Cysts and Mucous Cysts on the Hand

Cysts on the hand, including mucous cysts, are common, benign (non-cancerous) fluid-filled swellings that usually develop near the joints or tendons of the hand and fingers.

A mucous cyst is a specific type of cyst that forms near the fingertip joint (distal interphalangeal joint), often linked to underlying osteoarthritis or wear of the joint. These cysts can cause pain, stiffness, pressure, or nail deformities, especially when they grow larger or interfere with hand function.

At Bollin Clinic, our experienced hand surgeons offer expert diagnosis and personalised treatment for cysts on the hand providing relief, restoring movement, and improving appearance through both non-surgical and surgical options.

Who Is It For?

Treatment for cysts and mucous cysts on the hand is suitable for individuals who:

  • Have a visible lump or swelling on the back or side of the hand or near a finger joint
  • Experience pain, tenderness, or pressure when gripping objects or moving fingers
  • Notice changes in the nail (grooves or ridges) due to pressure from a mucous cyst
  • Have a cyst that restricts finger movement or affects daily activities
  • Have had a cyst recur after previous drainage or treatment

These cysts most often occur in adults, especially those with wear-and-tear arthritis in the joints of the fingers or hand.

Treatment Options

At Bollin Clinic, we tailor treatment based on the type, size, and symptoms of your cyst.

Non-Surgical Treatment
  • Observation - Small, painless cysts on the hand can often be monitored safely.
  • Aspiration (Drainage) - A fine needle is used to draw out the cyst fluid under sterile conditions.
  • Steroid Injection - May be used in selected cases to reduce inflammation and lower recurrence risk.
Surgical Treatment

Surgery is recommended for cysts on the hand that are painful, recurrent, or causing nail deformity or stiffness.

The procedure typically includes
  • Local Anaesthesia - The area of the hand or finger is numbed for comfort.
  • Cyst Removal - The entire cyst, including its stalk or root, is carefully excised to prevent recurrence.
  • Joint Smoothing (if needed) - For mucous cysts, any underlying bone spurs related to arthritis are gently removed.
  • Closure - The small incision is closed and dressed to allow clean healing.
Recovery
  • Light hand use resumes within a few days.
  • Sutures are removed after 10–14 days.
  • Most patients make a full recovery within 2–4 weeks, with excellent cosmetic results and minimal scarring.

Why Choose Bollin Clinic for Hand Cyst Treatment?

  • Hand Surgery Experts: – Our consultants specialise exclusively in hand and upper limb conditions.
  • Comprehensive Assessment – We treat the cyst and address any underlying joint wear to prevent recurrence.
  • Minimally Invasive Techniques – Small incisions, faster healing, and precise outcomes.
  • Personalised Care – Each treatment plan is tailored to your symptoms, comfort, and aesthetic goals.
  • Advanced Facilities – Dedicated hand surgery and therapy suites for seamless, expert care.
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Cyst & Mucous Cyst Treatment

Frequently asked questions

What causes cysts on the hand?

Cysts usually form due to wear or small tears in the joint capsule or tendon sheath, allowing fluid to collect and form a small sac. Mucous cysts are often associated with arthritis in the finger joints.

Are hand cysts dangerous?

No, they are non-cancerous, but they can become painful or affect hand function if left untreated.

Can I drain a cyst myself?

No. Attempting to drain a cyst at home can lead to infection or recurrence. Always seek professional medical care.

Do cysts on the hand come back after surgery?

Recurrence is rare when the cyst and its stalk are fully removed by an experienced hand surgeon.

How long does hand cyst surgery take?

The procedure usually takes 15–30 minutes and is performed under local anaesthetic as a day case.

Will I have a scar?

Only a small, fine scar remains, which fades over time and is placed carefully for the best cosmetic result.

Can cysts affect my nails or joints permanently?

If left untreated, mucous cysts may cause nail ridging or joint stiffness, but early treatment prevents long-term effects.

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