Dr. Leo Krawetz of Healthy Feet Podiatry in Tampa and Brooksville removes fluid from a ganglion cyst.
Hi, I’m Dr. Leo Krawetz of Healthy Feet Podiatry. Today, I have a patient in the office that has a ganglion cyst on the top of her foot and if you look, you can see that this is a very large fluid-filled cyst.It’s coming off one of her extensor tendons on the top of her foot.The extensor tendon is what pulls her toes upward.So, what I did already was numb it up and I’m going to drain the fluid from it, and I’m gonna drain it the way that you could actually see what type of fluid is inside the ganglion cyst.So now that it’s numb, I’m gonna take a 22-gauge needle and insert it into the cyst itself.I’m also gonna break the cyst up because she is numb and that will allow the fluid to pour out of here in just a second and you will see this.The ganglion fluid is a thick fluid and you can see that it’s a little bloody here too, and this is a thick fluid that is like a gel-like fluid.It’s actually the lubricant for the tendon and it’s around the tendon sheath.You also see the same fluid around the joint as well and you can see the fluid coming out of here.After I do this, I’m gonna put an injection of a combination of alcohol, local anesthetic, and some cortisone and that’s going to hopefully cause the lining of the ganglion cyst to shrink and then it will heal itself in the correct position over the tendon and then the tendon will be able to glide again without having a very large cyst here.This can become painful because they get close to the nerves and they rub on the nerves.I’m actually gonna insert the needle back in again.I’m gonna break up the cyst and then I’m gonna inject it again with the alcohol and the cortisone combination and this is breaking it up and you can see what’s gonna happen here in just a second is that I can actually disperse the remaining part of the ganglion fluid throughout the foot, which is gonna flatten it and then after I put the injection in of the alcohol with the cortisone and local anesthetic, I’ll put a compression dressing on and that will cause it to shrink over the next 48 hours.This is the last injection.This is gonna make it actually look larger, but what it’s actually doing is shrinking it and more of the ganglion fluid will come out of the hole that I created with the needle and now, I’m gonna put a compression dressing on top and this should go down within the next 48 hours to a flat surface.
Q: What is a ganglion cyst?
A: A ganglion cyst is a fluid filled cyst that comes off of a tendon or joint in the foot or toes.
Q: What is the best treatment for a ganglion cyst?
A: The best treatment is to inject the cyst with cortisone or alcohol and destroy the cyst with a needling technique in a podiatry office. This is a painless procedure.
Q: Do I need surgery for a ganglion cyst?
A: Surgery is not required for a ganglion cyst because the ganglion cyst can be injected with cortisone in a podiatrist office or injected with alcohol to destroy the cyst forever.
Q: Will a ganglion cyst come back after it is removed? A: A ganglion cyst has a 50% chance of coming back after it is treated by a cortisone injection or alcohol injection but two or three injections can make it go away permanently.
“I could not have asked for better care! After nearly a year and a half of nobody being able to help me with a Hemangioma in my foot, Dr Cruz stepped up to the challenge. He always listened to my concerns and addressed everything honestly–even if it wasn’t what I wanted to hear. After seeing […]
“We were referred to Healthy Feet Podiatry by our 6 year old daughters pediatrician. I was impressed when I called to make the appointment. The staff is very friendly and went above and beyond making sure everything was good with insurance. Upon arrival, everyone made my daughter and myself feel very comfortable as she was […]
“Dr. Todd Brennan and the entire staff at Healthy Feet Podiatry are the best! They were able to get me an appointment the same day I called, processed my insurance and most importantly tended to my foot issue. Dr. Brennan personally called to check on me later in the afternoon that day to fully explain […]
“Healthy Feet Podiatry has a friendly and caring office staff and Dr. Todd Brennan is GREAT. Due to my insurance, I was unable to use the same Dr. as my husband. As I didn’t like the care he was getting, that was OK. I get fast appointments and “my Doctor is on-time for them”! I […]
“When it comes to my feet, I was hesitant about seeing any Doctor. But a friend recommended Dr. Binh Nguyen at Advance Podiatry. I should tell you that not one time, I felt any sort of pain. All my concerns regarding my diabetic problems were addressed and I left there feeling very much relieved. From […]
“Amazing–absolutely amazing. The staff and Dr. Krawetz were kind, caring, gentle, and took the time to answer my many questions thoroughly. I waited no time. Yesterday was my first visit and I was in and out within 45 minutes, this included all paper work and x-rays. My feet are feeling fantastic today! I called my […]
“I have seen a few different doctors at Healthy Feet Podiatry myself, and I can tell you it isn’t a fluke. ALL the doctors and staff are very friendly and go out of their way to be helpful! My daughter needed surgery on both feet this summer and Dr Cruz was AMAZING! He has the […]
“Dr Leo was fantastic in helping my daughter who had 2 ingrown toenails. She is a student at FSU and had to get back to Tallahassee on a Monday, by late afternoon, and was in serious pain for the past few months with an unsuccessful surgery up at FSU. The office staff was friendly, fun […]