Ganglion Cysts: Are They Considered Occupational Injuries? - Orthopedics

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Ganglion cyst


Hello, doctor.
Recently, I discovered a lump on the back of my right hand near the webbing of my thumb, and due to my work, the pain has become increasingly noticeable.
After a hospital examination, it was determined to be similar to a ganglion cyst or a mucoid cyst, and I need to undergo surgery for removal.
Could you please tell me if this is considered an occupational disease? I have to lift heavy objects at work and use my fingers to handle items like metal trays.
Thank you for your response.

mei, 30~39 year old female. Ask Date: 2016/11/17

Dr. Shen Boquan reply Orthopedics


Hello, netizen: The tendon sheath is the tissue that surrounds and lubricates the tendon, providing protection.
When there is a local injury, chronic overuse, or degenerative changes, it may lead to the formation of a cyst in the tendon sheath or joint capsule.
If you are experiencing pain, you can rest more, take anti-inflammatory pain relievers, or undergo rehabilitation to alleviate the symptoms.
With sufficient rest, the tendon sheath cyst may shrink.
If the pain is severe or if you wish to seek a definitive solution, surgical removal may be considered.
Wishing you good health.

Reply Date: 2016/11/17

More Info


Ganglion cysts are fluid-filled sacs that commonly develop near joints or tendons, particularly in the hands and wrists. They are often benign and can vary in size, sometimes causing discomfort or pain, especially when they press against nearby nerves or structures. In your case, the cyst located at the base of your thumb (the "thenar" region) is likely related to the repetitive stress and strain from your occupational activities, such as lifting heavy objects and gripping tools.

Regarding whether ganglion cysts can be classified as occupational injuries, the answer is nuanced. Occupational injuries typically refer to conditions that arise directly from the work environment or specific job duties. If your job involves repetitive motions or heavy lifting that contributes to the development of the cyst, it could be argued that this condition is work-related. However, the classification of ganglion cysts as an occupational injury may depend on several factors, including:
1. Workplace Activities: If your job requires repetitive wrist or hand movements, such as lifting, gripping, or manipulating objects, this could contribute to the formation of a ganglion cyst. The more repetitive the motion, the higher the risk of developing such conditions.

2. Medical Evaluation: A healthcare provider can assess whether your symptoms and the cyst's development are likely linked to your occupational activities. They may consider your work history, the nature of your job, and any other contributing factors.

3. Legal and Insurance Considerations: In some jurisdictions, for a condition to be classified as an occupational injury, it may need to be documented and recognized by workplace health regulations or insurance policies. This often involves a formal diagnosis and a clear connection between the job duties and the injury.

4. Treatment and Management: If surgery is recommended to remove the ganglion cyst, it is essential to discuss with your healthcare provider the potential for recurrence and whether modifications to your work practices could help prevent future issues. Post-surgical rehabilitation may also be necessary to restore function and strength to your hand.

In summary, while ganglion cysts can be associated with occupational activities, whether they are classified as occupational injuries depends on the specifics of your situation. It is advisable to consult with a healthcare professional who can provide a thorough evaluation and guidance tailored to your circumstances. Additionally, discussing your condition with your employer or a workplace health representative may help in understanding your rights and options regarding workplace accommodations or claims related to occupational health.

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