@panda2ac i finally got to see my neurosurgeon yesterday who reviewed my MRI. He felt that based on the location of the cyst and my symptoms he did not think it’s the cause of my issues. The cyst is on the S2 nerve path but my symptoms lead more to issues caused by S1 nerve path. He is referring me to a neurologist in his practice to see if they can determine what the issue is. So I did some more research and it seems that my symptoms match more to perineal nerve irritation. So while I wait for my appointment with neurologist, I will start doing some exercises for strengthening the peroneal muscle and see if it helps my symptoms.