Thanks so much for the info. I just had an MRI and my pain specialist said I have multiple cysts with one large one pushing on the nerve. I’m going to have it drained and injection in the facet joint. I’m 63 and everything you explained helped in understanding this
Thank you, Doctor Mork, for explaining this condition so thoroughly. I have had this condition for some time and your presentation was a huge help to me as I face surgery to remove it next month.
Terrific video. Crystal clear presentation which has helped me visualize what/where my diagnosed synovial cyst is and understand how it is impinging on the nerve(s) going to my legs.
Thank you, Dr Tony for the best explanation I have come across! Your clear and precise explanation has helped me immensely in understanding my condition and the treatment options.
Thanks for this video! I was in a lot of pain two years ago. I had an MRI scan and it showed a disc bulge and a synovial cyst. The report said my pain was caused by the disc. I tried different treatments and nothing helped. I then decided to try IDD therapy and it worked wonders for me! I had a scan done after the treatment and it showed that the disc was still bulging a but the cyst was gone. I am glad I avoided surgery and can live a pain-free life again! I am 30 though so it shows you it can happen to people younger than 60. I just wasn't sure what that cyst exactly was but this video explained it really well. Thanks a million!
I had mine removed when I was 45 but didn’t get significant relief until I had L4-L5 fused two weeks ago. Thanks for this video it’s very informative!!
@Joe Biden president elect I'm doing better. I still have good lower lumbar range of motion, can feel a bit stiff sometimes but the all day stabbing pain is gone.
Thank you Dr. Mork, I had an MRI done and it shows that I do have synovial cysts - would this a symptom of my Foot Drop ? Originally the drop foot occurred from a broken spiral leg injury on the fibula near the knee. But an EMG ruled out nerve damage in the leg. I do not know how this could have resulted in the spine now. Any suggestions you might have would be helpful. Thank you for your informative video.
I can't believe I'm only 37 yrs old and got this exact cyst and will have it surgically removed soon. A bit scared but it needs to be done. The pain is nuts! I feel it daily. Thank you so much for explaining this condition well. Blessings to you Dr.
Mizz Jojo How are you getting it removed so quickly???? Mine has been months and all they have done is 1 injection then another where they forced fluid around it to try to pop it!!!! My surgeon passed me off to a Pain Dr who did those two procedures. Waste of time and money. I will need a fusion if they do surgery because of the location of mine. Im 43. I just wish they would do it
Leesa Brunner oh gosh sorry to hear you're still dealing with excruciating pain! It's been a month since I got the cyst taken out and I feel great again! I was in excruciating pain for a month and that was too long. My MRI showed I had a cyst so I had the option to remove it or get injection. Since the pain was debilitating I asked to have it removed. The orthopedic surgeon I was suppose to go to couldn't see me for weeks and so I went to see this awesome neurosurgeon instead by googling/researching. I didn't want to wait & be in that much pain anymore. Luckily the neurosurgeon took me in right away. Thank goodness! Prayers to you and hope you find relief soon!
My Doctors wont do surgery until we go through all these steps. I have no options. Apparently my insurance...UPMC...and my Doctors have the say. I have no choices in my care. Did you need a spinal fusion? The neurosurgeon said Ill need a fusion.
Leesa Brunner auwww junkie insurance. Synovial cyst can't be popped & it won't move. Also my dr said in order to get to that cyst, he has to remove a bone fragment to get to the cyst so can't just use a needle to pop it either. It has to be surgically removed so that doesn't make sense that you need to do all that before surgery. Luckily for now I don't need the fusion. Crossing fingers that I don't ever need it. Dr said majority of times that cyst won't come back & some surgeons think it will so they fuse also. Don't get me wrong there are some people that will need fusion because of how severe it is. My surgeon said he does approx 10 patients a year for cyst removal and he's been doing this 20+ yrs. Out of all of those, only 1 patient had a regrowth of cyst. Mine is at moderate to severe stenosis so dr wants to preserve it as much as possible. It really depends on the dr. Some will want to do both (cyst removal & fuse) & others just remove cyst. I felt relief immediately after surgery. Hallelujah! Sending you prayers & healing energy.
Thank you very much for your great explanation. I am having something like that, they pain is horribleeee!!! and usually don't let you sleep at night. Pain goes down to the right side, to the hip, the front, I never seen anything like it. I truly appreciate your time and wisdom, God bless you!
@@coastspine-patientcoordina9000 Thank you!!!!!! After he called me up and reviewed my case is when I finally decide to find a good back surgeon, great doctor and human being, he called me up at night after 8 pm because he was booked! That says a lot about him not only as a doctor but as a human being! Blessings!
I'm very happy that I came across this video as I have a support group for Tarlov (perineural) cyst disease sufferers and one of my members also has a Synovial cyst and needed some additional information. This video is perfect for her use. I have to wonder though since I see so many other cyst type treatment videos that you have done if you do any work on Tarlov Cysts as well. We are incredibly limited in the number of Neurosurgeons that work on symptomatic cysts, so any additional, available surgeons are an incredible asset.
Good luck to you, I have to travel 100 miles each way to see a surgeon. It is no fun, I hope you do well. Where is your support group located and can anyone join? I could certainly use some support.
Me too I have been diagnosed with Tarlov cysts last week and I am in much pain with no support Where is ur support group based? I am in Australia Plea help
@@Angelamc3688 Hi, I don't know what a Tarlov Cyst is sorry, but I am sure you are suffering pain from it. I was diagnosed a few days ago with a Synovial Cyst at L5/S1 and L6 with a bulging area. The Synovial Cyst is causing me intense pain, and has been just increasing in pain for the past 10 weeks. I only had the CT and MRI done a week ago. The Spinal Surgeon I have been referred to is going to do a cortisone injection next Wednesday under a twilight anaesthetic to see if there is any improvement. I was referred to the International Spine Centre in Adelaide. What State are you in? Have you found a good Spine Specialist to help you yet? I do hope so. All the best xx
Hi doctor thank you for the presentation I just had this done yesterday already feeling so much better. It's good to know we have you out there helping us layman 😁😊
Did you have the synovial cyst removed and nothing else?. I have one pressing on my sciatica nerve along with spondylarthrosis and I just want my piercing sciatica pain gone.
@@alwayslearningfromexperts hi Angie yes I had the cyst removed and I also had some arthritis or spinal stenosis is a diagnosis they use. I am almost 100% back to my old self and I was in so much pain going all the way down to my left foot. I highly recommend this done is changed my life.
Ps they gave me a medicine before the surgery called gabapentin and it really helped almost as much as the surgery. It'll make you feel a little dopey for a couple days but it eases up the pain it causes the inflammation to shrink on the sciatic nerve. I hope this helps you
How long did you have to put up with it before you were able to finally get the Synovial Cyst surgically removed please? I have only just been diagnosed with one, but I have been suffering with the pain for about 10 weeks, and I can only stand or walk for about 30 seconds before the pain is SO intense that I just HAVE to sit down!! I have had 3 knee replacements, broken my scapula twice, had 3 broken ribs, and broke my femur badly in a fall once as well, needing a gamma nail & internal screws to fix it...but the pain from this Synovial Cyst is NEXT LEVEL at times!! I can't do anything apart from sitting, and even that gets uncomfortable after a while. I am going through the pain killers as if they were lollies!! I would be interested to hear more about what you have been through please. Knowledge is power. I am booked in for a cortisone injection next Wednesday with a Spinal Surgeon. Thanks from Sue in South Australia xx
Dr. Mork, thanks for a clear easy-to-understand video. I have a synovial cyst at (where else) L4-L5 that is causing pain in my left leg. I have a consultation scheduled with a neurosurgeon but you've already answered my big question: Will I have to have spinal fusion? Good to know they can go back later and do the fusion if necessary. I just wanted to let you know your effort is much appreciated.
i have a large right facet synovial cyst at the L4-L5 level causing severe spinal stenosis. i'm interested in having it removed by the minimally invasive surgery (MIS) you've described. I'm on my butt most of the work day - between my commute and desk job - but I'm a weekend warrior with a list of chores and projects that keep me active during my time off. so I'm wondering how long after the MIS can I return to getting my life back? minus the pain, of course.
I'm much younger than 60 but my lower back, sciatic, and legs are killing me. My husband tried to massage my lower back but it hurt too badly for him to touch...he said it felt like I had a cyst. I thought that sounded crazy but then I googled it and it sounds like he may be correct. I hope it goes away on its own. I pray each person dealing with this pain gets relief.
95% of metastasis occurs in the spine and skull. You cannot palpate this lesion that I am aware of, I hope you have seeked care and that this area has been imaged, and you have relief. Best wishes, retired doctor
I've Been in pain for a years. Its only have gotten worse over time. I happen to find out I have synovial cyst at L5. no one told me. Thank you for explaining it. I have to find someone who can help me.
I have spent two days in hospital as I couldn't stand the pain of sciatica anymore. I have synovial cyst 5-8mm at L5S1. Was sent home with Sevredol and Gabapentin and 5days of oral steroids. I have no faith in this treatment however your video has given me aa great explanation of my problem and hope for a better approach if the steroids don't work. Wish I lived in the US- I'd be coming to see you. May actually be worth the trip over from NZ. Thanks for the great Video
I hope you had it cut out because this is the only permanent cure. I'm going through my second one, in 2 years and I assure you it will be cut out as well. All other treatments fail. Good luck and God Bless, I know how bad the pain is.
great video. Only on the website of Interstitial cystitis this video had a text above it about Tarlov cysts. Synovial cysts are another type other cysts, so this video does not correspont with the text about Tarlov cysts
Beth I I have like a egg size lump on my back near my spinal cord!! My back, lower back be hurting and my legs do be tingly!!! I’m so scared!! The lump is soft I do believe it is fluid but I just so scared
I am already fused at l4 and l5. I had an MRI and shows a cyst. The earliest that I get to see neurosurgeon is a month away. What can I do until them to stop sciatica? How long does recovery take
My friend had synovial cyst in lumbar spine that was the worst pain for 90 days that no amount of opoids would help. After not moving in bed for 4 days solid and not eating for that long and urinating only in a bucket, the synovial cyst ruptured and pain disappeared, but before a year she couldn't walk one day so was in hospital for a few weeks on hydromorphine. After that she developed about 20 more cysts in her body. She already had some internal cysts as she was was prone to cysts and ganglions. Then she woke up with numb burning face on left side. Multiple new cysts were on back of head by hair line too but some were on stomach and butt and near pelvic bone. Doctors thought it was metastatic cancer from breast cancer several years ago because she also had pituitary macroadenoma, tested positive for Lyme disease and had 3 thyroid nodules. Didn't want biopsies. She is a senior who recently got crushed thoracic spine a couple of times as well as a few ribs a a couple of times within a 3 month period and then also got slipped disk in thoracic area. Doesn't know if face problem was caused by stroke or spine because no MRI available for several months. Has had regularly falling red and white platelets for last few years but iron level is ok (calcium level very high) even though she is pale as a ghost. Blood tests suggested no parathyroid problems. Now her spinal cyst is back again like a large boulder and she is developing more sciatica again and pain in inner upper thigh and vein on back of leg near knee. Has lot of pain and difficulty walking. Neurosurgeon says very high risk of death for removal of synovial cysts so not keen on operating. She lost over 100 pounds of muscle and fat in hospital 3 weeks when spinal nerve got pinched so is a little thin. Have you ever heard of a lumbar synovial cyst exploding twice? Also, have you heard of it creating multiple other cysts throughout the body after it bursts? Fears these cysts may be caused by spirochettes from the Lyme so there may be no options because cortisone can be deadly. Also fears second rupture will kill her. Also had ruptured hemorrhoid so seems to be dissolving or eaten from inside like the starfish on the coast of Vancouver and some ocean planktons in other parts of the world!
Doc, I have buttock pain, tailbone pain, and pain shooting down both legs in the front side, and outside of my legs. I had my first back surgery (Laminectomy/Discectomy) at 28. Just had an MRI. L5-S1 paracentral protrusion with severe degenerative disc disease. I have a small perineural cyst along the exiting right L5 nerve route and another small perineural cyst at the S1-S2 level. I also have a disc bulge at the L4 level as well. I am retired military veteran so luckily all my medical procedures are covered 100%. I have surgery (ALIF with cyst removal) scheduled on June 2nd, 2015. In order to access the cysts does the dura have to be removed and the arachnoid opened? I just watched videos and I really hope my CSF is not messed with. My nerves are in hyperactive mode right now because of watching those videos. Any advice doc?
Hi Dr Mork is a good information. They found 2 cyst after a fall a had where I fractured my tailbone. I am just 37yrs and one of the cyst they found is pretty big. I had 2 Epidural but didn't work and really scared of a surgery at my back. Could you give more information about the surgery or procedure? Thanks.
I have a large cyst, completely fills the facet joint. Have had back and sciatic pain for 6 years. Next week theyre going to do a ct guided aspiration followed by an epidural injection of steroids. Then when i get my bmi less than 40, they will cut it out and do a fusion. Will the aspiration be problematic due to the fluid being viscous?
I was diagnosed with Spondylolisthesis...and I was in major pain for many years...things settled down..I reviewed my MRI and it mentioned a synovial cyst on l4/5 right side and it really explains much better why I am in so much pain. I am managing it, not ready for any kind of surgery...not a fan of injections...thanks for the video..Mine is 6mm. not sure if that is concidered large? I was 50 when they found it,I am not 55
I had a synovial cyst removed a few weeks ago plus a shot of steroids, my back feels good and I know they got most of the fluid out through aspiration. I have a lot of bulging discs but hopefully the shot will last for awhile.
+Tony Mork Thanks so much! My discs are pretty bad so I expect I will have another shot but thats OK, it relieves the pain and isn't as bad as you might think as far as pain goes.
Great video - I have one of these and have had an injection with no improvement...so cyst removal possible next step - what s the normal recovery time from that procedure ?
Had my removed surgically. The surgeon removed too much material around the cyst. My spine would not stay in place correctly and would paralyze me at times. Had to find a different surgeon that was competent to do a fusion about a year later. If you’re getting this surgery be careful. I went through Hell because of a poor surgeon.
I have a cervical cyst and have had horrible migraines for a couple of years. Have you ever heard of a cyst in the cervical spine? Thanks a bunch for anybody that says anything about this. I am waiting for docs to tell me what they want to do . Had MRI, x-ray and ultrasound in last 2 months. The headaches and neck pain are debilitating:(
I have cyst in nerve in cervical region. Initially I had shooting pains from neck to right arm and was treated with tuberculosis medicine. Now there is no pain but numbness and tightness in right body below neck persists. Doctors are not ready to perform surgery as they say it may be fatal and to let it be as it is, It will not grow. I am from India.
Thanks so much you explained it better than my own doctor!!! After an MRI I found out I have two of these cysts but it's S1 and S2 ...is this more risky than L4 L5 ?? bad pain in Si joint ..cyatica down front back of leg ..into the shin a d foot 🙄
Hi im maria.i went for x rays yesterday morning.they found a cyst on my right hip.ive been having this hip problem for more than a year.and the pain is so severe and uncomfortable.i can not take it anymore.im at a point where i even get fever because of the pain.im 34years old.and what is the best option for me so that this wont affect my life as im getting older.I'm also diagnosed with arthritis..
Thank you doctor. I was diagnosed with this at l3.l4. I cant walk without severe nerve pain. I got my first nerve block on day 3 at ER... THEY ARE RELEASING me today, and though i have much more comfort sitting i still cant walk without bilaterial leg pain. Plus my congenital stenosis adds some problems. The hospital NEUROSURGEON want me to try mORE INJECTIONS. I just gotta take it day by day. I am a mess at 46age
Another issue that I've recently had over the last couple weeks, I started having severe pain in my left thigh! It's intermittent and also getting Worse! I believe this has something to do with my Synovial Cyst. All of my extremities have become Numb and even my upper extremities as well.
hi doc ! thanks for the info. i have just been diagnosed with one of these but at C3 am waiting to see surgeon. the cyst is around 5mm width and 8mm length right hand side applying pressure to spinal chord. have been having numbness and pins and needles down right arm and in fingers, neck pain and head aches almost daily. just wondering what surgery was like for this area ? does it differ greatly to lower spine ? and recovery time est. oh i am 44yrs old if that is relevant ! cheers from dionne
***** i am in australia and was just researching i have no intention of seeing him. i am hoping to get away without surgery at all just a waiting game at the moment
@@DrTonyMork that is good to know but at the moment I have so much pain in the right leg that I have been using crutches for 4 days I have stenosis too. The sciatic nerve was irrated by the fluid release
Just had an MRI this past week have Rheumatoid arthritis so that is already in my back I have synovial cyst just wondering I had back surgery then other side herniated/bulging disc now this🤦🏾 I rather have another surgery but concern with rheumatoid arthritis will i get relief?
Hi Dr. my diag. is L4 L5 cyst causing slight sensation for 5 months straight . went in for a surgical evaluation after trying cortisone shots 3 times with a fluoroscopy . had the cysts drained during procedure , not sure if DR. was able to completely drain it though . tingling in leg to foot is not causing major pain but it is irritating to feel the shocks after getting up from sitting or up from bed . it does subside. but anyway the surgeon recommended a cleanup in the L4 , L5 removing the cysts and then installing a titanium clip called Coflex by Paradigm company. it will prevent cyst from recurring and line up L4 and L5 . Would you do this ? hopefully if I do it , it will be permanent ..thx
Dr. Tony Mork, MD thanks for your quick reply. I will be having a cyst removed on Christmas Day this year in fact. What is the average length of hospital stays as well as what am I able to do after the surgery?. Last question I am highly allergic to FANANYL which I think is used during surgery these days, any alternative suggestions?
Just found out today that i have one, the doctor said it's large. I have had extreme pain, which has gotten better in time, and numbness in my leg. The doctor said that I can get injections as a next step, but I am hesitant as long as I can function,
I just started looking at these bc I have a lump or bulge ab the size of a golf ball on the right side of my spine. But no pain or instability. Nobody shows pictures of the back so can u not see them from the outside? Not asking for a diagnosis but does it sound like I cysts to you?
I was have a synovial cyst inside my spine l4,l5 and I was not give any option but to have fusion. I am only 43 and am terrified. are there other options to eliminate this cyst.
You said these synovial cysts are rare? I beg to differ, I had surgery 2 years ago to remove a 5.8mm synovial cyst located in the L4 region, the cyst was removed and the pain stopped (the worse pain I ever had) I now have another, a 6mm left facet cyst at L3/L4 encroaching/impinging upon the central canal. The funny thing is I don't have nothing near the pain as the first it's a 1 compared to the other that was a full 10. I don't get it.
Dr. Mork what is your experience with the success of epidural shots of steroids with the presence of a cyst at L4/L5? The pain has been present for 3 months and has become progressively more painful to the point hydrocodone/acetaminophen no longer blocks the pain, and I can barely walk or sit without great difficulty.
i went to a dr before and he told me its a "ganglion" and he can't remove it cause 90% it will grow back and i should wait for it to go alone and it did but my hands hurts;/
Ok so mine is at the L3 and L4 is 0.6 CM X 0.4 I've been in in pain for 4 years now. The whole time doctor said I had hip bursitis or sciatica. I also have mild scoliosis. I have an appointment with Ucla so idk what's going to happened. I hope they don't keep making me do more physical therapy as that is not working. Please help me. I have blue shield ppo idk if you take that.
Hi I'm 22 and just found out I have a Synovial Cyst in my L4-L5 next to an asymptomatic bulged disc. Is it possible that this heals without surgery, and will I ever be able to lift weights and play sports again? Thank you for the video, it was extremely educational
Dr Mark, I haven't had a dignosis yet However I know positively that I definitely have a Synovial Cyst L4 L5. It hasn't gotten much larger since the summer of 2017. Mine is approximately the size of a 2 year olds fist. No joke! It has been slowly moving to the left and also further up my low spine? I'll be getting health insurance towards the end of May 2018. I'm very in tuned in my body. I'm becoming disabled now. I just turned 58 in feb 2018. I also have Spondylolisthesis and when I was diagnosed with that the specialist told me to advise my family about it. I'm very concerned. Now lately I've been getting severe pain in the areas of where this cyst is. I've been having a Catch like a vise grip. I haven't been able to sit upright for the last year. I have to lay at a 90 degree angle. Thanks so much for your Videos! Will you Reply to let me know what you think. Thank you very much.
I had my cyst removed 10years ago, its back i can't walk for more than 5 minutes. The pain is from my lower back down to my toes. My ankle is so painful it feels like its broken. My toenails hurt and growing in to a odd shape. Im in severe pain 80% of the day. I don't sleep longer than 4hrs a night. Over the counter medicine does not help I have negative reaction to steroids. My question is: can this be dangerous?. My doctor's appointment is in two weeks. I'm wondering if I should go to the emergency room before my doctor's appointment. Current time: 2:10 am i should be sleeping.
Just had this survey Feb 1 2023 I was in pain for months since August I had two back injection and it didn't help at all yes it moves some days I would be ok but not fine and others I'm in really bad pain numbness weakness on my left leg thigh also . Survey went well I'm in recovery going for physical therapy this week . After 6 weeks no pain in my leg so far you would have to take it easy for awhile when I feel like I'm doing to much I just sit down or lay down. I'm scheduled to return back to work after my two months home . I have a desk job so I will take it easy .
Thanks so much for the info. I just had an MRI and my pain specialist said I have multiple cysts with one large one pushing on the nerve. I’m going to have it drained and injection in the facet joint. I’m 63 and everything you explained helped in understanding this
Ed Goldman I hope you feel better..hugs and lots of love ❤️
Thank you, Doctor Mork, for explaining this condition so thoroughly. I have had this condition for some time and your presentation was a huge help to me as I face surgery to remove it next month.
I am facing this exact surgery next month, wondering how your surgery turned out. Thanks
@@evcman4383 how was your surgery? I have a cyst impacting pain down my leg. I am only 47
Terrific video. Crystal clear presentation which has helped me visualize what/where my diagnosed synovial cyst is and understand how it is impinging on the nerve(s) going to my legs.
Thank you, Dr Tony for the best explanation I have come across! Your clear and precise explanation has helped me immensely in understanding my condition and the treatment options.
Welcome
Thank you for so much great information . You explain everything very well Dr Mark.
Thanks for this video! I was in a lot of pain two years ago. I had an MRI scan and it showed a disc bulge and a synovial cyst. The report said my pain was caused by the disc. I tried different treatments and nothing helped. I then decided to try IDD therapy and it worked wonders for me! I had a scan done after the treatment and it showed that the disc was still bulging a but the cyst was gone. I am glad I avoided surgery and can live a pain-free life again! I am 30 though so it shows you it can happen to people younger than 60. I just wasn't sure what that cyst exactly was but this video explained it really well. Thanks a million!
Hi i have the same condition this comment was 5 years ago, can you tell me if you are still living pain free. Thanks
What is IDD therapy?
@@maureenhudak6396 I was wondering the same thing
Very helpful. Just had a large cyst removed and this is spot on
I had mine removed when I was 45 but didn’t get significant relief until I had L4-L5 fused two weeks ago.
Thanks for this video it’s very informative!!
@Joe Biden president elect I'm doing better. I still have good lower lumbar range of motion, can feel a bit stiff sometimes but the all day stabbing pain is gone.
Thank you Dr. Mork, I had an MRI done and it shows that I do have synovial cysts - would this a symptom of my Foot Drop ? Originally the drop foot occurred from a broken spiral leg injury on the fibula near the knee. But an EMG ruled out nerve damage in the leg. I do not know how this could have resulted in the spine now. Any suggestions you might have would be helpful. Thank you for your informative video.
Thank you very much. I got the news today that I had a Synovial Cysts and this helped me so much to know what I am looking forward to going forward.
I can't believe I'm only 37 yrs old and got this exact cyst and will have it surgically removed soon. A bit scared but it needs to be done. The pain is nuts! I feel it daily. Thank you so much for explaining this condition well. Blessings to you Dr.
Mizz Jojo How are you getting it removed so quickly???? Mine has been months and all they have done is 1 injection then another where they forced fluid around it to try to pop it!!!! My surgeon passed me off to a Pain Dr who did those two procedures. Waste of time and money. I will need a fusion if they do surgery because of the location of mine. Im 43. I just wish they would do it
Leesa Brunner oh gosh sorry to hear you're still dealing with excruciating pain! It's been a month since I got the cyst taken out and I feel great again! I was in excruciating pain for a month and that was too long. My MRI showed I had a cyst so I had the option to remove it or get injection. Since the pain was debilitating I asked to have it removed. The orthopedic surgeon I was suppose to go to couldn't see me for weeks and so I went to see this awesome neurosurgeon instead by googling/researching. I didn't want to wait & be in that much pain anymore. Luckily the neurosurgeon took me in right away. Thank goodness! Prayers to you and hope you find relief soon!
My Doctors wont do surgery until we go through all these steps. I have no options. Apparently my insurance...UPMC...and my Doctors have the say. I have no choices in my care. Did you need a spinal fusion? The neurosurgeon said Ill need a fusion.
Leesa Brunner auwww junkie insurance. Synovial cyst can't be popped & it won't move. Also my dr said in order to get to that cyst, he has to remove a bone fragment to get to the cyst so can't just use a needle to pop it either. It has to be surgically removed so that doesn't make sense that you need to do all that before surgery. Luckily for now I don't need the fusion. Crossing fingers that I don't ever need it. Dr said majority of times that cyst won't come back & some surgeons think it will so they fuse also. Don't get me wrong there are some people that will need fusion because of how severe it is. My surgeon said he does approx 10 patients a year for cyst removal and he's been doing this 20+ yrs. Out of all of those, only 1 patient had a regrowth of cyst. Mine is at moderate to severe stenosis so dr wants to preserve it as much as possible. It really depends on the dr. Some will want to do both (cyst removal & fuse) & others just remove cyst. I felt relief immediately after surgery. Hallelujah! Sending you prayers & healing energy.
Thank you very much for your great explanation. I am having something like that, they pain is horribleeee!!! and usually don't let you sleep at night. Pain goes down to the right side, to the hip, the front, I never seen anything like it. I truly appreciate your time and wisdom, God bless you!
liu Rodriguez call our office at 949 640 6675 we will schedule a consultation with the doc
@@coastspine-patientcoordina9000 Thank you!!!!!! After he called me up and reviewed my case is when I finally decide to find a good back surgeon, great doctor and human being, he called me up at night after 8 pm because he was booked! That says a lot about him not only as a doctor but as a human being! Blessings!
I'm very happy that I came across this video as I have a support group for Tarlov (perineural) cyst disease sufferers and one of my members also has a Synovial cyst and needed some additional information. This video is perfect for her use. I have to wonder though since I see so many other cyst type treatment videos that you have done if you do any work on Tarlov Cysts as well. We are incredibly limited in the number of Neurosurgeons that work on symptomatic cysts, so any additional, available surgeons are an incredible asset.
Good luck to you, I have to travel 100 miles each way to see a surgeon. It is no fun, I hope you do well. Where is your support group located and can anyone join? I could certainly use some support.
Me too
I have been diagnosed with Tarlov cysts last week and I am in much pain with no support
Where is ur support group based? I am in Australia
Plea help
@@Angelamc3688 Hi, I don't know what a Tarlov Cyst is sorry, but I am sure you are suffering pain from it. I was diagnosed a few days ago with a Synovial Cyst at L5/S1 and L6 with a bulging area. The Synovial Cyst is causing me intense pain, and has been just increasing in pain for the past 10 weeks. I only had the CT and MRI done a week ago. The Spinal Surgeon I have been referred to is going to do a cortisone injection next Wednesday under a twilight anaesthetic to see if there is any improvement. I was referred to the International Spine Centre in Adelaide. What State are you in? Have you found a good Spine Specialist to help you yet? I do hope so. All the best xx
Hi doctor thank you for the presentation I just had this done yesterday already feeling so much better. It's good to know we have you out there helping us layman 😁😊
Did you have the synovial cyst removed and nothing else?. I have one pressing on my sciatica nerve along with spondylarthrosis and I just want my piercing sciatica pain gone.
@@alwayslearningfromexperts hi Angie yes I had the cyst removed and I also had some arthritis or spinal stenosis is a diagnosis they use. I am almost 100% back to my old self and I was in so much pain going all the way down to my left foot. I highly recommend this done is changed my life.
Ps they gave me a medicine before the surgery called gabapentin and it really helped almost as much as the surgery. It'll make you feel a little dopey for a couple days but it eases up the pain it causes the inflammation to shrink on the sciatic nerve. I hope this helps you
How long did you have to put up with it before you were able to finally get the Synovial Cyst surgically removed please? I have only just been diagnosed with one, but I have been suffering with the pain for about 10 weeks, and I can only stand or walk for about 30 seconds before the pain is SO intense that I just HAVE to sit down!! I have had 3 knee replacements, broken my scapula twice, had 3 broken ribs, and broke my femur badly in a fall once as well, needing a gamma nail & internal screws to fix it...but the pain from this Synovial Cyst is NEXT LEVEL at times!! I can't do anything apart from sitting, and even that gets uncomfortable after a while. I am going through the pain killers as if they were lollies!! I would be interested to hear more about what you have been through please.
Knowledge is power. I am booked in for a cortisone injection next Wednesday with a Spinal Surgeon. Thanks from Sue in South Australia xx
Dr. Mork, thanks for a clear easy-to-understand video. I have a synovial cyst at (where else) L4-L5 that is causing pain in my left leg. I have a consultation scheduled with a neurosurgeon but you've already answered my big question: Will I have to have spinal fusion? Good to know they can go back later and do the fusion if necessary. I just wanted to let you know your effort is much appreciated.
i have a large right facet synovial cyst at the L4-L5 level causing severe spinal stenosis. i'm interested in having it removed by the minimally invasive surgery (MIS) you've described. I'm on my butt most of the work day - between my commute and desk job - but I'm a weekend warrior with a list of chores and projects that keep me active during my time off. so I'm wondering how long after the MIS can I return to getting my life back? minus the pain, of course.
I'm much younger than 60 but my lower back, sciatic, and legs are killing me. My husband tried to massage my lower back but it hurt too badly for him to touch...he said it felt like I had a cyst. I thought that sounded crazy but then I googled it and it sounds like he may be correct. I hope it goes away on its own. I pray each person dealing with this pain gets relief.
95% of metastasis occurs in the spine and skull. You cannot palpate this lesion that I am aware of, I hope you have seeked care and that this area has been imaged, and you have relief. Best wishes, retired doctor
Such a great video! Thank you so much Doctor!
Welcome
What about non surgical treatment options?
Can microdisectomy surgery cause synovial cyst?
I've Been in pain for a years. Its only have gotten worse over time. I happen to find out I have synovial cyst at L5. no one told me. Thank you for explaining it. I have to find someone who can help me.
I have spent two days in hospital as I couldn't stand the pain of sciatica anymore. I have synovial cyst 5-8mm at L5S1. Was sent home with Sevredol and Gabapentin and 5days of oral steroids. I have no faith in this treatment however your video has given me aa great explanation of my problem and hope for a better approach if the steroids don't work. Wish I lived in the US- I'd be coming to see you. May actually be worth the trip over from NZ. Thanks for the great Video
I hope you had it cut out because this is the only permanent cure. I'm going through my second one, in 2 years and I assure you it will be cut out as well. All other treatments fail. Good luck and God Bless, I know how bad the pain is.
great video. Only on the website of Interstitial cystitis this video had a text above it about Tarlov cysts. Synovial cysts are another type other cysts, so this video does not correspont with the text about Tarlov cysts
Excellent video. I have had a lump on my spine that was painless until yesterday, when it suddenly became tender.
Beth I I have like a egg size lump on my back near my spinal cord!! My back, lower back be hurting and my legs do be tingly!!! I’m so scared!! The lump is soft I do believe it is fluid but I just so scared
Thank you Dr I have just had a Lumbar cyst removed & it ties up with your explanation
Glad it was helpful!
I am already fused at l4 and l5. I had an MRI and shows a cyst. The earliest that I get to see neurosurgeon is a month away. What can I do until them to stop sciatica? How long does recovery take
Very hard to offer advice without knowing all the facts.
My friend had synovial cyst in lumbar spine that was the worst pain for 90 days that no amount of opoids would help. After not moving in bed for 4 days solid and not eating for that long and urinating only in a bucket, the synovial cyst ruptured and pain disappeared, but before a year she couldn't walk one day so was in hospital for a few weeks on hydromorphine.
After that she developed about 20 more cysts in her body. She already had some internal cysts as she was was prone to cysts and ganglions. Then she woke up with numb burning face on left side. Multiple new cysts were on back of head by hair line too but some were on stomach and butt and near pelvic bone.
Doctors thought it was metastatic cancer from breast cancer several years ago because she also had pituitary macroadenoma, tested positive for Lyme disease and had 3 thyroid nodules. Didn't want biopsies. She is a senior who recently got crushed thoracic spine a couple of times as well as a few ribs a a couple of times within a 3 month period and then also got slipped disk in thoracic area. Doesn't know if face problem was caused by stroke or spine because no MRI available for several months.
Has had regularly falling red and white platelets for last few years but iron level is ok (calcium level very high) even though she is pale as a ghost. Blood tests suggested no parathyroid problems.
Now her spinal cyst is back again like a large boulder and she is developing more sciatica again and pain in inner upper thigh and vein on back of leg near knee. Has lot of pain and difficulty walking. Neurosurgeon says very high risk of death for removal of synovial cysts so not keen on operating. She lost over 100 pounds of muscle and fat in hospital 3 weeks when spinal nerve got pinched so is a little thin.
Have you ever heard of a lumbar synovial cyst exploding twice? Also, have you heard of it creating multiple other cysts throughout the body after it bursts? Fears these cysts may be caused by spirochettes from the Lyme so there may be no options because cortisone can be deadly. Also fears second rupture will kill her. Also had ruptured hemorrhoid so seems to be dissolving or eaten from inside like the starfish on the coast of Vancouver and some ocean planktons in other parts of the world!
Doc,
I have buttock pain, tailbone pain, and pain shooting down both legs in the front side, and outside of my legs. I had my first back surgery (Laminectomy/Discectomy) at 28. Just had an MRI. L5-S1 paracentral protrusion with severe degenerative disc disease. I have a small perineural cyst along the exiting right L5 nerve route and another small perineural cyst at the S1-S2 level. I also have a disc bulge at the L4 level as well. I am retired military veteran so luckily all my medical procedures are covered 100%. I have surgery (ALIF with cyst removal) scheduled on June 2nd, 2015. In order to access the cysts does the dura have to be removed and the arachnoid opened? I just watched videos and I really hope my CSF is not messed with. My nerves are in hyperactive mode right now because of watching those videos. Any advice doc?
Let me know how it worked out please. Nerve cysts and synovial cysts are very different
I’m 43 and believe I have this. It’s ruining my life. Thankfully I have a scan booked for the end of the month. Praying for some answers.
Hi Dr Mork is a good information. They found 2 cyst after a fall a had where I fractured my tailbone. I am just 37yrs and one of the cyst they found is pretty big. I had 2 Epidural but didn't work and really scared of a surgery at my back. Could you give more information about the surgery or procedure?
Thanks.
I have a large cyst, completely fills the facet joint. Have had back and sciatic pain for 6 years. Next week theyre going to do a ct guided aspiration followed by an epidural injection of steroids. Then when i get my bmi less than 40, they will cut it out and do a fusion. Will the aspiration be problematic due to the fluid being viscous?
If too viscous, fluid won’t come out - that’s all.
I was diagnosed with
Spondylolisthesis...and I was in major pain for many years...things settled down..I reviewed my MRI and it mentioned a synovial cyst on l4/5 right side and it really explains much better why I am in so much pain. I am managing it, not ready for any kind of surgery...not a fan of injections...thanks for the video..Mine is 6mm. not sure if that is concidered large? I was 50 when they found it,I am not 55
6 mm is big enough to cause your pain
@@DrTonyMork how dangerous is surgery for this?
@@bikinggal1 I think its pretty safe
I had a synovial cyst removed a few weeks ago plus a shot of steroids, my back feels good and I know they got most of the fluid out through aspiration. I have a lot of bulging discs but hopefully the shot will last for awhile.
+Tony Mork Thanks so much! My discs are pretty bad so I expect I will have another shot but thats OK, it relieves the pain and isn't as bad as you might think as far as pain goes.
Great video - I have one of these and have had an injection with no improvement...so cyst removal possible next step - what s the normal recovery time from that procedure ?
Had my removed surgically. The surgeon removed too much material around the cyst. My spine would not stay in place correctly and would paralyze me at times. Had to find a different surgeon that was competent to do a fusion about a year later. If you’re getting this surgery be careful. I went through Hell because of a poor surgeon.
I have a cervical cyst and have had horrible migraines for a couple of years. Have you ever heard of a cyst in the cervical spine? Thanks a bunch for anybody that says anything about this. I am waiting for docs to tell me what they want to do . Had MRI, x-ray and ultrasound in last 2 months. The headaches and neck pain are debilitating:(
Samantha S if you want to call us for a phone consultation with Dr Mork please call us at 949 640 6675
I am wondering if there is a way to prevent that from happening using exercise. Sounds like it's just old age.
maybe weightlifting helps strengthen the back and other bones.
synovial cyst operation 90 percentage success balance what are are risk factor 10 percentage?
I have cyst in nerve in cervical region. Initially I had shooting pains from neck to right arm and was treated with tuberculosis medicine. Now there is no pain but numbness and tightness in right body below neck persists. Doctors are not ready to perform surgery as they say it may be fatal and to let it be as it is, It will not grow. I am from India.
Synovial cyst and cyst in the nerve are very different problems
Great video, thank you!
Thanks so much you explained it better than my own doctor!!!
After an MRI I found out I have two of these cysts but it's S1 and S2 ...is this more risky than L4 L5 ??
bad pain in Si joint ..cyatica down front back of leg ..into the shin a d foot 🙄
Hard to know about risks without looking at the scan
Thank you Sir.
Ty
Brilliant Explained for lots of people like myself who get bogged down with professor'jargon '' thank you
Hi im maria.i went for x rays yesterday morning.they found a cyst on my right hip.ive been having this hip problem for more than a year.and the pain is so severe and uncomfortable.i can not take it anymore.im at a point where i even get fever because of the pain.im 34years old.and what is the best option for me so that this wont affect my life as im getting older.I'm also diagnosed with arthritis..
Do they ever occur in the thoracic spine? I liked and subscribed
Thank you doctor. I was diagnosed with this at l3.l4. I cant walk without severe nerve pain. I got my first nerve block on day 3 at ER... THEY ARE RELEASING me today, and though i have much more comfort sitting i still cant walk without bilaterial leg pain. Plus my congenital stenosis adds some problems. The hospital NEUROSURGEON want me to try mORE INJECTIONS. I just gotta take it day by day. I am a mess at 46age
MegaDonjuan007 please call our office to schedule your phone consultation with Dr Mork. our office # 949 6401 6675
Another issue that I've recently had over the last couple weeks, I started having severe pain in my left thigh! It's intermittent and also getting Worse! I believe this has something to do with my Synovial Cyst. All of my extremities have become Numb and even my upper extremities as well.
Lumbar cysts don't usually affect upper extremities
hi doc ! thanks for the info. i have just been diagnosed with one of these but at C3 am waiting to see surgeon. the cyst is around 5mm width and 8mm length right hand side applying pressure to spinal chord. have been having numbness and pins and needles down right arm and in fingers, neck pain and head aches almost daily. just wondering what surgery was like for this area ? does it differ greatly to lower spine ? and recovery time est. oh i am 44yrs old if that is relevant ! cheers from dionne
+Tony Mork thanks for the speedy reply I am in Australia so your office is a little fat away for me to visit. Thanks anyway I will keep you posted.
***** i am in australia and was just researching i have no intention of seeing him. i am hoping to get away without surgery at all just a waiting game at the moment
What happens if it ruptures by itself leaving a red area like a rash covering an area a little less than a tennis ball.
If it ruptures, the pain will likely be gone.
@@DrTonyMork that is good to know but at the moment I have so much pain in the right leg that I have been using crutches for 4 days I have stenosis too. The sciatic nerve was irrated by the fluid release
Is there a difference if a 6mm one is found at c3-c4
Just had an MRI this past week have Rheumatoid arthritis so that is already in my back I have synovial cyst just wondering I had back surgery then other side herniated/bulging disc now this🤦🏾 I rather have another surgery but concern with rheumatoid arthritis will i get relief?
I wish that I could tell the future
Hi Dr. my diag. is L4 L5 cyst causing slight sensation for 5 months straight . went in for a surgical evaluation after trying cortisone shots 3 times with a fluoroscopy . had the cysts drained during procedure , not sure if DR. was able to completely drain it though . tingling in leg to foot is not causing major pain but it is irritating to feel the shocks after getting up from sitting or up from bed . it does subside. but anyway the surgeon recommended a cleanup in the L4 , L5 removing the cysts and then installing a titanium clip called Coflex by Paradigm company. it will prevent cyst from recurring and line up L4 and L5 . Would you do this ? hopefully if I do it , it will be permanent ..thx
Let me know how it works out please
You said the success rate for synovial cysts are 90% plus, is this true?
I have never seen one recur after endoscopic removal.
Dr. Tony Mork, MD thanks for your quick reply. I will be having a cyst removed on Christmas Day this year in fact. What is the average length of hospital stays as well as what am I able to do after the surgery?. Last question I am highly allergic to FANANYL which I think is used during surgery these days, any alternative suggestions?
@Joe Biden president elect it turned out A okay!!!!!
Just found out today that i have one, the doctor said it's large. I have had extreme pain, which has gotten better in time, and numbness in my leg. The doctor said that I can get injections as a next step, but I am hesitant as long as I can function,
Don't live in extreme pain for too long when there are low risk treatments available.
I just started looking at these bc I have a lump or bulge ab the size of a golf ball on the right side of my spine. But no pain or instability. Nobody shows pictures of the back so can u not see them from the outside? Not asking for a diagnosis but does it sound like I cysts to you?
Hard to know ... lipoma?
I would like to know what the IDD therapy is?
Can we remove the Cyst by medicines.
Not that I know of
Thank you Dr. Tony, I wonder if fibromyalgia can be miss diagnosed Synovial Cysts, and can it be developed in late 20th early 30th?
Hard to confuse those two
I was have a synovial cyst inside my spine l4,l5 and I was not give any option but to have fusion. I am only 43 and am terrified. are there other options to eliminate this cyst.
Yes.. go see a NEURO SURGEON NOT ORTHO
Thank you for the video! I was told that I had synovial herniation pit in the right femoral
neck. is that something similar?
the best way to go is to have a consultation with the Doctor, call our office at 949 640 6675
You said these synovial cysts are rare? I beg to differ, I had surgery 2 years ago to remove a 5.8mm synovial cyst located
in the L4 region, the cyst was removed and the pain stopped (the worse pain I ever had) I now have another, a 6mm left facet cyst at L3/L4 encroaching/impinging upon the central canal. The funny thing is I don't have nothing near the pain as the first
it's a 1 compared to the other that was a full 10. I don't get it.
Rare as far aw the general population goes
is there is out thereThank you for your presentation your audio could use some assistance. Thank you
Dr. Mork what is your experience with the success of epidural shots of steroids with the presence of a cyst at L4/L5? The pain has been present for 3 months and has become progressively more painful to the point hydrocodone/acetaminophen no longer blocks the pain, and I can barely walk or sit without great difficulty.
hello dr im 18 and i have it on my hand and it hurts alot should i do a surgery to remove it?
thankyou dr it just disappeared 2 weeks ago and i will check a dr soon cause it hurts when i do push ups or when i carry anything heavy
i went to a dr before and he told me its a "ganglion" and he can't remove it cause 90% it will grow back and i should wait for it to go alone and it did but my hands hurts;/
Great video...
My mri report states a right renal cyst is this the same?
No.. you need to see a urologist
Danslife no
Thank you so much for the breakdown. Would this be the same for the knee and calf?
What happens if you Don't remove it?
Arlene Aguilar you have lots of pain and decreased mobility
Ok so mine is at the L3 and L4 is 0.6 CM X 0.4 I've been in in pain for 4 years now. The whole time doctor said I had hip bursitis or sciatica. I also have mild scoliosis. I have an appointment with Ucla so idk what's going to happened. I hope they don't keep making me do more physical therapy as that is not working. Please help me. I have blue shield ppo idk if you take that.
Hi I'm 22 and just found out I have a Synovial Cyst in my L4-L5 next to an asymptomatic bulged disc. Is it possible that this heals without surgery, and will I ever be able to lift weights and play sports again? Thank you for the video, it was extremely educational
Unknown, sometimes they resolve spontaneously.
Dr Mark, I haven't had a dignosis yet However I know positively that I definitely have a Synovial Cyst L4 L5. It hasn't gotten much larger since the summer of 2017. Mine is approximately the size of a 2 year olds fist. No joke! It has been slowly moving to the left and also further up my low spine? I'll be getting health insurance towards the end of May 2018. I'm very in tuned in my body. I'm becoming disabled now. I just turned 58 in feb 2018. I also have Spondylolisthesis and when I was diagnosed with that the specialist told me to advise my family about it. I'm very concerned. Now lately I've been getting severe pain in the areas of where this cyst is. I've been having a Catch like a vise grip. I haven't been able to sit upright for the last year. I have to lay at a 90 degree angle. Thanks so much for your Videos! Will you Reply to let me know what you think. Thank you very much.
Sorry it has Gotten Much Larger!!! And going in different directions? To the left and Up
I had my cyst removed 10years ago, its back i can't walk for more than 5 minutes. The pain is from my lower back down to my toes. My ankle is so painful it feels like its broken. My toenails hurt and growing in to a odd shape. Im in severe pain 80% of the day. I don't sleep longer than 4hrs a night. Over the counter medicine does not help I have negative reaction to steroids. My question is: can this be dangerous?. My doctor's appointment is in two weeks. I'm wondering if I should go to the emergency room before my doctor's appointment.
Current time: 2:10 am i should be sleeping.
Yes, I would go to the ER for evaluation, you really don't know what the problem is.
@@DrTonyMork
Thank you Doctor T.Mork.! 😊
I got this at 35 and still
In pain
60 years old? I'm 35 and was just told I have one at T11.
I have severe pain from this.
Just had this survey Feb 1 2023 I was in pain for months since August I had two back injection and it didn't help at all yes it moves some days I would be ok but not fine and others I'm in really bad pain numbness weakness on my left leg thigh also . Survey went well I'm in recovery going for physical therapy this week . After 6 weeks no pain in my leg so far you would have to take it easy for awhile when I feel like I'm doing to much I just sit down or lay down. I'm scheduled to return back to work after my two months home . I have a desk job so I will take it easy .
I,have. Sclerosis, subchondral cysts and osteophytes and pubic symphysis.
I also have a 5cm cyst that my coxyx bone is inside of.