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Condition guide · Hand & wrist

Ganglion Cyst

A soft lump on the wrist or hand — what it is, why it happens, and how we can help.

Ganglion Cyst assessment at Bridge House Clinic
What is ganglion cyst?

A ganglion cyst is a soft, fluid-filled lump that grows from a joint or tendon sheath, most often on the back of the wrist.

They are very common and almost always harmless. Many cause no trouble at all, and some settle on their own over time — so treatment is only needed if the lump is painful, getting in the way, or bothering you.

01Symptoms

Symptoms of ganglion cyst.

A ganglion can appear quickly or build up slowly, and may change in size over time.

01A visible lumpA smooth, round swelling — most often on the back of the wrist, but it can appear on the palm side or near a finger joint.
02Changes in sizeMany ganglions get bigger or smaller over time, and can grow with activity that uses the wrist.
03Aching or discomfortSome cause a dull ache, especially if the lump presses on a nearby joint, tendon or nerve.
04Awkward with certain movementsA cyst near a joint can get in the way of bending the wrist or gripping firmly.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

There's often no clear reason a ganglion forms, and they can appear in anyone. A few things make them more likely.

Wear and tear of a nearby joint
Repeated wrist or hand use
A previous joint or tendon injury
Osteoarthritis in a finger joint
More common in women
Most often appears between the ages of 20 and 40
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.The lump is painful or growingDiscomfort that won't settle, or a cyst that keeps getting larger, is worth having looked at.
II.It's getting in the wayIf the lump limits your grip or wrist movement, or catches during everyday tasks, an assessment can help.
III.You're not sure what it isA consultant can confirm it's a harmless ganglion and rule out other causes — reassuring even when no treatment is needed.
Book an assessment
Ganglion Cyst examination by a consultant
Diagnosing ganglion cyst at Bridge House Clinic
04How it's diagnosed

Diagnosed by clinical examination.

A ganglion can usually be diagnosed by examining the lump — its position, feel and the way it changes with movement are often enough to be confident. Occasionally we use an ultrasound scan to confirm the diagnosis or look at the joint underneath. Nerve tests aren't needed for a ganglion.

05Treatment

How ganglion cyst is treated.

We start with the least invasive option that's right for you — and sometimes that means no treatment at all.

01Watch and wait

Many ganglions are harmless and need no treatment — some settle on their own. If it isn't painful or in the way, simply keeping an eye on it is a sensible first step.

02Aspiration

Draining the fluid from the cyst with a fine needle can ease an uncomfortable lump. It's quick, but the ganglion can come back afterwards.

03Surgical removal

If the cyst keeps returning, is painful or limits your hand, a consultant can remove it together with the stalk it grows from.

See hand & wrist surgery options & pricesConsultant-led assessment from £200, with every price published upfront — and an honest steer on whether you even need treatment.
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Are ganglion cysts dangerous? +

No. A ganglion is a benign, fluid-filled lump — it isn't cancerous and it won't spread. It's worth having any new lump checked to confirm what it is, but a ganglion itself is harmless.

Will a ganglion cyst go away on its own? +

It can. Many ganglions change in size over time and some disappear without any treatment, which is why watching and waiting is often the first step when the lump isn't troubling you.

Can a ganglion come back after treatment? +

It can return after aspiration, when the fluid is drained but the stalk remains. Recurrence is less likely after surgical removal, as the cyst is taken out along with its stalk.

Should I try to burst it myself? +

No — the old advice of hitting a ganglion with a heavy book isn't a good idea and can cause injury. If a lump is bothering you, it's better to have it assessed by a consultant.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.