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Such cysts usually form on the hand, foot or wrist and may cause pain or impair body function. Aspiration of the cyst and steroid injections are typically performed first. If they fail, the cyst is excised under local, regional or even general anesthetic. Ganglionectomies are also performed for other reasons, such as the treatment of chronic pain.
Ganglion cysts have been found to recur following surgery in 12% [29] to 41% [30] of patients. A six-year outcome study of the treatment of ganglion cysts on the dorsal wrist compared excision, aspiration, and no treatment. Neither excision nor aspiration provided long-term benefit better than no treatment.
Ulnar tunnel syndrome is usually caused by a ganglion cyst pressing on the ulnar nerve, other causes include traumas to the wrist and repetitive movements, but often the cause is unknown (idiopathic). [2] Long distance bicycle rides are associated with transient alterations in ulnar nerve function. [3]
Dr. Carrie Jose, in her latest Health and Wellness column, provides questions to ask before getting a cortisone injection
Dupuytren's does not need any treatment as the condition can resolve on its own. However, if finger function is compromised, then surgery may be required. Ganglion cysts are soft globular structures that occur on the back of the hand usually near the junction of the wrist joint. These small swellings are usually painless when small but can ...
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The types of methods used to treat this type of cyst are curettage and bone grafting, aspiration, steroid injections, and bone marrow injections. Watchful waiting and activity modifications are the most common nonsurgical treatments that will help resolve and help prevent unicameral bone cysts from occurring and reoccurring. [4]
However, while conservative treatments are often effect, resistant cases may require more invasive treatments such as: [1] [3] [4] [9] Corticosteroid injections into the tarsal canal; Oral steroids; Custom orthoses; Cryotherapy; These forms of treatment, while being invasive and expensive, are known to be very effective.
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