Perineural cyst at level s2 of the vertebra

What is the perineural cyst of the spine at the level of the S2 vertebra?

The pathology of the perineural cyst can be either congenital or acquired. Often, the disease is asymptomatic.

But if the size of education is great, then it will cause pain and disruption in the work of other organs and systems.

Therefore, it is very important to treat the body and its signals carefully.

Symptoms of back pain are often manifested in almost any person. Sometimes they are a signal about a wrong way of life or point to excessive financial transfers.

Since in recent years, such cases have become more frequent, it is better to understand the symptoms and causes of this illness, and also understand how its treatment is carried out.

What are the reasons for this education?

The perineural cyst of the spine is a limited neoplasm that is often filled with fluid and located in the region of the spinal canal, near the nerve end. Often, the cyst is found at the level of the lumbar or sacral spine.

In order to clarify the dislocation of such formations, specialized designations of the vertebrae of the ridge are used. So, with the vertebrae of the sacral department, the letter designations S (from S1 to S5) are assigned, while the vertebrae of the lumbar spine are designated with the letter L (L1-L5).

The perineural cyst of the spine can have an asymptomatic course and can only be detected by chance, and can accompanied by constant and acute pain at the level of the pathological department, which are not eliminated by taking painkillers preparations.

If we talk about the origin of such formations, then they can be:

• congenital;
• acquired.

In addition, there are some differences in morphological features, in particular, in the structure of the wall. Such a cyst may be true (with epithelial lining inside) or false (without lining).

Also, one should not forget about such a variety as the arachnoid cyst.

It is also called Tarlov's cyst and it is a cavern formed by the spider web of the spinal cord and filled with cerebrospinal fluid.

Such a cyst is usually formed at the level of the lumbar or sacral region and is often an inborn pathology, whose course is asymptomatic. That is why, as a rule, it is discovered accidentally.

The size, shape, and localization of education are different and this is often determined by the causes that provoked its appearance. The causes of the appearance of a cyst are numerous.

1. If the formation is congenital, it indicates a failure in the development of the fetal tissues.
2. In cases with acquired cystic formations, provoking factors may act.

• bleeding in the tissues of the spine;
• degenerative inflammation in the tissues of the ridge;
• trauma of the spine (bruise, fracture);
• hypodynamia, leading to dystrophy of the ridge tissues;
• excessive loads and their uneven distribution;
• the defeat of the human body by parasites (eg, echinococcus).

What is the symptomatology of the disease?

The perineural cyst of the spine will have characteristic features for it, however, they will largely depend on the factors provoking it, the location of the formation and its size.

Small cystic formations do not betray their presence, and if found, it is by chance.

As the education increases, it begins to squeeze the end of the nerves, so that you can observe such symptoms:

• paresis of extremities;
• neurological disorders;
• pain at the level of the projection of education;
• problems with the vestibular apparatus;
• impaired sensitivity in the skin and limbs;
• possible dysfunction of the gastrointestinal tract and urogenital system;
• pain can give to the buttocks, legs and other parts of the body;
• head pain, tinnitus and dizziness in the arachnoid formations;
• weakness of the muscles in the legs, lameness, difficulty with a long stay in the sitting position.

Methods of diagnosis and treatment

In circumstances where there are serious reasons to suspect the existence of such a cyst in the sacral or lumbar region of the ridge, the attending physician must send the patient for additional examinations. Since radiography can not cope with the task of detecting such formations, CT or MRI is often prescribed.

Further treatment of the cyst will depend entirely on its size. In the case where the size of education exceeds 15 mm, then its surgical treatment is prescribed.

In a similar situation, the cyst is opened, its contents removed and a fibrin substance introduced into the cystic cavity, which promotes the fusion of the walls and prevents the formation of a new formation.

It should be emphasized that surgical treatment of such formations is carried out only when the cyst is large and provokes malfunctions in the work of organs and tissues.

Therefore, in each case, physicians scrupulously assess the ratio of probable risks of surgery and the real result, which will give surgical treatment.

If the size of the cyst is small (up to 15 mm), then conservative treatment is prescribed, which amounts to the following:

• bed rest;
• vitamins of group B and C;
• physiotherapy measures;
• NSAIDs (Dicloberl, Diclofinac, Movalis);
• analgesics (Analgin, Baralgin);
• medicines, leveling the processes of degeneration and dystrophy (Don, Atrofon);
• vasoactive agents that improve blood flow and metabolism (Pentoxifylline);
• muscle relaxants for reducing tension and muscle spasm in the pathological department (Midokalm).

If we talk about further predictions for such a disease, they will also generally depend on the size of education, as well as on how timely the treatment was conducted.

With a small cyst, the predictions are very favorable.

If we are talking about a large cyst, for which there was no timely treatment, the predictions relatively favorable, since this pathology may well lead to serious malfunctions in the work of organs and disability. In addition, its relapse is possible and that is why it is necessary to carefully treat your own health and do not neglect simple preventive measures.

A source: http://drpozvonkov.ru/pozvonochnik/cysta-hernia/perinevralnaya-kista-na-urovne-s2-pozvonka.html

The appearance of the perineural cyst at the S2 level of the vertebra

The perineural cyst is at the level of the S2 vertebra - the cyst of the sacral part of the human spine.

Perineural, fibrous origin, occurs in the connective tissues - bone, cartilaginous, articular, fatty and other.

The concentric layer of perineurium is the only one present in the human body in three states - gel-like, fibrous and solid. Accordingly - cartilage, ligaments and bones.

Basic concepts

The cyst is a violation of the homeostasis of cells or organs at the cellular level.

It is a vacuole, a sinus, often with contents of a secretory origin, consisting of walls lined with or without epithelium.

The secret that fills this formation consists of capillary-vascular blood, or has a paracentasal fluid.

It can also consist of the products of microbial activity, with formations of an infectious nature.
Differences in the mechanism of origin, localization and prescription - congenital or neoplasm of acquired character. Separate complex in structure, true, and false cysts.

Features of the structure of the sacrum of the spine

The spine performs the function of supporting the axial part of the skeleton, protects the spinal cord, performs the motor function. Natural bends of the spine - lordosis and kyphosis, serve to maintain the balance of the body.

Bending of the sacrum - kyphosis, has a dorsal bend with a backward displacement. The sacrum is located at the base of the spine - connected to the last vertebrae, the lower part of the sacrum is connected to the coccyx.

Through the entire length of the sacrum passes the canal with sacral nerves.

Factors affecting the occurrence of pathology

Pathologies of emerging cystic spine formations are distinguished into primary ones - of an innate nature, and secondary ones that arise:

• against the background of infectious diseases;
• traumatic genesis;
• as a response to a chronic inflammatory disease;
• with tumor lesions of tissues;
• with constant loads on the spine.

The cyst of the spine is a formation of a laminating property, characterized by the appearance of lesions of the focal tissue - joints, cartilage or bone tissue.

The perineural cyst of the spine arises with the formation of tumors, which in turn arise from inflammation of the joints or cartilaginous tissue.

The inflammation of the cartilaginous tissue itself is a consequence of the disturbance of the collagen homeostasis from which it consists. Violation of the homeostasis of collagen occurs in inflammatory diseases.

Therefore, it can be concluded that inflammatory diseases of an infectious nature are the main cause of the pathology of connective tissue.

The perineural cyst of the sacral spine is the formation of an innate character or acquired, with injuries of the sacral department, with an uneven constant load on the spine.

And also with insufficient physical activity, as a result of which the load is removed from the joints of the sacral zone, providing immobility of the sacral bone and is transferred to the hip joints, causing the appearance of a hernia, protrusions. The main cause of the disease is the filling of the sacral canal with liquor, followed by a violation of outflow.

Symptoms

Symptoms of cyst 2 of the vertebra occur due to an increase in the size of the neoplasm, with a small size, -1 cm of distinct symptomatology will not be traced. Manifestations of the disease are visible if the cyst is increased to 2 cm:

• painful sensations of the sacrococcygeal ridge;
• numbness of the hand and fingers;
• continuous pain in any position of the body after a long walk or physical exertion;
• headaches, neuralgic symptoms.

Neuralgic pains occur due to damage to the peripheral nerves of the spine, manifest as episodic headaches, painful sensation of the spinal column. Numbness occurs when clenched by the formation of nerve endings. Any prolonged load leads to discomfort and pain localized in the sacral zone of the ridge.

Diagnosis of the disease

When there are symptoms of inflammation of the sacral area, it is necessary to consult a therapist, for the purpose of analysis:

1. Magnetic resonance imaging will allow to determine the exact localization of the neoplasm.
2. Ultrasound spectral analysis to determine the mobility of media, the presence of free liquid.
3. Diffusion-weighted tomography is used in examining tumors and tumors.

Previously used myelography - radiopaque study of cerebrospinal fluid, which gave way to newer methods of medical imaging - CT and MRI. Based on the results of the survey, the neurologist prescribes treatment.

Treatment

Traditional methods of treatment of the cyst of the vertebral department:

• taking anti-inflammatory drugs;
• reception of nootropic drugs;
• vitamin preparations (fish oil);
• muscle relaxants to relieve spasm;
• painkillers for acute pain.

Anti-inflammatory preparations of nonsteroidal properties, showing an analgesic effect, are prescribed for the removal of edema, inflammatory process and accompanying pain.

Nootropic drugs or neurometabolic drugs - improve and stabilize CNS processes, show antioxidant and antihypoxic properties, increase the resistance of nerve cells.

Essential fatty acids, which are part of fish oil, have the ability to accelerate the healing of injured cells, spurring the body's immune response.

The muscle relaxants stop feeding the nerve impulse to the muscles, as a result of which tension and spasms of the focal zones decrease. Anesthetics are used for severe acute pains to remove them, periodically.

Treatment of cysts without surgery requires the restriction of severe physical exertion on the spine, visits to an orthopedic physician after medication therapy, to conduct a course of treatment massage.

Treatment of cysts in an operative way is performed with a growth of the size of the tumor more than 2 cm and insufficient response to drug treatment.

The decision to conduct a surgical intervention is taken after careful consideration of the ratio of possible adverse reactions and potential benefits.

Surgical intervention is performed - a puncture under the supervision of ultrasound, during which the cavity fluid is removed and a means for splicing the walls of the vacuole is introduced.

Intervention is performed under local anesthesia. Before the operation, preoperative therapy is performed to strengthen immunity.

Effects

Small cysts up to 1 cm can be relatively asymptomatic, with a decrease in immunity, the inflammatory process is activated, and as a result, the cystlike cavity increases. This leads to the infringement of nerve endings, the consequence of which are numbness of the limbs.

Neoplasm, reaching a size of one and a half centimeters, disrupts the cellular metabolism, leading to tissue hypoxia. These pathological changes lead to a degenerative change in the tissues, growth of the tumor, the appearance of acute pain of the sacral region.

Timely appeal to a specialist will prevent undesirable limitation of motor activity, pain syndrome.

The development of this disease occurs due to pathological changes in the composition of cerebrospinal fluid, which accumulates in cystic neoplasms. Lack of timely access to a doctor can lead to an increase in the inflammatory focus and the size of the cyst.

Conclusion

The cyst of the sacral region of the spinal column is a dangerous pathology, in which functional disorders of the musculoskeletal system are possible, up to disability.

Forecasts of possible consequences are made on the basis of information of anamnesis - the magnitude of the tumor, the prescription, the mechanism. Self-medication is fraught with negative consequences.

A source: http://KistaBolezn.ru/kista-na-tele/vozniknovenie-perinevralnoy-kistyi-na-urovne-s2-pozvonka.html

Perineural cyst of spine at level s2 s3 - treatment

Cysts refer to benign neoplasms that can affect absolutely all the internal organs of a person. The musculoskeletal system is no exception. At level s1 and s3 they are rarely detected.

More often cystic formations are formed at the level of s2 and belong to the perineural type. The perineural cyst at the s2 level of the vertebra can for a long time not be manifested.

But when it reaches a large size, the symptomatology does not make you wait. Patients often report complaints of back pain and neurological disorders.

However, this pathology is characterized by other symptoms, which we will tell you about, but a little later.

General information

Before talking about how the cyst is manifested and how it is treated, you need to first explain what it is and how its appearance can affect the overall health.

The cyst is a neoplasm that appears as a vesicle with the liquor content inside.

The site of its localization is the spinal canal in which the neural bundle is located.

In this case, the most beloved places are the lower back and the level of the sacral spine in the sacral orifice.

To stop the pain, medications are often prescribed, but their use, as many patients claim, does not produce any result.

Even potent drugs do not help to eliminate discomfort in the back and improve the overall condition.

It is for this reason that sooner or later all patients agree to carry out surgical treatment, as soon as it, despite on high risks of development of complications, helps to get rid of cysts and unpleasant sensations in the spine with which she is followed.

But some people, despite the constant pain, are trying to delay the moment when the operation will be performed, not even suspecting how bad it can turn out for them.

Consequences and complications

Cysts are located very close to the neural bundle, and therefore their intensive growth often leads to neurological disorders. Among them, there is a decrease in sensitivity and a disturbed cellular metabolism. Both things bring a lot of problems.

The decrease in sensitivity is characterized by numbness of the limbs, inability to distinguish between the effects on the body of cold and hot temperatures, etc.

All this leads to physical limitation and the impossibility for a person to perform elementary actions (to dress independently, move around the room, etc.). But all these consequences can be easily avoided if you seek help from a doctor in time and carry out appropriate treatment.

Etiology

Factors that can provoke the appearance of the vertebral cyst at the level of s2, quite a lot. Conditionally they are divided into congenital and acquired. In the first case, the main role is played by genetics.

Congenital cysts begin to form in the fetus even in the period of embryonic development and are often promoted by such factors, as the use of pregnant alcoholic beverages, taking certain medications that are contraindicated during this period, smoking.

As for the acquired cyst, it is formed against the backdrop of the development of degenerative processes in the spinal column, which most often arise due to severe inflammation. And, as doctors say, the main impulses in the development of cysts are:

• Frequent physical overwork.
• Injuries of the spine (fractures, bruises).
• Hemorrhages in the spine.
• Diseases of the musculoskeletal system (scoliosis, osteochondrosis, intervertebral hernia, etc.).

In a special group of risk are people whose professional activity is associated with constant physical labor (builders, loaders, etc.).

When lifting weights, a strong load is applied to the spine and friction of the vertebrae increases, as a result of which they become inflamed, and the risks of cyst formation increase several fold.

Classification

Formations of the perineural type have their own classification. Depending on the reason for the formation, they are divided into:

• congenital;
• acquired.

Moreover, the data of education have certain morphological differences. Cysts with an internal epithelial lining are called true. And those tumors that do not have such lining are false.

There is also the so-called arachnoid cyst (it is also a teratoma of Tarlova).

It represents a hollow formation, the walls of which consist of a spider web of the spinal cord.

Inside it is also filled with a liquid liquid. More often such a cyst is found in patients in the sacrum.

The peculiarity is that the process of its formation is completely painless for a person.

No symptoms in the form of neurological disorders, curvature of the vertebra, etc. not visible.

It should be noted that the Tarlov cyst is often an innate pathology and it is also treated only surgically.

Clinical manifestations

Symptomatic disease directly depends on the location of the cyst and the factor that triggered its occurrence.

At the very beginning of its formation, it does not manifest itself.

But with the growth of education, the pressure on the nerve endings increases, which leads to the appearance of such symptoms as:

• Back pain, where the second and third spine is located.
• Disorders of the vestibular apparatus.
• Numbness of extremities, most often legs.
• Neurological disorders.
• Paresis of extremities.

In some cases, active growth of the neoplasm in the region of the third spine provokes the appearance of problems from the gastrointestinal tract and urinary system. Also, the appearance of pain in the buttocks and legs, muscle weakness and lameness.

As already mentioned above, the cyst does not manifest itself in any way and is detected by chance, when carrying out an X-ray or ultrasound examination for other pathologies, which are manifested by noise in the ears, frequent dizziness and migraines. Therefore, it is commonly believed that these are the symptoms that are characteristic of such formations.

Diagnostics

When diagnosing, it is very important to determine not only the type of tumor, but also the causes of its occurrence. To this end, a number of diagnostic activities are carried out, which include:

• Biochemical examination of blood and urine.
• Analysis of feces for egg egg.
• Ultrasound of the spinal column and internal organs.
• CT.
• X-ray examination.
• MRI with the introduction of a contrast substance in the lumen of the spine.

Methods of treatment

Therapy of neoplasms in the vertebral column occurs in several ways - conservative and surgical.

If the tumor is small (less than 15 mm), then the traditional approach is used, which includes adherence to bed rest and minimizing physical exertion, as well as taking:

• Non-steroidal anti-inflammatory drugs.
• Vitamins from two groups B and C.
• Anesthetics (local and oral).
• Oral medicines, which stop degenerative and dystrophic processes in the spine.
• Vasoactive drugs that enhance blood circulation and activate metabolism.
• Muscle relaxants, which help to relieve muscle tension.

In the event that the use of all drugs does not give positive results and the cyst continues to increase in size (it becomes more than 15 mm), then surgical treatment is performed.

In this case, the tumor is opened, the pumping out of the pathological exudate from it and the introduction into its cavity of a special drug solution, which contains fibrin substances, which ensure gluing of the walls neoplasms.

It should be noted that surgical treatment of the vertebral cyst is accompanied by serious risks.

There is a high probability of damage to the spinal cord, the occurrence of adhesions and the development of postoperative meningitis.

However, if the surgical procedure is performed by an experienced physician and all of its recommendations are strictly observed by the patient during the rehabilitation period, the risks of such complications are minimized.

A source: https://StopKista.ru/kista/perinevralnaya-na-urovne-s2.html

The perineural cyst is at the level of the s2 vertebra. What it is?

The main cause is spinal trauma or inflammatory and degenerative-dystrophic processes in the body. It is worth noting that in violation of intrauterine development, the child has congenital cysts. Therefore, do not confuse them with perineural formations.

So, the perineural cyst at the s2 level of the vertebra - what is it? In medical practice, this phenomenon has its name because of the bulk.

It represents a kind of structural formation that has a rounded shape.

If you delve into the concept itself, then from the Latin language the perineural cavity is translated as: "peri" - near the nerve, and "nevus" - the nerve.

Localization

The formations can be located absolutely in any part of the spinal canal. But according to statistical data, it was noted that most often these cysts are found in the lower section spine, in some patients, cystic lesions may be located in the lumbosacral spine.

(photo of the perineural cyst)

In the diagnosis, doctors use a certain numbering of vertebrae and its departments.

Numbering explanation:

• Lumbar vertebrae - L. There are only 5, so they are numbered as: L1-L5.
• Sacrum spine: S1, S2, S3, S4, S5.

At the s3 level, the vertebra, what is it?

On the second and third level (S2, S3) most often cysts are found.

This means that the cystic formation is located in the third vertebra, directly of the sacral region.

Pathology does not have a pronounced clinical picture, so it is most often found in a diagnostic examination.

Types of cysts:

1. Tarlova, the second name is arachnoid. It looks like a small bag, inside of which is a spinal fluid, a frequent location in the zone of the nerve roots.
2. Solitary, is a cavity, directly in the bone tissue, location: long tubular bones.
3. Syringomyelic, tumor, when untimely treatment is transformed into dense cartilaginous tissue.
4. Periarticular, affects intervertebral joints.
5. Epidermoid and dermoid. Location: in the lumbosacral department. You can detect the disease with the help of an MRI.
6. Aneurysmatic. Occurs in the background of a trauma inside the bone of the spine, as a result of which the cavity is filled with venous blood.

If the formation is more than 15 mm, the nerve root is compressed, so the patient has certain symptoms.

Clinical picture

The signs of the tumor depend on the dislocation and the size of the formation. As we said above, small cysts do not show themselves. At large formations the patient has:

• Pain syndrome, gives in the lower limbs, buttocks and other parts of the body.
• There are neurological disorders, for example, coldness or numbness of the legs.
• In rare cases paresis of extremities is observed.
• The patient with a tumor at the level of s2-s3 has problems with the vestibular apparatus.
• Dysfunction of the gastrointestinal tract.
• In addition to the above signs, there can be pain in the genitourinary system, there is a noise in the head.
• With arachnoid cysts, the patient has weakness in the lower extremities, so a person can not stay in a sitting position for a long time.

Diagnostic measures

In order to accurately diagnose, the doctor sends the patient to a computer tomography. If this method of examination does not allow an accurate diagnosis, then magnetic resonance imaging is performed.

With the help of such a study, you can quickly identify the exact location of cystic education.
Note that with such cysts, in no case can X-rays be examined. After all, there is additional radiation, and this leads to rapid growth of the cyst.

Drug therapy: main activities

First and foremost, medical help is aimed at eliminating the inflammatory process. The doctor appoints the patient as the main treatment of physiotherapy, reflexology or phonophoresis.

Such events are held during the period of exacerbation. After that, prescribe therapeutic massage procedures and acupuncture.

Main measures of conservative therapy:

• Bed rest, you must exclude all sudden movements and physical exertion.
• Take anti-inflammatory non-steroid medications, for example: Diclofenac or Ibuprofen.
• The complex treatment includes drugs for the restoration of cartilaginous tissues. Therefore, chondroprotectors are prescribed drugs.
• With strong muscle spasms, muscle relaxants are prescribed, for example: Mydocalm or Sirdalud.
• Vitamin-mineral complex, in particular, vitamins from group B and C.
• As for nutrition, the patient does not need to eat salty or spicy dishes at the time of treatment. The diet should include: lean meat, fish (prefer non-fat varieties), fruits and vegetables.

If drug therapy does not bring a positive result, then a surgical operation is performed.

Operative treatment

The essence of such intervention is the complete removal of the liquid from the cavity of formation. After this, the doctors inject the glueing components into the cystic cavity. They are necessary to prevent re-emergence.

Complications that may occur after endoscopic removal:

• Damage to the spinal cord.
• Meningitis (postoperative).
• Liquor hypotension.

Therefore, doctors are trying to eliminate education by drug therapy.

Traditional methods of treatment

Such therapy can be used only with small formations.
Good for cysts s1-s2 segment helps the medicinal broth.

1. Preparation: in a container to mix spores, oregano, a string, burdock roots, walnut leaves, immortelle and nettles (1 tablespoon). Pour water 500 ml, infuse the broth for 12 hours.
2. Application: strain the broth, drink 1 tablespoon 30 minutes before eating.

If you do not have an allergic reaction to honey, then at home you can prepare a second recipe.

1. It will take: a little flower honey and kalinovy ​​juice, all the ingredients take in equal parts. Keep the mixture in the refrigerator.
2. Application: half teaspoon before meals. Starting with the third week, take a full teaspoon 2 times a day.

Any prescription described above should be prescribed by a doctor. Remember, in order to reduce the risk of complications, it is necessary to undergo medical examinations in a timely manner.

A source: https://kistanet.ru/localizaciya/perinevralnaya-kista-pozvonochnika.html

Perineural cyst at level S2 of the vertebra

Back pain today is a problem of relevance not only among the elderly, but also at a young age. If the discomfort does not cause much inconvenience, then most likely the patient does not soon turn to the hospital.

In some cases, when the pain does not stop for a long time or is often repeated for no apparent reason, the suffering leads the person to the doctor.

Approximately 70 out of a thousand people diagnosed have a perineural cyst of the spine.

perineural cyst

Features of the cyst structure

The cyst of the spine is a cavity filled with cerebrospinal fluid, an enlarged fragment of the root of the nerve in the lumen of the spinal canal.

The mechanical irritation of this structure causes pain. More often this formation is found in the S2 segment of the lumbosacral spine.

The cyst in the S3 segment of the vertebral column is somewhat less common. The designation S2 indicates the location of the localization of education at the level of the second sacral vertebra.

The disease is more common among women. However, akin-like arachnoid cyst occurs in men as often as in women.

Causes and varieties of perineural cyst

Cysts are true and false. The inner surface of the body of the true cyst is lined with an epithelial tissue.

The false spine cyst does not have this component in its structure.

Perineural formation occurs as a result of protrusion of the nerve root fragment with the liquid into the spinal canal.

Perineural formation

Cysts are divided into congenital and acquired. In the first case, the cause of the disease is the anomaly of intrauterine development. The reasons for the formation of the acquired cyst can often be:

• arising as a result of a trauma of the sacro-lumbar region or for other reasons, obstacles that interfere with the circulation of the cerebrospinal fluid;
• degenerative processes in the elements of the spine;
• sedentary lifestyle, which leads to dystrophy of osteochondral structures;
• excessive physical stress on the spine;
• some parasites (echinococcus);
• hemorrhage in the spine;
• an increase in the pressure of cerebrospinal fluid in the canal of the spine, as a consequence of the inflammatory process.

If any form of cyst is detected, conservative or surgical treatment is prescribed.

The main symptoms of the disease

For a long time, while the size of the cyst is small, she does not show herself in any way.

A person, unaware of the problem that has arisen, continues to lead a habitual way of life, lifts weights, engages in favorite sports that require great physical exertion.

Initially, minor periodic painful feelings are written off for osteochondrosis, but as the cyst grows, the pain intensifies, more and more signs of the disease appear.

Perineural cyst

The main manifestations of this disease include:

• pain in the sacrum and waist, giving to the buttocks and the back of the thigh during walking and turning;
• unpleasant pulling sensations in the lower part of the spine;
• stiffness and pain in sitting position.

You should pay attention to the possible signs of the disease (but not mandatory):

• violation of frequency of urination;
• a sharp change in the indications of blood pressure (from high to very low);
• periodically occurring constipation;
• weakness of muscles and associated lameness;
• pain in the abdomen, inguinal area, back;
• numbness of the feet and legs, turning the foot when walking.

When identifying these symptoms, you must get a consultation from a specialist and, if necessary, undergo a complete examination. It should be remembered that such a disease as the arachnoid cyst of the spine has similar symptoms.

That is why the differential diagnosis of these pathologies should be performed only by the doctor on the basis of the results of the necessary examination.

Properly diagnosed and timely elimination of pathology is the guarantee of the patient's full active life.

Diagnosis and treatment of ailment

The disease can be diagnosed only in a medical institution, based on clinical symptoms, in the following order:

1. First, complaints of the patient are listened to, the order of the appearance of symptoms is established. Also, all possible injuries of the spine for the past few months are excluded.
2. A visual examination of the patient is performed to identify pain during movement, loss of sensitivity in certain parts of the body, and localization of the lesion.

Further, to confirm the preliminary diagnosis, an instrumental examination of the patient is performed:

• X-ray of the lumbosacral spine in two projections;
• CT or MRI of the lumbar region (for differential diagnosis with an arachnoid cyst);
• ultrasonography;
• electromyography (to clarify the functional state of the roots of the spinal cord);
• myelography (for evaluating the state of conducting paths).

If a cyst is detected before, cm in diameter, no special treatment is prescribed. In this case, partial restriction of physical exertion and therapeutic gymnastics are recommended. It is important to monitor the condition of the cyst at least once every six months.

Perineural cyst

If the formation is large, significantly affects the patient's quality of life, causes severe pain, then conservative, surgical or complex treatment is prescribed.

Complex therapy includes the appointment of such drugs:

• anti-inflammatory (Diclofenac, Movalis, Ibuprofen);
• anesthetics (Baralgin, Renalgan, Analgin);
• reducing muscle tension (Midokalm);
• improving blood flow and metabolic processes of drugs (nicotinic acid, Pentoxifylline).

It is inadmissible in such a situation to engage in self-medication or follow the advice of incompetent acquaintances.

The unauthorized administration of these drugs may harm the patient and lead to an aggravation of the general condition.

The dose and duration of taking medication can be determined only by the attending physician on the basis of medical conclusion, individual characteristics and general condition of the organism.

It is important to consider that such operations can give serious complications: the formation of adhesions, postoperative meningitis, mechanical damages of fragments of the spine and soft tissues.

Therefore, the decision to surgical intervention is taken in extreme cases, when there is a violation in the work of other organs or tissues. That is why it is important to pay attention to the first signs of pathology and to begin timely treatment without surgery.

To prevent attacks of the disease prescribed therapeutic exercise. The sports program is selected to reduce the load in the lumbar region, and exercises are used to stretch the spine.

exertion of the spine

Methods of traditional medicine for this pathology

Traditional medicine also offers a number of treatments for this disease. However, when using any of them it is important to consult a doctor. Most preferably, they are used as an adjunct to drug therapy.

The leading role in the treatment of cysts is phytotherapy. You should pay attention to the effectiveness of such plants:

• burdock (perineural and arachnoid cysts are effectively treated with the juice of this plant);
• elecampane (taking tinctures helps to get rid of cysts of small size);
• collection of taken in equal parts of herbs: sorrel, turn, sporish, immortelle.

It is directed to use herbal dues and mixtures to obtain such effects: anesthesia, elimination of inflammatory processes, strengthening the mucous membrane of the stomach and intestines, protecting the liver, kidneys and other organs from harmful effects medicines.

A source: http://sustavam.ru/bolezni/perinevralnaya-kista-na-urovne-s2-pozvonka/

Causes and treatment of perineural cyst

Back pain from time to time there are almost every person. Most often they signal about the wrong way of life or excessive physical activity.

If the pain syndrome occurs from time to time and does not cause much discomfort to it, as a rule, do not pay attention. However, sometimes the pain in the back leads the sufferer to the doctor. And approximately 7% of the world's population have a perineural cyst.

What is such a diagnosis? Consider the causes, symptoms and methods of treatment of perineural cyst.

Why does a perineural cyst appear?

The perineural cyst is a limited formation filled with fluid that is localized in the spinal canal. In other words, it is a vial that is filled with cerebrospinal fluid and is located near the spinal root.

The most common data are cystic cavities in the lumbar and sacral spine. To clarify the location of such cysts use the medical designation of vertebrae of the spine.

The vertebrae of the lumbar region are denoted by the Latin letters L (L1 - L5), and the vertebrae of the sacral department by the letters S (S1 - S5).

For example, the perineural cyst at the S2 level means that the cyst is located at the level of the second vertebra of the sacral department, and the perineural cyst at the level of S3 - cystic formation is localized at the level of the third vertebra of the sacral department.

Cystic neoplasms of this type are congenital and acquired. The congenital cyst is a consequence of a violation of the intrauterine development - there is a protrusion of the spinal cord into the lumen of the spinal canal.

In the event that such a protrusion of a small size, a person may not even suspect of its presence.

The causes of the perineural cyst of the acquired species are inflammatory processes or traumas.

Symptoms of pathology

Cysts of small size, up to, cm, do not cause any manifestations. But if the cyst reaches a large size, it begins to squeeze the spinal cord, near which it is localized.

The patient develops a painful cider while walking or sitting for a long time. Its intensity is different and it is localized at the site of the projection of the cyst in the spine.

Other signs of perineural cyst development include the following conditions:

• impaired sensitivity in some parts of the spine;
• pain in the legs;
• lameness, a feeling of "crawling crawling" along the lower limbs;
• problems of urination, constipation.

The most vivid symptomatology occurs when a perineural cyst is affected at the S2 level or perineural cyst at the S3 level.

Diagnosis and treatment of perineural cyst

If the perineural cyst is suspected, the doctor sends the patient for an additional examination. Since it is impossible to determine such a cystic formation on an ordinary X-ray, computer or magnetic resonance imaging is necessary.

If a cyst is detected up to, cm, usually treatment is not required, you only need constant monitoring of it.

In other cases, conservative or surgical treatment of the perineural cyst is used.

Conservative treatment consists in the use of drugs, primarily anti-inflammatory drugs (Diclofenk, Movalis, Diclobert) and analgesics (Baralgin, Analgin).

Also, the patient is prescribed muscle relaxants, which reduce muscle tension and spasm (Midokalm).

In order to improve metabolic processes and circulation, it is prescribed to take vasoactive drugs (Pentoxifylline, nocinic acid). In addition, medications are prescribed that reduce degenerative-dystrophic processes (Don, Structum, Arthrofon) and vitamins of group B and C.

Surgical treatment of the perineural cyst is carried out in case the formation of large size causes disruption of the work of organs and tissues. During the operation, the fluid is pumped out of the cystic cavity, after which it is filled with a special gluing composition.

Therefore, in each case, the doctor carefully weighs the ratio between the risk of the operation and the effect from it.

Folk methods of treatment of the disease

In the treatment of perineural cyst sometimes folk remedies are used.

It should be noted that the effect in their use can be only in the case of a small neoplasm.

It is best to use folk methods in conjunction with drug treatment, after consulting with a medical specialist.

Here are some of the most commonly used prescriptions for folk remedies from the perineural cyst.

• Make a mixture of herbs from the following components: sporish (1 tbsp. L.), oregano (1 tbsp. l.), the sequence (1 tbsp. l.), nettles (1 tbsp. l.), the roots of burdock (1 tbsp. l.), walnut leaves (1 tbsp. l.), immortelle (3 tbsp. l.), St. John's wort (3 tbsp. l.), the roots of sorrel (1 tbsp. l.). Two spoonfuls of dining collection pour boiling water (500 ml), insist 12-14 hours, filter. Take 1 tbsp. l. for 20-25 minutes before meals 3-4 times a day for a month.
• Mix in the same proportion fresh juice of viburnum and flower honey. The first week is taken a quarter teaspoon of the mixture before breakfast, the second week - half a teaspoon, and the third week - a teaspoon in the morning and evening. At the fourth week they take a medicine for 1 tbsp. l. twice a day, then take a break for a week and resume treatment, but in the reverse order, reducing the dose.

The perineural cyst does not pose a particular danger to human health, but only if it is discovered in time and treatment started.

A source: http://www.wjtoday.ru/prichiny-i-lechenie-perinevralnoj-kisty/