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Ganglion Cysts (Wrist and Hand Lumps)

Ganglion cysts are benign fluid-filled lumps that develop near joints or tendons, most commonly on the back of the wrist (60-70% of cases) or palm side of the wrist near the radial artery (20%) - they contain thick jelly-like fluid from the joint lining and cause a visible bump that may be painless or cause aching with wrist motion - ganglion cysts are completely harmless (not cancer) and resolve spontaneously without treatment in 40-60% of cases over several years, though symptomatic cysts can be treated with aspiration (draining with needle - 30-50% recurrence) or surgical excision (10-20% recurrence).

πŸ“…Last reviewed: January 2026πŸ₯Bones & Joints

πŸ“–What is Ganglion Cysts (Wrist and Hand Lumps)?

Ganglion cysts are benign fluid-filled lumps that develop near joints or tendons, most commonly on the back of the wrist (60-70% of cases) or palm side of the wrist near the radial artery (20%) - they contain thick jelly-like fluid from the joint lining and cause a visible bump that may be painless or cause aching with wrist motion - ganglion cysts are completely harmless (not cancer) and resolve spontaneously without treatment in 40-60% of cases over several years, though symptomatic cysts can be treated with aspiration (draining with needle - 30-50% recurrence) or surgical excision (10-20% recurrence).

πŸ”¬What Causes It?

  • Herniation of joint lining (synovium) creating one-way valve allowing fluid to accumulate
  • Joint or tendon irritation from repetitive wrist motion causing fluid production
  • Minor wrist injuries or trauma (may trigger cyst formation)
  • Degenerative changes in wrist ligaments allowing fluid leakage
  • Unknown in many cases - spontaneous development without clear injury

⚠️Risk Factors

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You may be at higher risk if:

  • Age 15-40 years (peak incidence)
  • Female gender (3 times more common than males)
  • Gymnasts, yoga practitioners (repetitive wrist loading)
  • Previous wrist injuries (ligament damage predisposes to cysts)
  • Arthritis of wrist joints (inflammatory changes trigger cyst formation)

πŸ›‘οΈPrevention

  • βœ“Avoid repetitive wrist trauma (may trigger cyst formation)
  • βœ“Strengthen wrist muscles (may reduce joint stress)
  • βœ“Use wrist supports during high-risk activities (gymnastics, yoga)
  • βœ“Treat wrist arthritis or injuries promptly (reduces inflammatory changes)
  • βœ“Accept that many ganglion cysts develop spontaneously without clear preventable cause