In this section : Hand Pathways
Trigger Finger/Thumb
Osteoarthritis of the Hand/Thumb
Mallet Finger
Ganglion
Dupuytren’s Contracture
De Quervain’s Tenosynovitis
Carpal Tunnel Syndrome
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Ganglion
Last updated 2nd December 2022
Signs/Symptoms
- Ganglion cysts look and feel like a smooth lump under the skin.
- Ganglions usually form near joints or over extensor tendons. 3 in 4 ganglions form near the wrist.
- Ganglions are harmless, but can sometimes be painful especially if bumped or knocked. They are not usually disruptive to function.
Advice in Primary Care
- A ganglion will often disappear or become less painful after a year or 2.
- Best to leave alone
Actions in Primary Care
- Issue Ganglion Information Leaflet to patient
- Direct Patient to NHS Inform Website for further info
- Reassure patient ganglions are best left alone where possible.
Referral to Secondary Care
- If ganglion is pressing on a nerve, causing weakness, numbness or pain REFER VIA SCI GATEWAY TO ORTHOPAEDICS and INCLUDE FOLLOWING IN REFERRAL:
- Duration of symptoms
- Precise location of ganglion
- Problem/issues ganglion causing patient
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