20612 Aspiration and/or injection of ganglion cyst(s) any location

Name of the Procedure:

Aspiration and/or Injection of Ganglion Cyst(s)

Summary

Aspiration and injection of ganglion cysts is a minimally invasive procedure where a doctor uses a needle to remove fluid from a ganglion cyst and possibly inject medication to reduce inflammation. This procedure helps alleviate symptoms and shrink the cyst.

Purpose

The procedure addresses ganglion cysts, which are non-cancerous, fluid-filled lumps that commonly appear on the wrist or hand. The goals of the procedure are to relieve pain, improve joint function, and reduce the size of the cyst.

Indications

• Pain or discomfort in the joint or area around the ganglion cyst
• Restricted movement or function due to the cyst
• Cosmetic concerns
• Recurrence of the cyst after previous treatments
• Swelling or pressure on surrounding nerves or structures

Preparation

• No specific fasting is required.
• Patients may be advised to stop taking certain medications, such as blood thinners, prior to the procedure.
• A physical examination and possibly imaging tests like an ultrasound or MRI may be conducted to confirm the cyst's diagnosis and location.

Procedure Description

1. The area around the cyst is cleaned and sterilized.
2. Local anesthesia may be applied to numb the area.
3. A fine needle is inserted into the cyst to aspirate (draw out) the fluid.
4. If needed, a corticosteroid or other anti-inflammatory medication is injected into the cyst cavity to help reduce inflammation and prevent recurrence.
5. The needle is removed, and a small bandage is applied to the site.

Duration

The procedure itself typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or doctor's office.

Personnel

• A physician, often an orthopedic surgeon or a rheumatologist
• A nurse or medical assistant

Risks and Complications

• Infection at the injection site
• Bleeding or bruising
• Recurrence of the cyst
• Allergic reaction to medication used for injection
• Temporary pain or discomfort

Benefits

• Quick relief from pain and discomfort
• Improved joint mobility
• Minimally invasive with a short recovery time
• Can be performed quickly and without hospitalization

Recovery

• Patients can often resume their normal activities shortly after the procedure.
• Minor soreness at the procedure site may occur for a day or two.
• Bandage care and keeping the injection site clean are important.
• Follow-up appointments may be scheduled to monitor the cyst.

Alternatives

• Watchful waiting, especially if the cyst is asymptomatic
• Surgical removal, which is more invasive but reduces the likelihood of recurrence
• Splinting or bracing the affected area to reduce motion and discomfort
• Physical therapy to manage symptoms

Patient Experience

• Patients may feel a needle prick and pressure during aspiration.
• Mild discomfort or soreness can be managed with over-the-counter pain relievers.
• The procedure is generally well-tolerated and provides quick symptom relief.