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Thread: Anyone else had a Popliteal/Baker's Cyst Before?

  1. #1
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    Anyone else had a Popliteal/Baker's Cyst Before?

    How long do they take to go away? I am having daily ultrasound and icing on it.
    It is very frustrating as I have not been able to ski or run for well over a week.

    Thanks.
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  2. #2
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    Quote Originally Posted by powderfinger
    How long do they take to go away? I am having daily ultrasound and icing on it.
    It is very frustrating as I have not been able to ski or run for well over a week.

    Thanks.

    sucks man...i think i am getting a cyst on my lower back...fucking sucks....sometimes it hurts alot, and sometimes i totally forget about it and it seems gone....


    good luck

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    I don't think that they go away that quickly....you can have them drained. Arthroscopic surgery is also a viable treatment.

    "Often no treatment is necessary and the practitioner can observe the cyst over time. Arthroscopic surgery to decompress the cyst and treat any meniscal tear may become necessary if the cyst is extremely large or painful. Aspiration, or draining the cyst with a needle, will decrease cyst size but generally the cyst recurs."
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  4. #4
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    Baker's Cysts are commonly the result of another injury, such as a meniscus tear. The swelling caused by the tear causes a small herniation in the posterior joint capsule (broad ligament that surrounds the knee kind of like a large baloon or sac.) The fluid then forms a little pocket that bulges in the back of the knee. If this is the case the meniscal tear would need to be fixed for the baker's cyst to go away.

    If the ultrasound and ice does not work it might be necessary to have it drained or surgically repaired. However even if it is drained or scoped it is fairly common for it to return.
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  5. #5
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    Do not have it resected surgically. Period.

    You can have it drained very easily and with little discomfort. It probably will come back but sometimes they don't.

    You can repair/fix/resect the inciting injury (meniscial tear, cartilage tear, etc) but the cyst still may reoccur. Try anti-inflammatory (NSAIDS) unless contraindicated.

    FWI, I have an M.D. and a Baker's cyst that crops up (and down) every so often and when it's prominent it is indeed a drag.
    Last edited by Jim S; 01-07-2006 at 06:00 PM.
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  6. #6
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    Usually there is something going on inside your knee joint that is the underlying problem. You get too much fluid in your knee joint, it fills the Popliteal Bursa and you get a Baker's cyst. (there can be a one way valve which is why it just doesn't go back into your knee joint).

    So, you probably want to start by treating your knee. May want to get an MRI to see if you have cartilage damage or a meniscal tear. You probably should be on an anti-inflammatory and along with that Ultrasound, getting some sort of physical therapy.

    To be honest, treating the cyst at this point probably isn't gonna do much, the cyst is a reflection of some other problem. But, it may go away. If it does, it may well come back.

    If those conservative approaches don't work, you may want to see an orthopod and get it drained, possibly have a corticosteroid injected to cut down the inflammation that is producing the fluid in the first place.

  7. #7
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    Quote Originally Posted by Jim S
    Do not have it resected surgically. Period.

    You can have it drained very easily and with little discomfort. It probably will come back but sometimes they don't.

    You can repair/fix/resect the inciting injury (meniscial tear, cartilage tear, etc) but the cyst still may reoccur. Try anti-inflammatory (NSAIDS) unless contraindicated.

    FWI, I have an M.D. and a Baker's cyst that crops up (and down) every so often and when it's prominent it is indeed a drag.
    Geez Jim, from your avatar I figured you were a plastic surgeon, not a radiologist.
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  8. #8
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    Quote Originally Posted by Jim S View Post
    Do not have it resected surgically. Period.

    You can have it drained very easily and with little discomfort. It probably will come back but sometimes they don't.

    You can repair/fix/resect the inciting injury (meniscial tear, cartilage tear, etc) but the cyst still may reoccur. Try anti-inflammatory (NSAIDS) unless contraindicated.

    FWI, I have an M.D. and a Baker's cyst that crops up (and down) every so often and when it's prominent it is indeed a drag.
    What if the cyst is on the front of the knee? I just grew a golf ball just below the cap and am going to see my MD this afternoon. I may have an answer, but always curious to hear others. Thx.


    EDIT: Doc diagnosed it as "Prepatellar (knee) Bursitis" Basically ice it and don't overuse it. Can still ski fine, etc., so no big deal.
    Last edited by BigDaddy; 12-21-2010 at 04:54 PM.
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