
Hi! About A Month Ago, I Got Their Feeling That

About a month ago, I got their feeling that I was walking on a lump on the forefoot of my right foot around my 3rd and 4th toes. I got an ultrasound and found out I had 2 gangion cysts there. I stopped all exercise to try and get it to heal. I’m now feeling the same thing in my left foot. What could possibly be causing this? Recently I have noticed my feet have been feeling very stiff/tight in the morning.
Mucoid degeneration of periarticular structures with unknown cause
Detailed Answer:
Hello,
Thank you for using: Ask a doctor" service.
I read your query and I understand your concern.
Dorsal foot ganglia can occur proximal to any of the foot joints. Ganglia are the most common nodule found in the foot, accounting for nearly 40 percent of lesions that present to surgeons. They typically involve the back of the mid or forefoot and the toes. They are less common over the heel and the flexor tendon sheaths in the foot.
The causes of ganglion cysts are unknown but it has been suggested that they represent mucoid degeneration of periarticular structures. The role of repetitive movement in causation is uncertain.
Conservative treatment may include footpads and compression of the ganglion with an arch strap.
I hope this helps. Let me know if I can assist you further.
Regards,
Dr. Klarida Papaqako
General and family physician


According to the ultrasound, they were coming from my third and fourth flexor tendon sheath. I’m 30 years old and mildly active. Is this something common for my age? Or do you think I should look for reasons behind this.
Would you recommend any additional tests besides the ultrasound if so?
Ultrasound is enough to decide the diagnosis
Detailed Answer:
Hello,
Thank you for the follow up question.
As I said in my previous answer the causes for this are unknown and also it doesn't affect more a specific age. The ganglia cysts are joint fluid that pours out of the joint capsule due to the degeneration.
The ultrasound is enough to decide the diagnosis.
As for the treatment they go away by itself most often and otherwise if they bother you a lot they can be drained or removed surgically.
I hope I answered all your questions.
Let me know if you have other questions or concerns.
Regards,
Dr. Klarida Papaqako

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