Ganglion Cyst Of The Wrist - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 4 июн 2017
- Dr. Ebraheim’s educational animated video describes ganglion cysts of the wrist.
Ganglion cyst of the wrist is the most common hand mass and it is not a tumor. The cyst is filled with mucinous (gelatinous) fluid and it transilluminates.
Ganglion cysts of the wrist can be either dorsal or volar. The dorsal type of ganglion cyst is common and it not as bad. The dorsal type originates from the scapholunate articulation.
Occasionally the volar type (rare) occurs and this can be bad. The volar type could compress the median nerve or ulnar nerve and possibly compress the artery which will compromise the circulation in the hand. The volar type originates from the radiocarpal joint, which is the wrist joint itself (Figure 3).
Clinical findings
A bump or a mass that is well defined, localized, smooth, and not attached to the skin. The dorsal ganglion cyst is obvious with flexion of the wrist. The volar ganglion cyst is obvious with extension of the wrist.
The ganglion cyst in general is usually asymptomatic and the patient is more concerned about the look and cosmesis. When the physician examines it, they will see that it is a firm mass that can transilluminate.
The physician will do the Allen’s test. The nerves of the hand and the circulation will be checked to make sure that they are not affected.
An MRI is usually not done and when it is done, there is usually a fluid signal seen inside the mass. An ultrasound is a good study to check the relationship between the cyst and the vascularity, especially the radial artery with volar cysts. Ultrasound is good during an aspiration when the ganglion cyst is near the artery.
Treatment
In the majority of cases, treatment is observation. In children, the majority of ganglion cysts resolve themselves in about one year. The physician will either leave the cyst alone, perform an aspiration or perform surgery. An aspiration is usually done for dorsal ganglion cysts. There is a high recurrence rate with aspiration of a dorsal ganglion cyst (50%). There is minimal risk associated with an aspiration. The physician should try to avoid aspiration with volar ganglion cysts because the volar cysts is close to the artery. If the physician performs an aspiration of the volar ganglion cyst, the wrist will be hyperextended to try and see the artery and displace it away from the cyst as the needed is placed in an area away from the artery. It is probably better to do an aspiration of the volar ganglion with ultrasound guidance.
Surgery is done for severe symptoms and if there is neurovascular compromise. Excision of the ganglion cyst will be done if it is painful, resect the capsule and the stalk. Excision for a dorsal ganglion cyst has less than 10% recurrence rate. A high recurrence rate excision of the volar ganglion cyst (about 20%). The Allen’s test should be done to check the blood flow before doing excision of the volar ganglion cyst.
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Best description yet. Thankyou
Thank you so much! Very informative video.
Thank you for your videos, they are very helpful!
Keep licking boot. You are pathetic.
Thank you Sir
Thank you Dr.Nabil,best explanation of this problem.
Nice job 🤘
very informative, thanks.
Thanks very useful and clear explanation.
Another boot licker.. You make me sick.
U gave very detailed information
Thank u...
Very onformative
thank you
I got literally ONE treatment, about 30 minutes using electro acupuncture on my volar ganglion cyst, more needles were placed around my body on various points on the spleen meridian. The electro stimuli was only placed on the needles around the cyst. Anyways, it decreased SIGNIFICANTLY, from about the size of a quarter to the size of a rice grain, and became much softer. And that is just ONE TREATMENT. One more win for the traditional model of medicine vs biomedical/allopathic model of medicine
Well, electro acupuncture is not exactly nature...
This is by far the best explanation of ganglion cyst. I have one developing over my wrist artery. I’m hoping it will just disappear as it really aches. 🤞
thank u such a information ....
I had the volar type when I was 9, it grew so fast. I asked my parents to have it removed when I felt pain on my whole arm whenever I flex or put pressure on it. I had undergone a surgery and it never grew after that
Good, thanks
Ughh I have had my volar ganglion cyst for litteraly 13 years and 2 times a month about it get bigger then gets smaller to the point where it’s almost gone then gets bigger again 😆 LOL GANGLION CYST GANG
Same bruh
LmAAOOO
Does it ever compress a nerve?
I have it now and it looks like a bone popping out and when I press it it goes down. It doesn't hurt. Wondering what I should do. Any advice?
I am experiencing similar cyst cycles from the last 5 years
I am skinny and that round ass cyst makes me look even skinnier
Tysm😃😃
I hit the cyst on my wrist with a heavy book. Not only did it hurt a lot, I now have 3 smaller cysts that I can see and they all 3 are painful. I’ve had them 10 years. They will get smaller if I don’t do much and get larger if I use my hands a lot.
STFU cry baby, no one cares!!!!!!
I've had this for 11 years. I get pain sometimes when I lift a coffee mug or certain other objects like a skillet. Having my hand in an awkward flexed position usually causes some pain.
Same, i got mine sucked out a week ago!
Thank you Dr nabil. Shookron!! Mine is below the wrist.
Thanx
I smashed mine with a text book last year in January. However, it came back that same winter and I repeated the smashing; I noticed if I rubbed it immediately after hitting it with a text book I could rub the fluid around while imagining the cyst goo lubing up my joints....
Return of the cyst the following winter. I did the bible bump book smashing thing but I could tell there was some goo under there, maybe I didn't rub it good enough or I should have double smashed or maybe use a bible not a textbook??? Anyways, I still have it and its size is back to the first scary sack of goo and here I am looking up cyst stuff. Its return seems to be related to anything I do extensively, for example if I color or draw for long periods or if I game for a long time. Its first appearance was the same night I thought "could I injure my wrist if I color any longer" and poof a cyst appeared after more hours of intensive coloring on anxiety relieving adult coloring books, now it can easily appear. I am a hair stylist so there is that too.
Yes, I would rather smash it with a book than go any where near needles are involved....now where is my coloring book?
Morgan Nelson ehm smashing it with a book causes more problems. Because you smashed a heavy book on your wrist there is a high chance that you just created another cyst😐
the bible is not the answer to everything! go to a doctor and do it safely.. hehe
Morgan Nelson i also have mine smashed with a really good hard book. But my friend who did the smashing cant freaking hit the actual cyst. I had a thumb injury in result
I smashed it accidentally on a public bus hand handle above my head while i was standing in the bus and gripping that handle.
Then i saw my cyst was gone, i was so happy bcs that cyst made me look i have only bones in my body, i was very thin in my teenage and that cust made me even more insecure abt my weight and my body.
Finally i was happy that i got rid of that cyst, but now after 5 years, i do nothing, it comes, gets bigger and ultimately disappears itself and then it comes and the cyst cycle keeps repeating
Now i just ignore it and its cycle
I have my volar ganglion cyst for about 1 year and haft on my right wrist. Last Friday I got surgery of this and the operation was really so deep it was hiding on my arteries so that doctor was very careful about this because I have a big veins also and it's really complicated. The doctor says if I let this cyst getting bigger I might not use my right hand because it was on the back on my arteries. Operation takes about more than 1 hour. He carefully remove it completely with the capsule and what the inside of this capsule was like a gel and the ganglion cyst have a gray color (with the capsule together with a gel inside). I can't able to use my right hand for 1 week and 5 days because it really hurts when im trying to use my right hand and now I can hold it but not like before I just need to fully recover and heal the wound. I'm on the stage of healing and tomorrow is getting 2 weeks from my surgery and the wound still open and I'm hoping it will heal and to be close it completely so I can move and use it normally like before.
Jay R Ilog maybe after 2 months by the surgery, am i allowed to write on papers? Also, were you asleep during the operation? *i'm sorry if the questions were too dumb to ask for*
I have too.matigas ba yung sayo?
I have this painful bump on my wrisk and I'm gonna go to doctor tomorrow for a test..
How you you know if it’ll come back or not, I got mine removed but I think it may be coming back
Guys i need to know how long will it take for the letter to arrive for my operation for my ganglion cyst on my left wrist
Must be still waiting if it's NHS 🤣🤣
Iam in relationship with voral ganglion cyst for last six years..no matter what happens with me this cyst will be with me till my last breath( literally I don't want it)..I went through surgery but it came out again ,I punch it, smash it with all my strength in order to remove cyst out of my life.but again it comes back..u can imagine how much this cyst loves me😑
Anyways it was informative vedio..Thankyou.
Ooh, as a Cyst owner 😃, I can say that I understand your words and feelings , yes these alien Cysts need to survive in our world to prove something 😎😎
I am also having teh same from last 5 or 6 years
It goes and comes back, I too like you tried to go for surgery but then i read on Facebook that even with surgeries it comes back, so i dropped the idea of surgery
Now i just ignore my cyst, it comes and goes by itself
Is it dangerous
@@marioiiiaraujo5107 not really..but you should consult a good doctor
@@Ampung21 thnks for the help
Hit it with a book. A lot cheaper than 2-3 thousand dollars to have a surgeon to do it. I hit mine with a book. It was a little painful. No problems and it didn’t come back. I think my last message was deleted. 🤔
Try using you insurance dufuss
I have symptoms of De Quervains, but now I see my pulse on the surface of my skin (anterior, base of thumb) as if the artery is being pushed to the surface. I guess it's time to see the dr.
I had this very painful to scrub a potato or peel it. I'm no authority or specialist or Dr but for myself after B1 shots weekly with B complex it pain left + the lump went away soon. I stopped the shots for a few months pain started to return + lumps started to form again on both wrists. I got the shots from a compounding pharmacist who could prescribe medication.
I just noticed a volar cyst on my wrist after a extensive drumming session. Does this mean I have to stop drumming? It doesn't hurt, yet!!
May I know what you have done for the issue?
I have had a volar cyst on my left wrist for probably 10 months now. It's pretty big, about the size of a green grape, and it hurts! I typed at a desk for 3 years at work.
have a doc see i know it doesnt hurt right... i play too it never bothered me just when i bump it
I played in my high school marching band as a snare drummer and also developed the volar ganglion
Thinking about whacking mine. It's painful every single day, can't deal with this anymore
Did it, gave it a bang with a large hardback book. Results are amazing!! It's been months now, before I was 70% in pain each day, I'm now 99.9% pain free 👍 fabulas
I have a hateful,painful,aggravitating,cyst,on my right wrist,i drop coffee cups,cant squeeze out dishcloths,cant lift pans on hot stove unless my right hand is supported by my left hand to avoid dropping hot liquids or spilling contents of the pan! My arm aches most of the night unless i rub my entire hand n arm down with pain cream!!my volar cyst is getting worse in terms of pain! My thumb on my right hand is very sensitive and stiff at times,n bad rainy weather makes it worse? Maybe? I always dread lying down at night due to the fact that it seems to hurt more as soon as i lie down,also i toss n turn a lot to seek a good position to gt comfortable so i can sleep.i always wind up,gt out of bed in the middle of the night to put more pain cream on my wrist and arm all the way up to my shoulder. I would love to have a goodnights sleep,pain free
Is it gonna be really bad if i accidently bump the ganglion on something hard?bcoz i just accidently do it many times and it hurts...and i am also a teen and my Volar cyst ganglion didnt resolve themself..and its almost about 3 years i have it on my wrist..and i also have the volar type...Oh god..i am scared cuz if i go to hospital i have to do a surgery..and my parent say that i am gonna go to the hospital on saturday..Oh god...Please pray for me ;-;
Can you update me?? I’m in the same boat as you. I’m 15 and I’ve had it for years on my wrist (volar) and it hurts SOOOOO bad when I accidentally hit it somewhere. I don’t know what to do
Aishq Yusuf I got one in my hand and smashed it with a big book. It’s gone and still feel some pain like before. Do you have pain in it?
Aishq Yusuf me to
Aishq Yusuf it’s crazy bc im 15 also
Mee tooo im only 16 and just had this last year
Ugh of course I got the short end of the stick with volar. Can I use a book for it?
Edit: I did it. Did it myself with a hardcover. Felt like a Yakuza cutting his pinky off before I smashed it a few times. Had a good 5 full smashes before it flattened. It was an inch long cyst :/ my wrist doesn’t feel so tight anymore now too
It’s back again unfortunately. Sigh.
@@QaDri93 go see a hand specialist. I.judt had my.dorsal surgically removed. Recovery has been good.
Dr I have a large one in my lower forearm slash wrist area. In alot of pain. Is that normal. It's deep and a dorsel one
That same mine, I have surgery soon.
Sir, how is it possible to treat me?
Any medicine which are batter for their??
methods of ttt as pt
If i were to get a surgery, by after 2 months, am i allowed to write on papers? You see, i'm a student, and not planning to get drop on school. (My volar cyst is in my right wrist, and i'm right handed)
w h a t . idk if u have any pain but im 18 and have had a volar ganglion come and go 3 times since i was 16, and i have pain from too much writing with or with out the cyst present, i was supposed to have surgery the last time i had one but it disappeared the day before the appointment, in high school i had to go to the nurse to ice my wrist almost everyday sometimes, and id have other people take notes for me, my teachers knew about my wrist pain when it got bad and would accommodate me by giving me notes or letting me record or type instead of write etc., in college now im studying graphic design and i fear all the wrist problems associated with the field from like using a mouse too much, im looking into buying a new brace because ive been having more pain lately and a brace really helped me in the past. im sure if u are unable to write bc of surgery or your cyst that your school will help accommodate you, if u have pain regardless or just want to prevent overuse and it coming back, i recommend wearing a brace while at school, there are many kinds depending on what kind of support u need and how much of it
@@kayleejamerson5191 thanks for the advice. This cyst of mine appeared 2 yrs ago, yet i don't feel any pain by these years. But i'm still thinking if i'll just keep this thing in my wrist, bc i'm quite scared of having a surgery. I'm afraid that i'll be not allowed to write on my right hand, bc i mean, after a surgery, you have to wait some few months before you can fully use it, right?
I understand both of u....
My one is somewhat like cyst,it ain't big but it is so hard like a bone and it pains when I lift something heavy!
This has lasted for 4 months and I have still not found this kind of problem to anyone else in the whole internet!
I m so unlucky😥😫😣😭
@@rj5umit107 yes me, did you cure it ???
@@rj5umit107 please reply bro
I whacked it with a book a decade ago, ..volar's shrunk but occasionally I get pain/ache
I was wondering why my hand and wrist was extremely achy. I’ve had it before but years ago I couldn’t remeber the pain. I was legit panicking for my achy hand 😂 then my wrist swelled now I know imma be in pain for ages
It didn't return/reappear?
i have one on my wrist
I have both types on each wrist huhu
I have. Volar type is this cancer?
I’m using organic, hexane free castor oil in a compress for my volar ganglion. I wear it all night while sleeping as per the instruction of Dr Barbara O Neill. I’m about a week in right now and the cyst seems to be softening and reducing.
Did you succed in eliminating your ganglion with castor oil compresses?
I know this is late but I’m 10 and I have the volar one and I’m going to see the doctor soon I have had it for more than probably more than 7-8 months ago
What if its hard like a bone and pinky size? I dont know if its a cyst or not. Cause its hard like a bone
My one too.... Its the same as urs...and i had it from 3 months..😥😥😥
And how is urs now?
Hey Gavin Gredes how is it now is it gone? Is it painful? I asked cuz my one is painful😢😢if u find any solution to it then plz plz share it with me I REQUEST U🙏🙏🙏
Any solutions yet?
Put some cloth with warm water i do it 3 times a day and they say that there's a 53% chance of having them gone for 3 to 5 months, rest your arm and maybe essential oils help
Thanks,..
HI, I have a dorsal cyst on my wrist but it cant be aspirated and it limits range of movement of my hand. surgery, right?
Why couldnt it be aspirated and how are you doing now?
Not a Tuma
@0:55 I was _wondering_ why it hurt so much; it makes sense now. (I used to dance and do gymnastics with sprained toes, and I couldn't understand how this wrist pain seemed to hurt much worse than doing those things.)
Mine is a volar omg help
Same here, I've had it for years already...
Im planning to remove when my parents aren't in control of me anymore.
I got one in my hand and smashed it with a big book. It’s gone and still feel some pain like before. How to get relief from pain ? Please
Lmao!
...you should not have done dat
Idk Lol its gone
I have the Volar type on my left wrist. :(
Matigas ba yung sayo?
Me too but it is a bit small and is as hard as bone
what happened your volar ganglion cycst ? İs it healed ?
@@zaferalakent9154 nope i thibk its healing..
Meron din ako maliit lang pano to pagalingin
IT IS NOT A TUMOUR
Well shit I think I have volar
0
I have it on my hand and I hope it’s not a cyst I’m 13 I’m scared
im 14 and I have it what r u going to do about it???
@@yahirgarcia543 i just put ice on it and it went away tbh
took like 2-3 days
@@marcomancini1831 really just ice?
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