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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should An Epidural Shot Be Taken Or A Surgery Done For Painful Tarlov Cysts On The Spine?

I have 2 Tarlov cysts on spine and 2 herniated disc done Mir therapy reg injections I have never experience pain like this in my life 4 children no deme role age 54 please suggest should do go for epidural or surgery. Doctors aren t familiar with this.
Sat, 20 Oct 2018
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Neurologist,  's  Response
Hi,

Tarlov cysts should not worry you since they are not treated and not the cause of your pain.

Herniated disks, however, are the source of your pain. If you have not been tried on conservative measures such as physical or aquatherapy as well as standard medications for the pain then, I highly advise you do this before considering surgery.

Have you tried traction, hot/cold therapy, acupuncture, or other forms of complementary medicine? If, however, there is a loss of power or loss of mass in the muscles of the leg affected then, surgery may very well have to be done but I would say not until more serious complications have occurred.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi,
Neurologist
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Should An Epidural Shot Be Taken Or A Surgery Done For Painful Tarlov Cysts On The Spine?

Hi, Tarlov cysts should not worry you since they are not treated and not the cause of your pain. Herniated disks, however, are the source of your pain. If you have not been tried on conservative measures such as physical or aquatherapy as well as standard medications for the pain then, I highly advise you do this before considering surgery. Have you tried traction, hot/cold therapy, acupuncture, or other forms of complementary medicine? If, however, there is a loss of power or loss of mass in the muscles of the leg affected then, surgery may very well have to be done but I would say not until more serious complications have occurred. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist