Spinal Cord :: Synovial Cyst Is Groin Pain - Symptoms?
Apr 30, 2016
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.
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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.
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).
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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.
I had back surgery in March 2013 that left me with mechanical instability, acquired spondylolisthesis and lots of pain.
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I have 2 ortho spine surgeons telling me that I need a bi-level spinal fusion surgery to repair the damage, but after the botched first surgery, the thought of another surgery scares me to death. Plus, since surgery is what spine surgeons do, the recommendation seems obvious.
I also started seeing a new pain management doctor (we moved to a new state) and he is suggesting that I consider a spinal cord stimulator trial, with surgical implantation if we find that it helps the pain.
So...I'm left confused. I see the positives and negatives of each, but I'm just not sure if one makes more sense over the other. I think that my spondylolisthesis will worsen over time and could pose a threat of nerve damage, while the spinal cord stimulator is designed to mask pain and does nothing to address the instability.
I'd love to know if anyone else has faced a similar decision...or has thoughts, ideas, comments, suggestions for considering one over the other.
I am new to the board and am now one year out from lumbar fusion. I am a very physical person and a Personal Trainer as well. My low back pain has all but disappeared however neck and shoulder pain,stiffness and numbness are very concerning !!! I am currently treating with acupuncture and muscle relaxers. I also am a chronic migraine sufferer and believe this is partially being caused by cervical issues.
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My brother is on disability. He has a bulging disk in his neck that is making him dizzy. He has fallen several times because of this and frequently has to sit down. His insurance company won't cover the surgery. Is there anything I can do or something he can do to ease the pain? It makes me so sad that he is in such pain and can't afford to get help.
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I had ACDF C6-7C August 2014 and still continued with serious pain around my neck and shoulders. I was told by the surgeon that I have non union C5-7. Can someone suggest my options in correcting the problem?
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I have had chronic back pain for about 9yrs & I finally got an xray to show an old injury. It's not something I can grow back or cure. Of all your opinions what's the best treatment for chronic back pain I've had for 9yrs & only til the 21st this month with an x ray after ER visits & pain management specialists sticking needles in my spine without any diagnosis or x rays at all over this whole time would any of you suggest I perhaps engage? I've suffered the entire time & I feel the negligence of the doctors is something to take into account. I can't grow back my narrowed spine of my L1 from an old injury & there is no cure , I just feel helpless being mother of twin boy toddlers who want to do it all & I can not due to pain. I'm stuck. Any advice? I cry because my sons are the ones to suffer in my prison with me . I can't grow my spine back & I have no babysitter for physical therapy which is I'm sure excruciating, any suggestions considering no doctor wants to help me even though I now have the prove after 9yrs it wasn't all just in my head & them sticking needles in my spine with no diagnosis & no answer for me & no x rays after all this time suffering?
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my Daughter aged 9 year is suffering from cord edema due to road accident. she was hit by a bike three months before, and after all the examination her reports are fine but in MRI report the doctors find that :
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There is a long segment T2W hyperintense extradural collection is seen in dorsal aspect of cord extending from D1 to L1 level. There is rupture of ligamentum flavum at D2/D3 level. T2W hyperintensity is also seen at interspinous at D2/D3 level. On T2W and STIR images paraspinal hyperintensity is seen from D2 to D6-7 level.
Prevertebral hyperintensity is seen from C2 to C5 level s/o edema/bleed.
Impression in MRI:-
1. Long segment Spinal Extra Arachnoid CSF collection in dorsal aspect of cord extending from D1 to L1 level causing cord compression leading to cord edema/contusion D3 to D5-6 level.
2. Rupture of ligamentum flavum and interspinous ligament at D2/D3 level.
after the injury she is on bed due to paralysis and loss of sensation below waist. and also suffering from bed sore due to bedridden.
I have consulted so many neurologist but they said the injury will recover itself after long time.
Is a small disc protrusion on my MRI report saying I have a small Herniation?? I have small central disc protrusion at c5-6 and a focal central bulge at c6-7. So does protrusion mean herniated? I'm so confused. The back pain management doc said "hmm, its nothing" when I asked. Does anyone know the difference?
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Does anyone have sort of fierce electrical pains travelling through spine lasts some short time and returns months later. I am 54 and have had these since my mid forties.
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Neck pain for years, suddenly got very bad 6 months ago. I am an active 61 year old woman, have worked as a checker almost 20 years in very busy supermarket. Lots of repetitive lifting and scanning, the constant lifting hurts, I can feel the stress on my neck and am wondering if continuing this is just aggravating the problem or possibly making it worse. Along with the significant cervical pain I am also experiencing paresthesia in both hands with burning also in right hand. This has been for at least 5 years. No arm pain so don't know if this could be radicular. Left toes also have pins and needles.
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My MRI follows:-
minimal grade 1 spondylolisthesis of C2on C3 and C7 on T1
moderate to severe disk space narrowing from C3-C7, mild at C7-T1 and C2-C3
multilevel DDD and spondylosis. Mild to mod. facet arthropathy also noted.
At C6-7 spondylosis and disk bulging causing cord indentation and bilateral neural foraminal narrowing rt. greater than lft.
Visualized sp. cord normal in caliber and signal
straightening of normal cervical lordosis. DDD causing cord indentation at C34. C45, C56 and C67. Neural foraminal narrowing which is most sig. at C45, C56 and C67. Facet osteoarthritis on the left at C23 with surrounding reactive bone marrow edema.
I am wondering what is difference between cord indentation and cord compression. I see compression often on boards so maybe indentation is not so bad. Is this a normal MRI for a 61 year old? What about the paresthesia and burning hands? I would love to hear from Web Dozer and anyone else who could shed light on this.
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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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.
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.
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I have had progressively worsening low back pain and upper leg and butt pain.
I've been dealing with severe sciatica pain that radiates from my lower back down to my calf. It sometimes gets so bad I cannot move. I've been seeing a chiropractor for the past two weeks and we've discovered I have a tilted pelvis and curvature of the spine; aside from my dx, the adjustments don't seem to be helping.
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My question is, should I still be exercising with this pain or is it worsening the pressure and inflammation of the nerve?
**I am a gymnast and athlete so I spend a lot of time at the gym do hardcore lifting and HIIT. My chiro said to focus on stretching but it hurts so bad I can barely manage it.
I was involved in a motorbike accident in June 2013. I had some shoulder pain at the time but all was well shortly after. In December of 2013, I started having shoulder blade pain which was actually C6 C7 radiculopathy . I was going for therapy and was prescribed NSAID and lyrica with no relief. In January on vacation I was riding a motor scooter and immediately noticed shooting pain down my right arm with numbness as well as neck pain. I had some of these symptoms before going on vacation but it definitely got worse while I was away. When i returned back to work, the pain became worse and I ended up going to an emergency department January 28. Up until this time I did not sleep well for over 6 weeks. The emergency room doctor had the same diagnosis, cervical radiculopathy and would not send me for a MRI but told me to go back to my Sports Med Dr to order an MRI. They also prescribed me Percocet, more NSAID, and muscle relaxants. That afternoon my Sports Dr changed to a different narcotic and ordered the MRI which I had 4 days later. The MRI showed a large right sided disc herniation c6 c7 hitting the c7 nerve root with cord compression. I was sent to a neurosurgeon on Mar 5. He reviewed the MRI and did some tests and said I have Myelopathy. He said it is a slowly progressive spinal cord injury and the goal is to stop the progression. He said tingling transitions to muscle weakness to the arms and legs and transitions to loss of function of my arms and legs.
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I signed off to have an ACDF C6 C7.
My question to all is, if the pain is better but my Tricep weakness is still there along with a little bit of numbness, is the surgery still recommended? I want to continue doing all the active things I have always done including working out and riding a motorbike. There still is a little bit of pain in my neck and occasional pain in my arm but nothing like it was. I don't want to lose any strength or risk the chance of having to be in a wheelchair if I fall a certain way.
I am scheduled for surgery May 26 bit I can cancel up until I have it done.
what this means! C5-C6: Posterior central disc osteophyte complex formation results in mild anterior effacement of the thecal sac. Endplate spurring and facet arthropathy results in mild narrowing of the right exit foramen.
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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.
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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.
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.
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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?
Hi, I have been reading this forum for a very long time. I have been on Gabapentin since October 2011. I injured my neck January 2011. Lost the use of my left arm. Had C6-C7 acdf September 2012, fell 3 weeks later due to ataxia that came on after the surgery. X-ray showed everything in place, Cervical MRI showed C5 disk herniated minimally. For the last couple of months I've been losing sensation feeling in my hands sometimes up to my elbows. It goes to one side and the other or both at the same time. My doctor thinks it's a side effect of Gabapentin and my gut says it's not it. Has anyone heard of this side effect? I have not found this loss of sensation as a side effect in my research.
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