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  • CHowell
    Participant
    May 12, 2022 at 6:09 pm
    Post count: 1
    #35061

    Can a Symptomatic Tarlov cyst be controlled and at what point should surgery consider. I have a symptomatic tarlov cyst 2.3 cm at S2 causing
    Coccyx pain, pain down legs with severe neuropathy when I’m have a flare. Already had a ESI in November that has helped but symptoms are coming back.

    Donald Corenman, MD, DC
    Moderator
    May 12, 2022 at 7:26 pm
    Post count: 8465
    #35062

    A Tarlov cyst at S2 should not cause leg pain as the S2 nerve radiates to the perineal region (coccyx region) and does not radiate down the leg. I would make sure the symptoms are originating from the Tarlov cyst before further discussions are made. Local Tarlov cyst pain can occur by bone erosion but there has to be significant erosion as I’ve seen 50% of the sacrum eroded without symptoms.

    Dr. Corenman

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