Leg pain caused by a synovial cyst can sometimes be alleviated by the injection of local anaesthetic and steroids into the facet joint, but a better management option is to insert a needle under CT or fluoroscopic guidance into the facet joint, to attempt to aspirate any fluid, and then to rupture the cyst by injecting radio-opaque contrast medium into the joint under high pressure, with real time can cause a transient increase in pain for the patient, so patients should be offered short acting intravenous analgesics and sedation.
Alexander Weingarten, MD, co-director has been practicing pain management since 1984, is Board Certified in Anesthesiology and has been elected as a fellow of the American Academy of Pain Medicine. In addition he has met the requirements for the American Board of Anesthesiology subspecialty certification in Pain Management. Dr Weingarten engages in all modalities of pain management with expertise in implantable technologies (morphine pump and spinal cord stimulators), fluoroscopic guided needle placement, radiofrequency ablation, percutaneous laser discectomy and epiduralysis and reflex sympathetic dystrophy. Dr Weingarten is an attending anesthesiologist at Northwell Health at Syosset Hospital, Day-Op Center of Long Island and North Queens Surgical Center in Bayside.