Conversation: The conversation between human and AI assistant.
[|Human|] I have a cyst on my middle finger right above the top knuckle and also 2 fluid sacks below the knuckle. A Dr. pricked a hole in with a needle and pushed the fluid out but it was back the next day. I am trying to determine if a HAND SURGEON is who I need to see rather than just a Orthopedic surgeon
[|AI|]  Dear sir/ madam those cystic swellings are because of the overuse and probably arising from tendon sheath /synovial sheath. If those cystic swellings are not causing any pain or discomfort it can be left alone, complete cyst excision is to be done for them. But even after complete cyst excision there is always possibility of recurrence because primary problem is overuse, so considering all this treatment is to be planned,