Procedures not routinely provided by NHSScotland

  • Excision of asymptomatic lesions. Ganglion excision is associated with high recurrence rates and may also lead to significant post operative pain.

Clinical psychology

  • Referral to a specialist Clinical Psychologist may be made at the discretion of the clinical team.

BMI

  • There are no specific restrictions, but a significantly raised BMI may be a factor.

Considerations for treatment

Indications for referral

  • Signs / symptoms of nerve compression
  • Intractable pain from lesion as evidenced by prescribing history.

Contraindications for referral

  • Asymptomatic lesions

Waiting Times

  • These patients are subject to the 18-week Referral to Treatment Standard.

Treatment for these conditions is not routinely offered by NHSScotland and can only be considered when all criteria are met.