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GANGLION: Diagnosis and Treatment

Ganglion is a small swelling filled with thick, viscous and clear fluid usually located around the wrist joint.

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It is more common in females and can appear any time between teenage and sixth decade. Back of the wrist is the favoured site. It feels tight. Tenderness may be present. Skin over the swelling moves freely. Mild to moderate pain may be present. It is fixed to the deeper structures but not to bone. At times the ganglia may disappear spontaneously.

Ganglion over wrist

Ganglia formation is thought to be the result of a developmental defect in the capsule or tendon sheath.

Diagnosis is by clinical examination and history.

Treatment includes the following methods

- Aspiration and injection of steroid or hylase.

- Multiple punctures with a wide bore needle followed by gentle massage daily by the patient herself.

- If it recurs after the above treatments then it is surgically excised down to the capsule.

I hope the information provided was helpful. If you have any query you can ask me at the contact me page.

This page was last updated on 30th March 2009.

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Other causes of wrist pain...

De Quervain Disease

Carpal Tunnel Syndrome

Scaphoid Fracture

Wrist Fracture

Madelung Deformity

Wrist Anatomy

Go back to Wrist Pain from Ganglion


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