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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ganglion Cyst On The Wrist. Very Painful, Challenging To Do Daily Chores. Advised Surgery. Suggestions, Details?

Ganglion Cyst on wrist , please please help? I m 21 years old (female), university student. I had this cyst on my right wrist for over a year, and it never bothered me one bit. I could only see the bump when I bend my hand forward, other then that I was trouble and pain free. Up until about 3 months ago, it suddenly started feeling uncomfortable and slightly painful. I went to my family doctor, and she said I have a ganglion cyst, she explained to me what it was( A ganglion cyst, also known as a bible cyst, is a swelling that often appears on or around joints and tendons in the hand or foot . ) and said it s too early to take it seriously. She suggested I put hot pads on it, and take Tylenol when the pain was too much. I went back 3 days after that, because the pain kept getting worse, strong sensation of the pain shooting up my fingers, and pain started to venture beyond my wrist as well. My family doctor sent suggested I see a plastic surgeon (only because the hand is very delicate) and said he/she will either drain it or surgically remove it. When I went to his office, he measured my cyst and asked me few questions, but when he injected the cyst with a needle to numb my skin so he can start draining it with a needle; It was so painful that I fainted. He then said it s better that I have it surgically removed because it s seems to be under a lot of pressure, and is in the joint area of my wrist. My cyst is on my wrist, on the joint exactly, it is rock hard, and I can not move it one side or the other. It is rock hard, and painful, cant hold a paper or a coffee cup sometimes. It mostly about the movement I make with my hand and not what I am lifting. I wish you could tell me a little bit about the procedure and what to expect, I am planning to talk to my surgeon when the office calls me to tell me exactly when is my appointment. But if you could provide any clarification, I would really really appreciate it. I am healthy, no physical trauma or hard labor at all. No excessive use to computers either. This cyst came out of nowhere. I am waiting for my appointment which is Feb 12th, but it is only getting worse and worse and worse! I take tylenol extra strength, I put hot pads on it, I massage it, and my hand is in a wrist brace 99.99% of the time. I have things to do and the pain caused by the cyst does nothing but intervene. I hardly shower and brush my hair; cooking, house chores, assignments are all challenges and doing everything with the left hand only is difficult and sometimes not doable at all. I am worried that what I have isn t a ganglion cyst anyway! I mean doctors said it is, but so many sources online say if it s rock hard and you can move it around, then it is not a ganglion cyst :/ I am so very frustrated about all this, and especially that the cyst is effecting my life on day to day basis. Please if any of you had a ganglion cyst or know os someone who did. Please tell me if it is normal for my cyst to be rock hard and extremely painful that I cant hold a coffee cup, a pencil or even a piece of paper. The pain effects my right hand ( sometimes from the tips of the fingers to the elbow! ). Is it normal to be extremely painful?? How was the surgery? And how long did it take you to heal and be able to use it again normally? And Did you suffer from any side effects after the surgery? I do not expect all these questions to be answered, but I would really appreciate some words from people with some sort of experience, and or knowledge about ganglion cysts . I am frustrated with myself, and being a restless person, you could almost imagine the stress I m in because of my inability to get things done majority of the time. Thanks in advance I wrote everything with my left hand, I tried to keep it short, but felt the need to include as much detail so I can perhaps get as much clarification as possible
Tue, 5 Feb 2013
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General & Family Physician 's  Response
Hello,
The ganglion cyst is very common amongst females in the age group of 20 to 40 years of age.Since your cyst is causing you excruciating pain,surgical removal is the right treatment.This surgery is an OPD procedure and is done under local anaesthesia and doesn't cause any problem to the patient.
After surgery the joint is splinted to keep you away from moving the joint.
Splint is kept for 7 to 10 days only.
However you should get an ultrasound done before surgery to see whether this mass is coming from any blood vessel.
Thanks
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Ganglion Cyst On The Wrist. Very Painful, Challenging To Do Daily Chores. Advised Surgery. Suggestions, Details?

Hello, The ganglion cyst is very common amongst females in the age group of 20 to 40 years of age.Since your cyst is causing you excruciating pain,surgical removal is the right treatment.This surgery is an OPD procedure and is done under local anaesthesia and doesn t cause any problem to the patient. After surgery the joint is splinted to keep you away from moving the joint. Splint is kept for 7 to 10 days only. However you should get an ultrasound done before surgery to see whether this mass is coming from any blood vessel. Thanks