Please stay tuned to the Baroness Broadcasting Company for a Medical Documentary....  

BaronessK 52F
1646 posts
8/28/2006 11:41 am

Last Read:
11/13/2006 12:03 am

Please stay tuned to the Baroness Broadcasting Company for a Medical Documentary....

Okay, so I was in a great {matter of opinion, I know} 'segue', and my hands needed a rest. I haven't been posting much and/or what I was posting required less typing and more copy/paste activity. I have {had} over 7 dozen watched blogs; I have commented very little on any of them. {Hell, most of this post is from something I typed and/or copy and pasted into text a while back, actually.}

What I have also done is evidently acquired a 'ganglion cyst', again, on a different hand. I had one years ago on my right {inside} wrist, and now I have one on my left {inside} wrist; what I get for being ambidextrous, I suppose. A ganglion cyst, also called a Gideon {Bible} cyst is a fluid filled sac which can be felt below the skin, usually attached to a tendon sheath {lining which lubricates the tendon) in the hand or wrist or connected with an underlying joint. They are not tumors nor are they cancerous by nature. It often occurs when there is a tear or damage in some form in the ligaments overlying the lining of tendons or joints, and the lining herniates out of the ligamentous defect causing a 'bump' under the skin. {Look at the picture; does that look like a 'bump' to y'll, cuz it looks to me like a freaking alien pod!}

In my case, last time, the 'marble' was golf ball sized when the surgery opened up my wrist, with a 'tentacle' sac {quite weirdly wide} snaking down into my arm over halfway to the elbow}. The one I have at present, on my left wrist, is showing {on the OUTside} that it is 'aggie' sized {about the size of a small pingpong ball}, so I'm not sure I even want to know what the actual size is inside.

Because there was and is inflammation associated with this condition, the inflammed tissue is producing a jelly-like fluid which fills the protruding balloon-like sac. They can be, and are in my case, rock hard due to a high pressure of the mucous-like fluid contained within the cyst, painful, and did/are getting bigger on its own...all due to possible injury or even just for no good reason {leaks occur from the compartment holding the lubrication which once out has no way to go back in on it's own, acting like a one way valve to fill up that little balloon next to the area of the leak}. {Sounds really gross, doesn't it? It is, btw.}

When we use our hands for normal activities, our joints squeeze and create a tremendous pressure in the lubricating compartment, which can pump up a balloon leak with so much pressure that it feels as hard as a bone. The lubricating liquid has special proteins dissolved in it which make it thick and also make it hard for the body to absorb it when it has leaked out; the body tries to absorb the liquid, but may only be able to draw out the water, making it even more thick. Usually, by the time the lump is big enough to see, the liquid has gotten to be as thick as jelly. My ganglion cyst is a 'volar wrist ganglion' {front side}. These come from one of the wrist joints, sometimes aggravated by a wrist sprain. {In my particular case, if it gets any bigger I have to name it; Ouch sonavabitch comes to mind, for some reason.}

What was I supposed to do about it? Wait and watch while using over the counter non-steroidal anti-inflammatory medication/NSAID such as aspirin, ibuprofen, naprosyn, or ketoprofen. {In my particular case again, this works not at all.} Some people, following non-medical advice, will smash the lump with a heavy book, and rupture the cyst; 'back in the day' the only book most people had was the Gideon Bible, hence the name. That action works, but not often, and it is NOT recommended; you may break a bone or otherwise injure yourself. The lump can come back after doing that, just as when some people attempt to drain the cyst by sticking it with a needle; these can lead to infections and so forth. Massaging the ganglion by rubbing it gently but often during the day may help move the fluid out of the sac; again, it does not help in my personal case.

I could use a variety of hand splints, and have...and they do next to nothing, btw, for me. The 'lycra spandex' type hand support seems to be the best, but it merely massages a bit and keeps me from flexing too much. I can't wear it while actually working because it would get all wet and nasty. As an added 'bonus' where and what I am doing at this time is actually geared toward a left hander; this would be all honkey-dorey usually as I am well adept at using both hands, but not when one has a ganglion cyst or any type of 'problem' with their left hand...and must repeatedly use that hand to drag out or around a full load/rack of ceramic plates that each weigh almost 2 pounds PER/EACH. Then there is actually taking them off the rack to stack them and putting them up in different areas {none of which are where they are washed, of course}.

A doctor can confirm that you actually have a cyst and so on, prescribe a custom splint {which I have already anyway}, drain the cyst with a needle {aspiration} and possibly inject the area with cortisone {which is what I am hoping they do, expecially versus another surgery, or at least drain the damn thing}. They say that that action works much better for cysts coming from the tendon than those coming from joints, which seems to be my case {so a better option, IF they would decide that where it is, being right at the wrist and all the nerves/vessels, would not be dangerous due to not being able to see exactly what they're working against}. They can also perform surgery to remove the cyst and clean out the area where the cyst comes from, which is what they did with my right wrist some years back. Let me say this: I had two kids by full natural, no drugs what so ever at all...and the wrist surgery afteraffects HURT, even with my high pain tolerance.

Ganglions can usually be diagnosed by their appearance and location when a health professional does a medical history and physical examination; in some cases, an X-ray or other imaging test may be needed, to determine if changes in the bones or ligaments have happened along with seeing if there are indications of bone spurs {small, bony growth forming along joint} or bone tumors. {They have not done x-rays, and that's another point I am trying to get them to address; the lower thumb area reacts as if it is cracked, and that's highly possible due to multiple 'jams' at work.} They may shine a light alongside the bump; if it is a ganglion, the light usually shines through (transillumination). They should ask you how long you have had the {suspected, in other cases, but not in mine as it is a certainty} ganglion and whether it changes in size or is painful {which has been told to them because I am not an idiot and can tell them all about the mutant thing}. They will usually apply pressure to the area to see if it is tender {again, not advised in my case as I get rather 'testy' about it all}.

How successful treatment is depends on several things: tendon sheath cysts are more likely to be cured with a cortisone shot than cysts coming from joints, while cysts coming from joints are less likely to come back after surgery if the joint itself is 'cleaned out' {but cleaning the joint out increases the chance that the joint will be somewhat stiff after surgery}. Cysts on the front of the wrist (volar wrist ganglions) are more likely to come back after surgery than cysts on the back of the wrist (dorsal wrist ganglions); as an addendum, very personal one, my right wrist which had surgery is showing signs of coming back possibly, although it may be scar tissue forming only.

Aspiration consists of removing the sac's contents after numbing the area with a local anesthetic; in my case the pressure is so great at this point that except for the thumb area which hurts like hell the rest is already numb so I would be willing to forego the numbing medication if they would forego the damn stalling. Because it is thought that inflammation contributes to the production and accumulation of the fluid in the cyst, an anti-inflammatory drug (steroid) is often then injected back into the cyst in an attempt to decrease the inflammation and prevent subsequent refilling of the cyst. Recent research found that using another substance (hyaluronidase, an enzyme used in the treatment of certain forms of arthritis to promote resolution of redundant tissue) along with the steroid after aspiration increased the cure rate from 57% (aspiration and steroid alone) to 89% with the combined substances. {I'll sign any waiver they need if that is considered 'experimental' as long as they DO something!}

If there is no treatment at all...there could be a problem that stays hidden. For example, painful cysts may be painful because of underlying problems other than a simple cyst; although uncommon, pain associated with a ganglion may be due to underlying arthritis, bone tumor, ligament injury or fracture. {I'll definitely agree with the last parts of that.} Cysts can extend into the underlying bones and cause other types of problems. Most ganglions do not pose a serious health risk, and can be simply left alone; many go away on their own. {Except in my case, obviously; it's so f'n wonderful to be 'special'. *sigh*} Between one-third and two-thirds of wrist ganglions eventually go alway with no treatment. {Mine do not; they worsen until medium to major medical action is taken.}

Anyone can get a ganglion; adults between 15 and 40 years old are most likely to be affected. Women are affected three times as often as men, but children do not usually have ganglions {although if they do they will very likely go away without any treatment}. Ganglions can be painless; however, they often are associated with tenderness and pain which may restrict the range of movements. {Well, yeah, considering what the hell it actually is and where it usually is.} The cause of ganglions is not always clear. Non-occupational factors or conditions such as rheumatoid arthritis have been associated with ganglion cysts. {Not in my case; I have had every arthritis related test there is; I do NOT have any of it.} Occupational factors play also an important role in the development of ganglions; those occupations that require workers to excessively overuse certain joints such as the wrist and fingers pose the risk for ganglion cysts. {RSS is Repetitive Strain Syndrome.}

Treatment may be needed when a ganglion causes pain, which may be aching rather than sharp and may increase with activity. {Bingo! and then some.} A ganglion may well interfere with activity, weakening your grip or limiting joint motion. {Yeah, I sort of noticed that!} They can affect sensation by pressing on or irritating a nerve. {Irritating? That's like saying W is 'irritating'! Sheesh!} You may feel tingling in your fingers, hands, or forearms. {'Tingling' is not 'bad'...it's not great, but the alternative lately has been a shooting pain into my 'funny bone' which amuses me not one bit.} The cyst can become infected, although that is more common with osteoarthritis mucous cysts. Once into a growth stage they are usually very unsightly. If any of these problems are arising of course you will need to seek medical treatment, as they can also affect the wrist bones or ligaments. The cause in my case is probably a mixture of the main reasons given: due to injury, a degenerative process, and a subtle abnormality; I have had one other cyst before as well as a non-cancerous tumor in another place.

If the cyst is disfiguring {YES}, causes pain {YES, even with my high pain tolerance}, mechanical problems {YES}, nerve complications that cause motor or sensory loss due to pressure by the ganglion on a nerve {YES}, or recurs after a previous aspiration {SEE WHY I WANT THEM TO DO THIS?}, then surgical excision is warranted. Surgical incision involves making an incision over the area of the cyst, identifying the entire cyst, and removing it along with a portion of the underlying tendon sheath or joint lining from which it originates. The hand is then splinted for 7 to 10 days. The procedure is usually fairly minor, but can be complicated depending on the location of the cyst and whether it impinges on any vital structures in the hand {nerves, tendons, blood vessels; which is why I do NOT want surgery if at all possible}. It is important to discuss the different treatment options with your physician if you are diagnosed as having a ganglion cyst. {Oh, she agrees that is what it is...so why she hasn't aspirated or referred me to have it done I have no idea; my blood pressure is neither here nor there, considering the fact that the pain/pressure of the cyst is CONTRIBUTING to my problems in that area.}

So, at any rate, this information was off at least 2 medical sites that I found through googling. I figured OUCH YOU SONOVABITCH wasn't quite clear enough. Plus, I got to use copy and paste a lot. Oh, and I guess I should have warned sooner...don't look at the picture if you have a weak stomach or are eating or plan on eating in a bit, okay? Now if I could just end this by saying that I was off to see the Wizard, the wonderful Wizard of ooze...to get that sonovabitch taken care of.... *sigh, ouch* {If I was having sex, I wouldn't mind so much; it would still be a sonavabitch...but I wouldn't be forced to pay attention to it for a while! Like getting the 'lollipop' BEFORE the doctor's visit, ya know? }

Now, let's see...annoying things...ah, my next post...to all the men I've annoyed before...or to those I'm about to...!



rm_Benkai7 55M
2358 posts
8/28/2006 2:49 pm

Dear "BaronessK".

... so you want your sweets before ... I see ... ... hugs ...

Benkai7


BaronessK 52F

8/28/2006 5:49 pm

    Quoting lioness860:
    Thank you Dr. B and the next addition of the new stem cell extrapolation discovery we can expect next??

    xx
    L
Good gawd, no! I just know where to hunt and find the information that I need to be informed -- and stem cell research, ah that is quite a controversial subject right now. Not really all the facts and everything in, although from what I have read I see no reason for them NOT to use/do it; the true benefits from such a thing are almost limitless from what I've read. Of course, as in all medicine and/or research, some things will not react as expected, be harder to do than expected, and all that...but even at a reduced level of expectation if the results were gotten in any type/form/shape...the good that would be achieved! I do not understand the 'moral' part of what they keep talking about, not from the standpoint of it being either moral versus immoral.


funintheday2006 56M
9659 posts
8/28/2006 6:18 pm

The next post should be a fucking long one


complexlysimple 34M

8/28/2006 7:02 pm

heh, if it was me I'd say "start cutting doc" ...then again I might just do it on my own

I don't doubt it's painful ..but that's something I know ..though I think I'd also be wondering why these modern day withc doctors don't really know what causes it...


BaronessK 52F

8/28/2006 8:04 pm

    Quoting rm_Benkai7:
    Dear "BaronessK".

    ... so you want your sweets before ... I see ... ... hugs ...

    Benkai7
So if I'm sweet to you will you give me sweets, mein Nietzsche?


BaronessK 52F

8/28/2006 8:11 pm

It was going to be a really short one...cuz I was going to describe sex with you.... But I decided to describe all your annoying personality traits, after explaining to everyone that you actually HAVE a personality, so it's going to be the longest damn post I've EVER done!


BaronessK 52F

8/28/2006 8:17 pm

    Quoting complexlysimple:
    heh, if it was me I'd say "start cutting doc" ...then again I might just do it on my own

    I don't doubt it's painful ..but that's something I know ..though I think I'd also be wondering why these modern day withc doctors don't really know what causes it...
CS, I have...and they won't, because of the blood pressure they claim. Don't know their reasoning behind refusing to at least aspirate, though, because that picture in this post is my wrist and that 'little bump' is an alien pod at this point.

I thought about it, but I don't know...I probably could manage to aspirate the damn thing myself, although I wouldn't risk cutting...bunch of main veins and stuff there plus major routing of muscles and all in the hand.

Because they won't bother to research it and all, among other things.


funintheday2006 56M
9659 posts
8/28/2006 8:18 pm

    Quoting BaronessK:
    It was going to be a really short one...cuz I was going to describe sex with you.... But I decided to describe all your annoying personality traits, after explaining to everyone that you actually HAVE a personality, so it's going to be the longest damn post I've EVER done!
[image] bollocks


BaronessK 52F

8/28/2006 8:20 pm

    Quoting lioness860:
    baroness, I work with stem cells....not the lines them selves but the surgeries that we are using them, i too can not understand the moral decedents to all of this but then i think like a pagan scientist not a christian.....
Even pondering the 'religious' ideas, I still so no real reasoning behind the 'immorality' of it, or so they call it. It does not even fall under 'for the good of many versus the few' etcetera.


BaronessK 52F

8/28/2006 8:24 pm

    Quoting sweetbabydee07:
    Years ago my gran had a ganglion on the back of her hand. She wanted me to give it a good whack with her bible, but I could only manage a feeble tap. I didn't want to hurt her. She tried bribing me but I still couldn't bring myself to thump her, and I just sat there pat, pat, patting away at this lump on her hand, and her shouting at me to get my weight behind it and burst the bloody thing. She wouldn't go see her doctor cause she hates them all, and I think the ganglion eventually went away all by itself.
Sometimes they do go away all by themselves; in my case, they don't without 'help'. Too, mine unfortunately is on my inner wrist right at the bone and major section of nerves and veins and all...or I'd take my medical dictionary or atlas or whatever and whack the unholy crap out of it!

I think, too, that most doctors are quacks and/or have forgotten the real reason that people should go into medicine.


DIVISION77 39M  
8321 posts
8/29/2006 5:42 pm

It sounds to me like aspirating/draining the cyst is the answer followed by an injection of cortisone for relief.

I wouldn't recommend surgery though because there is too high an incidence of scar tissue formation in the wrist thereby increasing the risk of complications post-surgery. The last thing you want is fresh scar tissue formation to press against the nerves, ligaments and tendons in the wrist. That is the cause of carpal tunnel for example. There is only a limited amount of space for all these tissue bundles to coordinate and any excess swelling will have longterm implications.

If hypertension is the only roadblock preventing you from having the surgery, they should be taking care of that first and foremost.

The cortisone sounds pretty soothing....

DIV

"My every move is a calculated step, to bring me closer to embrace an early death." -Tupac Shakur


BaronessK 52F

8/29/2006 6:34 pm

    Quoting DIVISION77:
    It sounds to me like aspirating/draining the cyst is the answer followed by an injection of cortisone for relief.

    I wouldn't recommend surgery though because there is too high an incidence of scar tissue formation in the wrist thereby increasing the risk of complications post-surgery. The last thing you want is fresh scar tissue formation to press against the nerves, ligaments and tendons in the wrist. That is the cause of carpal tunnel for example. There is only a limited amount of space for all these tissue bundles to coordinate and any excess swelling will have longterm implications.

    If hypertension is the only roadblock preventing you from having the surgery, they should be taking care of that first and foremost.

    The cortisone sounds pretty soothing....

    DIV
They keep claiming that they wouldn't be able to fully see what all they were going in to, since it would not be open as in surgery...but that's a load of crap considering how high it's sticking out now as well as the fact that the numbness and all {and what didn't show in picture as well was the veins and all sticking up under pressure} HAS to be addressed, and SOON. I had surgery on my right one, due to the aforementioned 'reasoning' and it did form scar tissue; at least I hope that's scar tissue and not reforming of sac since they did slice into it and take out everything that was there at the time. We are 'working' on the hypertension, which I still say was a bit high just at that time; I know the difference after all these years of feeling good and 'feeling good'/blood pressure up for 'hyper'.

I went to the emergency room Monday and they couldn't even offer me a splint/wrist protector better than the one I already have, considering what I'm protecting and where it's at. The offered me pain medication, percocet, but that would interfere with my blood pressure; besides, I had 2 kids natural childbirth so I can deal with a bit of pain {although it's up there at times, it's still cycling and all so there are times of relief -- I find that it's the 'lesser' pain that never quite seems to go away that is worse}.

I'm still working on getting someone to aspirate, because it's gone beyond ridiculous; it may very well be that their issue is not medical but monetary...and they/the hospital did file it as worker's compensation issue due to fact it has been hurt at work worsening the condition several times with a full 'jam' no less than 7 times. We will see....


DIVISION77 39M  
8321 posts
8/29/2006 8:59 pm

    Quoting BaronessK:
    They keep claiming that they wouldn't be able to fully see what all they were going in to, since it would not be open as in surgery...but that's a load of crap considering how high it's sticking out now as well as the fact that the numbness and all {and what didn't show in picture as well was the veins and all sticking up under pressure} HAS to be addressed, and SOON. I had surgery on my right one, due to the aforementioned 'reasoning' and it did form scar tissue; at least I hope that's scar tissue and not reforming of sac since they did slice into it and take out everything that was there at the time. We are 'working' on the hypertension, which I still say was a bit high just at that time; I know the difference after all these years of feeling good and 'feeling good'/blood pressure up for 'hyper'.

    I went to the emergency room Monday and they couldn't even offer me a splint/wrist protector better than the one I already have, considering what I'm protecting and where it's at. The offered me pain medication, percocet, but that would interfere with my blood pressure; besides, I had 2 kids natural childbirth so I can deal with a bit of pain {although it's up there at times, it's still cycling and all so there are times of relief -- I find that it's the 'lesser' pain that never quite seems to go away that is worse}.

    I'm still working on getting someone to aspirate, because it's gone beyond ridiculous; it may very well be that their issue is not medical but monetary...and they/the hospital did file it as worker's compensation issue due to fact it has been hurt at work worsening the condition several times with a full 'jam' no less than 7 times. We will see....
Regardless of what they choose, they'll have to intercede soon. That numbness is the nerves, ligaments, tendons being compressed from the buildup of fluid brought on by the cyst. If they don't address it soon, the damage may become permanent, as in the case of carpal tunnel. If I was in your position, I'd aspirate myself with a clean needle and antiseptic.

Take the percocet, you may need it.

The risk of hypertension is overrated.

DIV

"My every move is a calculated step, to bring me closer to embrace an early death." -Tupac Shakur


BaronessK 52F

8/29/2006 9:26 pm

    Quoting DIVISION77:
    Regardless of what they choose, they'll have to intercede soon. That numbness is the nerves, ligaments, tendons being compressed from the buildup of fluid brought on by the cyst. If they don't address it soon, the damage may become permanent, as in the case of carpal tunnel. If I was in your position, I'd aspirate myself with a clean needle and antiseptic.

    Take the percocet, you may need it.

    The risk of hypertension is overrated.

    DIV
Funny, but not ha-ha, how you and I understand these points...so that's why I say it's a monetary and not medical reason on their part. I might get the percocet for the aspiration process, because I have actually considered doing it myself...but otherwise I can handle the pain...and I have a 'knock out' reaction to something as simple as sinus medications and 'screwed up' with something as simple as alka selzter, so I'd rather not risk side effects for a pain medication that I can do without otherwise. I'll be checking tomorrow at the pharmacy to see if I can buy a needle and all -- I've studied anatomy in a nursing type format, and considering what I'm facing if I don't do something soon...yeah, I'll bet it'll be worth it since I seemed to be being forced to literally take matters into my own hands.


BaronessK 52F

8/29/2006 9:29 pm

Can't see the image ya daft git, cuz I'm standard...but it beats having ball and being substandard!

BTW...besides the premium members only being the ones to see images you do realize that 'overseas' posts show up later than the US and closer ones right? So I am not ignoring or whatever you and Benkai...and stangely enough Wild's, and he's in Iowa...must be because he works for postal system!


skyking412004 53M
5363 posts
8/30/2006 3:45 pm

_____That was interesting. I don't think I've ever had one. I used to haul cars and one of my co-workers had something like that on his elbow once. (from pulling on the tie down bar, I think) Would that be the same thing. What if you were to ice the area and then use a red hot nail to puncture and drain it? Just asking. I 'vie used ice and red/white hot nails on warts that I've had.


BaronessK 52F

8/30/2006 5:35 pm

    Quoting skyking412004:
    _____That was interesting. I don't think I've ever had one. I used to haul cars and one of my co-workers had something like that on his elbow once. (from pulling on the tie down bar, I think) Would that be the same thing. What if you were to ice the area and then use a red hot nail to puncture and drain it? Just asking. I 'vie used ice and red/white hot nails on warts that I've had.
It could have been the same thing, I'm not really sure. I wouldn't use a nail though because the wound would be too big and it wouldn't necessarily drain; so if I decide to do anything to it, I would use a regular medical needle and actually aspirate it so that hopefully all the fluid would get drawn out with the least amount of outside access to infection and all. In your case the warts were actually outside, embedding down into the skin; in my case, the cyst is all under the skin and very probably in a rather large sac and possibly with a 'tentacle' to it, so full or as full as possible aspiration is necessary to draw it all out and not needlessly spread the fluid inside as that could be very detrimental just by itself.
@ ƒ X a [ BaronessK [ a X , ?


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