Non Surgical Treatments for Lumbar Facet Cysts

A Lumbar Facet Cyst is a fluid-filled sac that develops as a result of degeneration in the spine. This video will inform you on the non-surgical treatments for Lumbar Facet Cysts.
#TheSpineGuy #lumbarFacetCyst #antiinflammatories #Oralsteroids #narcotics #PhysicalTherapy #epiduralsteroidinjection #CystAspiration #CystRupture #ChiropracticCare #acupunture
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
Yelp:
www.yelp.com/biz/brian-su-md-...
Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
Curriculum Vitae:
www.caorthospine.com/brian-su...
FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this KZbin channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.

[@user-gd1id5no3h]

Much appreciate this information!

[@luliluli1471]

Wow, what a lecture on the subject. Superbly well and consisely explained.

[@mikedeegan9342]

Thanks

[@danielburtz4250]

Well Doc you just explained my situation to a T. I've tried most everything you spoke of except I refuse to take opioids again and will not take any (nsaid) except for aspirin. None of my doctors mentioned anything about the procedures you talked about. I think I will see about getting the cyst rupture procedure done instead of the operation where they remove a piece of bone from my spine. This lesson has been very informative. Thank you so much and GB.

[@lynnferguson7349]

Love your videos! Very informative. I recently learned about OLLIF and was wondering your thoughts about OLLIF.

[@DrBrianSuTheSpineGuy]

I personally do not like it as much as the alif. It's essentially a very similar incision but I don't think the discectomy is as thorough and I don't think the cage is as well placed. Many surgeons use it because it does not require an exposure surgeon

[@petuniahead9982]

Thank you. I just had lumbar cyst rupture performed. Fingers crossed it works!

[@chakaschakas7944]

How was it? Did it worked?

[@petuniahead9982]

@@chakaschakas7944 definitely helped. Dr said it may come back. But I feel so much better. I'm still very limited with prolonged sitting, prolonged standing. I have to be careful bending, lifting objects, etc

[@Notsorandomwalk]

Thank you for this. Curious what your perspective is on regenerative medicine techniques for facet cysts. As a young active woman in my 40s with weird muscle stuff along my left pelvis and into my foot I am curious about all the options of how to resolve the cyst.

[@DrBrianSuTheSpineGuy]

There has been no evidence that PRP works in the cervical or lumbar spine other than for dark disc disease. However I don't think it could hurt.

[@howardgottlieb5452]

Dr. Su-I really learn a lot from your videos. I don't think you have ever discussed artificial disc replacement and I'm wondering why?

[@DrBrianSuTheSpineGuy]

I do have videos on that.

[@BunnyOfThrones]

@@DrBrianSuTheSpineGuy Hello! I was diagnosed with 3mm cyst in the lower end of my spine. How can I cure it without surgery? There has to be a way!

[@thanveerahamed506]

Hey Doctor, can you make a video on thoracolumbar joint syndrome? I feel like I'm going through that, and would like to get educated on that!

[@DrBrianSuTheSpineGuy]

Try watching the lumbar facet joint syndrome video

[@tompang8316]

Hi Dr Su you make this complicated spinal issue so much easier to understand. Thank so so much. I have a cyst that seems to form after my microlaminectomy (post surgery 7 weeks now), that is on the left side abutting the exit of the L4 nerve, size 7mm, this is giving me pain (some time is worse than other), sometimes radiating to the lower leg , most of the time is at the left lower back, Will synovial fluid get absorbed back by our body ? If it does, how long normally will it take? Again thank you so much for your video👍👍.

[@DrBrianSuTheSpineGuy]

It can come and go

[@bowser2005]

Is your clinic able to do a percutaneous aspiration and fibrin glue injection procedure? I'm trying to help a family member who has a tarlov cyst (cyst in their sacral area). We spoke with Dr. Feigenbaum out of Dallas who wanted us to pursue this method but we are having the hardest time finding someone on the West Coast who does this (we live in Alaska).

[@DrBrianSuTheSpineGuy]

Our clinic does not do that

[@ronaldmiller2740]

HI DR. I HAVE THE L5-S1 PROUBLE ,, LOWER BACK SPINE,, TO THE LEFT BOTTOCKS TO THE LEFT LEG THEN TO MY FOOT .. YES I TAKE 300 OF GABAPENTIN I DONT LIKE TAKEN MEDS YES IN SOME TIMES IT GETS WORST I TAKE ONE MORE,,..I HAVE HAD SPINALS 2 IT HELPED SOME BUT ITS STILL THERE ,,.. I SHOULD SAY I AM A 62YR.OLD MALE ,,.. I GOT HURT AT WORK IN NURSING .. PHY THERP DIDNT WORK I FELT THEY WERE MAKING MY PAIN WORST.. I SAW YOUR OTHER VIDEO AND THAT WHAT MY DR. DID THE SAME..INJECTION LUMBER....THANK YOU DR. BRIAN SU...

[@geoffperkins5941]

Thank you Dr Su for your amazing illumination of the spine. I am 73 and ran a half marathon in 1.55 in October. 2 weeks later 1 couldn’t walk and was found (MRI) to have a synovial cyst on L4/5 with OAFJ, which resulted in neurogenic claudication and intense pain in buttocks. I was offered a zimmer frame in ED. I had full power sitting and nothing standing. I tried rowing on an erg and from that day the pain and weakness has disappeared, improving every day, with rowing 3x per week. I am now walking up to 10miles in a day. How can I prevent recurrence please Thank you Geoff Perkins

[@DrBrianSuTheSpineGuy]

If the pain is better you do not need to do an intervention

[@geoffperkins5941]

Brilliant thank you. I’ll just keep rowing. 😁

[@lianata9555]

Hi Dr Su, I am dxed with lumbar radiculopathy with right nerve L4/5 impingement for 8 months . Can tingling from lower legs travel up to trunk, arms, chest, neck sometimes?Thanks!

[@DrBrianSuTheSpineGuy]

No it should not

[@timsmith3960]

Hi Dr, how do you feel about Radio Frequency Ablation? My Neurosurgeon suggested that for this problem..

[@DrBrianSuTheSpineGuy]

Please watch the lumbar facet joint syndrome video

[@michaellui74]

I love all your videos. New subscriber. Can you help me I have syringomylia ??I am 51 old male had surgery twice . Shunt in t2 t3, and second surgery craniotomy in c1 to get rid of cyst. Thank you

[@barbiemarland6741]

How do I find a surgeon to do the rupture?? I've been tossed around between radiology, IR, ortho and neuro surgery and no one does this procedure. I'm at a loss!!!

[@DrBrianSuTheSpineGuy]

Please call 415-925-8200 for a video visit with me

[@Nick-th9qy]

Is there any treatmenr for disc? degeneration 33 here and have been diagnosed with mild form of it and its pretty debilitating at times

[@DrBrianSuTheSpineGuy]

Please watch the disc degeneration video

[@alfred576]

Hi Dr Su I am learning something new everyday from your amazing videos. How can I tell if it is my cervical facet joint is causing pain by pressing onto my cervical nerves or the pain is due to arthrosis of the joint? Some history first: 1 Dec 2022 left C6 steroid injection 5 Jan 2023 left C7/T1 T1/T2 T2/3 facet joint injections 17 Feb 2023 cervicothoracic medial branch blocks specific levels as guided by pain mapping under CT left C6/7 and C7/T1 facet joints 15 March 2023 Left C5/6 transforaminal injection (injectate was lignocaine and dexamethasone) None of the above has helped me with reducing the pain. Now the pain management doctor is proposing to get the following by next week: Facet joint cortisone injections, specifically to left C6/7 and left T2/3 Is this too much cortisone in such a short period? If my pain doctor has to determine the source of the pain can't he just use just lignocaine without the cortisone as a diagnostic tool rather than providing relief? Normally lignocaine can last 2-4 hours which is enough time to tell him if the pain has been mitigated or not. Also besides motor nerves and facet joints sensory nerves, can pain be caused by inflamed neck muscles, ligaments and tendons? What do you think? Thank you. Best regards Alfred

[@DrBrianSuTheSpineGuy]

I need to look at the imaging. You can make a zoom appointment by calling California orthopedics and spine

[@junupoudel6481]

Hello Doctor I have got tarlov cyst,in S1,S2 region of lumbar sacral ( recently found in MRI). When I start feeling my one leg heavier and difficult to lift while walking, I went for MRI. I don’t want any surgery, pain medication are just not working as more then the pain there is heavy ness. Could you please help me with this.

[@DrBrianSuTheSpineGuy]

That's a different cyst than a synovial cyst and usually not symptomatic

[@certifiedrhodess356]

Hey doc I jus got L5/S1 lumbar artificial disc replacement the doctor implanted pro disc L Can you help me out with how effective the Pro Disc L is

[@DrBrianSuTheSpineGuy]

In general the outcomes are very similar to a lumbar fusion. Please watch the disc degeneration lumbar videos

[@certifiedrhodess356]

@@DrBrianSuTheSpineGuy I’ve watched all ur videos you explain things so well for us patients 🙏🏼 What does the mean exactly tho that doesn’t mean I got a fusion tho right?

[@ashwinianilkumar892]

Sir I synovial cyst too much😢pain legs thums numness in legs

[@vijayshankarrk4495]

I'm 27 and I have cervical myelopathy. After seeing my MRI scans all doctors have said that I have a compression at C5 C6 and L2 L5. I have numbness in hands and legs. In hands I have numbness only in my pinky finger and ring finger (both hands) . When I read about disc prolapse on the internet, I learnt that C5 C6 causes numbness/pain in thumb and index finger and that numbness pain in pinky and ring is due to compression in C8. I'm really confused now. Kindly clarify this for me doc.

[@DrBrianSuTheSpineGuy]

You should watch the central cervical stenosis videos

[@sydneycooper1164]

Dr. Su, a doctor told me that Ibuprofen reduces a man potency. What's your take on this drug affecting man potency?

[@DrBrianSuTheSpineGuy]

That is not a typical side effect

[@Michael-ts9yp]

I had a synovial cyst removed successfully in 2016. In 2022, I started to experience left leg and buttocks pain, which I was subsequently diagnosed via an MRI, CT scan and lumbar xray(s) with severe spinal stenosis at L4/L5. I have had two epidural shots with temporary relief and two prednisone dose packs after experiencing severe leg pain in January. The pain has continued but not to the extreme pain that I had in January. I plan on scheduling surgery for a laminectomy in the fall but was wondering if your patients have had much success with either home exercise programs or PT.

[@DrBrianSuTheSpineGuy]

That can be successful but it depends on what the cause of the stenosis

[@n.n-605]

Dr Su, can these cysts go away on their own over time?

[@DrBrianSuTheSpineGuy]

Sometimes yes they can

[@n.n-605]

Thx Doc

[@BunnyOfThrones]

Hello! In the end of my spine 30mm cyst was found. How can I cure this without surgery? I dont want surgery😭 Tell me I can be cured with medications.

[@Kicken254]

Wow 30mm, mine is a 8 and I thought that was bad

[@BunnyOfThrones]

​@SS-wu4ol dont let it become bigger like I did by ignoring pain.