A ganglion cyst is a fluid-filled lump below the surface of the skin that appears near joints and tendons.
Most ganglion cysts are on the wrist, finger, or foot.
Your ganglion cyst may or may not be painful. The cysts are typically oval or round and may be soft or very firm. Cysts at the base of the finger on the palm side are typically very firm. They are often smaller than a pea and tender to pressure, such as when gripping something.
Cysts at the end of the finger just below the fingernail are often associated with arthritis. They are called mucous cysts. The chronic pressure from the cyst on the tissue that creates the fingernail can result in a nail depression or groove. This nail groove often goes away when the cyst is treated. The fingertip swelling can be confused with a wart or a nail fold infection. Consider seeing a hand surgeon if initial treatments for a fingertip lump do not seem to be working. With mucous cysts, the overlying skin may become stretched thin. This thin skin may break, causing the thick jelly-like fluid to come out. If this occurs, gently press in the area to get as much fluid out, clean the finger with soap and water, and cover the puncture site until it is fully sealed and healed after a few days. If this skin opening becomes red and painful, it may be infected. Because the skin hole communicates with the joint, it can rapidly destroy the cartilage of a joint. Because the joint may already have arthritis, it becomes urgent to receive treatment for the infection which may require both antibiotics and surgery to wash out the joint infection.
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