Ganglion Cyst Removal in Portland, OR
A ganglion cyst is a fluid-filled lump that develops on the wrist or hand, typically near joints or tendons. While often painless, these cysts can cause discomfort, limit hand function, or press on nerves and blood vessels. Dr. Sam Bartholomew, MD, FACS specializes in ganglion cyst removal with a focus on eliminating pain, restoring function, and minimizing scarring.
What is a Ganglion Cyst?
Ganglion cysts are benign (non-cancerous) lumps that most commonly appear on the top of the wrist or at the base of fingers. They contain fluid that has leaked from the adjacent joint or tendon. These cysts vary in size—some remain small, while others grow to the size of a grape.
Symptoms and When to Consider Surgery
Many ganglion cysts cause no symptoms and don't require treatment. However, you may want to consider surgical removal if:
- The cyst causes pain or aching, especially with hand movement
- It presses on nerves, causing numbness or tingling
- It limits your grip strength or hand function
- It presses on blood vessels
- The appearance bothers you or interferes with wearing a watch or bracelet
- Conservative treatment (rest, anti-inflammatory medications, splinting) has not helped
The Ganglion Cyst Removal Procedure
During your consultation, Dr. Bartholomew will examine the cyst and discuss your symptoms and goals. He may order imaging (X-rays or ultrasound) to confirm the diagnosis.
The surgical procedure is typically performed as an outpatient procedure under local anesthesia with sedation or general anesthesia. Dr. Bartholomew will:
- Make a small incision over the cyst
- Carefully remove the cyst and the stalk connecting it to the joint capsule
- Close the incision with fine sutures
- Apply a dressing to protect the wound
The procedure typically takes 30-45 minutes, and you'll be able to return home the same day.
Recovery Timeline
Recovery from ganglion cyst removal follows a predictable timeline:
- Days 1-3: Rest, elevation, and ice to manage pain and swelling
- Week 1-2: Most patients return to light activities and work; dressings may be changed
- Weeks 3-6: Gradual return to normal hand use; hand therapy may begin
- 6 weeks: Most patients have returned to all normal activities, including sports
Preparing for or recovering from ganglion cyst removal surgery? Learn more about post-operative instructions and recovery tips.
Why Choose Dr. Bartholomew for Ganglion Cyst Removal?
As a board-certified plastic surgeon with extensive hand surgery training, Dr. Bartholomew has the surgical precision and expertise to remove your ganglion cyst while minimizing scarring and preserving hand function. His meticulous technique reduces the risk of recurrence and ensures optimal cosmetic and functional outcomes.
See Real Patient Results
From relieving wrist pain to restoring hand function, we've helped many patients regain comfort and mobility. Explore our gallery to see the results of expert ganglion cyst removal.
Schedule Your Ganglion Cyst Removal Consultation Today!
Are you experiencing wrist pain or noticing a lump on your hand? Contact Samuel V. Bartholomew, MD, FACS to discuss whether ganglion cyst removal is right for you. Dr. Bartholomew will evaluate your condition and recommend the best treatment approach.
Frequently Asked Questions
How much does ganglion cyst removal cost?
The cost of ganglion cyst removal varies based on the complexity of the cyst and the surgical approach used. Since ganglion cysts are often covered by insurance when they limit function or cause pain, your final out-of-pocket cost may be significantly reduced or eliminated. During your consultation, we'll provide a cost estimate and help verify your insurance coverage.
Is ganglion cyst removal covered by insurance?
Yes, ganglion cyst removal is typically covered by insurance when the cyst causes pain, limits function, or compresses nerves. Insurance companies often classify this as reconstructive rather than cosmetic surgery because it restores hand function. We recommend checking with your insurance and our office can help verify coverage before surgery.
What is the recovery time?
Most patients experience initial recovery in 1-2 weeks, with full return to normal activities in 4-6 weeks. You'll need to keep your hand elevated and avoid heavy lifting during the first 6 weeks. Hand therapy may be recommended to restore strength and flexibility.
Can the cyst come back after surgery?
While ganglion cysts can recur after surgical removal, this happens in only a small percentage of cases. Dr. Bartholomew uses meticulous surgical technique to remove the cyst and the joint capsule connection, minimizing recurrence risk.