How can patients with sacral cysts avoid anxiety? Patients with sacral duct cysts are usually in chronic pain. Common pain symptoms include sacrococcygeal soreness, anal cramping pain, perineal cramping pain, buttock swelling pain, and calf, heel, and plantar cramping pain. Although the pain itself is only about 3 points (VAS score: 0-10), the persistence of pain often leads to anxiety and depression, and anxiety and depression further aggravate the patient’s pain, which is originally a 3-point pain, but the patient feels 8-9 points, often saying “the pain is unbearable”, so the pain further reinforces the anxiety and depression. So this is a vicious circle that aggravates each other. And once anxiety and depression appear, they may last for many years and become more and more serious, which can’t be stopped and may produce secondary harm. Therefore, patients with sacral cysts and their families should pay special attention to actively overcome anxiety. The following are our tips as neurosurgeons: 1. Sacral canal cyst is not a malignant disease, and the most serious consequences are only pain and urinary and fecal disorders; in the whole spectrum of diseases, it is considered a disease with good prognosis, which neither affects life, nor becomes malignant, and it is a curable disease, so it is not worth making a fuss, and it should be defied strategically. But because some patients on the Internet make a big deal out of it for unknown reasons and make it look very scary, which can easily cause anxiety for some middle-aged and elderly people who are already very suspicious; so patients and family members should take the initiative to stay away from the kind of people who intentionally exaggerate the fear of the disease – they can’t provide you with anything but increased panic and anxiety any valuable information. 2, If the pain of sacral cyst is obvious, don’t delay it for a long time; if you can’t get relief by observing it for a period of time, you should promptly treat it with minimally invasive surgery, which has little risk, high cure rate and recurrence rate less than 5%. According to a study reported by Japanese scholar Prof. Minami (JournalofNeuroscience), if the pain is severe and lasts for a long time, it will slowly enhance CRF neuropeptide signaling in the brain striatum and thalamus, which will trigger depression. Early anxiety can be cured by psychological relief, while this depression triggered by neurotransmitter changes in the brain cannot be fought by personal will and must be reversed by long-term medication. 3, two weeks after the surgery of sacral canal cyst, the patient resumes upright activities, the surgical incision of sacral canal cyst will have to bear the strong hydrostatic pressure (up to 1100mm water column) of tension, so there will be the feeling of continuous pressure, which is different from all other surgeries. Therefore, we will close the surgical incision of sacral cyst very tightly and stay in bed for a relatively long time, and then gradually increase the time of upright activity, and slowly the longer the wound is, it usually takes about six months or a year to reach the intensity of fully withstanding hydrostatic pressure, which is the reason why a relatively long recovery time is needed after sacral cyst surgery. Clinical observations at the University of Pennsylvania in the United States also confirm that this recovery time takes about a year or so. During this recovery period, if you stand for a long time, you will feel a cramping sensation around and below the incision, which is completely normal and will be relieved with a little rest on a flat surface. We encourage a gradual increase in activity, because human tissue is “in and out”, and only by slowly increasing the amount of activity will the muscles around the incision gradually strengthen and eventually reach sufficient strength. Unfortunately, some patients have doubts about their symptoms during the recovery period, so they go online every day to collect negative news and selectively believe in the negative content, inducing themselves or their patients to induce each other, reinforcing the negative emotions and eventually leading to anxiety and depression, and getting stuck in a quagmire. We have recently found this trend, so we ask all sacral cyst patients to quit WeChat group and QQ group and consult doctors directly for any problems, which is a responsible practice for patients. 4.Eating more meat food and enhancing nutrition, moderate jogging and local massage with massager in the incision can promote the muscle growth around the incision and speed up the healing process. This is especially important for patients who are thin and weak. 5, the patient’s family should always be optimistic to guide the patient to avoid the patient falling into depression. Some family members seem to panic more than the patient himself, as if the more panic is the more concerned, such family members seem to be concerned about the patient, but in fact, they are misleading the patient and aggravate the patient’s worries. The correct approach is to stay optimistic and always encourage. If the patient is found to have frequent insomnia, very poor appetite and indifferent expressions, he or she should promptly see the mental health department and, if necessary, be treated with timely anti-anxiety and anti-depressant medication to interrupt this vicious circle, because depression is more harmful than sacral cyst.