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New - Perineural Cysts - What treatments have been helpful?

lkellyllkelly Posts: 1
edited 11/17/2013 - 12:48 PM in New Member Introductions

I've been experiencing sciatica and low back pain off an on for over 10 years. My most recent occurrence started 8 months ago. I did the normal ice-ing, resting, then visited my doctor - who sent me to physical therapy. But it didn't work. So then I went to the chiropractor and did more ice-ing, along with chiropractic adjustments, resting, and gentle exercises...it just got worse and worse. So I went back to the doctor in tears.

Last week I had an MRI and they found multiple perineural cysts on my lower lumbar and sacrum (see radiologist report below). I am seeing a neurosurgeon as soon as they can get me in. I'm wondering what others have done to successfully treat this diagnosis? I'm hesitant to have surgery...but will do whatever it takes to feel better and return to an active life...

MRI report:

There are multiple bilateral perineural cysts. These can be seen in the lower thoracic region as well as at multiple levels in the lumbar spine. Large perineural cysts with associated benign bone
erosion of the sacrum are noted bilaterally at S1 and S2.
CORD/CAUDA EQUINA: Normal caliber, contour, and signal intensity.

L1-L2: No significant disc/facet abnormality, spinal stenosis, or foraminal stenosis. Right L1 perineural cysts.
L2-L3: No significant disc/facet abnormality, spinal stenosis, or foraminal stenosis. Bilateral L2 perineural cyst.
L3-L4: No significant disc/facet abnormality, spinal stenosis, or foraminal stenosis. Left L3 perineural cyst.
L4-L5: No significant disc/facet abnormality, spinal stenosis, or foraminal stenosis. Multiloculated extraspinal synovial cyst at arising from the right facet joint which is mildly degenerated.
L5-S1: No significant disc/facet abnormality, spinal stenosis, or foraminal stenosis.

CONCLUSION: Multiple perineural cysts as described above. The largest are noted bilaterally at S1 and S2 and there is associated benign bone erosion.



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