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Ganglions Cyst

Traditionally, it was called Bible bumps because of the unusual method of allowing the skin to rupture and thus drain its jelly-like content to the surrounding tissues. In the past, people would smash the cyst with a large book. Since even the neediest of families possessed a Bible, it was such book that they used to clear the wrists of the lump. Today, we know it under the medical name: ganglion.

Ganglion cysts are a swelling usually on the capsule of the joints and tendons, with its size depending on the severity of the bulge and it could inflame when irritated. They are not at all cancerous or tumors, although at times, they could be really painful with constant movement and an eyesore on the wrists and the joints where they usually appear.

Medical experts are still currently baffled by the origins of the ganglion cyst, though it is thought to be caused by a degeneration of the fibrous tissues surrounding the joints leading to cystic formations. Just a note, they are not due to the synovium protruding from the joint capsule. This is not the simple jutting out of the joint. Rather, it protrudes because of the presence of a transparent, thick, sticky, jelly-like fluid similar to the synovial fluid filling up the joints. Some ganglions are soft, and some are hard, depending on the size of the cyst.

A basic fact about ganglions is that this is more frequent among women than men, with a 70 percent rate of occurrence in people ages 20-40 years. As suggested earlier, this kind of cyst most commonly appear on the back of the hand, at the wrist joint, and on the palm side of the wrist. However, they could also develop in other parts of the body like on the base of the fingers on the palm, where they appear like small pea-sized bumps, the fingertip, just below the cuticle, where they are called mucous cysts, the top of the foot, and the outside of the knees and ankles.

Since the cause of ganglions are still unknown, there are also no known cures for these lumpy occurrences in the skin. Nevertheless, experts offer three treatment options namely observation, aspiration, and surgical incision. Observation means that the person affected merely leaves it alone because some of these cysts would just disappear. Aspiration is the process by which the cyst is drained of the liquid it contains and sometimes, refilled by the enzyme hyalurunidase, the same substance used in treating certain forms of arthritis. This should be performed by a trusted medical specialist. If through repeated aspirations, the cyst still grows back, then surgical incision would be the only resort. This is, of course, risky because blood vessels and veins are taken into account while executing the surgical procedures. However, this is better than traditional Bible bumping.