Abstract
The patient was a 50-year-old woman who was referred to a physical therapist for management of chronic low back pain. Intervention by the physical therapist included therapeutic exercises and manual therapy. However, after 3 weeks, the patient was referred to a neurosurgeon due to worsening of symptoms and failure to respond to conservative interventions. Lumbar spine magnetic resonance imaging and myelography revealed a lesion consistent with a synovial cyst at the level of the left L3-4 facet joint. Following surgical excision of the cyst, the patient's symptoms resolved completely. J Orthop Sports Phys Ther 2011;41(7):533. doi:10.2519/jospt.2011.0415
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