Ganglions with Ehler's Danlos

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I currently have a 6 year old patient who has Ehler's Danlos syndrome. She has a ganglion on the dorsum of her right 4th metatarsal. It spontaneously burst but reformed previously, and has since had surgery twice, resulting in a scar. She is now due to have the ganglion aspirated again. I am trying a simple felt donut pad to deflect pressure and her mother is looking for new shoes that will not compress the area. I also plan to continue using the padding after the ganglion is aspirated again.
Does anyone have any experience or tips with foot ganglions, particularly when it involves Ehler's Danlos? :hammer:We have decided not to bible bash it.

 

What stage is the EDS?

The real issue is that the origin/root of the ganglion was likely not addressed, which is causing the recurrence, especially in this case. Depending on the stage of EDS, this may be an issue your patient will deal with until the root of the ganglion scars over (which may never happen).

Is the ganglion recurring in the same spot?

 

Yes, the ganglion is always in exactly the same spot, and surgery on the same spot twice.

 

What stage/type of EDS?