A couple of months ago I developed a hard, bony growth on my instep. I noticed that the top of my foot was hurting, and when I took my shoe off, there was a red lump the size of a quarter (it's not red all the time, just from rubbing against the shoe). A friend of mine who is a nurse said that it's probably a ganglion cyst and the best thing to do would be to, and I quote, "hit it with something really hard," like a dictionary, or a hammer. It should break up immediately, she told me. She hasn't seen it, by the way — this was over the phone.

I'm surprised that she thinks it's a cyst, because it's awfully hard — I would have just thought that it was a bone spur. What do you think? And is smacking a cyst with a dictionary really the way to go?

1) I read the information on your website about knuckle cracking, and I was wondering if it applies to cracking backs and necks. I know that people often have their backs cracked by friends, etc. because it feels good and seems to relieve tension. Also, when my neck feels tight, I often turn it from side to side until it cracks and feels better. I've heard that chiropractors do some version of this, and call it "realignment." Is this safe? Is there a right or a wrong way to crack a back or neck? Is cracking your back/neck actually therapeutic in some way?

2) As a college student, I sometimes spend long hours reading books or looking at computer screens, and often my neck gets stiff. Like many of my joints that get stiff, sometimes I crack my neck, like I would crack my knees or fingers when they feel stiff. I often wind up doing this several times a day.

My question is, could I do irreparable damage to my spinal system if I continue using this method to soothe a stiff neck? Could I wind up a paraplegic if I continue to crack my neck? Leak spinal fluid, etc.?