Cysts (Mucoid & Ganglion)

Mucoid and ganglion cysts are lumps that occur around the joints and tendons.

They are benign, but unpleasant and scary – most people immediately think they have something much more serious, such as a tumor, growing under their skin.

Cyst Symptoms
  • he cysts are filled with a fluid like a jelly, and thus they’re soft to the touch.
  • They’re very easy to diagnose, being so visible, though, depending on their exact position, sometimes a specialist may require additional testing to exclude the possibility of lesions or other more serious problems.
  • Most often, the lump itself is the only symptom. If you notice one, you should have it checked immediately by a specialist, but it’s not a reason to panic.

The biggest issue with ganglion cysts is when they press on a nerve, tendon, or joint. In such cases, they can cause anything from a mild discomfort and sensation of tingling to acute pain and impossibility to put on any footwear.

Ganglion Cyst Risk Factors

Strangely enough, the actual causes for getting mucoid or ganglion cysts are unknown.

They have not been studied extensively, and that despite the fact that they’re a very common problem, and have been first described by doctors over two thousand years ago – one of the earliest documented conditions. They’ve been around since forever, and they’re very wide spread, and yet we still don’t know what’s causing them.

While the actual causes remain a mystery, several risk factors have been associated with the development of ganglion cysts.

  • First of all, they are more frequent in women aged 20-30.
  • Also, they are more frequently associated with osteoarthritis, as well as with previous injuries or the joints or tendons.
  • They seem to occur over existing tears – whether caused by significant trauma, or just micro-tears that happen during the normal use of the foot.
Cyst Treatment

In most cases, specialists don’t recommend taking any measures.

If the cyst is below the skin and does not cause any pain or discomfort, your best option may just be to go home and live with it for the rest of your life (or not – sometimes they just disappear by themselves, as mysteriously as they appeared in the first place).

If you have to live with it, you should purchase shoe inserts or gel pads that allow you to wear any kinds of shoes without rubbing or applying pressure on the cyst.

Alternatively, we may recommend the aspiration of the fluid from the cyst, followed by the injection of steroids in the respective location. This will remove the cyst – at least temporarily. For some people, the recurrence rate is very high – again, for unknown reasons.

The last treatment option would be the complete excision, frequently followed by arthroplasty. This is quite invasive surgery, but recurrence is very low – so it may be a good solution if the cysts are frequent and painful.

Overall, don’t be too disappointed if direct action isn’t called for in your treatment plan. Since these cysts are benign, it is often considered that an intervention would do more harm than good.

If you are experiencing foot pain, call our office or make an online appointment


Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.