Cyst excision is a surgical procedure to remove a cyst that forms in the soft tissues around a joint or tendon. These cysts can appear in the hand, wrist, knee, foot, or other areas and may cause pain, swelling, or pressure on nearby nerves. Your surgeon may recommend removal if the cyst is painful, returns after previous treatment, limits motion, or does not improve with observation or aspiration. Taking out the cyst and its connection to the joint or tendon sheath can ease symptoms and lower the chance of it coming back. At OrthoNJ, we help you understand your options and create a plan that fits your goals and activities.
During surgery, your surgeon makes a small incision over the cyst, carefully exposes it, and removes both the cyst and its stalk where it connects to the joint capsule or tendon sheath. In many cases, this can be performed through a limited, minimally invasive approach to protect healthy tissue and reduce soreness. The incision is then closed with stitches, and a light dressing or short period of splinting may be used to protect the area.
Most patients go home the same day and begin gentle movement as advised to limit stiffness. Stitches are typically removed within the first couple of weeks, and hand therapy or physical therapy may be recommended to restore motion, reduce swelling, and rebuild strength when a joint or tendon is involved. Many people return to regular activities over several weeks, though recovery may take longer for larger cysts, locations that bear weight or require fine dexterity, or if you have health factors that slow healing. Your OrthoNJ care team will guide your activity plan and watch for signs of recurrence.