Tarlov’s Cyst a Differential Diagnosis with Low back pain

What are Tarlov Cysts?

Tarlov cysts are fluid filled sacs that sit at the lower end of the spine, called the sacrum. They usually do not cause any symptoms, but in some cases, the cysts will expand and put pressure on the nerve roots in the lower spine, causing back pain. In most cases where Tarlov Cysts become a problem, symptoms become evident and are brought on by trauma like a car accident, a slip and fall, exerted heavy lifting, or childbirth. Typically an MRI or CT scan must be taken to confirm the diagnosis of a Tarlov cyst as a differential with other.


  • pain in the lower back, buttocks,  legs and feet
  • weakness in the legs and feet
  • sharp, burning pain in the coccyx area and hip
  • sciatica
  • bowel or bladder changes
  • pain when sitting or standing for too long
  • swelling in the sacral area
  • headaches


Surgery can be done to drain symptomatic Tarlov cysts; however, there is a good chance that the cyst will reoccur after surgery.   Some painful Tarlov cysts are treated experimentally with oral or injected corticosteroids.   Chiropractic care is another treatment option for this condition.   Chiropractic treatment is non-surgical and does not require the patient to be put on steroids.  In my practice, I  have had a great deal of success treating patients with this condition by reducing symptoms and teaching patients how to manage a condition that suddenly becomes symptomatic and debilitating.  Chiropractic is the best option for the  management of Tarlov’s Cyst.

If you know someone that has been diagnosed with this and is having a difficult time managing Tarlov’s Cyst, call 201-487-3131 today to schedule an appointment with Dr. Demetri Meimaris at his office in Hackensack, NJ for an evaluation.

Dr. Demetri Meimaris,  31 Mercer Street, Suite 1A, Hackensack, New Jersey, 07601


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