Alternatively, a hypodermic needle may be used to drain the fluid from the cyst (via aspiration) and a corticosteroid may be injected after the cyst is empty; however, if the fluid has thickened, owing to the passage of time, this treatment is not always effective. The recurrence rate is about 50% following needle drainage (via aspiration) of ganglion cysts. A historical method of treatment for a ganglion cyst was to strike the lump with a large and heavy book, causing the cyst to rupture and drain into the surrounding tissues. Historically, a Bible was the largest or only book in any given household, and was employed for this treatment. This led to the  nickname of "Bible bumps" or "Gideons disease" for these cysts. This treatment risks injuring the person and thus is not recommended. Complications
Complications of treatment may include joint stiffness and scar formation. Recurrence of the lesion is more common following excision of a volar ganglion cyst in the wrist. Incomplete excision that fails to include the stalk or pedicle also may lead to recurrence, as will failing to execute a layered closure of the incision. Prognosis
Recurrence rate is higher in aspirated cysts than in excised ones. Ganglion cysts have been found to recur following surgery in 12% to 41% of patients. A six-year outcome study of the treatment of ganglion cysts on the dorsal wrist compared excision, aspiration, and no treatment. Neither excision nor aspiration provided long-term benefit better than no treatment.
Although most commonly found in the wrist, ganglion cysts also may occur in the foot.Ganglion cysts are "commonly observed in association with the joints and tendons of the appendicular skeleton, with 88% in communication with the multiple small joints of the hand and wrist and 11% with those of the foot and ankle". Wrist
They commonly are found near the wrist joint, especially at the scapholunate area.Common wrist ganglions include:

dorsal wrist ganglion
volar wrist ganglion
volar retinaculum ganglion
extensor retinaculum ganglion
occult ganglion
intraosseous ganglion
mucous cyst

Foot
In a 2007 study of patients in Glasgow whose foot lumps were removed surgically, 39 of 101 cases were ganglion cysts. The study replicated earlier findings that no ganglion cysts were found on the sole or heel. The authors wrote, "Although lumps in these areas may be ganglia, the surgeon should probably consider other diagnoses in the first instance." The researchers noted a preponderance of occurrence among females (85%) and that 11 of the other cases had been misdiagnosed as ganglion cysts before surgery.Ganglion cysts are not limited to the hands and feet. They may occur near the knee, commonly near the cruciate ligaments, but they may occur at the origins of the gastrocnemius tendon, and anteriorly on Hoffas infrapatellar fat pad. At the shoulder, they typically occur at the acromioclavicular joint or along the biceps tendon. Other
From their common origin at a joint or tendon, ganglion cysts may form in a wide range of locations. Rarely, intraosseous ganglion cysts occur, sometimes in combination with a cyst in the overlying soft tissue.