A doctor will examine the swelling closely, feel its edges and ask how long it has been there and whether it has ever leaked or become painful.
Treatment for a cyst like this is straightforward: the area is numbed, a small opening is made, the contents are drained and the sac is lifted out so it cannot refill.
After the procedure the wound is closed or packed, covered with a dressing and kept dry for a day or two, with a follow-up visit to check that it is healing well.
Regular washing of the back, wearing loose clothing when exercising and asking someone to look at hard-to-see areas now and then all help catch a new bump early.
Stand strong together and get it looked at. The videos below show large back cysts being treated by professionals.