[32M] With lower back pain, fluid in spinal cord, and balance issues

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Tarlov Cysts (Perineural Cysts): These are fluid-filled sacs that can form on the nerve roots of the spine, often in the sacral region but can occur at other levels like T8. They can cause lower back pain, a sensation of needles, and neurological symptoms such as numbness, weakness, and balance issues.

  • Treatment: Treatment options can include pain management with medications, physical therapy, and in some cases, surgical intervention to drain or remove the cysts.

• Syringomyelia: This is a condition where a cyst (syrinx) forms within the spinal cord, which can expand and elongate over time, damaging the spinal cord. Symptoms can include pain, weakness, and stiffness in the back, shoulders, arms, or legs, as well as balance issues.

  • Treatment: Treatment may involve monitoring the cyst with regular MRI scans, medications to manage symptoms, and possibly surgery to drain the cyst or correct the underlying cause.

• Spinal Stenosis: This is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. It can cause pain, numbness, muscle weakness, and balance problems.

  • Treatment: Treatment options include physical therapy, medications, and possibly surgery to relieve the pressure on the spinal cord or nerves.

• Degenerative Disc Disease: This condition involves the breakdown of the intervertebral discs, which can lead to pain, numbness, and weakness. It can also cause balance issues if the spinal cord or nerves are affected.

  • Treatment: Treatment typically includes pain management, physical therapy, and sometimes surgical interventions.

What you can do

While it's important to consult with your healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Pain Management: Continue taking your prescribed medications (Cymbalta and Methocarbamol) as directed by your healthcare provider. Over-the-counter pain relievers like acetaminophen or ibuprofen may also help, but consult your doctor before adding any new medications.

2. Physical Therapy: Engage in physical therapy exercises designed to strengthen your back muscles and improve your posture. This can help alleviate some of the pain and improve your balance.

3. Lifestyle Modifications: Avoid activities that exacerbate your pain, such as heavy lifting or prolonged sitting/standing. Use ergonomic furniture and supportive footwear to reduce strain on your back.

4. Stay Active: Gentle exercises like walking, swimming, or yoga can help maintain your mobility and reduce stiffness. Always consult your healthcare provider before starting any new exercise regimen.

5. Hydration and Nutrition: Ensure you stay hydrated and maintain a balanced diet rich in fiber to help manage constipation.

6. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening pain: If your pain becomes unbearable or significantly worsens, contact your healthcare provider.
• Loss of bladder or bowel control: This could indicate a serious condition that requires immediate medical attention.
• New or worsening neurological symptoms: If you notice increased numbness, weakness, or balance issues, consult your healthcare provider promptly.
• Fever or signs of infection: If you develop a fever or signs of infection, such as redness or swelling at the site of pain, seek medical attention.

Remember, while this information can help you understand your condition better, it is not a substitute for professional medical advice. Always consult with your healthcare provider for a formal diagnosis and treatment plan.