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Causes persistent pain
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Limits movement
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Interferes with work or daily activities
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Causes pressure on a nerve
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Repeatedly returns
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Becomes particularly bothersome
The first step is usually confirming what the lump actually is.
A healthcare professional may examine the wrist and ask about when the lump appeared, whether it changes size, and whether there has been an injury.

Treatment Option 1: Observation
If the cyst isn't causing problems, observation may be all that's necessary.
Your doctor may simply recommend keeping an eye on it.
This avoids unnecessary procedures and their potential complications.
During this period, pay attention to:
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Changes in size
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Increasing pain
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Reduced movement
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Numbness
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Tingling
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Weakness
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Skin changes
If any of these develop, arrange another evaluation.
Treatment Option 2: Immobilization
In some situations, a doctor may recommend temporarily limiting wrist movement or using a brace.
Reducing movement may decrease irritation and discomfort.
In certain cases, the cyst may become smaller when the affected joint is rested.
However, prolonged immobilization isn't appropriate for everyone because excessive restriction can contribute to stiffness and weakness.
Follow individualized medical advice rather than wearing a brace continuously without guidance.
Treatment Option 3: Aspiration
A healthcare professional may sometimes drain the cyst using a needle.
This procedure is called aspiration.
The clinician inserts a needle into the cyst and removes the fluid.
It can reduce the size of the lump and may relieve pressure or discomfort.
However, aspiration doesn't necessarily remove the connection between the cyst and the underlying joint or tendon structure.
Because of that, the cyst can come back.
This is one reason aspiration isn't always a permanent solution.
Treatment Option 4: Surgery
If a ganglion cyst is causing significant or persistent problems, surgical removal may be considered.
During surgery, the cyst is removed along with part of its connection to the joint or tendon sheath when appropriate.
Surgery can reduce the chance of recurrence compared with simply draining the cyst, but recurrence is still possible.
As with any procedure, surgery has potential risks, including:
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Infection
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Bleeding
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Scarring
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Nerve or blood-vessel injury
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Persistent pain
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Stiffness
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Recurrence
The decision should therefore be based on symptoms and individual circumstances rather than simply the presence of a lump.
Never Try to Smash a Wrist Cyst Yourself
You may encounter old advice suggesting that a ganglion cyst can be "popped" or struck with a heavy object.
Don't do this.
Attempting to rupture a cyst yourself can cause: