Doctor insights on:
Symptoms Of Synovial Cysts In The Spine
Fluid sac: This is a fluid filled sac that arises from degeneration of the facet joints. When present they usually occur in the lumbar spine, mainly l4-5 & l5-s1. Symptoms result from formation of spinal stenosis with resulting irritation of the affected nerve root. Since cysts are a result of degenerative changes, they usually are not present until after the age of 40. ...Read more
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
See spine surgeon: Synovial cysts are treated by mainly 3 methods. Observation along with activity modification for minimal complaints. Cyst injections; either directely thru the facet joint with drainage & steroid injection or by epidural steroid. The latter does not decrease the cyst size but eliminate inflammation. The 3rd is either a decompression with foraminotomy or with fusion if instability is present. ...Read more
MRI results of lumbar spine: Small synovial cysts along the posterior aspect of the left articular facet? What does this mean in 30yr old female
No real issue: Synovial cysts are congenital variations of no significance unless they substantially enlarge, and in your case, seem a co-incidental finding of little relevance. Discuss in more detail with your doctor and have him/her demonstrate the findings on the films to provide further reassurance. ...Read more
With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme
Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more
Synovial fluid cyst removed from my hip 2005. grown back 2x & doctor has aspirated. Symptoms again, should I seek 2nd opinion or keep aspirating?
Second or third op: Synovial fluid removal from a hip is rare. If there is re- accumulation you need to get a second or third opinion. It may be time to get a hip replacement. If you get an infection it could be quite serious. It could prevent an actual hip replacement. NO more aspiration. ...Read more
How serious are synovial and tarlov cysts in the low back? And will they get bigger? What is the best treatment? Thanks
Let me explain:
Tarlov cysts are defined as cysts formed within the nerve-root sheath at the dorsal root ganglion. The etiology of these cysts is not well understood; most common in the lower spine. They could cause some problems.
The etiology of lumber spine synovial cyst is still unclear, most of them with arthritis of the spine. They are not serious problems. ...Read more
I am living with back pain since 2003. I have 2 synovial cyst which seems to move and cause a pain. What is the best option to get rid of such cysts?
Maybe not the cause: Facet joint synovial cysts are not uncommon. However, they may not be the cause of your symptoms. Generally, these cysts only are a problem when they cause nerve compression or stenosis. Then you will have sciatica or shooting pain down the leg. Otherwise, the cyst is just a consequence of osteoarthritis of the spine. If compressive, the cyst can be treated by injection or eventually surgery. ...Read more
Chronic back pain between my shoulder blades and weakness. I was told I have a synovial cyst at T1. Muscles also inflamed. Could the cyst be the reason?
Synovial cyst and fluid collection around left knee in mri. Feels likes it can't bear weight, is hot and back of knee is swollen. Could be ra?
While it could be,: It does not mean it is. There are numerous other things this could be, anywhere from a bakers cyst that's irritated, an acute injury, or an infected joint. Speak to the physician who ordered the MRI and ask about a simple blood test to rule out RA (most likely) and then workout an accurate treatment plan. If that is your only, and first "hot" joint, then don't worry, just have lab checked. ...Read more
Fluid filled sac...: That can develop over any tendon or joint in the body. Usually, joint is damaged in some way, such as with osteoarthritis, where there is some destruction of the integrity of the joint space. Mostly, not painful or disabling, though may be unsightly. Exceptions would include one that is within the lower lumbar spine impinging on nerves; or knee 'baker's cyst' causing pain & swelling (r/o dvt). ...Read more
Not uncommon: When a joint becomes arthritic, it can produce more joint or synovial fluid in an attempt to heal itself leading to pressure build up in that joint with a bubble or hernia of synovium which is the joint lining leading to a cyst. When these occur in the spine, they can sometimes press on or pinch a nerve mimicking the symptoms of a disc herniation or contribute to spinal stenosis. ...Read more
Yes.: A synovial cyst is a sac of fluid, which lines all tendons, muscles, ligaments, joints. Any type of trauma or inflammation to part of the musculoskeletal system can cause such a sac to form; very commonly, no known cause. May resolve on own, or be injected w cortisone after aspiration, may recur. May be true that in days of yore, they were smashed with a bible, but don't recommend this approach-). ...Read more
I have a nerve root within the lateral recess. They've mentioned a focal cyst; would that be the same as a synovial cyst?
Potentially: First, it is normal to have a nerve root in the lateral recess, that is where they normally are. A synovial cyst can be described as a focal cyst and usually arises from the facet joint. If the cyst pushes in a nerve root, the patient may experience pain or numbness running down the leg. ...Read more
I have had a synovial cyst sense I was 19 now I am 57 could it be caused from lifting heavy projectiles in the millitary?
Possible: Joints have a capsule arounding then that hold slippery clear goo that acts like oil on a hinge. If the capsule is too weak or the weight on the joint is too heavy, or you used the joint too much, it could bulge into a cyst. However to blame it on a specific activity years ago is hard. ...Read more
Can you tell me about nerve root within the lateral recess. There is a mention of a focal cyst, is it the same than a synovial cyst?
Spinal anatomy: The lateral recess refers to the side parts of the spinal canal. A focal cyst certainly could be a synovial cyst, which in the spine would arise from the facet joints, the joints at the back part of the vertebra. ...Read more
No difference: They are essentially the same with respect to origin and tissue type. ...Read more
Possibly: Large cysts in the area of the wrists are usually ganglion cysts and these are synovial in nature; would recommend it be looked at so as not to miss a more serious underlying problem. ...Read more
A synovial cyst popped due to overworking the wrist. Stung for a few days then ok. Now is hurting again. Why?
Are synovial cysts ALWAYS benign? How do you know for sure? Just diagnosed at level L2-3 by MRI only. Should I remove it? Is it dangerous?
Yes, but. ..: Synovial facet joint cysts are benign but if they are in the spinal canal and compressing nerves, they may need to be surgically removed. ...Read more
I have degenerative disc disease (lumbard) & was told today I might have a synovial cyst. Are these related, could it be the cause of my intense pain?
I think I have a synovial cyst due to OA in my R thumb DIP. Swelling is decreasing my ROM. It usually resolves spontaneously. How long should I wait?
See a hand orthopod: He/She can confirm diagnosis and inject with a steroid and if necessary cut it out. It can recur though. In the "old" days they used to smash the cysts with a heavy book, such as the Bible. You wait until it bothers you enough. ...Read more
I am looking to find a spinal doctor in my area (wake forest, north carolina) who will take me seriously. I have degerative disc disease, facet arthrosis, nerve compressiom, buldging discs, synovial cysts, etc and pain that only gets worse. I've done just
See Pain Doctor: Employing a multi-modal approach, most fellowship trained pain specialists offer the most effective management of painful conditions. To accurately diagnose and treat patients, we will utilize imaging studies, electro-diagnostic evaluations, history ; physical examinations, targeted physical therapy, appropriate and responsible medication management and cutting-edge interventional procedures. ...Read more
Is a 11mm synovial cyst between the navicular and cuboid in ankle significant? I sprained my ankle over a year ago
Symovial cyst foot: May not be unless symptomatic. Seems like a radiological finding - Clinical corelation is required. ...Read more
I have a cyst on the side of my knee replacement it's not a bakers cyst we believe its synovial fluid why would this happen?
Benign: It is most likely either coincidental or due to the inflammatory process during your healing of the replacement. Either way, it is benign and not a sign of a malignancy, poor surgical technique or a precursor to any other medical conditions. ...Read more