Ganglion Cysts: Expert Treatment at Palms Physiotherapy & Allied Health

What Are Ganglion Cysts?

A ganglion cyst is a fluid-filled sac that forms on or near a joint or tendon. They are one of the most common types of soft tissue lumps that appear in the body and can vary in size. These cysts typically occur in the wrist, but can also form in the hand, fingers, foot, or ankle.

Ganglion cysts are typically round or oval and can range from being small and firm to large and soft. The fluid inside the cyst is typically synovial fluid, which lubricates and cushions joints and tendons. While ganglion cysts are generally non-cancerous and harmless, they may cause pain, especially if they press on surrounding nerves or joints.

Symptoms of Ganglion Cysts

The main symptoms of ganglion cysts are associated with their physical presence and the pressure they exert on surrounding tissues. Common symptoms include:

1. Visible Lump or Swelling

• The most noticeable symptom of a ganglion cyst is a lump or swelling near a joint or tendon, often appearing on the back or front of the wrist.

• The size of the lump can fluctuate over time, and it may grow or shrink on its own.

2. Pain or Discomfort

• While ganglion cysts are generally painless, they may cause discomfort or pain if they press against nerves, especially when performing certain movements or using the affected joint.

• The pain can range from mild discomfort to sharp pain, particularly during physical activity.

3. Limited Range of Motion

• In some cases, a ganglion cyst can restrict the range of motion in the affected joint, making activities like writing, typing, or gripping objects more challenging.

4. Numbness or Tingling

• If the cyst presses on a nearby nerve, you may experience sensations like numbness or tingling in the fingers or hand.

Causes of Ganglion Cysts

The exact cause of ganglion cysts is not fully understood, but there are several factors that may contribute to their development:

1. Joint or Tendon Irritation

• Ganglion cysts are often associated with repetitive stress or irritation to the joint or tendon. For example, overuse of the wrist in activities like typing or sports that involve gripping can increase the risk of developing a cyst.

2. Injury or Trauma

• Direct injury or trauma to a joint can trigger the formation of a ganglion cyst. This may be due to the formation of a small tear in the synovial lining, which leads to the accumulation of fluid.

3. Joint Conditions

• Some people with joint conditions like osteoarthritis or tendonitis may be more likely to develop ganglion cysts due to increased joint wear or inflammation.

4. Genetics

• There may be a genetic predisposition to developing ganglion cysts. People with a family history of ganglion cysts may be at higher risk.

Diagnosing Ganglion Cysts

At Palms Physiotherapy & Allied Health, we use a combination of clinical examination and diagnostic tools to confirm the presence of a ganglion cyst and rule out other conditions:

1. Physical Examination

• During a physical exam, your therapist will assess the lump, its location, size, and texture. They may also perform tests to determine whether the cyst is fluid-filled (transillumination test), where light is shone through the cyst to check for transparency.

2. Imaging

• Ultrasound: An ultrasound can help visualize the cyst and assess its size, location, and whether it is causing any compression on nearby nerves or tendons.

• X-rays: Though ganglion cysts do not show up on X-rays, they can be useful to rule out other conditions, such as bone fractures or arthritis, that might mimic the symptoms.

Treatment for Ganglion Cysts at Palms Physiotherapy & Allied Health

While ganglion cysts are usually non-threatening, treatment may be necessary if they cause pain, restrict movement, or affect your quality of life. At Palms Physiotherapy & Allied Health, we offer a range of conservative treatment options, including:

1. Physiotherapy and Manual Therapy

• Manual Therapy: Hands-on treatments like soft tissue mobilization and joint mobilizations can help alleviate discomfort caused by the cyst and improve joint function.

• Strengthening and Stretching Exercises: We design personalized exercise programs to strengthen the muscles around the joint and improve flexibility, reducing the risk of cyst formation in the future.

• Nerve Gliding: Specific nerve gliding techniques can help relieve pressure on any compressed nerves caused by the cyst.

2. Aspiration (Drainage)

• Cyst Aspiration: This procedure involves using a needle to drain the fluid from the ganglion cyst. Aspiration can often relieve symptoms, though the cyst may reappear over time.

3. Corticosteroid Injections

• In some cases, a corticosteroid injection may be recommended to reduce inflammation and pain around the cyst and the surrounding tissues.

4. Wrist Splints or Braces

• If the cyst is affecting the wrist, a wrist splint or brace may be used to stabilize the joint and prevent further irritation, particularly during activities like typing or gripping.

5. Surgery (in Severe Cases)

• If conservative treatments fail or if the cyst causes persistent pain or mobility issues, surgical removal may be considered. Cyst removal surgery involves removing both the cyst and the stalk that connects it to the joint or tendon.

Preventing Ganglion Cysts

Although ganglion cysts can form without any warning, there are some strategies to help reduce the risk of developing them:

1. Avoid Repetitive Strain

• Limit repetitive wrist movements and try to take breaks during activities that put a strain on the joints, such as typing, writing, or heavy lifting.

2. Proper Ergonomics

• Setting up your workstation with proper ergonomics, using wrist supports, and adjusting your posture can help minimize stress on your wrists and prevent cysts from forming.

3. Treating Joint Conditions Promptly

• Early treatment of joint injuries, arthritis, or tendonitis can reduce the chances of developing a ganglion cyst in the affected area.

Why Choose Palms Physiotherapy & Allied Health for Ganglion Cysts?

At Palms Physiotherapy & Allied Health, our team of physiotherapists, occupational therapists, and exercise physiologists are committed to providing holistic, evidence-based care. Our approach to treating ganglion cysts includes:

• Comprehensive Treatment: We combine hands-on therapies, exercise programs, and lifestyle adjustments to alleviate symptoms and improve your overall well-being.

• Personalized Care: Each patient receives an individualized treatment plan tailored to their specific needs and goals.

• State-of-the-Art Facilities: With access to our rehabilitation gym, sensory room, and specialized equipment, we provide a supportive and comfortable environment for your recovery.

Book Your Appointment Today

If you're experiencing symptoms of a Ganglion Cyst, don't wait to get help. Book an appointment with our team at Palms Physiotherapy & Allied Health to start your recovery.