Soreness, a feeling of pressure and tenderness over the sacrum and coccyx (tailbone), extending across the hip and into the thigh with cysts in the sacrum. Symptoms may include the following, dependent on the location of the cysts and the section of the spine they occur: A number of Tarlov cyst patients have also been diagnosed with a connective tissue disorder, and many more of their biological family members, who may or may not have Tarlov cysts, have been diagnosed with one of the above mentioned connective tissue disorders (CTD).
There is significant clinical evidence that collagen mutations or connective tissue disorders such as Marfan’s, Ehlers-Danlos, Sjogren’s, Loeys-Deitz, Lupus, MCTD (mixed connective tissue disorders), UCTD(undifferentiated connective tissue disorders) are predisposing or contributing to the cysts developing. Some incidents or conditions that might potentially cause the asymptomatic cysts to become symptomatic are traumatic injuries such as falls, automobile accidents , heavy lifting, childbirth, and epidurals Trauma to the spinal cord, an increase in the CSF pressure, or a blockage of the CSF can result in cyst formation. It is not unusual, if the cyst has been present for a number of years to see evidence of erosion and remodeling of the sacral bone, or other vertebrae in the spine.
The cysts are created by the dilated sheaths of the nerve roots directly connected to the subarachnoid area of the spinal column, through which the cerebrospinal fluid flows. An aspiration can be performed to remove the fluid from the cyst and decompress it. This requires placing a needle into the cyst, which can be performed in most office settings. In many cases, these cysts can simply be observed, especially if they are painless, as they frequently disappear spontaneously.
Cysts at the far joint of the finger frequently have an arthritic bone spur associated with them, the overlaying skin may become thin, and there may be a lengthwise groove in the fingernail just beyond the cyst. These cysts are not cancerous and will not spread to other areas. These cysts may change in size or even disappear completely, and they may or may not be painful.
The cause of these cysts is unknown although they may form in the presence of joint or tendon irritation or mechanical changes. The most common locations are the top of the wrist (see Figure 1), the palm side of the wrist, the base of the finger on the palm side, and the top of the end joint of the finger (see Figure 2). The ganglion cyst often resembles a water balloon on a stalk (see Figure 3), and is filled with clear fluid or gel. Ganglion cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons.
The doctor will drain the cyst and fill it with an alcohol-based solution that causes the tissue to harden and shrink, reducing the chance of recurrence. Renal cysts generally do not require treatment unless they are causing symptoms or harming kidney function.
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