buyersteveMemberJune 5, 2013 at 7:04 pmPost count: 1
> Good morning, 12 months ago I had surgery for a bulging disk at L5-S1, exactly opposite the bulge there was a sarnovial cyst growing and between the bulge and the cyst, there was almost no room for the nerve route, needless to say, I was in terrible pain. The surgeon performed spinal decompression and cyst removal. The surgery was successful initially but after about 6 months, the symptoms (lower back pain and severe leg pain) came back. I am at a loss as to what to do. I’m otherwise healthy (66 years old). I need to get back in shape but the pain is stopping me. I don’t know if my surgeon will go back again? An MRI taken 6 months ago showed theL5-S1 slightly bulging and the cyst starting to regrow. What would you recommend? Steve .Donald Corenman, MD, DCModeratorJune 5, 2013 at 8:17 pmPost count: 8583
The presence of the synovial cyst makes me think there might be an associated degenerative spondylolisthesis (see website) associated with this problem. Synovial cysts develop in degenerating facet joints and these joints can break down leading to the slip of one vertebra on the other.
In addition, recurrence of these cysts can occur in about 10% of operated patients. Recurrent disc herniations also have about a 10% recurrence rate.
A new MRI is warranted along with standing X-rays including flexion/extension views. This will determine what new or recurrent pathology has occurred.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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