What Is a Schwannoma? The Spinal Tumor Dr. Luke Macyszyn Specializes in Removing

Health | Spine Surgery
June 17, 2026
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Hearing the words “spinal tumor” can be frightening. Fortunately, many spinal tumors are benign and highly treatable when diagnosed early.

One of the most common benign spinal tumors is called a schwannoma. As a leading neurosurgeon in Los Angeles, I specialize in minimally invasive spinal tumor removal for patients throughout Marina Del Rey, Tarzana, and beyond.

Understanding what a schwannoma is, recognizing the symptoms it may cause, and knowing the available treatment options can help patients feel more informed and confident when seeking care.

What Is a Schwannoma?

A schwannoma is a tumor that develops from Schwann cells, which form the protective covering around peripheral nerves. These tumors most commonly develop along the spinal nerves within or near the spinal canal and often grow slowly over time.

These tumors are typically:

  • Benign
  • Well-defined
  • Treatable with surgery

Although schwannomas are usually noncancerous, they can still cause pain, numbness, weakness, or balance problems as they enlarge and place pressure on nearby nerves or the spinal cord. Early diagnosis and treatment can help prevent worsening symptoms and neurological complications.

Where Do Spinal Schwannomas Occur?

Schwannomas may occur in:

  • The cervical spine (neck)
  • The thoracic spine (mid-back)
  • The lumbar spine (lower back)

Because they arise from nerves, symptoms often depend on the tumor’s location.

Symptoms of a Schwannoma

Small schwannomas may produce no symptoms initially, especially when they are not placing pressure on nearby nerves. Because these tumors typically grow slowly, symptoms can develop gradually and may be mistaken for more common spine conditions.

As tumors enlarge, they can compress nearby nerves or the spinal cord, leading to increasing pain, neurological symptoms, and difficulty with movement or balance.

Common Symptoms Include:

  • Persistent neck or back pain
  • Radiating arm or leg pain
  • Numbness or tingling
  • Muscle weakness

Some patients experience symptoms for months before diagnosis, particularly when the tumor grows slowly or symptoms appear intermittently. Early evaluation can help identify the condition before more serious neurological problems develop.

How Is a Schwannoma Diagnosed?

An MRI is the gold standard for diagnosing spinal tumors because it provides detailed images of the spinal cord, nerves, and surrounding soft tissues.

An MRI allows neurosurgeons to evaluate:

  • Tumor size
  • Tumor location
  • Relationship to nerves
  • Spinal cord compression
  • Surgical accessibility

In many cases, schwannomas appear as well-circumscribed masses that enhance with contrast imaging. MRI findings also help guide treatment planning and determine whether minimally invasive surgical removal may be an option.

Are Schwannomas Cancerous?

The vast majority of schwannomas are benign.

However, even benign tumors can cause serious neurological problems if they compress nerves or the spinal cord.

For this reason, treatment is often recommended when:

  • Symptoms develop
  • Tumors enlarge
  • Neurological deficits appear
  • Spinal cord compression is present

Why Minimally Invasive Tumor Removal Matters

Traditional spinal tumor surgery often requires large incisions and significant muscle disruption.

Today, many schwannomas can be removed using minimally invasive techniques.

Benefits of Minimally Invasive Spinal Tumor Removal

Benefits may include:

  • Smaller incisions
  • Less muscle injury
  • Reduced pain
  • Shorter hospital stays
  • Faster recovery
  • Lower blood loss

As a fellowship-trained spine surgeon, I specialize in advanced minimally invasive spinal tumor removal designed to preserve neurological function and improve recovery.

What Happens During Schwannoma Surgery?

Every case is unique, but surgery generally involves:

  1. Accessing the tumor through a focused approach
  2. Carefully separating the tumor from surrounding nerves
  3. Removing the tumor while protecting neurological structures
  4. Confirming decompression of the spinal cord or nerve roots

Advanced surgical microscopes, imaging guidance, and neuromonitoring help maximize precision and safety.

Recovery After Schwannoma Surgery

Many patients experience improvement in pain or neurological symptoms after surgery.

Recovery depends on:

  • Tumor size
  • Tumor location
  • Degree of nerve compression
  • Overall health
  • Duration of symptoms before surgery

Some patients return home within one or two days, especially after minimally invasive procedures.

Why Experience Matters in Spinal Tumor Surgery

Spinal tumors are relatively uncommon and require specialized expertise.

Choosing an experienced spinal tumor surgeon is important because these procedures involve delicate structures, including:

  • The spinal cord
  • Nerve roots
  • Major blood vessels

My background includes advanced spine surgery training, minimally invasive techniques, and NIH-funded research focused on surgical innovation. I use modern surgical approaches designed to maximize tumor removal while minimizing disruption to surrounding tissues, reducing recovery time, and helping patients return to daily activities as safely and quickly as possible.

When Should You Seek Evaluation?

You should seek evaluation if you experience:

  • Persistent unexplained nerve pain
  • Progressive numbness or weakness
  • Balance problems
  • Symptoms worsening over time
  • MRI findings showing a spinal tumor

Early diagnosis can improve surgical outcomes and reduce the risk of permanent neurological damage.

Second Opinions for Spinal Tumors in Los Angeles

Patients diagnosed with spinal tumors often benefit from obtaining a second opinion, especially when surgery has been recommended. A second opinion can help clarify the diagnosis, review treatment options, and provide confidence in the next steps.

I provide comprehensive spinal tumor evaluations for patients throughout Los Angeles and for individuals traveling nationally for specialized care, with a focus on personalized treatment planning and advanced surgical options.

Specialized Spinal Tumor Removal in Los Angeles

If you have been diagnosed with a schwannoma or another spinal tumor, expert evaluation is essential.

I offer advanced minimally invasive spinal tumor removal and personalized treatment plans focused on safety, neurological preservation, and recovery. Schedule a spinal tumor evaluation or second opinion consultation today.

Begin Your Journey to a Healthy Spine Today!

Dr. Luke Macyszyn
Dr. Luke Macyszyn