatment Options

In most cases, a ganglion cyst can be diagnosed through a simple physical examination. The cyst’s classic location, size, and feel—typically a round, soft, or firm lump—are usually enough to confirm the diagnosis. Most often, the cyst is found on the back or side of the wrist, hand, or finger joints.

If necessary, X-rays may be taken to:

• Identify any underlying arthritis
• Rule out bone tumors or other conditions
• Look for joint-related causes behind the lump

Non-Operative Treatment

Non-Operative Treatment

Not all ganglion cysts require treatment—especially if they are small, painless, and not interfering with function.

Here are common non-operative options:

• Observation - Many cysts are harmless and may shrink or go away on their own. If the cyst isn’t causing discomfort, it may be safe to simply monitor it over time.
• Aspiration (Draining the Fluid) - Involves drawing the jelly-like fluid from the cyst with a needle. While this may temporarily reduce the size, recurrence is common because the cyst lining and connection to the joint remain.
• Cortisone Injections - Occasionally used to reduce inflammation, though they don’t address the root cause. In clinical experience, recurrence rates are high, and the treatment is often ineffective in the long term.
• Home Remedies or Popping the Cyst - Trying to rupture the cyst by applying pressure or striking it—sometimes called “Bible therapy”—is outdated and not recommended. This method is unreliable and may lead to complications.

In most cases, nonsurgical treatment is best for cysts that are not painful, not growing, and don’t interfere with hand or wrist movement.

Example of a mucous cyst

Nail deformity from a mucous cyst

Wrist Ganglion Cyst Surgery (Traditional Approach)

For a wrist ganglion, surgery is typically performed using a small 1/2-inch transverse incision. The surgeon carefully exposes the cyst down to its origin in the joint, then removes it along with a small wedge of joint capsule. This helps minimize the chance of the cyst returning.

Surgery is performed in an operating room to protect surrounding soft tissue, including superficial nerves and arteries. This approach also allows for precise dissection and reduces the risk of complications.

Arthroscopic Wrist Surgery

In some cases, arthroscopic ganglion cyst wrist treatment may be an option. This technique uses two small puncture incisions and a fiber-optic camera to remove the cyst from inside the joint.

Benefits of arthroscopic surgery include:

• Smaller scars
• Faster recovery
• Similar success rates to open surgery

However, the procedure is more expensive due to specialized equipment and may not be necessary in every case.

How Effective Is Ganglion Cyst Surgery?

Surgical removal is highly effective, with success rates ranging from 85% to 90%. Performing the procedure in a controlled surgical environment ensures safer removal and lowers the risk of damage to nearby structures.

• Most patients recover quickly with minimal post-op discomfort
• There is rarely a need for formal hand therapy
• Early movement is encouraged to prevent stiffness

Post-Surgical Care and Rehabilitation

Recovery from ganglion cyst surgery is typically smooth, with most patients experiencing minimal discomfort and a quick return to normal activities.

At Nebraska Hand & Shoulder Institute, P.C., we use techniques that minimize trauma to surrounding soft tissue, allowing for a faster, more comfortable healing process. After you’ve undergone ganglion cyst removal, we focus on preserving strength and mobility throughout recovery.

Get Expert Ganglion Cyst Care You Can Trust

If you’re dealing with a hard lump on your wrist, hand, or finger, don’t wait and wonder—get clarity and care from a trusted specialist. At Nebraska Hand & Shoulder Institute, P.C., our experienced team provides personalized evaluation and ganglion cyst hand treatment tailored to your needs.

Whether you're looking to confirm a diagnosis, explore non-surgical options, or move forward with surgery to remove a ganglion cyst, we’re here to help. Our patients benefit from decades of surgical expertise and a proven track record of successful outcomes.

Schedule your appointment with a ganglion cyst doctor today and take the first step toward relief and confidence.