Conservative Management of Recurrent Bilateral Dorsal Wrist Ganglion Cysts Following Aspiration: A Case Report at Dr Batra's

Abstract

Background

Ganglion cysts are the most common benign soft tissue swellings of the wrist, accounting for nearly 60–70% of all hand masses. Although aspiration and surgical excision remain standard treatment options, recurrence rates after aspiration range from 35% to 70%, and many patients continue to experience pain, functional limitation, and cosmetic concerns. Conservative management that improves symptoms while avoiding repeated invasive procedures remains clinically relevant.

Case Presentation

A 28-year-old unmarried male presented to Dr Batra’s® Positive Health Clinics with recurrent bilateral dorsal wrist ganglion cysts. The left wrist had previously undergone aspiration by an orthopedic surgeon; however, the swelling reappeared within one month and became painful with local inflammation. MRI of the right wrist demonstrated a small ganglion cyst over the dorsal aspect associated with mild joint effusion. The patient complained of pain while lifting weights, wrist movement restriction, numbness after prolonged activity, and considerable anxiety regarding his appearance and professional work as a model, influencer, and fitness enthusiast. Constitutional evaluation revealed a mild, sensitive, affectionate individual with anxiety regarding health and appearance, emotional sensitivity, reverence towards family, and recurrent distressing dreams. Individualized homoeopathic treatment consisting of Arnica montana as the constitutional remedy, Belladonna during acute painful episodes, and supportive remedies including Rhus toxicodendron and Calcarea phosphorica was prescribed.

Outcome

During nearly two years of follow-up, wrist pain progressively reduced, inflammatory episodes subsided, numbness decreased, sleep improved, and the patient regained functional ability for routine activities and exercise. Although the cyst size remained largely unchanged, there was no significant progression, and no repeat aspiration or surgery was required.

Conclusion

This case demonstrates sustained symptomatic improvement and functional recovery in recurrent bilateral wrist ganglion cysts following individualized homoeopathic treatment, despite persistence of the anatomical lesion.