A cyst. What does that make you think of?
For some Richmond back pain sufferers, it would be a clue
to the basis of their pain. But the diagnosis of a
synovial cyst as the culprit causing pain is a curious one. Back pain and leg pain may stem from a
synovial cyst which is where Richmond chiropractic care at
Johnson Chiropractic is effective. Richmond
chiropractic care with the Cox® Technic is documented to help reduce
back pain and related leg pain because of a synovial cyst without
Richmond back surgery.
SYNOVIAL CYST FACTS
First, let’s discuss what
synovial cysts are. Synovial cysts are uncommon lesions associated
with facet degeneration and commonly found in the lumbar spine at
L4-S1. (1) 33% to 40% of synovial cysts are associated
with degenerative spondylolisthesis and instability of the involved
joint. (2,3) Synovial cysts may produce sciatica/leg pain.
(4) Synovial cysts occur in females mostly in their 6th
decade of life, giving rise to radicular pain
and neurological deficits. These cysts are frequently
seen at L4-5 which is also the site of maximum mobility in the lumbar spine.
MRI is the diagnostic tool of choice as it shows
the consistency of the cyst (more or less fluid). (5) When
synovial cysts look lighter on MRI T2 images, they are probably
more fluid filled and less probably gelatinous or calcified, making
them potentially easier to reduce. (6) Synovial cysts
have been documented to disappear particularly
if the cyst wall is not calcified. (7) Johnson Chiropractic works to help
Richmond back pain sufferers dealing with synovial cyst get rid of
them, too.
SYNOVIAL CYST CAUSES
Wilby et al describe a channel that joins
the facet joint capsule with the ligamentum flavum, the area where the synovial
cysts form. At surgery for these cysts,
they discovered that fragments of articular cartilage and bone were
in the walls of the channels in 89% of the cysts. This debris jams and
prevents the channel from draining and triggers granulation
tissue and scar formation probably starting
synovial cyst formation. (8) Johnson Chiropractic works on scar tissue to
enhance the spine’s fluidity.
SYNOVIAL CYST TREATMENT
Conservative treatment of lumbar spine synovial cysts is recommended
as some tend to disappear without surgery. (9)
Conservative treatment is reasonable. If the cyst doesn’t respond, then surgery is an option. (5) Cox® Technic has a history
of conservative care relief for synovial cysts. (10) As implemented
at Johnson Chiropractic, Cox® Technic succeeded in relief when
an epidural steroid injection didn’t. (11) In another case, a 75
year old man with back and leg pain and a synovial cyst treated for 3 months/16
visits experienced 80% relief. (12) Cox® Technic at Johnson Chiropractic
is relieving for many Richmond back pain sufferers
with synovial cysts.
Listen to this PODCAST
with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson
about his relieving care with Cox® Technic protocols for a
patient with a synovial cyst.
CONTACT Johnson Chiropractic
Schedule a Richmond chiropractic visit for
diagnosis and treatment of back pain due to synovial cyst or
other issue. The diagnosis of a cyst as the pain generator is more
than just a hint to your pain’s source. It is the start
of a back pain relieving Richmond chiropractic treatment plan at
Johnson Chiropractic.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the
DISCLAIMER page. Content is reviewed by
Dr. James M. Cox I."