Hi zisuer

Yes I am getting to be a really mean old skeptic - put it down to grumpy old man syndrome.

As for Wrist ganglion - I couldn't find anything on PEDro for treating wrist ganglion and I don't know of any such studies - I suspect there is nothing much out there but I'll check on some other databases when I am back at work next week.

I don't think the pathology is that well understood all though it is agreed that it is a cyst - probably synovial from the carpal joints. some are reduceable by pressing on them but return releasee of the pressure - in this case they are a bit like a herniation from the carpal joint.

Aspirating them with an injection has a bad relapse rate.

When I trained the treatment recommended was to get a huge hardback book (usually the families holy bible), then get the patient to put their hand palm down on the bench and give their wrist a huge whack with the bible! The idea is that this shatters the cyst and therefore the synovium in the cyst is dissipated and less likely to return. - I suspect you may think this has worked because the patient would never return (out of pure fear). Please note I am not recommending this!

The best tried and true method is surgical removal - can often be done under a local anaesthesia.

Still Zisuer, you could always give the ganglion a treatment with ultrasound - but make sure you have the machine that gives the nice whooshing sound and the extra flashing lights! (sorry couldn't help myself)