What is a Ganglion (Wrist) Cyst? Symptoms and Solutions

Orthopedics and Traumatology Specialist Assoc. Prof. Dr. Aybars Kıvrak gave important information. Ganglion (Wrist) cyst is a benign cyst that usually occurs on the wrist or the upper part of the hand. It contains a jelly-like fluid. These cysts are usually found near joints or tendons. Ganglion cysts can cause pain and may cause limited movement.

What are the symptoms?

Symptoms of ganglion cysts vary from person to person.
 
Swelling: EA significant swelling in the wrist.
Pain: Increased pain, especially with wrist movements, due to the mass effect created by the cyst
Movement Restriction: Limited movement or weakness in the wrist.
Variable Size: The size of cysts may change over time, they may shrink in some periods and grow in other periods. It may explode or even disappear on its own.

Why Does Ganglion Cyst Occur?

The exact cause of ganglion cysts is unknown. However, some factors trigger the formation of these cysts:

  • Repetitive Movements: Repetitive movements of the hand and wrist can lead to cyst formation.
  • Injuries: Injuries to the wrist or tendons can cause cyst formation.
  • Joint or Tendon Problems: Problems in the joints or tendons can predispose to ganglion cysts.

In Whom Is It Most Commonly Seen?

Although ganglion cysts in the wrist can generally be seen in all ages and genders, they are more common in some demographic groups. Here are the prominent findings on this subject, accompanied by scientific data:

  1. Age group: Ganglion cysts are most common in adults between the ages of 20-40. It is more rare in children and the elderly.
  2. Gender: The risk of developing ganglion cysts in women is approximately three times higher than in men. Although the cause of this condition is not fully known, it is thought that hormonal or biomechanical factors may play a role.
  3. Profession and ActivitiesThe risk of developing ganglion cysts may be increased in people who engage in activities that involve repetitive hand and wrist movements (for example, keyboard users, musicians, athletes). These activities can create stress on joints and tendon sheaths and lead to ganglion cyst formation.
  4. Trauma History: People who have previously experienced trauma to the wrist are more likely to develop a ganglion cyst. Although these traumas do not have a direct relationship, it is thought that weaknesses in the joint or tendon sheath may contribute to cyst formation.
  5. Genetic Factors: People with a family history of ganglion cysts are more likely to develop these cysts, suggesting that there may be a genetic component.

Diagnosis and Treatment

Ganglion cysts are usually diagnosed through physical examination and imaging methods. Ultrasound and MRI are used as imaging methods. Treatment options include:

  • Observation: If the cyst does not cause pain and does not affect daily life, it can only be kept under observation.
  • Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to reduce pain.
  • Aspiration: Aspirating the fluid inside the cyst with a needle may be attempted. However, there is a high risk of recurrence and it can be a painful procedure for patients.
  • Surgical Intervention: Surgical treatment comes to the fore in cases where other treatment methods do not work.

Living with a Ganglion Cyst

Living with a ganglion cyst can be challenging, especially if it causes pain. However, quality of life can be improved with some precautions and treatment methods:

  • Wrist Supports: It is possible to immobilize the wrist and relieve the cyst by using wrist supports.
  • Physical Therapy: Strengthening wrist and hand muscles with physical therapy exercises.
  • Regular Check-ups: The condition of the cyst should be monitored under doctor supervision and the treatment plan should be updated if necessary.