Ganglions

What is a Ganglion?
A ganglion cyst is a non-cancerous lump that typically develops along the tendons or joints of the wrists or feet. In podiatry, ganglions often appear on the top of the foot or around the ankle. These fluid-filled cysts are generally harmless but can cause discomfort or pain if they press on a nerve or interfere with joint movement.

Symptoms of Ganglions
Ganglions may present with various symptoms depending on their size and location:

• Visible Lump: The most common sign of a ganglion is a visible, soft, and round lump on the foot or ankle.
• Pain and Discomfort: The cyst may cause pain, especially when it compresses nearby nerves or when the foot is in use.
• Decreased Range of Motion: Larger ganglions may restrict joint movement.
• Fluctuating Size: The size of a ganglion cyst can change over time, becoming larger or

Why Do Ganglions Occur?
The exact cause of ganglion cysts is not well understood, but several factors may contribute to their development:

• Repetitive Stress or Trauma: Repetitive movements or injuries to the foot can lead to the formation of ganglions.
• Joint or Tendon Irritation: Chronic irritation of the tendons or joints may increase the risk of cyst formation.
• Underlying Joint Conditions: Conditions like osteoarthritis may be associated with the development of ganglions.

Common Management Options for Ganglions
Management of ganglions depends on their size, location, and the level of discomfort they cause:

• Observation: Small, asymptomatic ganglions may not require treatment and can be monitored for changes.
• Footwear Modification: Wearing comfortable shoes that do not press on the cyst can help alleviate pain.
• Aspiration: Aspiration involves draining the fluid from the cyst with a needle, often combined with a corticosteroid injection to reduce inflammation.
• Surgery: If conservative measures fail or the ganglion recurs, surgical removal may be

Why See a Podiatrist for Ganglions?
A podiatrist can provide a definitive diagnosis of a ganglion through physical examination and imaging. They can offer appropriate treatment options, such as aspiration or surgical removal, if needed. Seeing a podiatrist ensures that any underlying causes are addressed, and the risk of recurrence is minimised.