cystic lesion in external obturator muscle

Hi All,

I have been suffering from sciatica kind of pain in my left leg since 1 year now.

Earlier doctor throught it is coming from nerve compression in Lambar spine. But my MRI of Lumbar spine showed no nerve compression.

Then doctor ordered fistulogram MRI. The fistulogram MRI report is as follows :

"Small well defined Type T1, T2 oval shaped cystic lesion in external obturator muscle."

Apart from this, there is no other suspecting elements.

But after seeing this, my doctor said this must be just a random finding and may not be related to your leg pain. When I consulted another doctor, he advised me

physio therapy. Ultrasound for buttock region.

but my physio thearpist is not sure, if ultra sound can be done for this ??

--> Can someone advise, if doing ultra sound for this "cystic lesion" is fine ?

--> Also, can this cystic lesion be ignored ? or should I undergo surgery ?

I am just 26 yrs old amd frustrated with this problem. Please help.

Regards.

Can it be ignore/does it cause your specific problem?
it might/it might not - depends on size and exact location in relation to your specific anatomy

Is Ultra sound going to help with a cyst compressing a nerve?
no

Are there other reasons that might cause your problem?
yes

Will Ultrasound help with those?
Ultrasound is first and foremost 1 thing - CHEAP! From personal experience i havent seen Ultrasound improving patients situation too often - different dosages and frequency of application do not seem to make any difference in that regard. You can however find an abundance of research on ultrasound many of which claiming that there is indeed some improvement related to the generated heat. Might as well try a warm/hot bath imho.

its expensive but an mr neurography test could show if the cyst is pressing on a nerve. dont give up on finding your answers.