Bakers Cyst

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silverthorn2151

Original Poster:

6,298 posts

180 months

Tuesday 2nd April 2013
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Hi chaps.

I have a ruptured Bakers Cyst in my left knee diagnosed by MRI which also picked up a ruptured posterior horn of the medial meniscus.

I am no stranger to knee surgery ans the same knee has a replacement ACL using a patella tendon harvest and the tendons down the outside we're relocated at the same time to try and correct the instability. This is causing me a lot of discomfort and pain and has been since last November. I am due to see the consultant next Monday. I am currently taking Pregablin, Morphine, Tramadol and Paracetamol. It took a long while to get a cocktail of drugs that allow me to move about and go back to work. The pain management consultant added a strong anti inflammatory and a mild anti depressant which have helped me. I use a stick to walk most of the time but I am trying to do without when I can.

I have been reading up on treatment for a ruptured bakers cyst. I am slightly dismayed that rest and elevation seem to be the recommended treatment. I want him to say he will sort out the cartilidge via keyhole surgery and while he is at it sort out the cyst by doing.........something, anything but telling me to rest.

A bit of a ramble but background is important in this case so my question is whether any of you experts are able to offer a general view on the position and regime of treatment?

I can feel the knee fluid escaping up and down my leg and when it's squeezing the nerves it hurts like mad and is debilitating even through all those drugs.

The_Doc

4,897 posts

221 months

Wednesday 3rd April 2013
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silverthorn2151 said:
Hi chaps.

I have been reading up on treatment for a ruptured bakers cyst. I am slightly dismayed that rest and elevation seem to be the recommended treatment. I want him to say he will sort out the cartilidge via keyhole surgery and while he is at it sort out the cyst by doing.........something, anything but telling me to rest.
A Baker's cyst is a fluttering flag indicating a serious-er underlying problem within the knee.

Too much fluid generated by the knee joint causes a bulge out the back (the cyst) and all the problems you describe.

We don't treat the cyst, because it's just an indication of the problem inside. Alleviate the inside and the cyst either doesn't reoccur, or reabsorbs.

More advice than this needs to be face to face with your orthopaedic knee surgeon




Edited by The_Doc on Wednesday 3rd April 20:32

Terminator X

15,110 posts

205 months

Wednesday 3rd April 2013
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Interested in this as I have a bakers cyst behind my right knee extending down to my calf. 6 weeks ago my calf swole up so much that my jeans wouldn't fit over my calf! Doctor was worried about a dvt although a scan ruled that out. As I'm nhs only they couldn't care less about the underlying knee problem and have dropped me like a stone since ruling out dvt. Tbf though I've simply rested it for 6 weeks and it feels much better + swelling has gone. I guess I need to go see a knee specialist somehow to sort out knee?

TX.

The_Doc

4,897 posts

221 months

Wednesday 3rd April 2013
quotequote all
Terminator X said:
As I'm nhs only they couldn't care less about the underlying knee problem and have dropped me like a stone since ruling out dvt.
Your taxes pay your GP's salary.

If you want his help, then be nice and ask for more help. If he can't help then he should say so and either ask for someone else to help you, or tell you why no further treatment will work.

He works for you. As do I (in the NHS).

LBird

430 posts

213 months

Thursday 4th April 2013
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I have what I think may be a similar problem - table tennis ball sized swelling appearing in the back of the knee, usually having climbed a stile after several miles of walking. Renders me unable to continue walking but responds (slowly) to calf stretches and then gentle walking (hobbling) for about 5 minutes. Both GP and physio seem puzzled by it and suggest it is probably a Bakers Cyst. Advice from both was to leave well alone. I am also now having problems with my hip and guess that this is related. I'm currently ignoring it all in the hopes that it will go away but am also thinking along the lines of trying to getting it fixed now before irreparable damage is done...

NDT

1,753 posts

264 months

Thursday 4th April 2013
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The_Doc said:
Your taxes pay your GP's salary.

If you want his help, then be nice and ask for more help. If he can't help then he should say so and either ask for someone else to help you, or tell you why no further treatment will work.

He works for you. As do I (in the NHS).
F**k me backwards, if more people in the public sector had this attitude I wouldn't mind paying tax!