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Related Experiment Videos

Spinal synovial cysts and intersegmental instability: a chiropractic case.

David N Taylor1

  • 1Multimed Center, Greefield, Mass, USA. dntaylordc@comcast.net

Journal of Manipulative and Physiological Therapeutics
|February 27, 2007
PubMed
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Non-surgical treatments like distraction therapy provided significant relief for low back pain and leg pain potentially caused by synovial cysts. Surgical intervention may not be necessary for patients without progressive neurological signs.

Area of Science:

  • Spine Surgery
  • Neurology
  • Physical Therapy

Background:

  • Synovial cysts can cause neural foraminal and thecal sac compromise.
  • Recurrent lumbar synovial cysts can present with neurological symptoms.

Observation:

  • A 67-year-old female with a history of lumbar synovial cysts experienced recurrent low back and leg pain.
  • Magnetic resonance imaging confirmed a recurrent lumbar synovial cyst causing neurological compromise.

Findings:

  • Flexion distraction, Williams exercises, and interferential therapy yielded 50% pain relief.
  • Multifidi strengthening exercises addressed spondylolisthesis and instability, ceasing severe episodes and improving function.

Implications:

  • Distraction therapy may alleviate pain without surgery.

Related Experiment Videos

  • Synovial cysts might be incidental findings rather than the primary pain source.
  • Surgical intervention may be avoidable in cases lacking progressive neurological signs.