Doctor insights on:
Synovial Cyst Of 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
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
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
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
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?
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
No difference: They are essentially the same with respect to origin and tissue type. ...Read more
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