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Bakers Cysts

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Bakers Cysts

Posted by
Robert Lachmund on July 19, 2000 at 11:29:38:

I have posted two messages one re having what
appears to be a Cyst at the top of my knee in
addition to a Bakers Cyst under the same knee,
the second was the following advise:

The popliteal cyst is not excisable
since it is contiguous with the joint
and is the result of the intra-articular
pathology, and is the wrong thing to do.

I don't understand as I thought that the cyst
could be removed even if it had to be peeled
from a nerve.
I would think this question would merit an
answer from Dr.Stoll. If not maybe RocketHealer
Jim could find the answer. Would appreciate
any help.



Re: Bakers Cysts - Sorry, I'm no help on this one! (Walt??)

Posted by RocketHealer Jim++ on July 20, 2000 at 14:01:09:

In Reply to: Bakers Cysts posted by Robert Lachmund on July 19, 2000 at 11:29:38:

Robert:

Sorry, I'm no help on this question.

Perhaps Walt can help you. He was not around much yesterday and he may not have noticed your question, assuming he looked mostly at stuff posted today.

Remember, though, that Walt only answers when he has something to add/say.

RHJ++



Re: Bakers Cysts

Posted by Walt Stoll on July 22, 2000 at 09:58:31:

In Reply to: Bakers Cysts posted by Robert Lachmund on July 19, 2000 at 11:29:38:

Robert,

All I know about this subjest is in the archives. If you will take the time to read it, it will save me repeating myself yet again. Also, as so many others have suggested, this is the responsibility of your regular doc. Have you asked?

Walt



Re: Bakers Cysts

Posted by
Robert Lachmund on July 23, 2000 at 13:14:37:

In Reply to: Re: Bakers Cysts posted by Walt Stoll on July 22, 2000 at 09:58:31:


Dr.Stoll: I have read the archives and couldn't find
anything about either of my questions the first
being in regards to what appears to be a second cyst
at the top of my knee to the outside.

The second was your opinion on the statement made by a doctor-"The popliteal cyst is not excisale since it
is contiguous with the joint and is the result of the
intra-articular pathology, and is the wrong thing
to do."

I know I have read where the cyst can be peeled from
a nerve if attached to same. Why can't it be removed
from the joint? Would appreciate you opinion. THANKS



Re: Bakers Cysts (Archive)

Posted by Walt Stoll on July 24, 2000 at 09:07:37:

In Reply to: Re: Bakers Cysts posted by Robert Lachmund on July 23, 2000 at 13:14:37:

Robert.

A Baker's "Cyst" IS a misnomer since it is only a collection of the leaked fluid (from the tear in the joint capsule) into the tissue apaces at that site. As such it cannot really be removed since the "wall" of the "cyst" is just compressed normal tissue. The true surgical procedure is to locate the tear in the joint capsule and repair it. The only reason for removing the acumulation of fluid is to impress the patient that something was actually done--once the leak was fixed, the fluid inevitably would be absorbed by the body!

If you have 2 lumps, you probably have 2 tears.

The really sad thing is that surgeons frequently just remove the "cyst" without doing the much more difficult job of locating the tear(s) and repairing THAT. SO, the problem recurrs.

It certainly is true that dealing with the intracapsular pressures that cause these problems is the only real way to deal with them in the long run. However, that requires education about SR and the causes of arthritis--something that is not yet popular with conventional physicians.

Hope this helps.

Walt



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