Baker’s Cyst Causes, Symptoms, Treatment (Conservative vs. Surgery)
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- Опубликовано: 29 июн 2024
- In this video, Maryke explains what causes Baker’s cysts to form, what the typical symptoms are, and what treatment options are the best. Baker’s cysts can have several causes, and how you treat it will depend on your specific case.
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📚Chapters:
00:00:00 Introduction
00:00:44 What causes a Baker’s cyst?
00:02:16 Baker’s cyst symptoms
00:04:42 How to diagnose a Baker’s cyst
00:05:57 Baker’s cyst treatment overview
00:07:03 Conservative treatment
00:12:19 Exercises for Baker’s cyst
00:13:02 Exercises that help circulation
00:20:20 Strength training exercises
00:31:33 Injections
00:36:48 Baker’s cyst surgery
00:37:54 Recovery times
00:38:43 How we can help
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References:
Van Nest, D. S. et al. (2020). "Popliteal Cysts: A Systematic Review of Nonoperative and Operative Treatment." JBJS Reviews 8(3): e0139
Frush, T. J. and F. R. Noyes (2015). "Baker’s Cyst: Diagnostic and Surgical Considerations." Sports Health 7(4): 359-365
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Хобби
👉 Get some ice packs or bags for your Baker's cyst:
- Ice packs: geni.us/5ouxiv
- Reusable ice bags: geni.us/k59cDD
If you buy anything via these links, we may get a small commission at no extra cost to you.
Wow ! Thank you 🙏🏼
You can strengthen your quads and hamstrings all you want, however, if the glutes are weak you will continue to have knee issues. Strong glutes are imperative.
I really appreciate this video, it helps me understand my injury and my physio and why the static bike was suggested.
Wow! This is absolutely brilliant. Much more helpful than my visit to the doctor. My discouragement is lessened and I will start on your suggested exercises. Thank you so much.
Glad it was helpful!
So much info 💯
Thank you for the detailed explanation of Baker cyst. It's very much appreciated. Subscribed.
Thanks for the sub!
I’ve developed a bakers cyst twice in 4 yrs. Very tender to the touch. I soaked a piece of cotton placed Saran Wrap on top of the cotton and placed a heating pad on high.. kept it wrapped for 15 min. By morning the cyst was no longer tender.
What did you soak the cotton ball in?
Hello, Thankyou for a really thorough informative video on Bakers cyst.
Our pleasure!
What a well-done video! Thank you!
You're very welcome!
Thank you very much ❤❤
Excellent video!! Best video on RUclips.
Wow, thanks!
Best explanation ever. Thank you.
You're very welcome!
Well done! Thank you for the thorough explanation.
My pleasure!
Excellent information
Thank you!
Our pleasure!
I've learned more watching your vid than anything my Dr has told me. Which is pretty much nothing.Went for a bike ride yesterday and now feel worse today. You explained why and I appreciate it.
Glad you found it useful!
Great info! Many thanks!!!
My pleasure!
Great advice. Thank you 👍.
My pleasure!
Wonderful video!!!
Thanks so much. Really helpful 👌 👏 👍
Glad it was helpful!
Very informative. Thank you for sharing.
My pleasure!
Thank you so much Maryke. This video is very helpful and you are such a great instructor. Thank you for sharing your talent :-)
Glad it was helpful!
Great video, thank you!
My pleasure!
Excellent, very informative.
Thanks for watching!
Thank you for this video a very helpful to me since i have bakers cyst.
Glad you found it helpful!
I’m 74 I had a scan the doctor said I had a lump behind the knee so he sent me for a bone scan just before Christmas I won’t know the results until the end of January. I cry constantly because of the pain I have had to use a walker and I still can’t walk. I’m going to do the ice pack and try to do the exercises. Thank you for your video.
Good luck with your recovery!
@@SportsInjuryPhysio I have been putting ice on my knee for 20 minutes every 1 hr your video was very informative. It’s helping a bit and I do my leg swing , will keep you updated.
Perseverance is fundementan
Look at Barbara o'neill on RUclips she shows how to use poultice for pain and healing. It's working for me.
Thank you for sharing and caring so much❤thank you for the in-depth knowledge its extremely helpful as we age to know to be aware of possible deep vein thrombosis or nerve impingement in this area.
You're very welcome! Glad you found it useful.
Thank-you for yourexcellent tips🙏.
You're welcome!
thank you veryinformative
You're welcome!
Apparently, I have a Baker's cyst. I did go to an Orthopedist who took x-rays and said due to some arthritis the cyst may have formed. He suggested I get a corticosteroid shot. He did not tell me the time frame of possible feeling better. Thank you for sharing thia. 4-6 weeks.
I've had mine for 8 years now. I've done so much pt over the years. Nothing has helped until I did kneeovertoes guy type workouts. The baker cyst is still there but I finally don't have pain. It took about 6 weeks of the workouts for my knee to not hurt everyday.
What workout did you do
Thank you 🙏🏼
You’re welcome 😊
Cartilage and ligament tear from 31 years ago has now caused me a baker’s cyst in my right knee and hip impingement and labrum tear in left hip. It’s very frustrating and I have to keep a positive attitude in the midst of it all
Thanks for this vid. Now I know why I get better then worse. I've been overdoing the bike riding and walking when I feel better. Too much too soon.
You're welcome, and good luck with your recovery.
I find using a rowing machine is really useful for rehab and giving feedback as to whether I'm getting making progress or making it worse. It usually takes a 2 mins on the rowing machine for me to get full range in my bad knee, but If I've been overloading the knee with other exercises the day before it might take 5 minuets.
Yes! I never even thought of that - brilliant option to get the movement going.
Thank you
Welcome!
Thank you so much mam, for a such wonderful lectures on this topic, a very informative lecture.
Regards from Mumbai India.
It's my pleasure
@@SportsInjuryPhysio Welcome Mam, I am General Practicing Physician at Mumbai Bharat
Brilliant
Maryke, this is a great video as iim struggling with this behind my left knee. I also have high hamstring tendinopathy in left leg, plus GTPS. Having physio however its only focused on tendinopathy in hamstrings/ hip .i will try pool and possibly bike( assuming it doesn't aggravate hamstrings) ? Any other suggestions appreciated thank you. There is a hydrotherapy pool nearby though i think it requires referral from GP
It's really best to ask your physio for suggestions because they will have a better idea of what you might be able to do without aggravating the hamstring and hip tendinopathy.
Awesome video! So much information and tips. I'm so glad i found this video.
I've had a Bakers Cyst now for about about a month since i've discovered it (got sudden knee + leg pain).
Doctor suggested anti-inflammatory meds(ibuprofen) & mild exercises for 2weeks, it didn't work. I might've overdone it with the exercises as well, the pain was bad after exercising.
Then I got stronger meds(Mybulen & Meloxicam). After 2weeks of taking those meds (IT HAS TO BE TAKEN SEPERATELY), and having adequate rest for my leg each day.
The pain has gone away completely.
The cyst is still sometimes tender to the touch especially after much movement of the knee.
All i've got is stiffness in the hamstring & quad muscles if i'm walking too fast/too much at one time. Or if my leg is bent a certain way, or extended all the way (i'm not there just yet). My motion has definitely increased since a month ago. And i'm sure with adequate exercises it will only get better.
For the stiffness of hamstring & quad muscles I gradually massage it a few times a week after a warm shower.
And i would take 1/2 Mybulen tablets if the stiffness feels really intense.
Question though - Can i drive with this cyst??
I am afraid to drive just yet, as driving actually caused my leg pain when i discovered the cyst a month ago.
There are 2 aspects to consider:
1. Are you safe driving - can you perform an emergency stop if needed?
2. How does it affect your knee - I would expect short distances to be OK but sitting in the car for long periods will likely hurt.
But to be honest - you don't seem to know why the sudden pain started or what caused the cyst - a cyst in itself is not the main injury usually - there is usually something else like a meniscus tear that causes it. So, whatever the main driver for the cyst is will also determine if you can drive or not.
@@SportsInjuryPhysio
You are correct.
I am unaware of what caused the cyst, hoping to see a specialist soon enough to findout 🙏🏼
With a sitting job, i'm uncomfortable most of the time. Another reason I prefer not to drive (e.g. traffic on the way to work etc).
I will attempt shorter distance driving - not to eager at this point.
Luckily, my husband has a stationary bike here which I will start using for light physio as well.
Thank you so much for your response 🙏🏼🤍 Appreciate it
I finally figured out the non-movement is making it worse!!
I started doing leg lifts and soft flexing today
Doctor I made an MRI and found that I have
1)acl sprain
2)Grade I signal of the body and the posterior horn of the medial meniscus
I want to know which one is causing the baker cyst, or both of rhem should be treated ?
Thank you so much ❤❤
The problem is that whenever I bend my knee, it swells.
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
Hello I’m 75 years old and what you’re talking about the Baker disk Baker section whatever it is and the knee I feel that I have that in the back of my knee cap I have room Atari arthritis bone against bone everything you’re talking about is happening to me I’m in pain 24 seven all the way to the bottom of my foot the top part of my foot I do a lot of massages I can only bend my leg so far putting all the weight on my right leg and everything you talking about your disk raving about the baker is exact Limite it’s exact what I’m suffering a bar I’m gonna talk to my doctor Maria orthopedic and ask him if we can do an MRI I don’t know why he never sees just that but thank you so so much for the information
I have a very large baker cyst behind my right knee for around 25 years now. 76 years old now and recently feel some numbness in the front of my kneecap. Last orthopaedic consultation was 10 years plus ago and advised to avoid removal of cyst using surgery as the risk of infection is high, and if this infection is serious, it may lead to amputation. There is very little or no cartilage in this knee now. Can still get about ok and can do a limited daily exercise routine, but walking can be quite uncomfortable at times. Do you think I should look at a further consultant appointment or just grin and bear it?
It sounds as if you would likely benefit from a knee replacement. If you don't have cartilage there is no use focusing on the cyst because that will likely just return if the knee has that grade arthritis. Being able to walk and move is super important for your general health and it sounds as if your knee is limiting that. I would go consult a consultant for an opinion.
I've had issues with my left knee since I was a kid when I damaged it. The hospital stitched my knee back up without any kind of other test to make sure I didn't damage my knee joint, cartilage, tendons, or muscle. I have had X-rays and it only shows that I have osteoarthritis in it. They did an MRI but I can't remember what they actually said what's going on with it. I've been dismissed so many times over my knee pain. They only want to give me a shot of cortisone in my knee joint. Meanwhile the back of my leg as you state above and your video shows I have swelling in the back of my knee joint. And when I compare it to my right leg which is flat I'm assuming there's something going on as far as a baker's cyst. How do I truly get my doctors to actually do what they need to do to check to make sure that this isn't what it is. I'm 47 here soon and I'm really tired of all the pain on the front of my knee. Like I stated I just had a shot of cortisone on Tuesday of this past week. The pain has somewhat subsided but I'm still having pain in the same area. The pain is on the part of my knee cap right above it. The back of my knee does not hurt unless if I actually touch it. I've been using anti-inflammatory cream on most of my leg from my middle thigh all the way down and to my calf. And if and if the doctors I see now are not the appropriate kind of doctor to actually deal with a baker's cyst then which kind should I see?? I've been through orthopedic, a couple pain management doctors, quite a few family doctors, And I've even seen a neurologist over my leg. Which I do have nerve damage in my legs and feet and arthritis. I guess I'm extremely frustrated because I've complained most of my life over my leg hurting. They have also sent me through physical therapy probably three or four rounds of it. It will help to a certain point but I will still have a ton of pain yet.
I got chills reading your comment because this is EXACTLY what I've been experiencing, down to us being around the same age. I've been trying to figure out the source of my knee pain since I was a teen, but doctors have been very dismissive of my issues. Recently I went to the ER because I woke up with extreme pain in my left knee & I can barely walk because of the pain. Now that I know it's a Baker's cyst & fluid, I need to find the cause. Good luck to you in finding the cause of your problem and hopefully you'll get relief soon.
I'm not a doctor but please.. don't stop seeking medical help for your condition until you get the Right relief. I can relate to ur situation since I've been dealing with Autoimmune disease and seeing many drs over 10yrs, esp last 3...they can be dismissive and it is very frustrating. Wishing you both all the best🙏🏽
@@RiRilove62 thank you. I will continue to seek out help. Hopefully I can find someone that is not as dismissive and will actually listen to me.
@@furryplantsandcoins9070 yes, yes! I'm in the same situation and been my own advocate for so long, but started seeing 'specialists' even they have been somewhat the same.
Look into a medical advocate with ur insurance or privately also therapists/counselors may have referrals. Be firm on what you need and results you're expecting...prayers and healing vibes I send to you💕
@@RiRilove62 Thank you !!
What a great job you did of describing this and the treatment options. One question I have heard that they do a treatment with an ultrasound guided aspiration, is this something that you know about? Many thanks
Yes, the usually aspire the some of the fluid and then inject a steroid. It can help to calm things down but you then still have to look after it and allow it to properly settle or it will return - sometimes it resolves it completely and other times it comes back.
Thank you very much for your reply. So will get that done and keep up with all the good exercises you demonstrated as I have very little ROM on that knee
Got it done about 60 days ago, and it is back and more painful than before. As soon as I get up to walk it is painful for a while. yikes!!
how about aspiration of the liquid in the cyst? could that work together with the conservative treatment?
In most cases it just comes back again. But sometimes if they first aspire it and then inject some steroids it can stay away.
Is a bakers cyste always a sign of beginning of artritis 😏 I got a meniscus tear lateral and also now a bakers cyste on MRI ...not visible on the outside ..( yet ?)
A baker's cyst is a sign that something inside the joint is not happy. It doesn't have to be arthritis -it can just be the torn meniscus.
I have baker cyst, i just watched your video and doing exercise in bed and commenting
I am taking Meloxicam for swelling knee and Baker Sist but stomach pain is tough
You must speak to your doctor because if you are getting stomach pain from the medication, you should usually stop taking it.
Is that why sometimes I get a painful throb especially when I have stood 10 plus hours and forget to sit rest
It can be but it may also be related to other things - standing for that long is quite hard work for the body.
Hi I watch you video and thought it was great.
I have had pain now for about 9 months in my knees the Doctor did the ultrasound and told me I had a bakers cyst on both knees. I really don’t feel the lump the Doctor did, but I am in so much pain in my knees, and the front of my knees are very painful also. 😢😢😢
I had started walking with a cane so I don’t put so much pressure on my knees.
I have also been doing more lately because before I would not want to walk or do anything because of pain 😢
Now it makes my knee swell more and is kinda playing basketball with one knee is not bad then the other knee pains and back and forth like that. I tried the sitting exercise you showed in this video as you were doing it but I can cant bring my knee up so my leg is straight So should I just keep doing this UNTILL it gets easier?
And it hurts so much for me to get up from the couch or chair or bed any suggestions please help me 😢😢😢😢😢
Thank you
The first few exercises (gentle ones) that I demonstrate in this video may be useful for you ruclips.net/video/eaph0zLlzPI/видео.html
But it sounds as if you will really benefit from seeing a physiotherapist who can assess you and help you with a rehab plan to improve them.
Yes, take hydrocodone, Ibuprofen 1200 every 6-8 hours and all pain goes away (for a while)... very seldom ice will work for me so I use a mini massage vibrator and heating pad snd all pain is gone👀🙏
It's 5 wks post-op knee replacement, and a bakers cyst has developed. I've been doing the post-op exercises faithfully, and also physio twice a wk. I'm wondering why the cyst.
Speak to the doctor who did the surgery - it is always good to check in with them when something unexpected happens.
Will a bakers cyst cause radiating pain to the calf muscles?
It can but it is always best to get it checked if you're unsure as there can be many causes.
I injured my knee 9 wks ago. X-rays show no fracture or significant arthritis. MRI shows complex radial medial meniscus tear, bone bruise & Baker's cyst. My DR says my knee is a MESS! The cyst is leaking. I'm still in a lot of pain. I'm on compression bandages, wear a brace & start PT in a wk. Agewise my DR does not want to do surgery unless I have mechanical symptoms. Last visit I said I was afraid I would have to have a knee replacement and he said he wouldn't be surprised. MRI also shows chondromalacia. I had NO knee pain or problems before the injury. It's depressing and there seems to be no solution.
What should I do. I know that I have an athlete injury ( Runners Knee) not arthritis. I believe that I was misdiagnosed. I'm getting a second opinion soon. But do doctor just always agree with one another?
Madame, What is the protocol of experiencing Baker's Cyst (mine is worse than ever now, after experiencing this condition for years off & on) for a Knee which is Bone on Bone form OA? I keep trying various exercises, calf stretches, and I have had at least 6 rounds of Synvisc (Euiflexxa is the same Hyauronic Gel) since 2013. I have a multitude of Spinal issues and a 1 inch Leg Length Discrepancy (the right leg) since 1967 (I'm 71 now - fractured right femur playing HS Football). Multiple sites of mild to moderate Spinal Stenosis from the Neck down to S1 vertebrae, disc bulging at L2, L3 [fore and aft] and L5-S1 with spondylioethesis. I had a torn mensiscus with surgery done in 1997 in that right knee. I'm Trying to avoid or at least delay Knee replacement. The left knee is Quasi Bone on Bone too. My PCP is recommending to do the knee replacement NOW while I'm well enough to withstand the recovery. My Ortho says that he has patients that have been able to continue to get the Synvisc injections for years w/o surgery?
If a person has advanced OA (where the cartilage has gone and bone is on bone), then a knee replacement is usually the best option.
I have had over 20 rounds of orthovisc, yes 20. I now get only a few weeks of relief at this point, so I’ll probably have my last round in November.
@juliafees4675 Do the surgery 👀. What's the Big deal? I had 2 hop replacement surgeries and never felt better as I was in some real pain. Now my arthritis in my shoulder is fixed by hyaluronic injections, pain relief using hydrocodone with acetaminophen and 1200 of Ibuprofen every 6 hours. 👍
Hi, injection is good for beker cyst or arthroscopy is safe,
We can't answer that without knowing the full details of our case - best to ask the doctor who has assessed you because they will know what is best in our situation.
What if what I'm feeling is at the front and side of my knee almost near the cap
Here's our video about various possible causes of knee pain. Hope you find it helpful! ruclips.net/video/TIQfC7Wgb_s/видео.html
Is walking beneficial for someone with baker’s cyst?
It can be but there is a usually a limit - if you walk too much, it can make your knee more stiff. So, test and see what works. The rule with rehab and exercise is usually that it is OK to do as long as:
1. It only causes a slight discomfort while doing it, AND
2. It does not cause an increase in your pain and swelling that lasts for more than 24 hours
Cycling tends to be the better option for this type of injury.
Do you think that rollskate is bad for baker cist
It depends how it affects it - for some ppl it may be OK and others not - if your knee is not calming down then I would stop skating for a period and see if it helps. Or if you notice your knee is worse after, then it is likely not good for it. But if it does not affect it in 24 hours after, then it might be OK
Can baker’s cyst cause cramps when running?
I'm not sure actually.
Im 27 years old and this is ruining my life! I’m useless I can’t be active 2 days in a row or I’m done! Swelling, can’t straighten it all the way, up to nerve pain, my knee pinching my cartilage, I need to stop halfway thru my day and put as much pressure with my thumb on the back of my knee and then continue down my calf so that my calf stops feeling like it’s on the verge of cramping up with every step. Speaking of every step, I’m constantly flexing my thigh when i walk so that my knee doesn’t flip flop around. That speeds up the rate that it swells. Can’t straighten my leg all the way when I walk (I got about 95/100 percent mobility in my knees on a good day) or else it pinches on itself and I hit the deck.
I got my knee brace but I had it on one time when it was all loose and swollen did a squat to get up and something must’ve rolled over and hit some nerve or something on the outside of my knee and I got all the hot/cold, pins and needles whenever I put weight on the joint. RICE 4 LIFE 😢❤
I know that it can be awful to stop running when it's your life, but you are going to delay getting better more and more by continuing to force your knee to exercise. If you can allow it time to calm down and then slowly start strengthening it, it will get you back to pain-free running much more quickly than if you continue down your current road. This is all easier said than done - but try and make that mind shift and find some other activity that you can do in the meantime to help you get some exercise without annoying your knee.
Can I continue to walk on the treadmill?
If it does not increase your symptoms significantly in the 24 hours after doing it, then it is usually ok to continue
Loosing weight is cool.
Disagree it very painful so you will know
3:37 Re Deep Vein Thrombosis (DVT)
How I found out I had a Bakers Cyst.
About 10 years ago I was at my wits end, having been to the GP several times over a couple of years and complained of an extremely uncomfortable feeling in my right leg. It literally felt heavy, to lift my leg I'd need to use my hands to bring it up comfortably. Even holding my foot over the accelerator pedal of my vehicle would be a mission to do.
After checking my symptom on Google, I finally went back to the GP and told him I may have Deep Vein Thrombosis.
The Doctor at the time, not my doctor anymore, sent me to get an ultrasound but I know what he was thinking, he thought I was some hypochondriac or google doctor, I don't know or care. According to him my leg checked out, I had good blood circulation etc.
Here you have got to laugh as to the knowledge of the lady who did the ultrasound on my leg. After doing the usual groin to knee ultrasound she said I should turn over, then ran the ultrasound down my buttocks to the back of my knee, then promptly exclaimed "I knew it, you have a Bakers Cyst". Just like that, my suffering had a name!!!
Oh, my goodness I thought, lady you don't know how many years I have been struggling with this DVT feeling in my leg and you in an instant tell me what the problem was.
In my case you can't notice a rounding at the back of knee, there is no lump, but the Bakers Cyst showed up nicely on the MRI later.
I went to the Knee Clinic thereafter and the Specialist did an arthroscopy on my knee, I had a meniscus tear. They also drained the Bakers Cyst at a later appointment using a needle and local anaesthetic.
My leg is still not OK but much better than it was. After the meniscus operation the Specialist said I'd probably get inflammation going downhill, where the synovial fluid builds up more than usual. He mentioned that there may be some Osteoarthritis in the knee joint. My other leg is 100%, just this one, I think I twisted it badly while stepping off a platform one day long ago, as the leg just gave way and I fell to the floor. At the time I thought it quite strange as I stood up and I was Ok.
In my case it seems I have to either go back for a second look, it's been about 7 years now and maybe they can reexamine the knee with an MRI or even drain the Cyst again. I do know that draining the Cyst doesn't resolve the problem as the synovial fluid excretes excessively because of a tear or damage to the meniscus. Maybe I should try a different Doctor this time, he can put new eyes on my diagnosis when he looks at the MRI.
Otherwise, the more I exercise the better my leg. If I could just go hiking for 2 or 3 times a week, I doubt I would have any issues. Sitting on a chair in my office worsens the condition.
Thanks for your video. 🙂
Edit:
From the accent it occurred to me that you're South African, Ms Louw.
Spike did my arthroscopy.
Spike is one of the best docs out there. It sounds as if you have a typical knee with bit of wear and tear - if movement helps, is there any way you can make it easier to get daily exercises? E.g. stationary bike at home etc.? These things usually don't have a fix - they need management - so if you can find a way to manage it so it gives minimal issues then that is first prize.
In the circulation exercises, bending my knee causes the swelling to increase doctor, I don't know why🥲