Multiple Ganglion Cysts: Symptoms and Treatment Options

Multiple ganglion cysts have developed?

Hello, Doctor.
My mother has developed several ganglion cysts on the back of her hands and wrists, one on the top of her foot, and even one on her shoulder.
She has received acupuncture treatment for her shoulder.
For the cysts on her hands and foot, she prefers to coexist with them peacefully.
However, since there are so many, and some of them are causing pain, does this indicate an increased severity? Additionally, my mother occasionally massages and presses on them herself, but sometimes this results in bruising.
Is this appropriate? Thank you for your assistance.

Zoe, 30~39 year old female. Ask Date: 2016/02/15

Dr. Shi Guozheng reply Orthopedics

A ganglion cyst is a benign tumor that may not require treatment.
If there is pain, analgesics can be taken for relief.
Generally, it is advisable not to press on bruises, as this indicates subcutaneous bleeding, and frequent pressure should be avoided.

Reply Date: 2016/02/15

More Info

Hello! Thank you for your question regarding multiple ganglion cysts and their symptoms and treatment options. Ganglion cysts are non-cancerous lumps that often develop along the tendons or joints of the wrists, hands, feet, and sometimes even the shoulders. They are filled with a jelly-like fluid and can vary in size. While many ganglion cysts are asymptomatic and do not require treatment, the presence of multiple cysts and associated symptoms can raise concerns.

Symptoms of Ganglion Cysts
The symptoms of ganglion cysts can vary widely. Some common symptoms include:
1. Visible Lumps: The most apparent symptom is the presence of one or more lumps on the affected area, which can be soft or firm to the touch.

2. Pain or Discomfort: While many ganglion cysts are painless, some can cause discomfort or pain, especially if they press on nearby nerves or tissues. The pain may increase with certain movements or activities.

3. Limited Range of Motion: If the cyst is located near a joint, it may restrict movement or cause stiffness.

4. Bruising: If your mother is pressing or massaging the cysts, it can lead to bruising, especially if excessive force is applied. This is not advisable as it may exacerbate inflammation or irritation.

Treatment Options
In most cases, ganglion cysts do not require treatment unless they cause pain or interfere with normal activities. Here are some treatment options:
1. Observation: If the cysts are not causing significant discomfort, a "watch and wait" approach may be appropriate. Many cysts can resolve on their own over time.

2. Immobilization: Using a splint or brace can help reduce movement in the affected area, which may alleviate symptoms.

3. Aspiration: If a cyst is painful or bothersome, a healthcare provider may use a needle to aspirate (drain) the fluid from the cyst. This can provide temporary relief, but cysts may recur.

4. Injection: Corticosteroid injections may be used to reduce inflammation and pain associated with the cysts.

5. Surgery: If the cysts are persistent, painful, or affecting daily activities, surgical removal may be considered. This is typically a last resort after other treatments have failed.

Concerns About Pain and Self-Massage
The presence of pain in some of the cysts may indicate that they are pressing on nearby nerves or structures, which could warrant further evaluation by a healthcare professional. It's essential to monitor any changes in symptoms, such as increased pain, swelling, or changes in the size of the cysts.

Self-massage or pressing on the cysts can sometimes lead to bruising and may not be effective in alleviating symptoms. It is generally advisable to avoid manipulating the cysts, as this can lead to irritation or inflammation. Instead, if your mother is experiencing discomfort, she should consult with a healthcare provider for appropriate management options.

Conclusion
In summary, while multiple ganglion cysts can be concerning, many cases are benign and manageable. It's crucial to assess the symptoms and consider professional evaluation if there are significant changes or persistent pain. Avoiding self-massage and seeking appropriate medical advice will help ensure the best outcome for your mother. If you have further questions or concerns, please feel free to ask!

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