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  • CHowell
    Participant
    Post count: 1

    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
    Post count: 8339

    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

    PLEASE 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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