Ganglion Cyst

Ganglion cyst are very common lumps within the hand and wrist that occur adjacent to joints or tendons.

The most common locations are the top of the wrist, the palm side of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger. The ganglion cyst often resembles a water balloon on a stalk and is filled with clear fluid or gel.

A ganglion cyst, a synovial cyst or a myxoid cyst, also known as Gideon's Disease, a Bible Cyst, or a Bible Bump, is a non-neoplastic soft tissue lump that may occur in any joint.

The average size of these cysts is 2.0 cm, but excised cysts of more than 5 cm have been reported. The size of the cyst may vary over time, and may increase after activity.

What Cause of Ganglion Cyst?

  • The most commonly accepted cause of ganglion cysts is the "herniation hypothesis", by which they are thought to occur as "an out-pouching or distention of a weakened portion of a joint capsule or tendon sheath."
  • Synovial cysts, posttraumatic degeneration of connective tissue, and inflammation have been considered as the causes.
  • Other possible mechanisms for the development of ganglion cysts include repeated mechanical stress, facet arthritis, myxoid degeneration of periarticular fibrous tissues and liquefaction with chronic damage, increased production of hyaluronic acid by fibroblasts, and a proliferation of mesenchymal cells. Ganglion cysts also may develop independently from a joint.
  • Double bass players are known to develop ganglion cysts on their wrists as a result of extensive use of a German bow.

Symptoms of Ganglion Cyst

The lumps associated with ganglion cysts can be characterized by:

  • Location: Ganglion cysts most commonly develop along the tendons or joints of your wrists or hands. The next most common locations are the ankles and feet, although these cysts can occur near other joints as well.
  • Shape and size: Ganglion cysts are round or oval and usually measure less than an inch in diameter. Some are so small that they can't be felt. The size of a cyst can fluctuate, often getting larger when you use that joint for repetitive motions.
  • Pain:Ganglion cysts usually are painless. However, if a cyst presses on a nerve — even if the cyst is too small to form a noticeable lump — it can cause pain, tingling, numbness or muscle weakness.

Diagnosis of Ganglion Cyst

  • Ganglion cysts are diagnosed easily, as they are visible and pliable to touch.
  • Radiographs in AP and lateral views should be obtained to exclude any more serious underlying pathology.
  • Ultrasonography (US) may be used to increase diagnostic confidence in clinically suspected lesions or to depict occult cysts, because intra tendinous ganglia are readily distinguished from extratendinous ganglia during dynamic Ultrasonography.


Complications of treatment may include stiffness in the hand or location, and scar Formation. Recurrence of the lesion is more common following excision of a volar ganglion cyst in the wrist.

Homeopathic Treatment for Ganglion Cyst

At Kanakaveda Homeopathic medicine help to reduce ganglionic cyst successfully without any side effect. Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions.

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