HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Pain And Nerve Compression Due To Synovial Cyst

default
Posted on Fri, 20 Jun 2014
Question: I had an MRI done and the readings show that I have a left dorsolateral extradural mass at L4-L5 consistent with synovial cyst resulting in severe compression of the thecal sac. I am being referred to a neurosurgeon. Meanwhile I am in a lot of pain. Is this something that the the surgeon should see me quickly about? I was told to expect a 2-3 week wait. I am very discouraged due to the pain level. Should go to the emergency room to get seen quicker?
doctor
Answered by Dr. Karl Logan (1 hour later)
Brief Answer:
Urgent surgery required

Detailed Answer:
hi,

thanks for your question.

yes you should be seen on a fairly urgent basis to have the synovial cyst dealt with. as well as pain, weakness and numbness severe compression of the nerve roots in your spine at the level can cause urinary and faecal incontinence as well and sexual dysfunction. if this happened, so called caudal equines syndrome then this would make your case a true emergency require immediate surgical intervention.

I the meantime opiate medication, neuromodulating medication such as gabapentin and an antiinflammatory may help reduce your pain.

I hope this answers your question.

best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Karl Logan

Orthopaedic Surgeon

Practicing since :1999

Answered : 705 Questions

Ask a specialist now
premium_optimized

The User accepted the expert's answer

Ask a Neurologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Treatment For Pain And Nerve Compression Due To Synovial Cyst

Brief Answer: Urgent surgery required Detailed Answer: hi, thanks for your question. yes you should be seen on a fairly urgent basis to have the synovial cyst dealt with. as well as pain, weakness and numbness severe compression of the nerve roots in your spine at the level can cause urinary and faecal incontinence as well and sexual dysfunction. if this happened, so called caudal equines syndrome then this would make your case a true emergency require immediate surgical intervention. I the meantime opiate medication, neuromodulating medication such as gabapentin and an antiinflammatory may help reduce your pain. I hope this answers your question. best wishes