Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 909
Clinical Information 215 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Tarlov Cyst”

A FOOTNOTE??

“What is small to you has changed my life” mark Studin 2018


Thank you Dr. Richard Laviano from North Carolina for the image

 

Tarlov Cyst

Tarlov cysts are fluid-filled nerve root cysts found most commonly at the sacral level of the spine – the vertebrae at the base of the spine. These cysts typically occur along the posterior nerve roots. Cysts can be valved or nonvalved. The main feature that distinguishes Tarlov cysts from other spinal lesions is the presence of spinal nerve root fibers within the cyst wall or in the cyst cavity itself.

Due to the close proximity to the lower pelvic region, patients may be misdiagnosed with herniated lumbar discs, arachnoiditis and in females, gynecological conditions. An accurate diagnosis may be further complicated if the patient has another condition that affects the same region.
 
This cyst was reported as a footnote on the radiologist’s report with no comment on the nerve root encroachments. This patient has been in relentless pain for years with multiple chiropractors. We now know why this patient hasn’t gotten better and can address it with a surgeon. 

Great find and clinical correlation Dr. Laviano. 




 
 
Respectfully,



Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

Academy of Chiropractic
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