![]() Observation. If you have no pain or other symptoms, your doctor may recommend just waiting and watching to make sure that no unusual changes occur. ![]() Initial treatment of a ganglion cyst is nonsurgical. However, further imaging is often not needed prior to treatment. Sometimes, an MRI or ultrasound is needed to find an occult ganglion that is not visible, or to distinguish the cyst from other tumors. MRI scans and ultrasounds can better show soft tissues, like a ganglion, than X-rays. Magnetic resonance imaging (MRI) scans or ultrasounds. Although X-rays will not show a ganglion cyst, they can be used to rule out other conditions, such as arthritis of the hand, arthritis of the wrist, or a bone tumor. X-rays create clear pictures of dense structures, like bone. This can help confirm that the mass is truly a cyst and not a solid tumor. Your doctor may shine a penlight up to the cyst to see whether light shines through. Because a ganglion is filled with fluid, it is translucent (almost transparent). Your doctor may apply pressure to the cyst to test for tenderness or discomfort. During the initial appointment, your doctor will discuss your medical history and symptoms.
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