The initial treatment for ganglion cysts is non-operative. However, if the ganglion is still present or symptoms are not relieved from non-operative treatment methods, the cyst may need to be removed surgically. This procedure is called an excision. Even after surgical excision of the ganglion, there is a chance that the cyst could return.
- Non-operative Ganglion Cyst treatment: Initial treatment is non-surgical.
- Since many ganglion cysts shrink and become painless without any treatment, a physician may just want to observe its progress. If, however, the cyst is deemed unsightly, becomes painful, or makes it difficult for one to use the hand, a doctor may decide to treat it, or if necessary, remove it surgically.
- Aspiration-In order to shrink the cyst, a doctor may simply remove the fluid with a needle.
- Non-steroidal anti-inflammatories (NSAIDs)- Pain relief
- Anti-inflammatory injection, such as cortisone, to help alleviate the irritation.
- Immobilization- A wrist brace or splint may be recommended to rest the wrist and decrease pressure on the nerves. This may relieve symptoms and cause the ganglion to shrink.
- Physical therapy- As your symptoms improve, exercises may be recommended to improve your range of motion and strength.
Goal
Reduce the patient’s symptoms and provide better quality of life
Benefits
Minimally invasive treatment options
Recovery
Patients that have the cyst aspirated may experience immediate pain relief
Complications
Recurrence of cyst after aspiration
Outcomes:
Even after aspiration of the ganglion, the ganglion could return.

