Conditions We Treat

Ganglion Cyst at the Wrist

What Is It?

A ganglion cyst is a fluid-filled sac arising from a joint or tendon sheath in the wrist or hand.

It is the most common soft tissue mass of the wrist and may fluctuate in size.

Symptoms

  • Visible or palpable lump, often on the back of the wrist
  • Aching, pressure, or restricted motion
  • Possible nerve or tendon irritation
  • Often painless but may become tender with use

Diagnosis

  • Clinical exam and transillumination
  • Ultrasound to confirm fluid-filled nature
  • MRI if deeper or atypical cysts are suspected

Treatment

Conservative Options:

  • Observation if asymptomatic
  • Wrist splinting

Interventional Options:

  • Aspiration with or without corticosteroid injection

Surgical Options:

  • Surgical excision if painful, recurrent, or functionally limiting

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