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Baker's cyst in an athlete

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Baker's cyst in an athlete

Posted by Steph on December 22, 2000 at 14:12:23:

hello, here's my background.. I'm a Division 1 athlete in my second year of competition in track and soccer. I was diagnosed with bilateral pelvic shift with sacrumm shiting of 45 degrees last year. After a 3 months of bedrest amd rehab my back was fine. Now this year, one year later during the soccer seaosn I began to feel tightness in the back of knee. Now after 3 months I have a stabbing, throbbing, constant pain in my knee and unable to bend or straighten my knee. I've tried eevry modality(heat packs, ice, e-stem, ultrasound, rest) and nothing has worked. I've had x-rays and an MRI. The MRI came back and the doctor said I only had some swelling in my capsule. After going to a physical thearpist he found that my back was shifted again and that is was a baker's cyst in my knee. My track season started a month ago and have done no activity for 1 month with no decease in the pain. My question is how benefical would the surgery be? HOw long would I have to wait before i start training again? and can it be taken care of through a scope? It's necessary that i compete in track this year. thanks for helping me out



Re: Baker's cyst in an athlete (Doc Kim or Frank??)

Posted by Walt Stoll on December 24, 2000 at 08:39:25:

In Reply to: Baker's cyst in an athlete posted by Steph on December 22, 2000 at 14:12:23:

Hi, Steph.

Have you perused the archives about a Baker's? You need to deal with why you have all this skeletal problems since they are related.

Walt



Re: Baker's cyst in an athlete

Posted by Dr. Frank on December 25, 2000 at 01:29:53:

In Reply to: Baker's cyst in an athlete posted by Steph on December 22, 2000 at 14:12:23:

Steph,

Baker's cysts are most often found in adults that have already been diagnosed with some type of arthritis. Because you are a highly trained athlete, your joints are going to be much more vulnerable to developing arthritic conditions.
That probably goes against everything you've always heard about training. Over training is the actual problem. Understand that your pelvic joints and your knee joints are held in proper position by groups of muscles, tendons and ligaments. When an injury occurs, one or more of these supporting tissues becomes inflamed and weakened. This leads to an imbalance of the joint. Eventually, small amounts of stress are placed on the unsupported joint. After enough time, the body is intelligent enough to lay down calcium over the affected area. This is a protective mechanism by your body to try and reinforce a weakened area. Unfortunately, this is given the name "arthritis."
It sounds like you haven't reached that state yet. I would advise you to find a well trained chiropractor, or sports physician, to check the alignment of your pelvis and knee joint. Many chiropractors practice sports medicine. Ask your friends or family members about someone thay can recommend in your area. Find one that can explain your problem and also explain the treatment options. Your pelvis should be easy to clear up. because many of the muscles attach from your pelvis into your knee joints, you might find some relationship between pelvis and knee. I would guess that your baker's cyst is going to be caused by a group of weakened knee joint muscles. The lack of muscle support allows for the bones that make up the joint to shift abnormally. The fluid of the knee joint starts to protrude backward, and finally, you develop a baker's cyst. This is a condition whereby the outcome is usually very good if you find and use the right therapy. Surgery should be your VERY last option. Scoping your knee will tempoarily give you some relief. Find the cause of the problem and correct it instead of treating the symptom. A baker's cyst is a symptom of another problem such as what I explained above. Good Luck.

Dr. Frank



Re: Baker's cyst in an athlete (Archive)

Posted by Walt Stoll on December 27, 2000 at 07:06:34:

In Reply to: Re: Baker's cyst in an athlete posted by Dr. Frank on December 25, 2000 at 01:29:53:

Thanks, Dr. Frank.

Just what I have been trying to tell people for years (except for the structural relationships, which my medical school never taught us, which you know much better than I) right here on this BB.

Namaste`

Walt



Re: Baker's cyst in an athlete

Posted by
Steph on December 27, 2000 at 12:22:17:

In Reply to: Baker's cyst in an athlete posted by Steph on December 22, 2000 at 14:12:23:

Thanks for the reply. But it seems that you miss intepreted something i said. I have tried many modalities to help with the pain and nothing has helped. I wrote in seeing if there was something else i can try before going to the surgeon and askking him to take it out. I'm also in training for a bodybuilding contest in which i need to be active for. (cardio and weight lifting)I am going to the chiropractor to be adjusted and my back and hips are aligned now and have been for a 3 weeks now. My knee is now geting to the point where i can feel the bloood pulsing in the back. My leg below my knee goes numb after some exercise (feels like a stump) and it start to hurt as soon as a put any weight on it. I'm geting very frustrated I just want to have full ROM, without pain. If you have any ideas please let me know.
thanks again, I appreaciate it,
steph



Re: Baker's cyst in an athlete

Posted by beth on December 28, 2000 at 00:39:01:

In Reply to: Re: Baker's cyst in an athlete posted by Dr. Frank on December 25, 2000 at 01:29:53:

Dr. STOLL,
i have read your archives and I am not sure what you suggest as treatment for the baker's cyst, is surgery to remove the fluid and repair the rent best treatment if the cyst is already present and then follow up with treatment for the cause of the cyst in the first place the next issue?



Re: Baker's cyst in an athlete

Posted by Walt Stoll on December 29, 2000 at 14:17:12:

In Reply to: Re: Baker's cyst in an athlete posted by Steph on December 27, 2000 at 12:22:17:

Steph,

First of all you have to give up competitive body building for at least a year of underwater exercises while you are doing what I have already suggested. You can continue upper body, body building only.

Next, 750 milligrams of glucosamine (twice a day) and the essential oils on the home page, would help pretty quickly but only if you stop body building. Finally, there is good evidence that MSM will also help but I have no experience with that for this.

Walt



Re: Baker's cyst in an athlete

Posted by Walt Stoll on December 30, 2000 at 07:05:04:

In Reply to: Re: Baker's cyst in an athlete posted by beth on December 28, 2000 at 00:39:01:

Hi, Beth.

Sounds like a plan---SO LONG AS THE SURGEON KNOWS ENOUGH TO FIND AND REPAIR THE RENT THAT CAUSED THE FLUID LEAKAGE KNOWN AS A BAKER'S.

Walt



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