Lumbar Facet Cyst

Lumbar facet synovial cysts are non-malignant sacs, which materialize in the facet joints of the lumbar spine.

What are Lumbar Facet Cysts and Why do They Form?

Lumbar facet cysts are filled with a fluid-like substance and if they become enlarged, can lead to spinal stenosis, which is a condition where the space around the spinal canal is restricted.

The synovium is a delicate layer of tissue that manufactures fluid in order to keep the joints lubricated. Over time, the facet joints in the lumbar spine begin to degenerate, and as a protective mechanism, the synovium produces more fluid to cushion the joints better. However, when tiny amounts of the fluid leak from the joint capsule and collect in the synovium itself, it results in a lumbar facet cyst forming.

Common Symptoms

As a result of the constriction in the spinal canal, the pressure is created on the spinal nerves, which leads to dull and consistent pain in the lower back. Besides having trouble performing your normal activities, you might have problems walking or standing and may even experience a throbbing pain or numbness in your legs. In addition, as the condition gets progressively worse, it could lead to a loss of control over your bowel and bladder movements.

Treatment of Lumbar Facet Cysts

At The Pain, Spine and Sports Institute, our founder Dr. Rehan Ali, who is a highly distinguished board-certified physician, has had years of experience treating painful conditions. His focus for relieving pain and treating symptoms is rooted in employing minimally invasive treatments that are highly effective and have minimum downtime as well. So in addition to the treatment being almost painless, you also will be able to get back to your normal routine in no time.


The goal of any prescription medication is to primarily decrease the ache and discomfort and avoid any side effects that could result from an overdose. The pain brought on by lumbar facet cysts can be treated with the use of muscle relaxants, anti-seizure pain medication and several other non-steroidal anti-inflammatory medications (NSAIDs), which are completely safe.


Injections are a highly effective line of treatment as well, as they help to stem the pain and decrease the inflammation or swelling. Corticosteroid injections have the same effects as our natural hormones cortisone and hydrocortisone. When administered in just the right doses, which are at a higher level compared to the standard quantities produced by the body, corticosteroids help to reduce the inflammation, which in turn results in alleviating the pressure on the spinal nerves and consequently the debilitating pain. And when used in combination with a comprehensive rehabilitation program, they work wonders.

However, corticosteroid injections can cause severe side effects, which is why it is imperative that you consult a highly qualified physician to diagnose as well as administer the treatment.

Find Relief and Improve Your Quality of Life at The Pain, Spine, and Sports Institute

Dr. Rehan Ali is an experienced pain management specialist, and once he has diagnosed your condition, he will then be able to design an extremely effective personalized treatment plan for you, taking into consideration your needs and requirements. Once you start the treatment, you will soon be on the road to recovery, and you will be able to enjoy a pain-free life once again.


Relieve Your Pain and Restore Your Life!