Doctor insights on:
Synovial Cyst Aspiration
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
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
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
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
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
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?
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 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
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
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
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?
I had an MRI on my hip the other day and they found 17mm multiseptated synovial cyst in the anterior inferior of right hip joint. Is it bad?
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
I am 17 year old with a 7 mm synovial cyst at right facets atl4-l5 outside the spinal canal. My baby brother had tethered cord /syringomyelia. Should I be concerned?
Likely unrelated: While it could be possible that there is a slight increase of spinal problems in your family over the general population a synovial cyst is not related to a tethered cord. As long as it is not causing compression of the nerve roots a synovial cyst can very well be watched but I would discuss this with your doctor. ...Read more
My MRI suggests possible 5mm synovial cyst on TMJ joint. My neurologist says not to worry they are common. What are the chances it's cancer?
What is the usual procedure for getting rid of a dibilitating and painful synovial cyst in the knee joint? I can barely walk and the knee is popping.
Ortho eval: Due to your severe pain and impaired mobility, it is important to see the orthopedic surgeon for further eval. If a synovial cyst is confirmed as the cause, the ortho can provide you with appropriate treatment whether it is aspirating the cyst or excision of the cyst. There are several other causes of knee pain so it's important to make the correct diagnosis. Good luck! ...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
Knee MRI shows large multiseptated lobulated synovial cyst at tibiofibular joint. What does this usually mean? Surgery? Could it be cancer?
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
1. The removal of a gas or fluid by suction. 2. The sucking of fluid or a foreign body into the airway when drawing breath. 3. A surgical technique used in the treatment of cataracts of the eye, in which an incision is made into the cornea, the lens capsule is severed, and the material of the lens is fragmented and ...Read more