A cyst. What does that make you think of?
For some Baton Rouge back pain sufferers, it would be a hint
to their pain’s source. But the diagnosis of a
synovial cyst as the culprit causing pain is an
intriguing one. Back pain and leg pain may stem from a
synovial cyst which is where Baton Rouge chiropractic care at
Capitol Spine & Rehabilitation comes in to help. Baton Rouge
chiropractic care with the Cox® Technic is shown to help decrease
back pain and related leg pain because of a synovial cyst without
Baton Rouge back surgery.
SYNOVIAL CYST FACTS
First, let’s discuss what
synovial cysts are. Synovial cysts are uncommon lesions affiliated
with facet degeneration and usually found in the lumbar spine at
L4-S1. (1) 33% to 40% of synovial cysts are correlated
with degenerative spondylolisthesis and instability of the involved
joint. (2,3) Synovial cysts may trigger sciatica/leg pain.
(4) Synovial cysts appear in females mostly in their 6th
decade of life, resulting in radicular pain
and neurological deficits. These cysts are generally
seen at L4-5 which is also the site of maximum mobility in the lumbar spine.
MRI is the diagnostic tool of choice as it exhibits
the consistency of the cyst (more or less fluid). (5) When
synovial cysts look lighter on MRI T2 images, they are probably
more fluid filled and less likely gelatinous or calcified, making
them potentially easier to ease. (6) Synovial cysts
have been documented to disappear especially
if the cyst wall is not calcified. (7) Capitol Spine & Rehabilitation works to help
Baton Rouge back pain sufferers dealing with synovial cyst get rid of
SYNOVIAL CYST CAUSES
Wilby et al describe a channel that connects
the facet joint capsule with the ligamentum flavum, the area where the synovial
cysts become visible. At surgery for these cysts,
they found that fragments of articular cartilage and bone were
in the walls of the channels in 89% of the cysts. This debris jams and
prevents the channel from draining and triggers granulation
tissue and scar formation likely starting
synovial cyst formation. (8) Capitol Spine & Rehabilitation works on scar tissue to
enhance the spine’s fluidity.
SYNOVIAL CYST TREATMENT
Conservative treatment of lumbar spine synovial cysts is recommended
as some are included to disappear without surgery. (9)
Conservative treatment is practical. If the cyst does
not respond, then surgery is an option. (5) Cox® Technic has a history
of conservative care relief for synovial cysts. (10) As implemented
at Capitol Spine & Rehabilitation, Cox® Technic succeeded in relief when
an epidural steroid injection did not. (11) In another case, a 75
year old man with back and leg pain and a synovial cyst treated for 3 months/16
visits felt 80% relief. (12) Cox® Technic at Capitol Spine & Rehabilitation
is relieving for many Baton Rouge back pain sufferers
with synovial cysts.
Listen to this PODCAST
with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson
about his relieving care with Cox® Technic protocols for a
patient with a synovial cyst.
CONTACT Capitol Spine & Rehabilitation
Schedule a Baton Rouge chiropractic visit for
diagnosis and treatment of back pain due to synovial cyst or
other reason. The diagnosis of a cyst as the pain generator is more
than just a clue to your pain’s source. It is the beginning
of a back pain relieving Baton Rouge chiropractic treatment plan at
Capitol Spine & Rehabilitation.
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page. Content is reviewed by Dr. James M. Cox I