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bakers cyst

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bakers cyst

Posted by kathy on September 14, 2002 at 02:24:35:

I am an 82 year old that has been diagnosed with a bakers cyst. I have always been very active and independent and this came on all of a sudden about 2 months ago. I went to my regular doctor and he referred me to an orthopedic surgeon. the first visit he injected my knee with cortizone, this did not help. the second visit he was going to apspirate it but after a doppler test he said that it was multiple cysts and that he could not aspirate these. He said i had some arthritic changes and a small tear or sprain that would heal itself. He also that said that he could do surgery and take out the cysts but at my age i wonder if this is advisable. i am having a hard time walking and i am using a walker right now. i have looked through your archives but i am still uncertain whether or not to have surgery. i would appreciat any anwers that you could give me.



Re: bakers cyst

Posted by
trudy on September 14, 2002 at 14:14:18:

In Reply to: bakers cyst posted by kathy on September 14, 2002 at 02:24:35:

Hi, Kathy,

I went to google (www.google.com) and had it search for "baker's cyst" and a number of pages came up. From them, it sounds like your doctors did the standard stuff, although a couple of pages mentioned trying an elastic bandage.

They didn't say how long to wear the bandage, so if you try I, I would be careful about aggravating the problem, damaging circulation, etc. Some of the sites were "sports injury sites", so an elastic bandage may not be appropriate for someone your age due to circulation differences. Your doc might have an opinion about that.

My Mom had to have an operation when she was in her 80s, and we all worried ourselves sick, but she came thru it well, and that was abdominal surgery. Since this is limiting your independence, you might want to consider the surgery. I would ask your doc exactly what you can expect from the surgery - if it can be done under local vs general anesthesia, if that would be better for you or conversely more stressful, how long your knee would be incapacitated.

Best wishes,

Trudy



Re: bakers cyst

Posted by
oliver on September 14, 2002 at 21:47:16:

In Reply to: bakers cyst posted by kathy on September 14, 2002 at 02:24:35:

Dear Dr.Stoll - My wife has just been diagnosed with a popliteal liposarcoma after having been MRI scanned and biopsied ,after having been treated for the past six months for a "Bakers cyst" which did not exist. This mass mimicked a cyst and was treated expectantly as benign until an attempt was made to aspirate it.She now requires an amputation.How can such an outcome be prevented if such masses are not routinely scanned?
Oliver



Re: bakers cyst In an 80 yo. Archive OPTIONS

Posted by Walt Stoll on September 15, 2002 at 07:39:51:

In Reply to: bakers cyst posted by kathy on September 14, 2002 at 02:24:35:

Hi, Kathy.

Trudy's suggestion is a good one IF you wrap the ace all the way to the toes from the knee.

I would suggest underwater exercises at least 3 times a week and gentle stretching exercises every day. Unless the joint capsule rent is not found and repaired these would just recur postoperatively anyhow.

As you know, your "arthritic changes" are what made you susceptible to this. If you will learn from the arthritis archives, there are other things there you can do for your arthritis.

Let us know what you learn and how you do.

Walt

Follow Ups:


Re: bakers cyst vs liposarcoma. (Differential Diagnosis)

Posted by Walt Stoll on September 15, 2002 at 07:53:42:

In Reply to: Re: bakers cyst posted by oliver on September 14, 2002 at 21:47:16:

Hi, Oliver.

I know your experience has been a bad one BUT:

1. A liposarcoma is very rare and the doc could not have been expected to think of it when it was in the most common area for a Baker's. I agree that a careful physical examination should have produced some doubt that this was a Baker's & then a scan would have been done. A liposarcoma is a solid tumor and a Baker's is full of fluid. Even a transillumination (shining a bright light through the mass) would have told the difference.

In my opinion, the doc probably thought of a Baker's even before he examined her the very first time and so did only a cursery physical exam. Only your wife, and anyone else who had been in the room at the time, would know what happened.

2. If an MRI was done on every Baker's to rule out liposarcoma, literally thousands would be done for every one found: certainly not economically feasible.

3. Once the liposarcoma was there, the only real treatment was amputation. So the delay likely did not change the need for that although it may have influenced the "cure rate".

Hope this helps.

Walt

Follow Ups:


Re: bakers cyst

Posted by KEITH on September 15, 2002 at 16:55:52:

In Reply to: Re: bakers cyst posted by trudy on September 14, 2002 at 14:14:18:

I HAVE BEEN TOLD BY THE HOSPITAL AND MY GP THAT I HAVE A BAKERS CYST IT STARTED 2 WEEKS AGO. MY CALF WAS SWOLEN AND I COULD NOT PUT ANY WEIGHT ON MY LEG. I WAS TOLD IT WAS IN THE BACK OF MY KNEE AND THAT I JUST HAD TO REST IT AFTER BEING GIVEN SOME PAIN KILLER (ZAPAIN) THE PAIN EASED OF A LITTLE BUT AS SOON AS THEY WORE OFF THE PAIN HIT BACK. THE PAIN HAS BEEN IN MY THIGH,CALF AND ALSO MY FOOT I CANT GET COMFORTABLE AT ALL I CAN HARDLY SLEEP BUT I DONT KNOW WHAT TO DO AS IV'E BEEN TOLD JUST TO REST IT. I HAVE READ SOME OF THE OTHER CASES AND IT SEEMS ALOT OF THE OTHER HAVE HAD TO HAVE SURGERY IS THEIR DRIFFERENT KINDS OF BAKERS CYSTS THAT ARE MORE SERIOUS THAN OTHERS.



Re: bakers cyst

Posted by Walt Stoll on September 16, 2002 at 08:29:37:

In Reply to: Re: bakers cyst posted by KEITH on September 15, 2002 at 16:55:52:

Hi, Keith.

All caps is hard to read.

What have you learned from the Baker's "cyst" archives?

Walt

Follow Ups:


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