When to Excise
Symptomatic ganglia that have not responded to aspiration or that recur after aspiration. Definitive excision - including the cyst stalk back to its joint or tendon-sheath origin - has the lowest recurrence rate.
What to Expect
Done as an outpatient procedure under local or regional anesthesia. A walking boot or post-operative shoe for 1–3 weeks depending on location, then return to regular footwear and activity. Recurrence after meticulous excision is uncommon.