Most perineural cysts are incidentally noted by MRI and do not cause symptoms. There are three kinds of treatments considered prior to surgery: physical therapy, medications and injections.

However, the diagnosis of a Tarlov cyst presents its own unique set of problems. Treatment with physical therapy, ice, and NSAIDs yielded no improvement in our patient’s level of pain.

Most perineural cysts are incidentally noted by MRI and do not cause symptoms. There are three kinds of treatments considered prior to surgery: physical therapy, medications and injections.