MRI: L4-L5 Bulge, Left Medial Synovial Cyst
Feb 1, 2016
Impression: Moderate L4/5 disc bulge and a left medial synovial cyst. Significantly compressing the left thecal sac and contributing to moderate central canal and left greater than right lateral stenosis.
I have had progressively worsening low back pain and upper leg and butt pain.
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I am a 65 year old female soon to have a L4/L5 Laminectomy with resection of Synovial Cyst (L4/L5) I need more information about the surgery, and what to expect as far as recovery time, etc.
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In January 2013 I started having left leg pains and started taking ibuprofens or store brand pain killers. Over the last 3 months the pain has become chronic, numbness in my big toe and foot, tingling, and pain in my buttock. This is only happening in my left leg. To make a LONG story short. The MRI showed a cyst pressing against my spine causing the pain. Initially my chiropractor thought is was a disc issue causing my sciatic nerve issues. My neurologist suggested a laminectomy Surgery however his concern was if I need fusion. I had an x-ray done that indicated there is some slipping. The neurologist gave me his best guestimation of how long that area of my back would last without the fusion. If he could have given me a high % that the fusion is necessary I would be at peace with it. Decisions, decisions. I was told the recovery is about 4 -6 weeks and longer with the fusion Do you have any knowledge on either procedure?
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Hello,
I'm new on this board. On October 1st 2015 I had decompression surgery (L2-L4), a laminectomy and removal of a synovial cyst that was very high up on the spine (L2)- it was compressing the cauda equina in a bad way. Since then I have had a lot of nerve pain in my groin (both sides), hamstrings, plus sciatica down my right leg from the hip to the toes (according to the neurosurgeon, this is a 'small hernia' due to stenosis and a trapped nerve on S1/L5/L4 that he will operate on when the pain gets too much for me). Not sure if the sciatica is related to the cauda equina syndrome, but imo the cause of both is spinal stenosis. The nerve pain got less throughout the months (except for the sciatica) but the last weeks it's returning again more, on both sides. I had an MRI done two months ago for the sciatic pain and the doctor saw 'something' on the L2 facet joint that could be a new synovial cyst, or else it's scar tissue, he wasn't sure. My gut feeling is that the cyst is growing back and pressing on the cauda equina again- or could it be that i'm still recovering from the first surgery (now 6 months ago)? I sure hope it's the latter, as it was a big operation and the surgeon said that fusion may be next, as the facet joints move too much and in this way the liquid will keep forming new cysts. Ugh. Mid August I will have a new MRI to see whether the synovial cyst is back or not.
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I had a laminectomy with removal of a synovial cyst exactly 17 days now and feel wonderful. Last weeks follow up visit actually was an eye opener because i found out I was doing too much, like bending for example, and I am really suppose to take it easy so the scar tissue can form a strong bond.
My cyst was large and sitting on the nerve root. As soon as it was removed the compressed nerve popped right back up, all good news.
I am wondering how soon before i can start doing other things besides resting and walking. I understand the golf is not happening for at least another 6 weeks and that's ok, but can I swim or when can i ride a bike?
I have basically no pain aside from a little muscle spasms.
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I have sever back pain and haven't been able to work since August. I am unable to stand, sit or walk for long periods of time. It hurts to sneeze, cough, bend or pick anything up. The pain is constant, stabbing at times and it feels like I have a rock in my spine. They have done facet and epidural injections. I take an anti-inflammatory, muscle relaxer and Norco (3 times a day). They tried to put me on Neurontin but it made me too sick. I have had every test done imaginable and basically what I have is degenerative disk disease with mild broad-base bulge. Bilateral facet arthropathy and ligamentum flavum hypertrophy. Indentation of the thecal sac in L4-L5. L5-S1 bilateral arthropathy. L3-L4 bilateral ligamentum flavum hypertrophy and a left nerve sleeve cyst (synovial cyst).
My surgeon wants to do a foraminotomy because I have radiculopathy on L4-L5 and then do a spinal cord stimulator for the pain. He isn't worried about the cyst...said it isn't the reason for my sever back pain. From what I have been reading, all of my symptoms sound like its the cyst causing at least some of the pain. Am I wrong to second guess his opinion? I just don't want to have these surgeries done and then later down the road turn around and have to have the cyst removed.
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I'm scheduled for surgery next month to remove a synovial cyst in my lower spine. The pain is present only when standing and walking for long periods, but debilitating when it occurs. I've read so much on this site, I thought I would get some of your views.
My neurosurgeon plans to do a laminectomy to reach the cyst which he says is quite large. We debated about whether a fusion is necessary to prevent the cyst from recurring. There is a difference of opinion among surgeons. Two that I've had review my X-rays say I have some degeneration in the disk and should have a fusion. A third says to take the risk and avoid the fusion. Eventually my surgeon convinced me I should have this done in order to return to an active life vs sitting on the couch. He does minimally invasive surgery and does not use a cage or pedicle (sp?) screws as he believes they put too much stress on other disks. Instead he showed me a very simple clamp he has used successfully. Has anyone heard of this - alternative?
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i am having a posterior lumbar 4-5 laminectomy with synovial cyst removal on August 27,2015. I have a 5 day trip to Germany planned 6 &1/2 weeks later.
I now know the recovery to be longer than the one week I had thought. I know it is at least 6 weeks, after my pre surgery intake with the wonderful nurse I have. Does anyone have feedback about a 8 hour plane ride to Europe with only 6 weeks recovery time? Thanks
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I was diagnosed as having a synovial cyst by a neuropsychiatrist. I had a procedure where he went in and drained the cyst along with that I had a steroid injection. Apparently he did not get much out of the cyst. The pathology report came back negative on what he did manage to get out.
On day two post procedure the pain starting coming back. Each day the pain level increased to where I am now a level 8 and sometime 9 and can barely stand the pain. My lower right back just above the buttock feels like there is pressure and is very achy. The deep achy pain goes into my right buttock and wraps around the lower groin area. The achy pain goes down my right leg and into my foot. It is a pulsating deep ache and I can hardly stand it. It also feels numb at times and I get pins and needle tingling. When I get up from laying down or sometimes sitting (when I can sit) I get this sharp excruciating pain in my right groin that doubles me over. I have to stay still in the doubled over position to let it subside before I can straighten up and walk. Sometimes the groin pain just hits me out of nowhere when I am standing.
On my follow up visit with my physiatrist he recommended I have a consult with a neuro spine surgeon. My appointment with the surgeon is in a couple of days. I feel very fortunate to get into see this surgeon who is very hard to get in to see. He is rated as "one of the best" in a very large healthcare system where I work.
I am taking 1500mg of gabapentin along with 6 ibuprofen a day. I am also taking hydrocodone. I fight the pain and only take on the average one pain pill a day because I don't like the groggy feeling.
My question is, has anyone else with a synovial cyst had all of these symptoms? Is the groin pain related to the compression on the nerve from the cyst. I appreciate any feedback and would love to hear from someone who has had these symptoms.
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I am ten days post cyst surgery, no fusion, just cyst removal. I have some numbness still in my foot. Is that normal?
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I'm 37 years old .After having slight pain and tenderness in my lower abdomen I decided to go to the ER where I was diagnosed with a lesion on my left ovary that"could be a complex ovarian cyst;however,there is a small chance that it could be something more serious like a mass" is the way that it was writing my discharged papers. The doctor said its 1 inch in diameter. I've been experiencing this pain off and on for a few months. Now I'm freaking out. I am going to schedule a follow up with my gynecologist next week. Should I be worried that this is cancer?
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Anyone out there having anterior or medial impingement issues following a total ankle replacement?
I'm a 50 year old female, 5 months out from a Salto TAR, with past scar tissue issues now finding increasing pain in the front and middle of the ankle. The surgeon has MRI'd CT'd and xrayed, found that all looks good and says he does not know what is going on.
A year and a half ago I had distraction with osteotomy, which failed and left me with a massive scar ball in the front of the ankle, which was removed before the TAR.
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Due to have a partial medial menisectomy in may, is it done as a day case and what is the recovery period roughly?
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I am going for surgery on a large cyst. I am expecting a baby so I am anxious about having to have surgery during this time. Has anyone been through similar and were ok and the baby was ok?
Also what were your experiences of the surgery pain relief and stitches etc?? Did it take you long to recover. Also if anyone has had this surgery pregnant or not I would love to hear from you but if you were what stage of pregnancy did you have surgery?
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I had a simple 13cm cyst removed from my broad ligament (next to ovary) at the end of June. It had been causing me issues for at least 6 months, including sharp pains, which I thought were linked to the digestive system at first. I had a laparoscopy and feel much better in myself.
The week before surgery, I began to noticeably lose hair from my head. It's now been coming out for nearly 8 weeks. Luckily I had a lot of hair to start with but I've now had to have it cut shorter as looked awful and I must have lost half my hair or more. :o( I've had blood tests and everything seems fine, so Dr thinks it must have been the stress that the cyst was putting on my body, esp with sharp pains etc. I have found this link to PCOS but not large cysts and wondered if anyone else had suffered in the same way and if so, how long the hair loss continued?
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I'm a 42 year old female. Six weeks ago I was climbing ropes at the gym and dropped down from 4-6 feet onto a piece of excess rope resting on the ground. My ankle rolled and pain and swelling occurred immediately. Being a stubborn woman, I walked it off until the swelling started spilling over my shoe.
Got an X-ray from the orthopedic who said nothing was broken.
I was on crutches for 2 weeks and still in an air cast boot when I'm on uneven ground or working out. My workouts are modified (rowing, 12" box steps, shoulder work, cleans)and ankle swells 4x the size afterwards.
My current problem/question is this: Saturday I walked without the book (tennis shoes) on a flat surface and was very careful not to twist/turn or injure the ankle. Of course, it swelled 4x the size, as it always does each afternoon.
However, pain woke me up in the middle of the night/early the next morning. I couldn't put any weight on the foot and experienced severe pain over my medial ankle bone. It was extremely tender to the touch and any movement caused sharp pain.
One day later, it's sore but the severe pain is gone.
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i had a solid cyst removed on friday its worse than childbirth, i have had 4 babies so i should know. i am swollen black and blue,can not walk or sit down feel depressed,no one can understand how bad the pain is.in hospital they did give me morphine that did take the edge of the pain.but i am home now and it kills!. i've tried to think of things i can do to get the pain away like cold flannels. and spray with a shower nothing helps.
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i been suffering with a severe bad back for nearly seven years, even though the pain brings me to tears sometimes i still work.
i had a mri scan two weeks ago and they said i have a disc bulge in my lower back which is causing all the pain in my legs
i have been prescribed tramadol for the pain and an anti inflammatory but it doesn't even take the edge off the pain.
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I have noticed that in the area from a few mm below my circumsision to below my head on the left side there is a bulge. This bulge is a rounded area. The colour is a little lighter at the point which comes out furthest from the rest of my penis. It does not always occur, and can be removed by squeezing the enlarged circular area. When erect it appears normal. I tried pe stretching a few months ago and did feel a sharp pain, then I stopped. I am unsure if it correlated to that. I can not remember exactly when it began. It is not painful. And has been occuring for months. I mastubate once daily. Thank you for your time. 15 male white
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About 15 months ago I started noticing a strange feeling in my right leg. I could not cross my right foot onto my left knee one day without a strain. A couple of months later I noticed that I was constantly flexing my quad muscles. Shortly after that, my knee would be slightly swollen and not look or feel right after normal daily activities.
This went on for several months with relatively no change and no pain. In time I developed a small limp, but was still not experiencing any pain. Just a limp with some motion limitations.
I finally went to a doctor and was told I strained my IT Band and to stretch and to walk regularly to help it to heal. This was not my issue and neither walking nor stretching helped or worsened the condition (that I know of).
About 5 months ago my limp was very noticeable and I could not even jog. But still no pain. Just limited motion. Although if I forced myself to run, it was painful, but I did not experience any pain day to day.
I went to an orthopedist and had an MRI done and was then diagnosed with synovial osteochondromatosis in the hip. It seemed very strange because any discomfort I was experiencing was in the knee. But the doctor explained it was referred pain for the issue in my hip.
The plan was set to get surgery, but due to family and work obligations I put it off for 5 months. During that time my condition rapidly accelerated. After a month I began experiencing pain in my knee daily. After a couple of months the pain became much worse and I was constantly having using ice and IBU to manage it. In time I could no longer walk without a cane. In the last weeks leading up to my surgery I could no longer use a cane and was only waking when absolutely necessary and only with crutches. I had to take the last 3 week off of work from my desk job because sitting was unbearable.
I have never experienced this type of pain before. I could not sit, stand, walk or even lie down without terrible pain or at best being very uncomfortable. I didn't sleep more than an hour at a time in the last month.
3 days ago I finally got the surgery. They removed hundreds of loose bodies from my hip, some fairly large. I'm not sure on the count or size just yet but will learn that at my next appointment.
Obviously it is too early to really know how successful the surgery was. But I do feel a great deal better on day 3 after the surgery than I did going into the surgery. I actually have less pain today and more movement than I did the day before the procedure! I can bend my knee straight out to about a 60 degree angle. Before surgery I could barley make it up a step and was in serious pain with each stair.
I don't want to get ahead of myself and say that I have been fixed. There is still a lot of motions that I cannot do and I am still very sore from the surgery. Right now it is hard to tell if the limited motion and soreness I am experiencing is from the surgery or not. The doctors say that because things had gotten so bad, I will likely be in physical therapy for up to one year retraining the muscles to function properly again. They also said that there didn't seem to be much damage done to the joint and it does not look like I will need a hip replacement because of it.
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I think I have swollen sternocleidomastoid, or a swelling / bulge in front of the muscle. my sister noticed it yesterday, it's not painful, i think it feels a bit tight possibly, but not sure i I'm feeling something now just because i'm aware of it...
i don't know how long its been like that, like i said, i only just noticed it yesterday, but it it is obviously bigger / more bulged on the right side of my neck than the left. like i say, it doesn't hurt, it doesn't feel like there's anything in there under the skin...i'm confused and concerned.
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