Ganglion Cyst & Foot Cyst Treatment in Los Angeles
A painful lump or bump on your foot deserves a surgeon’s eye. Dr. Alexis Dixon, MD, FAAOS, a board-certified orthopaedic foot & ankle surgeon in Marina Del Rey, diagnoses and removes ganglion cysts for good.
Foot & Ankle Conditions
What Is a Ganglion Cyst?
A ganglion cyst is a benign, fluid-filled sac that forms next to a joint or tendon, most often on the top of the foot or ankle. It is the most common soft-tissue lump in the foot and ankle.
Beneath the skin, a ganglion cyst looks like a small balloon on a stalk, filled with a thick, jelly-like fluid. They can range from the size of a pea to a golf ball, and may grow, shrink, or shift over time. While ganglion cysts are not cancerous, they cause pain in roughly two-thirds of foot cases, pressing on a nerve, irritating a tendon, or simply making shoes uncomfortable to wear.
If you’ve noticed a bump on your foot that won’t go away, or one that keeps coming back after it was drained, it should be evaluated by a foot and ankle surgeon. The right diagnosis is the first step to lasting relief.
Get an Accurate Diagnosis
Is the Bump on My Foot a Ganglion Cyst, or Something Else?
Not every lump on the foot is a ganglion cyst. Several other conditions can look and feel similar, which is exactly why an expert evaluation matters. A board-certified orthopaedic surgeon can distinguish a ganglion cyst from:
- Lipoma, a soft, benign fatty growth
- Plantar fibroma, a firm nodule in the arch
- Bursitis or a bone spur, often near a joint or the heel
- Tendon or nerve tumors, uncommon, but important to rule out
Dr. Dixon uses physical examination, transillumination, and imaging such as ultrasound or MRI when needed to confirm the diagnosis before recommending treatment.
Symptoms
- A visible lump on the top of the foot or ankle
- A dull ache or pressure, especially in shoes
- Tingling, burning, or numbness if the cyst presses a nerve
- A bump that changes size with activity
- Difficulty wearing certain footwear
What Causes Them?
The exact cause of a ganglion cyst isn’t fully understood. They tend to develop where a joint or tendon sheath is irritated, often after a single injury or from repetitive stress and friction. Fluid from the joint or tendon leaks into a sac, forming the cyst.
They are more common in active people and in areas of the foot that take repeated pressure, which is why runners, dancers, and athletes see them frequently.
Conservative First, Surgical When Needed
Treatment Options
Dr. Dixon always starts with the least invasive option that will resolve your symptoms, and reserves surgery for cysts that are painful, limiting, or recurring.
Step 1
Observation
A small, painless cyst may simply be monitored. Some resolve on their own over 12–18 months and never need treatment.
Step 2
Aspiration & Injection
The fluid is drawn out with a fine needle, sometimes followed by a cortisone injection to reduce swelling. Quick relief, but the cyst can return.
Step 3
Surgical Excision
For painful or recurring cysts, ganglionectomy removes the entire sac and its stalk, the definitive fix, with a far lower recurrence rate.
My Cyst Keeps Coming Back
About 1 in 5 ganglion cysts return after needle aspiration, because the root of the cyst is left behind. Surgical excision removes the sac and its stalk completely, which is why recurrence is so much lower after surgery. If your cyst has been drained before and came back, it may be time for a permanent solution.
Why Choose a Physician
Why See a Board-Certified Orthopaedic Surgeon (MD)?
After Ganglion Cyst Removal
What Recovery Looks Like
Day 1–3
Outpatient procedure, often under local anesthesia. Rest and elevate; pain is typically mild.
Week 1–2
Sutures and dressing managed in the office. Most patients are walking comfortably.
Week 2–4
Return to most daily activities and work, depending on the cyst’s location.
Week 4–8
Full recovery and return to exercise, with a much lower chance of the cyst returning.
What Patients Say
Patient Reviews
Patient Questions
Ganglion Cyst FAQs
About Your Surgeon
Alexis E. Dixon, MD, FAAOS
Dr. Dixon is a board-certified orthopaedic foot & ankle surgeon practicing in Marina Del Rey, California. USC-trained and named an LA Magazine Top Doctor since 2017, she combines surgical expertise with a conservative-first philosophy, treating the underlying joint and tendon, not just the symptom. She treats ganglion cysts, bunions, Achilles injuries, plantar fasciitis, fractures, and the full range of foot and ankle conditions.
Meet Dr. Dixon →Have a Lump or Bump on Your Foot?
Get an expert diagnosis and a clear treatment plan from a board- certified orthopaedic foot & ankle surgeon in Marina Del Rey.