Ganglion

• Ganglion cysts look and feel like a smooth lump under the skin.
• Ganglions usually form near joints or over extensor tendons.
• 3 in 4 ganglions form near the wrist.
• Ganglions are harmless, but can sometimes be painful especially if bumped or knocked. They are not usually disruptive to function

• A ganglion will often disappear or become less painful after a year or 2.
• Best to leave alone

• Issue GANGLIONIC CYST PATIENT LETTER* to patient:
• Reassure patient ganglions are best left alone where possible
• It is not advised to hit nodule with a book or any other heavy objects
• Remember if nodules grow rapidly or become irregular in shape this may warrant a more urgent referral for review.

• If ganglion is pressing on a nerve, causing weakness, numbness or pain

Refer via SCI Gateway to Occupational Therapy Hand Clinic and include following in referral:

• Duration of symptoms
• Precise location of ganglion
• Problem/issues ganglion causing patient