Brief Answer:
Cysts are not worrisome.

Detailed Answer:
Hello,
Thanks for posting your query.
Perineural cysts in the spine are not worrisome. These are fluid-filled sacs that form on nerves at the base of the spine. A person with such cysts would likely never know it. They almost never cause symptoms.
The pain that you are having is likely to be due to nerve root compression at the level of sacrum or lower spine. This can be due to a mild inflammation around the nerve roots. Such neural pains can be relieved with methylcobalamin supplements and medicines like Pregabalin. Consulting a neurophysician will help.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

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Brief Answer:
Surgery can be avoided for now.

Detailed Answer:
Hello.
Thanks for writing again.
I have seen the attached MRI scan report. The degenerative changes in the cervical spine are mild one and can be managed without a surgery.
Initial Treatment options include Pain Killers and Physiotherapy.

If this is not successful, then, surgical decompression of the disc will be required.
There are various treatment options like
1.) Wearing a neck brace
2.) Physical Therapy
3.) Traction
4.) Steroid Injections
5.) Surgical Correction.

Follow these lifestyle modifications,

1.) Apply heat or cold packs regularly.
2.) Take a hot shower everyday.
3.) Do regular physical therapy.
4.) Stick to your treatment plan and go for regular follow up.
5.) Avoid high calorie foods and eat healthy nutritious balanced diet which should include fresh fruits and Green leafy vegetables.
6.) Exercise regularly and maintain a healthy weight.

Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

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