Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Spinal surgery suggested MRI says I have L4/5 secondary to moderately severe facet arthrropathy that is asymmetric . In addition there is a 10 x 5x14mm synovial cyst arising from the left facet joint and this is having a significant mass effect on canal contents which are compressed and displaced , particularly the left L5 nerve root. I am on pain relief , Celebrex. Fluid tabs. Methotrexate , planquinal for arthritis . To remove cyst and fuse l5/4 can you tell me is this the only approach . Rose
Hi Rose . You have L-4/5 (L) facet arthropathy with synovial cyst with secondary Canal Stenosis. Normally when there is pressure on nerves in the canal causing pain - Leg and back , It is best to remove the pressure. The pressure can be removed by operation either open or with endoscopy. I am Afraid there is no non operative treatment as it is causing you problem.
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How To Remove Synovial Cyst And And Fuse L5/4?
Hi Rose . You have L-4/5 (L) facet arthropathy with synovial cyst with secondary Canal Stenosis. Normally when there is pressure on nerves in the canal causing pain - Leg and back , It is best to remove the pressure. The pressure can be removed by operation either open or with endoscopy. I am Afraid there is no non operative treatment as it is causing you problem.