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L4 L5 Synovial cyst

bermudagirlbbermudagirl Posts: 1
Hi, I am new to this and hoping I can get some feedback. I have just been diagnosed with a synovial cyst on L4 L5, which explains the pain I have had for years in the middle of my left rear cheek, but now the pain, shock, numbness and tingling have also moved to my left leg and foot. I have had therapy, pain killer, muscle relaxers and steroids, all to no avail. Now considering surgery, rods, screws, the works, because of this and sondylosis.
If you have had surgery for this could you please share your story of the good,the bad and the ugly. What should I expect or dread. Thanks alot!
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Comments

  • sunny1966ssunny1966 VIRGINIAPosts: 1,385
    Hi and welcome to SH. I don't have any answers for you but just wanted to welcome you. I'm sure there are others here with imformation to share with you. Good luck.

    Debbie
  • I was first diagnosed with a synovial cyst at L4-L5 in fall 2006. I tried all that you mentioned above as well as facet joint injections and draining of the cyst. It was the radiologist that did the aspiration that told me it would fill back up again and surgery was the only was to get rid of it permanently. I had the surgery (micro surgery, very quick recovery) in early 2007 and all the leg and hip pain was immediately gone. Unfortunately, I am one of the rare ones who has developed a recurrent cyst and am having another surgery in two days. But this time, I skipped all the PT and other conservative therapies and am going straight into surgery. Ask your doctor to refer you to a neurologist. I also found the drug Lyrica to be helpful for the nerve pain.
  • I am enclosing links to a couple informative articles on synovial cysts from this site. It is important to learn as much as you can about your problems, so you can be an active participant in the decisions pertaining to your care.

    http://www.spine-health.com/information/synovial-cyst

    http://www.spine-health.com/conditions/pain/treatment-options-synovial-cysts

    If you are located in the US, I hope you are seeing a fellowship-trained spinal specialist. This can be either an orthopedic spinal surgeon or a spinal neurosurgeon who devotes his practice to issues of the spine and back.

    Did the doctor say what type of surgery he would perform? I gather from your description of rods, screws, the works, that you are referring to fusion?

    If so, there are many of us on this forum that have had fusion for a variety of reasons. You can type "fusion" into the forum search box and can read through various older posts about others' experiences with this procedure, or you can post again with specific questions.

    Fusion is major surgery and the recovery is long. I would suggest you get at least another opinion, as there are different ways to treat synovial cysts.
  • Hi Bermudagirl,

    I'm suffering with the exact same symptoms but mostly on my right side & believe now it's a lumbar synovial cyst, thanx to Gweenie for enlightening me. I tried therapy and only given minimal amounts of pain pills, yet still I suffer terribly after taking them, no relief what-so-ever.

    I feel much worse as the day progresses, not too bad in the AM besides major stiffness, then aweful pain starts setting in, in the afternoon but I do get periodic shooting nerve pain whenever it wants. When I sit down to relax after work in the evening I get crippling horrid pain, butt, legs & feet throb & swell with electric shocks/tingling too and it's becoming really difficult to sleep as well.

    I get this weird feeling that my GP thinks I'm faking it and ignoring all my pains & symptoms but this pain is REAL and only getting worse as the years pass by, untreated!!!

    My question to you is what kind of doctor are you seeing???

    Wish I could help or offer advise to you but I'm just at ground zero on this whole synovial cyst issue...still...after 4 years suffering...I really need to find a doctor who will help me.

    Those links Gweenie posted are fantastic...check em out!!!

    Good luck to you, thanx for sharing!!!
    Keep us updated ok.
  • Hi, Sorry for all the synovial troubles all of you. It seems like they are so painful to some and just irritating to other.

    I had a CAT done in June of last year and along with what is felt to be mild degenerative disc disease, I have a l.4em [what is em]synovial cyst at L3/4, with apparently loss of disc height and disc vacuum phenomenon noted and a grade 1 degernative spondylolisthesis of L3 on L4. whatever that all means.

    I actually don't have too much pain if I keep doing yoga and stretches, but the dull ache in my right buttock and now tingling in both feet has been going on for three years. It started on the right and is now on the left as well...not too bad in the day as I move around, but really irritating at night. Like some, my doctor spend about two seconds thinking about it and don't really suggest anything except drugs to mask the pain. I had one appointment with a neurosurgeon who based on the results of my cat scan said he wouldn't do surgery, because, to summarize his thoughts, I was not in enough pain. What happened to preventative medicine? I don't understand waiting until I have lots of pain try and correct, it seems to me like prevention would be a better approach.

    I'm trying a chiropractor next week, and have been seen physios off and on for the last three years. Thought about spinal decompression, but have been told that won't work on a synovial cyst. I guess I'm just getting to the point where I think, I guess that happens when you get older [52] and am learning to accept that doctors don't want to spend much time on these kinds of complaints. I really love to be active and do lots of things and am worried as I get older, I'll just become less able to do things. I'm not a crazy marathon runner or anything I just like keeping active.

    I know back problems are part of our human physiology as we age, so that explains some of the problems. Also I was hit by a car on the left hip three years ago. I read somewhere that the cyst may have developed because of the accident. My doctors are not even remotely interested in the accident, as long as nothing was broken, which it wasn't.

    Ah well...enough rambling. Probably no one even will have the patience to read through to the end...we all have our problems I'm just really frustrated by the tingling and all.

    Thanks for listening and letting me vent.
  • Hi, Sorry for all the synovial troubles all of you. It seems like they are so painful to some and just irritating to other.

    I had a CAT done in June of last year and along with what is felt to be mild degenerative disc disease, I have a l.4em [what is em]synovial cyst at L3/4, with apparently loss of disc height and disc vacuum phenomenon noted and a grade 1 degernative spondylolisthesis of L3 on L4. whatever that all means.

    I actually don't have too much pain if I keep doing yoga and stretches, but the dull ache in my right buttock and now tingling in both feet has been going on for three years. It started on the right and is now on the left as well...not too bad in the day as I move around, but really irritating at night. Like some, my doctor spend about two seconds thinking about it and don't really suggest anything except drugs to mask the pain. I had one appointment with a neurosurgeon who based on the results of my cat scan said he wouldn't do surgery, because, to summarize his thoughts, I was not in enough pain. What happened to preventative medicine? I don't understand waiting until I have lots of pain try and correct, it seems to me like prevention would be a better approach.

    I'm trying a chiropractor next week, and have been seen physios off and on for the last three years. Thought about spinal decompression, but have been told that won't work on a synovial cyst. I guess I'm just getting to the point where I think, I guess that happens when you get older [52] and am learning to accept that doctors don't want to spend much time on these kinds of complaints. I really love to be active and do lots of things and am worried as I get older, I'll just become less able to do things. I'm not a crazy marathon runner or anything I just like keeping active.

    I know back problems are part of our human physiology as we age, so that explains some of the problems. Also I was hit by a car on the left hip three years ago. I read somewhere that the cyst may have developed because of the accident. My doctors are not even remotely interested in the accident, as long as nothing was broken, which it wasn't.

    Ah well...enough rambling. Probably no one even will have the patience to read through to the end...we all have our problems I'm just really frustrated by the tingling and all.

    Thanks for listening and letting me vent.
  • dianenoddianeno doncasterPosts: 32
    Hi fellow synovial members

    I know no one may answer but my cyst is tiny on L5 but causing severe pain despite yoga morphine etc
    My surgeon says I'm having injection soon, so refused to see me, it's 3 months since my MRI scan, the pain is more severe I cannot stand straight or carry on trying to work ITS HE'LL!  
    I'm sure my cyst has grown due to the increased pain
    Any advice or your stories would help please
     I'm desperate to find someone to chat to who also has the same so understands 
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