Ganglions (cysts) of the Wrist
Cysts are swollen bags filled with air or fluid that may arise in various body parts. Ganglion cyst is a swelling that most commonly develops along the tendons or joints of your wrists or hands. They can be found at the top of the wrist, palm side of the wrist, end joint of a finger, or at the base of a finger. Ganglion cysts are not cancerous and will not spread to other parts of your body. It looks like a water balloon on a stalk and contains a clear fluid or jellylike material. Ganglion cysts can be found in people of all ages.
The cause of a ganglion cyst remains unknown; however, some theories believe that small cysts can form when trauma damages the tissue of a joint. The most likely theory states that these cysts occur because of a defect in the joint capsule or tendon sheath that permits the joint tissue to protrude outwards.
Ganglion cysts generally appear as a mass from 1 to 3 centimeters in diameter. The swelling is usually soft and immobile. It may develop suddenly or gradually over time, vary in size or even disappear or reappear. Ganglion cyst may or may not be painful. If painful, the pain may be continuous and may worsen by moving the joint. The cyst can make the affected area feel weaker if attached to a tendon.
To diagnose a ganglion cyst your doctor will perform a physical examination. A ganglion cyst diagnosis is confirmed by needle aspiration or ultrasound. Needle aspiration is a process in which your doctor uses a syringe to draw out some of the fluid in the cyst. Ultrasound can help to find whether a ganglion cyst is solid or fluid filled or involves a blood vessel or artery. Magnetic resonance imaging (MRI) of your wrist may also be useful for diagnosing ganglions.
An old home remedy for a ganglion cyst consist of various poultices, topical plaster, heat, and smashing the cyst with a heavy book (bible therapy). These forms of treatment are no more recommended because the cyst may grow back after treatment and could cause further injury. In many cases, these cysts may disappear spontaneously without any treatment. Aspiration can be performed to drain the fluid from the cyst using a needle. After aspiration, a steroid compound is injected into the empty cyst and a splint is placed to immobilize the area. If the cyst becomes painful or limits your activity or causes numbness or tingling of the hand or fingers, your doctor may recommend surgery to remove the ganglion cyst.
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Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.
Thank you for the opportunity to express how pleased I am with the excellent care of Stacy A. Bacon, M.D. I have confidence in her ability to care for me as she successfully partially replaced a broken hip 10 years ago, 2007. I also want to compliment Cheryl who set up the appointment. She represents Advanced Orthopaedics & Sports Medicine very well.
It’s been over 8 years since Dr. Bacon replaced by right ankle. I still can’t thank her enough for the years of pain free walking I have done since! And I’m still going strong! I had numerous breaks in my ankle due an auto accident, repaired/set by a different doctor, after multiple surgery’s, I was still limping, in great pain every day. Then I found Dr. Bacon, now, no more pain, NONE, and no more limping after this ankle replacement. I rave about her constantly and would recommend her to anyone who has a foot or ankle issue
I had been in so much pain with my back for years. It got so bad that I knew I had to do something. I went to Dr Mohr for help. I was so afraid to have spine surgery as I had heard so many horror stories. He and his staff were very informative. I was amazed at the new technology in spinal surgery. December 8, 2016 I had rods and pins put in my back. I am so happy I did now. I am healing really fast and the pain is going away as my body heals. Thank you Dr Mohr for you expertise and sensitive nature. You were understanding about my fear and helped assure me so I could receive the help I needed. You are an excellent Doctor.