TREATMENT

If a synovial cyst is not causing symptoms, treatment is usually not nessecary. Follow up care and observation is appropriate. If a patient experiences mild symptoms such as local discomfort, the initial phase of care should include restriction of those activities and positions which are the most uncomfortable. Other forms of non-operative care which may be effective include; the use of chiropractic care, physical therapy, anti-inflammatory medications, pain relief medications, selective injections, and the temporary use of spinal bracing. If the pain is severe, chronic, and/or interferes with individuals activities of daily living (ADLs), surgery may be necessary.

The surgical approach usually involves microscopic decompression and excision of the synovial cyst. These procedures can usually be performed using minimally invasive approaches that have a relatively short recovery time. Sometimes synovial cysts will re-occur. Another surgical option is to remove the cyst and fuse the adjacent spinal segments to reduce the risk for reoccurrence. This is a more invasive procedure associated with a great change for complications and a longer recovery time. Since every case is different, you should seek consultation with one or more experienced spine specialists.

PREVENTION

There is no known way of specifically preventing the development of a spinal facet cyst. The best method for preventing the development of a facet cyst is to reduce the risk for back injury and to avoid injurious loads and stress upon the spine.

The best way to prevent neck and back pain and to prevent progressive spine compromise is to become familiar with how your spine works and to become an active participant in your spinecare. It is important to learn how to choose a spinecare specialist and to recognize an efficient spinecare team. There are many steps you can take and habits you can develop to better care for your spine and prevent spine injury. It is also important that you learn more about your spine disorder and become aware of the signs and symptoms that warrant intervention and follow up care. Early detection and timely intervention is generally associated with better treatment outcome.