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Bosniak has developed a classification system to determine whether a kidney cyst is dangerous and has to be treated, or whether it is a harmless type that needs no further attention.
Here is the list of renal cystic disease according to Bosniak: Bosniak I: Bosniak II: Bosniak IIF: The cyst must be observed to rule out problems or negative developments.
Bosniak III: Kidney cysts in this category can require a surgical procedure due to the fact that the calcifications are thick and grainy, and the thickness of the septa may be of alarming nature. Bosniak IV: What Are Therapy Options?
As mentioned earlier on, a bosniak cyst that is benign and does not affect the patient requires no treatment at all. However, if the cyst does cause discomfort, a simple procedure can help the patient to feel better.
This procedure is usually done through a puncture that releases the fluids and eases the pressure. The tests usually involve a computer tomography as well as a small test of the fluids.
Once any malignant developments are ruled out, the cyst does not have to be removed but should still be followed up regularly — just in case. In very unfortunate cases, the cyst becomes a cancerous tumour that needs to be removed urgently. These cysts are generally what cause the pain that you are experiencing.
There are a few things to remember when you are learning about a subchondral cyst. You should not be really concerned with the cyst itself because it will go away without treatment.
However, the osteoporosis is going to continue to progress and you are going to have to deal with this issue rather than the cysts.
If the cyst is causing you pain there are a few things that you can do. First of all, you can talk to your doctor about getting some type of anti-inflammatory medications that will help with the pain. You can talk to your doctor about taking something over the counter or you can ask him or her to give you a prescription to help with the pain if the over the counter medications are not strong enough. The other option you have would be to avoid moving the joint where the subchondral cyst is.
Your doctor is going to know where the cyst is located once he or she completes and x-ray and you are going to know where the pain is radiating from.
With this knowledge, you can avoid the movements that are going to create the pain for you. As previously mentioned, a subchondral cyst is a sign of osteoarthritis.
If you begin having pain in your joints, you need to talk to your doctor. You are going to want the doctor to complete a full work up in order to determine what is causing your pain and how you can manage it. Arthritis can become very painful and it can progress and make it virtually impossible to complete many of the tasks that you were use to doing. It is very important to talk to your doctor about finding a way to function with these cysts and your osteoarthritis.
Many people will talk to their doctor about trying to find a way to have the cyst removed. This is not usually an option because removing the cysts is going to increase the likelihood of an infection getting into the joint.