Tarlov Cyst Disease (TCD) is how this blogging journey began in 2010. These three words have a huge meaning that wasn't too hard to spell when you consider they're explaining a rare disease that comes with a lot of pain and significant changes to the lives of those who live with these often tiny, occasionally massive spinal cord cysts.
What is a Tarlov Cyst?
According to Orphanet Canada, it's more commonly known as a Perineural Cyst, with a disease definition of:
A disorder that is characterized by the presence of cerebrospinal fluid-filled nerve root cysts most commonly found at the sacral level of the spine, although they can be found in any section of the spine, which can cause progressively painful radiculopathy.
According to Canadian patients within the Tarlov Cyst Society of Canada, these cysts are torture and almost impossible to manage once they become symptomatic. In contrast, most Canadian medical practitioners believe them to be nothing more than incidental findings of little to no clinical significance. This belief is based on disproven and outdated medical research that has left nothing but pain in its wake as patients' lives fall apart while the medical community argues over who's right and who's wrong.
This written and verbal confusion creates even more chaos and devastation in patient outcomes. In this day and age, everyone knows how to use Google, but apparently not doctors. These confusing messages often result in intimate partner and/or marriage breakdown, which can permanently damage the entire family that can reach out for generations.
Symptomatic Tarlov Cysts are known to cause a type of pain known as 'Intractable Pain,' which is described as;
Intractable pain (also known as Intractable Pain Syndrome/IPS) is a severe, constant, relentless and debilitating pain that is not curable by any known means and which causes a house-bound or bed-bound state and early death if not adequately treated, usually with opioids and/or interventional procedures.
Unfortunately, the mismanagement and misunderstandings created by the opioid epidemic have created a growing list of lost lives due to suicide while also putting the lives of many Tarlov Cyst Disease patients at risk daily.
Then there's the genetic relationship between Tarlov Cyst Disease and other known, or perhaps unknown conditions, such as Chari Malformation, Connective Tissue Disorders like hypermobile Ehlers-Danlos Syndrome (hEDS), Marfan's and Loey's Dietz Syndrome (LDS).
Then there's the long list of comorbidities, such as,
- Cerebral Spinal Fluid (CSF) Leaks
- Adhesive Arachnoiditis (AA)
- Irritable bladder syndrome
- Irritable bowel syndrome
- Endometriosis
- Myofascial pain syndrome (MPS)
- Chronic Regional Pain Syndrome (CRPS)
- Fibromyalgia
- Secondary depression
- Pudendal Neuralgia
- Enthesopathies (e.g. plantar fasciitis)
- Esophageal dysmotility
- Osteoarthritis
- Insulin resistance
- Metabolic syndrome
- Sciatica
- Hypermobile Ehlers-Danlos Syndrome (hEDS) and any other connective tissue disorder (CTD)
The lives of patients with Symptomatic Tarlov Cyst Disease are always at risk due to the ongoing assignment of the terms of; drug seeker, hypochondriac, and mentally ill. When these tags are attached to a patient file, this often results in medical professionals dismissing all invisible or unique health complaints, which could be caused by other more common and apparent diseases such as different types of cancers, diabetes, and heart conditions.
The challenges the Tarlov Cyst Disease patient group faces are enormous and developing as patients age, and prove that the life of this disease can be, and often is, degenerative. Research is required to monitor the development of this condition as people age, aiming to provide deeper information to all patients diagnosed with this disease. This could assist in the decision-making process of what treatments work, what treatments cause harm, and which treatments could be developed to aid in managing this complex and still not well-known disease.
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