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Ganglion cyst

Sometimes referred to as a bible cyst. This we believe is because historically the treatment advice was to hit it with a large book… we don’t recommend this… 

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What is a ganglion cyst?

A ganglion is usually a benign, fluid filled cyst that forms on the body, under the skin. They are common on the feet, usually forming over the top of the midfoot where you have lots of bones and joints (see midfoot OA) but they can form anywhere.

Ganglions can cause pain, especially if they rub on your footwear, and they can also press on other soft tissues and cause irritation.

Ganglions can usually be gently pressed and moved under the skin as they are fluid filled and slightly mobile. They can sometimes seem larger at certain times than others, and some appear to come and go over time, however often they have just moved deeper under the skin so are less prominent.

If you discover a lump or bump, it is wise to seek appropriate medical advice.

When to see a Podiatrist?

If you have a ganglion on your foot, a Podiatrist will be able to assess the problem and advise. Conservative treatment may involve padding, footwear changes or modification or other props and supports.

Some Podiatrists may advise imaging of the area to check the diagnosis, and even aspiration, which is a procedure to draw the fluid out of the lump. Surgical options may also be available which you could discuss with a Podiatrist or Podiatric Surgeon. It is worth saying that ganglions can return after aspiration or surgery, so discuss this with whoever you see.

If you book an appointment, it is a good idea to take the footwear that you wear day to day so that the podiatrist can see this.