I had an MRI thar shows the following: 7 MM right perineural root sleeve cyst in the rt L5 nerve root as it exits the foramen between L5-S1; 8 mm left facet synovial cyst which does not encroach upon the spinal canal or neural foramen; disc bullge at L4-5 results in bilateral neural foramen narrowing at this level; heterogeneous bone marrow pattern without enhancing lesions. What does this all mean and what might be an expected treatment protocol for this?
Hello and thanks for using Chat Doctor. I have read your question and understand your concerns. Neural cysts are most likely Taylor cysts (or dilations of nerve root sheaths filled with cerebrospinal fluid). Synovial cyst also is an abnormal fluid collection of the articulations coverings and membranes. Disc bulge is the first stage of herniated disc disease. Nerve cyst on L5 could be evacuated if it is causing symptoms. Different techniques (minimally invasive) exist for this purpose. Synovial cyst doesn't need treatment usually. Disc bulge is treated first with physical therapy and NSAID Chat Doctor. Hope you found the answer helpful. Greetings.