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recurring baker's cyst due to previous injury

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recurring baker's cyst due to previous injury

Posted by
Robert Bailey [677.10] on February 11, 2004 at 04:50:14:

Thanks so much for going to the trouble to offer your advice online. I've read most, but not all (gosh there's alot!) of the posts concerning Baker's "cyst", along with other information I could find.

My situation is unique in that I'm only 36 years old, in good physical shape, and have none of the usual predisposing factors for this condition, BUT...

11 years ago I was involved in an auto accident that broke my RIGHT hip to pieces (femoral head). I didn't have a total hip replacement; they put it back together with screws. Not surprisingly, I have major cartilage deficiencies and arthritis in that hip, and the lack of movement in that joint forces me to walk, sit, bend, etc. at unnatural angles.

Since I had been an athlete before and my personal nature is everything but sedentary, I have continued to be as active as possible. I still snow ski, water ski, climb mountains, go on long hikes carrying heavy backpacks, chop wood, fix broken plumbing in my house, etc., etc.---all of which my surgeons told me I would no longer be able to do. Sure it hurts, but what the heck.

I think my severe "bracing" in my LEFT (opposing, "good") leg is a natural consequence of the extra workload it gets compensating for the broken right hip. The muscles in the left leg are abnormally over-developed. In particular, when I need to bend over to pick up something from the ground, I am totally incapable of assuming the proper "squatting" position because the forward flexion in my right hip is less than 90 degrees, so I've developed a habit of putting it sort of behind me, and squatting on one leg with all of my weight on the left. This is the particular compensating motion that my current family doctor (unaffiliated with the surgeons who screwed my hip back together) has told me is the reason for the recurring Baker's cyst behind my left knee.

Right now I'm going through my second major bout with this Baker's cyst problem. The first was about 2-1/2 years ago. I was told to apply an ace bandage and lay off of it for a while, and in a week or 2 it went away. In the meantime I've had a few cases of it starting to swell slightly again, but when I took care to not over-stress it, it subsided. This time it is bigger and hurts worse than ever before, and has been constant for about 2 weeks without any signs of going away.

I hate surgery... so what can I do? The relaxation therapy would probably work to some degree when I'm still, but that is not that often. I'm almost constantly up and around, on my feet, bending, lifting, wrestling with my kids. Surgery to repair the leaking tear in that knee joint sounds fairly simple as far as surgery goes, but I tend to think it still wouldn't cure it permanently. Will it continue to worsen until I finally break down and get a total hip replacement?



Re: recurring baker's cyst due to previous injury

Posted by Vince F [51.37] on February 11, 2004 at 10:44:58:

In Reply to: recurring baker's cyst due to previous injury posted by Robert Bailey [677.10] on February 11, 2004 at 04:50:14:

I like your spunk.

This might not help you but I would look into Prolotherapy
in case it might give you some more movement. It is
injections that rebuild ligaments and tendons and Might
help you some IF they have been damaged.

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Re: recurring baker's cyst due to previous injury (Archive.)

Posted by Walt Stoll [9.8] on February 12, 2004 at 06:30:22:

In Reply to: recurring baker's cyst due to previous injury posted by Robert Bailey [677.10] on February 11, 2004 at 04:50:14:

Hi, Robert.

Until the rent in the capsule is located and repaired this will probably recur. However, you need to choose to develop some new skills to help everything you have mentioned: become a long distance swimmer for your athletic efforts.

I am astounded that none of your docs have already recommended this for you!

If you are still having recurrences of the Baker's after a year of this conversion, one more attempt at finding the rent and surgically repairing is might be your only option.

Let us know how you do. Be thankful that you had all those years of wonderful athletic adventures and put those experiences in your scrap-book.

Walt

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