What is a Ganglion?
A ganglion is a fluid-filled cyst that forms near a joint or tendon sheath. It most commonly appears on the back of the hand but can also develop on the palm side or fingers. While ganglion is often painless, it can sometimes cause discomfort and limit hand mobility.
Symptoms
Ganglion is usually asymptomatic but can sometimes feel tender or cause pain.
Causes of Ganglion
The exact cause is unknown, but possible contributing factors include:
Treatment
The surgery is performed in outpatient surgery and takes approximately 15-20 minutes. The procedure is done under local anesthesia, and the operating doctor will assess which type of anesthesia is best for you. Ganglions on the palm side of the wrist are often deeper, and general anesthesia with a short sleep may be required, as the surgery takes longer. You will not be able to see the surgical area, as it is covered and shielded with a drape.
After the surgery, you will have a soft dressing. The fingers are free and movable outside the dressing.
You can go home immediately but avoid driving due to potential drowsiness from anesthesia.
The hand should be kept elevated during the first few days to prevent swelling. Hand exercises should begin as soon as possible.
You may experience pain and discomfort during the first few days after the surgery. It may be helpful to take pain relief medication, such as Alvedon (Paracetamol) or Panodil.
Protect the bandage when showering by covering your hand with a plastic bag secured with tape.
After approximately two weeks, the bandage and stitches will be removed at your follow-up appointment at ABC Ortopedi. After this, no further bandage is typically needed, and you can wash your hand normally.
Complications
Complications are rare. If you experience severe pain, excessive bleeding, or fever, contact the clinic during office hours via abcortopedi.se or call the emergency number provided on the day of surgery. For urgent issues during evenings, weekends, or holidays, call 1177 or visit the nearest urgent care center.
Sick Leave
It typically takes 3–4 weeks to regain normal hand function. If your job does not require heavy hand use, you may return to work within a few days. If you have a physically demanding job, longer sick leave may be necessary.
Rehabilitation
After stitch removal, start using your hand for daily activities and gradually increase movement and strength.
We recommend booking an appointment with a hand therapist. Contact Stockholms Sjukhems Rehab at 08-12283150 or you can find additional clinics at 1177.se.