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Tarlov Cyst Physical Therapy
All About Tarlov Cysts and Treatment Options | Image Courtesy of Chuttersnap via Unsplash

Treatment Options for Tarlov Cyst: Physical Therapy

This article will go over what a Tarlov cyst is, what symptoms can arise from having a Tarlov cyst, how it is diagnosed, and common conservative and surgical treatments. 

What is a Tarlov Cyst? 

Tarlov cysts are sacral perineural cysts that consist of cerebrospinal fluid (CSF) close to the dorsal root ganglion on our sacral spine (the triangle shaped bone that connects to our tailbone). Tarlov cysts are often incidental findings on MRI’s, meaning most people with no symptoms may have Tarlov cyst(s). Paulsen, et al, looked at 500 MRIs of the lumbosacral spine and found an incidental rate of 4.6%; of which 20% were symptomatic. Approximately 1% of the cysts are large enough to cause compression, thus requiring prompt treatment.

What are the symptoms of a Tarlov Cyst? 

Some people have Tarlov cysts with symptoms, and some have Tarlov cysts with no symptoms. Depending on the size and location of the cyst, it can affect the nerve roots coming out of the spine. The most common location of the tarlov cysts is on the second sacral vertebrae. The sizes of the cysts range, on average, from 1-2 centimeters. This is a big area where very important nerves live, such as the pudendal nerve, sciatic nerve, and many others. Our pudendal nerve is responsible for sensation of our perineum (saddle region), bladder/bowel function, and volitional control of the muscles of our pelvic floor. Another big nerve is the sciatic nerve and this innervates the muscles of the back of the thighs and indirectly innervates the lower legs. Because of the location of the cyst, you can imagine that Tarlov cysts can lead to low back pain, leg pain, pelvic pain, sensory disturbances and bladder/bowel dysfunction.

Common symptoms are:

  • Low back pain 
  • leg pain 
  • pain from sitting to standing 
  • numbness/sensory dysfunction
  • Urinary urgency/urinary frequency
  • sexual dysfunction

Baker, et al. studied bladder findings in those with symptomatic Tarlov cysts and that also underwent urodynamic testing. The authors found an earlier sensation of bladder filling, involuntary detrusor (bladder muscle) contractions, urethral instability, and stress urinary incontinence. As you can see, Tarlov cysts can have quite an influence on our urogenital function. 

How are Tarlov Cysts diagnosed?

Often Tarlov cysts are diagnosed through MRI, CT, or myelogram of the lumbosacral spine. If it is suspected to be the cause of your pain/symptoms, often a CT guided percutaneous aspiration of the cyst is performed to see if short-term relief occurs, and goes into consideration as a surgical candidate. 

Treatment Options for Tarlov Cysts

Conservative treatments can include analgesic medications, non-steroid anti-inflammatory medications, and physical therapy. Physical therapy would focus on the individual symptoms, help with pain management and possibly introduce light strengthening of muscles that may have gotten weaker as a result of the cyst.

Tarlov Cyst Disease Foundation listed some wonderful general suggestions:

  • Avoid heavy lifting, straining or pulling that may increase pressure on low back 
  • ice and/or heat packs on low back 
  • minimize prolonged periods of sitting or standing (possibly apply sitting cushions that help decrease pressure on perineum).
  • avoid constipation as that can increase pressure on cyst while straining (check out our other blogs on how to help manage constipation: 
  • Pain management, including TENS

Furthermore, pelvic floor physical therapists can help with constipation, go over toileting posture and mechanics, bladder symptoms (urinary incontinence, inc. urinary frequency/urgency, or difficulty with urinating), sitting posture/strategies, standing posture/strategies and apply pain management techniques including light manual therapy and therapeutic exercises. 

SURGICAL TREATMENTS:

There are many different surgical techniques to help should conservative methods fail or symptoms worsen. Different neurosurgical techniques include: cyst fenestration, cyst shrinkage, partial excision and oversewing of cyst’s wall with or without nerve root repair, and complete excision of the cyst with the nerve root. Although surgery provides relief for many, including a significant reduction in pain, improvement in bladder/bowel function and sexual function, there can be some complications and in some circumstances, may be recurrence of cyst with a return of symptoms. Please go to tarlovcystfoundation.org to help you find a neurosurgeon that can help guide you through this journey. 

References:                   

  1. Xu J, Sun Y, Huang X, Luan W (2012) Management of Symptomatic Sacral Perineural Cysts. PLoS ONE 7(6): e39958. doi:10.1371/journal.pone.0039958 
  2. Baker M, Wilson M & Wallach S. (2018). Urogenital symptoms in women with Tarlov cysts. J Obstet Gynaecol Res 44(9): 1817-1823. doi:10.1111/jog.13711. 
  3. “FAQs.” Tarlov Cyst Disease Foundation. https://www.tarlovcystfoundation.org/faqs/
  4. Medani K, Lawandy S, Schrot R, et al. Surgical Management of symptomatic Tarlov cysts: cyst fenestration and nerve root imbrication - a single institutional experience.  J Spine Surg 2019;5(4):496-503 | https://dx.doi.org/10.21037/jss.2019.11.11 

Get The Book

Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve

Haga clic aquí para la versión española Sex Without Pain: A Self-Treatment Guide To The Sex Life You Deserve was written by Heather Jeffcoat, DPT, a physical therapist with countless successes in treating pain of this type. Women with vaginismus, overactive pelvic floor, painful intercourse, vulvodynia, vulvar vestibulitis, vestibulodynia, dyspareunia, interstitial cystitis have all benefited from her unique program. Heather uses her orthopedic background to approach treatment of these muscles like they are....muscles! She utilizes a self-treatment tool called a dilator to provide massage and other muscle relaxation and stretching techniques in a gentle fashion to return a women's muscles back to a resting, rather than guarded, state.


• To order "Sex Without Pain" in paperback from Amazon for $24.99, click here.

• To order an electronic read-only non-printable PDF copy of the book for instant download at $19.99, use the button below:

• To schedule an appointment at one of the Femina PT offices, click here.

• For a list of other trusted health care providers, click here.

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    1 x beforeRenderModule mod_custom (We Are Hiring!) (720B) (0%)
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    1 x beforeRenderModule mod_custom (Start Your Pelvic Health Journey) (736B) (0%)
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385 statements were executed, 58 of which were duplicates, 327 unique143ms2.99MB
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  • SELECT 'com_content.article' AS context,'563' AS context_id,`layers`.`id` AS `id`,`layers`.`title` AS `title`,`layers`.`name` AS `name`,`layers`.`fields` AS `fields`,`layers`.`language` AS `language`,`layers`.`template` AS `template`,`map`.`values` AS `values` FROM `femi55_plg_pwtseo_datalayers` AS `layers` RIGHT JOIN `femi55_plg_pwtseo_datalayers_map` AS `map` ON `map`.`datalayer_id` = `layers`.`id` WHERE `map`.`context_id` = '563' AND `map`.`context` = 'com_content.article' AND `layers`.`published` = 1 AND (`layers`.`language` = '*' OR `layers`.`language` = '*') ORDER BY `layers`.`ordering` ASC141μs1.27KB/plugins/system/pwtseo/pwtseo.php:771Copy
  • SELECT `layers`.`id`,`layers`.`title`,`layers`.`name`,`layers`.`fields`,`layers`.`language`,`layers`.`template` FROM `femi55_plg_pwtseo_datalayers` AS `layers` WHERE `published` = 1 AND `language` = '*' AND (FIND_IN_SET('28', `template`) OR FIND_IN_SET(0, `template`))204μs816B/plugins/system/pwtseo/pwtseo.php:837Copy
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  • SELECT * FROM `femi55_acymailing_fields`177μs2.78KB/administrator/components/com_acymailing/compat/joomla.php:629Copy
  • SELECT a.id,a.alias,a.catid, c.alias as catalias FROM femi55_content as a LEFT JOIN femi55_categories AS c ON c.id = a.catid WHERE a.id = 224 LIMIT 1169μs704B/administrator/components/com_acymailing/compat/joomla.php:638Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `femi55_categories` AS `s` INNER JOIN `femi55_categories` AS `c` ON (`s`.`lft` <= `c`.`lft` AND `c`.`lft` < `s`.`rgt`) OR (`c`.`lft` < `s`.`lft` AND `s`.`rgt` < `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`633μs3.89KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT a.id,a.alias,a.catid, c.alias as catalias FROM femi55_content as a LEFT JOIN femi55_categories AS c ON c.id = a.catid WHERE a.id = 143 LIMIT 1139μs704B/administrator/components/com_acymailing/compat/joomla.php:638Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id109μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id46μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT * FROM femi55_acymailing_list WHERE type = 'list' ORDER BY ordering ASC92μs2.41KB/administrator/components/com_acymailing/compat/joomla.php:629Copy
  • SELECT * FROM `femi55_acymailing_fields` as a WHERE a.`published` = 1 AND (a.access = 'all' OR a.access LIKE ('%,1,%')) ORDER BY a.`ordering` ASC88μs2.78KB/administrator/components/com_acymailing/compat/joomla.php:629Copy
  • SELECT * FROM `femi55_acymailing_fields`84μs2.78KB/administrator/components/com_acymailing/compat/joomla.php:629Copy
  • SELECT a.id,a.alias,a.catid, c.alias as catalias FROM femi55_content as a LEFT JOIN femi55_categories AS c ON c.id = a.catid WHERE a.id = 224 LIMIT 144μs704B/administrator/components/com_acymailing/compat/joomla.php:638Copy
  • SELECT a.id,a.alias,a.catid, c.alias as catalias FROM femi55_content as a LEFT JOIN femi55_categories AS c ON c.id = a.catid WHERE a.id = 143 LIMIT 144μs704B/administrator/components/com_acymailing/compat/joomla.php:638Copy
  • SELECT `a`.`id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,CASE WHEN `a`.`publish_up` IS NULL THEN `a`.`created` ELSE `a`.`publish_up` END AS `publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`metadata`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`featured`,`a`.`language`,LENGTH(`a`.`fulltext`) AS `readmore`,`a`.`ordering`,`fp`.`featured_up`,`fp`.`featured_down`,CASE WHEN `c`.`published` = 2 AND `a`.`state` > 0 THEN 2 WHEN `c`.`published` != 1 THEN 0 ELSE `a`.`state` END AS `state`,`c`.`title` AS `category_title`,`c`.`path` AS `category_route`,`c`.`access` AS `category_access`,`c`.`alias` AS `category_alias`,`c`.`language` AS `category_language`,`c`.`published`,`c`.`published` AS `parents_published`,`c`.`lft`,CASE WHEN `a`.`created_by_alias` > ' ' THEN `a`.`created_by_alias` ELSE `ua`.`name` END AS `author`,`ua`.`email` AS `author_email`,`uam`.`name` AS `modified_by_name`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language` FROM `femi55_content` AS `a` LEFT JOIN `femi55_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `femi55_users` AS `ua` ON `ua`.`id` = `a`.`created_by` LEFT JOIN `femi55_users` AS `uam` ON `uam`.`id` = `a`.`modified_by` LEFT JOIN `femi55_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `femi55_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` WHERE `c`.`published` = 1 AND `a`.`state` = :condition AND `a`.`featured` = 1 AND (`fp`.`featured_up` IS NULL OR `fp`.`featured_up` <= :featuredUp) AND (`fp`.`featured_down` IS NULL OR `fp`.`featured_down` >= :featuredDown) AND `a`.`catid` IN (:preparedArray1) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) ORDER BY RAND() ASC LIMIT 32.08ms22.3KBParams/libraries/src/MVC/Model/BaseDatabaseModel.php:166Copy
  • SELECT `m`.`tag_id`,`m`.`content_item_id`,`t`.* FROM `femi55_contentitem_tag_map` AS `m` INNER JOIN `femi55_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `t`.`published` = 1 AND `m`.`content_item_id` IN (:preparedArray1,:preparedArray2,:preparedArray3) AND `t`.`access` IN (:preparedArray4)3.38ms4.09KBParams/libraries/src/Helper/TagsHelper.php:448Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `femi55_categories` AS `s` INNER JOIN `femi55_categories` AS `c` ON (`s`.`lft` <= `c`.`lft` AND `c`.`lft` < `s`.`rgt`) OR (`c`.`lft` < `s`.`lft` AND `s`.`rgt` < `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`601μs3.89KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `title` FROM `femi55_finder_taxonomy` WHERE `parent_id` = 1 AND `state` = 1 AND `access` IN (1)43μs680B/administrator/components/com_finder/src/Indexer/Taxonomy.php:314Copy
  • SELECT MAX(`tag_id`) AS `tag_id`,COUNT(*) AS `count`,MAX(`t`.`title`) AS `title`,MAX(`t`.`access`) AS `access`,MAX(`t`.`alias`) AS `alias`,MAX(`t`.`params`) AS `params`,MAX(`t`.`language`) AS `language` FROM `femi55_contentitem_tag_map` AS `m` INNER JOIN `femi55_ucm_content` AS `ucm` ON `m`.`content_item_id` = `ucm`.`core_content_item_id` AND `m`.`type_id` = `ucm`.`core_type_id` INNER JOIN `femi55_categories` AS `cat` ON `ucm`.`core_catid` = `cat`.`id` INNER JOIN `femi55_tags` AS `t` ON `tag_id` = `t`.`id` INNER JOIN `femi55_ucm_content` AS `c` ON `m`.`core_content_id` = `c`.`core_content_id` WHERE `t`.`access` IN (:preparedArray1) AND `t`.`published` = 1 AND `cat`.`published` > 0 AND `m`.`type_alias` = `c`.`core_type_alias` AND `c`.`core_state` = 1 AND (`c`.`core_access` IN (:preparedArray2) OR `c`.`core_access` = 0) AND (`c`.`core_publish_up` IS NULL OR `c`.`core_publish_up` = :nullDate2 OR `c`.`core_publish_up` <= :nowDate2) AND (`c`.`core_publish_down` IS NULL OR `c`.`core_publish_down` = :nullDate3 OR `c`.`core_publish_down` >= :nowDate3) GROUP BY `tag_id`,`t`.`title`,`t`.`access`,`t`.`alias` ORDER BY RAND() LIMIT 2023.57ms2.09KBParams/modules/mod_tags_popular/src/Helper/TagsPopularHelper.php:183Copy
  • SHOW FULL COLUMNS FROM `femi55_djmt_albums`565μs1.52KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:625Copy
  • SELECT * FROM `femi55_djmt_albums` WHERE `id` = '15'192μs1.66KB/libraries/src/Table/Table.php:755Copy
  • SELECT manifest_cache FROM femi55_extensions WHERE element='com_djmediatools' LIMIT 1241μs536B/components/com_djmediatools/helpers/helper.php:86Copy
  • SELECT `a`.`id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,CASE WHEN `a`.`publish_up` IS NULL THEN `a`.`created` ELSE `a`.`publish_up` END AS `publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`metadata`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`featured`,`a`.`language`,LENGTH(`a`.`fulltext`) AS `readmore`,`a`.`ordering`,`fp`.`featured_up`,`fp`.`featured_down`,CASE WHEN `c`.`published` = 2 AND `a`.`state` > 0 THEN 2 WHEN `c`.`published` != 1 THEN 0 ELSE `a`.`state` END AS `state`,`c`.`title` AS `category_title`,`c`.`path` AS `category_route`,`c`.`access` AS `category_access`,`c`.`alias` AS `category_alias`,`c`.`language` AS `category_language`,`c`.`published`,`c`.`published` AS `parents_published`,`c`.`lft`,CASE WHEN `a`.`created_by_alias` > ' ' THEN `a`.`created_by_alias` ELSE `ua`.`name` END AS `author`,`ua`.`email` AS `author_email`,`uam`.`name` AS `modified_by_name`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language` FROM `femi55_content` AS `a` LEFT JOIN `femi55_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `femi55_users` AS `ua` ON `ua`.`id` = `a`.`created_by` LEFT JOIN `femi55_users` AS `uam` ON `uam`.`id` = `a`.`modified_by` LEFT JOIN `femi55_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `femi55_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` WHERE `c`.`published` = 1 AND `a`.`state` = :condition AND `a`.`catid` IN (:preparedArray1) AND `a`.`created_by_alias` IN (:preparedArray2) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) ORDER BY a.ordering ASC LIMIT 100777μs22.28KBParams/libraries/src/MVC/Model/BaseDatabaseModel.php:166Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `femi55_categories` AS `s` INNER JOIN `femi55_categories` AS `c` ON (`s`.`lft` <= `c`.`lft` AND `c`.`lft` < `s`.`rgt`) OR (`c`.`lft` < `s`.`lft` AND `s`.`rgt` < `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`471μs3.91KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `a`.`id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,CASE WHEN `a`.`publish_up` IS NULL THEN `a`.`created` ELSE `a`.`publish_up` END AS `publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`metadata`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`featured`,`a`.`language`,LENGTH(`a`.`fulltext`) AS `readmore`,`a`.`ordering`,`fp`.`featured_up`,`fp`.`featured_down`,CASE WHEN `c`.`published` = 2 AND `a`.`state` > 0 THEN 2 WHEN `c`.`published` != 1 THEN 0 ELSE `a`.`state` END AS `state`,`c`.`title` AS `category_title`,`c`.`path` AS `category_route`,`c`.`access` AS `category_access`,`c`.`alias` AS `category_alias`,`c`.`language` AS `category_language`,`c`.`published`,`c`.`published` AS `parents_published`,`c`.`lft`,CASE WHEN `a`.`created_by_alias` > ' ' THEN `a`.`created_by_alias` ELSE `ua`.`name` END AS `author`,`ua`.`email` AS `author_email`,`uam`.`name` AS `modified_by_name`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language` FROM `femi55_content` AS `a` LEFT JOIN `femi55_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `femi55_users` AS `ua` ON `ua`.`id` = `a`.`created_by` LEFT JOIN `femi55_users` AS `uam` ON `uam`.`id` = `a`.`modified_by` LEFT JOIN `femi55_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `femi55_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` WHERE `c`.`published` = 1 AND `a`.`state` = :condition AND `a`.`catid` IN (:preparedArray1) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) ORDER BY a.hits DESC LIMIT 121.77ms166.38KBParams/libraries/src/MVC/Model/BaseDatabaseModel.php:166Copy
  • SELECT DISTINCT a.id, a.title, a.name, a.checked_out, a.checked_out_time, a.note, a.state, a.access, a.created_time, a.created_user_id, a.ordering, a.language, a.fieldparams, a.params, a.type, a.default_value, a.context, a.group_id, a.label, a.description, a.required, a.only_use_in_subform,l.title AS language_title, l.image AS language_image,uc.name AS editor,ag.title AS access_level,ua.name AS author_name,g.title AS group_title, g.access as group_access, g.state AS group_state, g.note as group_note FROM femi55_fields AS a LEFT JOIN `femi55_languages` AS l ON l.lang_code = a.language LEFT JOIN femi55_users AS uc ON uc.id=a.checked_out LEFT JOIN femi55_viewlevels AS ag ON ag.id = a.access LEFT JOIN femi55_users AS ua ON ua.id = a.created_user_id LEFT JOIN femi55_fields_groups AS g ON g.id = a.group_id WHERE ( (`a`.`context` = :context AND `a`.`access` IN (:preparedArray1)) AND (`a`.`group_id` = 0 OR `g`.`access` IN (:preparedArray2)) AND `a`.`state` = :state) AND (`a`.`group_id` = 0 OR `g`.`state` = :gstate) AND `a`.`only_use_in_subform` = :only_use_in_subform ORDER BY a.ordering ASC1.06ms4.03KBParams/libraries/src/MVC/Model/BaseDatabaseModel.php:166Copy
  • SELECT `t`.`id` FROM `femi55_tags` AS `t` INNER JOIN `femi55_contentitem_tag_map` AS `m` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :prefix AND `m`.`content_item_id` IN (:preparedArray1)69μs1.4KBParams/libraries/src/Helper/TagsHelper.php:503Copy
  • SELECT `m`.`core_content_id`,`m`.`content_item_id`,`m`.`type_alias`,COUNT( `tag_id`) AS `count`,`ct`.`router`,`cc`.`core_title`,`cc`.`core_alias`,`cc`.`core_catid`,`cc`.`core_language`,`cc`.`core_params` FROM `femi55_contentitem_tag_map` AS `m` INNER JOIN `femi55_tags` AS `t` ON `m`.`tag_id` = `t`.`id` INNER JOIN `femi55_ucm_content` AS `cc` ON `m`.`core_content_id` = `cc`.`core_content_id` INNER JOIN `femi55_content_types` AS `ct` ON `m`.`type_alias` = `ct`.`type_alias` WHERE ( ( ( (`m`.`tag_id` IN (:preparedArray1,:preparedArray2,:preparedArray3,:preparedArray4,:preparedArray5) AND `t`.`access` IN (:preparedArray6) AND `cc`.`core_state` = 1) AND (`cc`.`core_access` IN (:preparedArray7) OR `cc`.`core_access` = 0)) AND (`m`.`content_item_id` <> :currentId OR `m`.`type_alias` <> :prefix)) AND (`cc`.`core_publish_up` IS NULL OR `cc`.`core_publish_up` = :nullDateUp OR `cc`.`core_publish_up` <= :nowDateUp)) AND (`cc`.`core_publish_down` IS NULL OR `cc`.`core_publish_down` = :nullDateDown OR `cc`.`core_publish_down` >= :nowDateDown) GROUP BY `m`.`core_content_id`,`m`.`content_item_id`,`m`.`type_alias`,`ct`.`router`,`cc`.`core_title`,`cc`.`core_alias`,`cc`.`core_catid`,`cc`.`core_language`,`cc`.`core_params` ORDER BY `count` DESC LIMIT 121.48ms3.22KBParams/modules/mod_tags_similar/src/Helper/TagsSimilarHelper.php:200Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `femi55_categories` AS `s` INNER JOIN `femi55_categories` AS `c` ON (`s`.`lft` <= `c`.`lft` AND `c`.`lft` < `s`.`rgt`) OR (`c`.`lft` < `s`.`lft` AND `s`.`rgt` < `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`1.13ms68.86KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id121μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id44μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id108μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id43μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id104μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `femi55_categories` AS `s` INNER JOIN `femi55_categories` AS `c` ON (`s`.`lft` <= `c`.`lft` AND `c`.`lft` < `s`.`rgt`) OR (`c`.`lft` < `s`.`lft` AND `s`.`rgt` < `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`197μs68.86KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id109μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id56μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id104μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `femi55_content` WHERE `id` = :id43μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
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  • SELECT * FROM femi55_modules WHERE published=1 ORDER BY id824μs132.89KB/administrator/components/com_maximenuck/helpers/ckfof.php:168Copy
  • SELECT a.params, a.layoutcss, a.customcss FROM femi55_maximenuck_styles as a WHERE (a.state IN (0, 1)) AND a.id = 3245μs64.64KB/administrator/components/com_maximenuck/helpers/ckfof.php:176Copy
  • SELECT * FROM femi55_acym_configuration146μs24.56KB/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT * FROM femi55_acym_list WHERE type = 'standard'95μs1.69KB/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT * FROM femi55_acym_field86μs1.69KB/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT * FROM femi55_acym_form WHERE active = 1 AND type != 'shortcode'74μs912B/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT SUM(CASE WHEN `a`.`next_execution` <= :now THEN 1 ELSE 0 END) AS due_count,SUM(CASE WHEN `a`.`locked` IS NULL THEN 0 ELSE 1 END) AS locked_count FROM `femi55_scheduler_tasks` AS `a` WHERE `a`.`state` = 1242μs1.37KBParams/administrator/components/com_scheduler/src/Model/TasksModel.php:466Copy
  • SELECT * FROM `femi55_extensions` WHERE `element` = 'com_gsd' AND `type` = 'component'115μs2.53KB/plugins/system/nrframework/NRFramework/Extension.php:160Copy
  • SHOW FULL COLUMNS FROM `femi55_gsd_config`476μs1.3KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:625Copy
  • SELECT * FROM `femi55_gsd_config` WHERE `name` = 'config'46μs592B/libraries/src/Table/Table.php:755Copy
  • SELECT `a`.`id`,`a`.`asset_id`,`a`.`title`,`a`.`alias`,`a`.`introtext`,`a`.`fulltext`,`a`.`state`,`a`.`catid`,`a`.`created`,`a`.`created_by`,`a`.`created_by_alias`,`a`.`modified`,`a`.`modified_by`,`a`.`checked_out`,`a`.`checked_out_time`,`a`.`publish_up`,`a`.`publish_down`,`a`.`images`,`a`.`urls`,`a`.`attribs`,`a`.`version`,`a`.`ordering`,`a`.`metakey`,`a`.`metadesc`,`a`.`access`,`a`.`hits`,`a`.`metadata`,`a`.`featured`,`a`.`language`,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`fp`.`ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(`v`.`rating_sum` / `v`.`rating_count`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `femi55_content` AS `a` INNER JOIN `femi55_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `femi55_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` LEFT JOIN `femi55_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `femi55_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `femi55_content_rating` AS `v` ON `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown)561μs22.13KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
  • SELECT a.*,k.title as name,k.alias as alias,k.catid as catid FROM femi55_mymaplocations_location AS a LEFT JOIN femi55_content AS k ON k.id = a.extra_id where a.state=1 and a.component='com_content' AND k.state =1 AND a.extra_id='563'420μs4.67KB/plugins/content/mymaplocations/tmpl/default.php:18Copy
  • SELECT a.* FROM femi55_gsd a WHERE a.state = 1 AND a.plugin = 'content' AND a.appview IN ('article','*') ORDER BY a.id desc389μs313.45KB/libraries/src/MVC/Model/BaseDatabaseModel.php:166Copy
  • SELECT count(id) FROM femi55_users WHERE id = '509'140μs536B/plugins/system/nrframework/NRFramework/User.php:68Copy
  • SHOW FULL COLUMNS FROM `femi55_users`538μs1.58KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:625Copy
  • SELECT * FROM `femi55_users` WHERE `id` = :userid277μs3.16KBParams/libraries/src/Table/User.php:104Copy
  • SELECT `g`.`id`,`g`.`title` FROM `femi55_usergroups` AS `g` INNER JOIN `femi55_user_usergroup_map` AS `m` ON `m`.`group_id` = `g`.`id` WHERE `m`.`user_id` = :muserid199μs1.37KBParams/libraries/src/Table/User.php:132Copy
  • SELECT a.* FROM femi55_gsd a WHERE a.state = 1 AND a.plugin = 'menus' AND a.appview IN ('menus','*') ORDER BY a.id desc97μs17.7KB/libraries/src/MVC/Model/BaseDatabaseModel.php:166Copy
  • SELECT `value` FROM femi55_acym_configuration WHERE `name` LIKE "%regacy" OR `name` LIKE "%\_sub"59μs536B/plugins/system/acymtriggers/acymtriggers.php:430Copy
  • SHOW TABLES1.07ms8.51KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:678Copy
  • SELECT * FROM femi55_acym_plugin73μs1.52KB/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT * FROM femi55_acym_plugin92μs1.52KB/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT `groups`.*, `groups`.title AS text, `groups`.id AS `value` FROM femi55_usergroups AS `groups`57μs1.05KB/administrator/components/com_acym/libraries/joomla/database.php:36Copy
  • SELECT r.* FROM femi55_rereplacer AS r WHERE r.published = 1 AND (r.area = 'head' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id92μs1.52KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT m.condition_id,m.item_id FROM femi55_conditions_map as m LEFT JOIN femi55_conditions as c ON c.id = m.condition_id WHERE `m`.`extension` = 'com_rereplacer' AND `c`.`published` = 171μs592B/administrator/components/com_conditions/src/Model/ItemModel.php:821Copy
  • SELECT r.* FROM femi55_rereplacer AS r WHERE r.published = 1 AND (r.area = 'body' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id77μs1.67KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT r.* FROM femi55_rereplacer AS r WHERE r.published = 1 AND (r.area = 'everywhere' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id77μs1.58KB/plugins/system/rereplacer/src/Items.php:97Copy
  • SELECT * FROM `femi55_conditions` WHERE `id` = '107'68μs1.44KB/libraries/src/Table/Table.php:755Copy
  • SELECT * FROM femi55_conditions_groups as g WHERE g.condition_id = 10745μs704B/administrator/components/com_conditions/src/Model/ItemModel.php:1039Copy
  • SELECT * FROM femi55_conditions_rules as r WHERE r.group_id = 8749μs848B/administrator/components/com_conditions/src/Model/GroupModel.php:108Copy
  • SELECT m.extension,m.item_id,m.table,m.name_column FROM femi55_conditions_map as m WHERE m.condition_id = 107 ORDER BY m.extension,m.item_id47μs704B/administrator/components/com_conditions/src/Model/ItemModel.php:907Copy
  • SELECT `id`,`name` AS `value` FROM `femi55_rereplacer`41μs960B/administrator/components/com_conditions/src/Helper/Helper.php:184Copy
  • SHOW FULL COLUMNS FROM `femi55_rereplacer`501μs1.48KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:625Copy
  • SELECT `id`,`published` AS `value` FROM `femi55_rereplacer`44μs960B/administrator/components/com_conditions/src/Helper/Helper.php:184Copy
  • SELECT `session_id` FROM `femi55_session` WHERE `session_id` = ?178μs1008BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:291Copy
  • INSERT INTO `femi55_session` (`data`,`time`,`session_id`) VALUES (?, ?, ?)507μs544BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:318Copy
  • infoplg_system_j2xml - plgSystemJ2xml::__construct
  • infoplg_system_j2xml - plgSystemJ2xml::onAfterDispatch