Anyone ever had one removed in Bangkok? I reckon I will just go to a clinic as the hospitals will charge like it is minor surgery (10k ish)

Removal of a ganglion is "minor" surgery !

Cost will depend on the site and size of the ganglion.

Personally I would not have any surgery undertaken in a clinic!

Would suggest you do some research - find a surgeon (Hand/Plastic/Orthopaedic) go for a consultation (cheap!) and get a specific quote. The surgery for most ganglia can be undertaken on a day case/outpatient basis.

Get a big heavy book and give it a whack.. it will disappear as if by magic. Have done so myself with success - only came back once and it got the same treatment, no further re-occurances to date.

totster

kurnell

Forgot to mention.

If this is a new ganglion surgery often is not the first treatment of choice.

It is possible for many of these "cysts" to be simply aspirated using a syringe/needle with good success rates !

Back in the day, these were called "telephone book cysts", because the method of treatment was hitting it with a telephone book.

I well remember a person "treating" their ganglion using the method you describe.

The book rebounded from the ganglion and hit the individual in the eye ! The cyst remained intact !

Moral of the story ?

Wear protective eye goggles if you want to try this !

Please don't attempt the "book" method or aspiration as the cyst will invariably recur and the leak of the joint fluid into tissues may cause a tissue reaction. The ganglion develops from a weakness in the joint fibrous support of the wrist joint and the viscous fluid in the joint then blows out the membrane lining the joint through this weak spot; the ganglion is filled with this fluid. The thin connection of the cyst to the joint must be identified during surgery and properly tied off and perhaps a repair done to the fibrous sheath as well to prevent recurrence. The surgery should be performed in a "bloodless" field (with the help of a tourniquet) to be able to clearly identify the anatomical structures. Minor surgery but needs to be done properly.

Get a big heavy book and give it a whack.. it will disappear as if by magic. Have done so myself with success - only came back once and it got the same treatment, no further re-occurances to date.

totster

I'm glad I didn't say I have a cyst on my balls

FBN

In fact little is to be gained by excision/aspiration or simply doing nothing !

Dias J, Buch K. Palmar wrist ganglion: does intervention improve outcome? A prospective study of the natural history and patient-reported treatment outcomes. J Hand Surg Br. 2003 Apr;28(2):172-6.

Most seek medical assistance for purely cosmetic reasons !

Apologies I forgot to past the link ---here it is !

http://www.ncbi.nlm.nih.gov/pubmed/12631492

The OP did not mention where the cyst is located so we cannot assume it is palmar.

Aspiration is often effective depending in location and size.

This is a good overview of treatment options, which do indeed generally include doing nothing and aspiration

http://www.mayoclinic.com/health/ganglion-cysts/DS00767/DSECTION=treatments-and-drugs

The OP did not mention where the cyst is located so we cannot assume it is palmar.

Aspiration is often effective depending in location and size.

This is a good overview of treatment options, which do indeed generally include doing nothing and aspiration

http://www.mayoclinic.com/health/ganglion-cysts/DS00767/DSECTION=treatments-and-drugs

It's on my wrist, a third of the way to my elbow

The Mayo clinic link posted by Sheryl clearly outlines your options.

If you tell where you are living someone may give you some pointers toward a finding good place/doctor to secure advice.

http://www.mayoclini...ments-and-drugs

Back in the day, these were called "telephone book cysts", because the method of treatment was hitting it with a telephone book.

Yep, my doctor (20 years ago) said that name and he also called it a bible bump for the same reason. Mine was on the underside of my wrist and he said about surgery as an option as well.

I used a book and although it hurt a bit for a few minutes, the bump vanished never to return.

Happy days.