Often there are cystic lesions that are observed in the labrum of any joint in the body. These cystic lesions can grow within the synovial cavity of the joint or may grow on a tendon or a ligament of the joint. Since these kinds of cysts are found on the labrum (or cartilage) that surrounds the joints, they are referred to as paralabral cysts.
A paralabral cyst is more frequently observed among athletes or sports persons. The most commonly involved joint includes the hip or the shoulder joint, which are the most strained joints by the athletes.Paralabral cysts may be solitary or may be present in groups. The symptoms often depend on the size and the location of these cysts.
Symptoms Of Paralabral Cyst
There are three different types of paralabral cysts. These include the synovial cysts, ganglion cysts and pseudocysts. The ganglion cysts are the most common types of paralabral cysts. Typically all the three types of paralabral cysts comprise of small sacs filled with fluid. Some of these cysts may be relatively harder while others may be soft, which depends upon the consistency of the fluid in the cysts.
Ganglion cysts are usually found in the joints, outside the synovial cavity, while synovial cysts are located within the synovial cavity. Ganglion cysts are associated with accumulation of fluid which can result in compression of the surround nerves and tendons while synovial cysts tend to interfere with the mobility of the joint.
The most common symptom associated with paralabral cysts includes severe pain. The severity of the pain often depends upon the size of the cyst and its location. Often the cysts are associated with significant reduction in the range of movement of the affected joint. The restriction in the joint movement and pain also result in weakness around the joint region.
Occasionally, the cyst may result in compression of the nerves supplying to the joint, which also results in weakness, tingling and numbness around the concerned joint. Occasionally swelling with other signs of inflammation including redness and tenderness may also be observed.
Treatment For Paralabral Ganglion Cyst
In most cases, paralabral cysts are not associated with any symptoms and can be left alone. However, medical intervention may be required if the symptoms of weakness and nerve compression are experienced. After a detailed radiological examination of the affected joint, the paralabral cysts can be drained by a simple procedure of incision and drainage. In most of the cases, paralabral cysts may not reappear, however the procedure is associated with 15% risk of recurrence.
Here are some simple home based treatments that can be beneficial in the management of paralabral cysts that are not associated with serious complications,
- Massaging the affected joint can help in spontaneous rupture of the cyst and aid in its natural drainage. Massaging with coconut oil, in a single direction is considered to beneficial in the treatment of the joint.
- Forced movement of the joint is also considered useful. Cysts often interfere with the joint mobility, however when the joint is forcefully moved, it can help in rupture of the cyst and also play a role in strengthening the muscles and tendons around the joint, reducing the possibility of recurrence. This technique should be used with great caution and compression of nerve and blood vessels should be avoided.
- Homeopathic drug Bryonia is considered beneficial in resolving the paralabral cyst. The drug helps in absorption of the fluid and also improves the range of movement of the affected joint.