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Baker's Cyst

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Baker's Cyst

Posted by DKP on January 27, 2001 at 00:48:43:

I have been to my orthopedic doctor and he has made a tenative diagnosis of a Baker's cyst based on my symtoms. He says that a Baker's Cyst won't show up on an Xray and that I need an MRI to make an accurate diagnosis. I balked at the cost of the MRI and asked what the first line of treatment would be if I have a Baker's cyst. He gave me a big guns anti-inflammory and a prescription for 3 weeks of PT. He said that if it didn't respond to this treatment, he could try aspirating it, and only if aspirating the cyst didn't relieve my symptoms would he recommend surgery. The postings to this bulletin board I have read all say that the ONLY way to cure a Baker's cyst is to remove the cyst and suture the tear. Why is my doctor recommeding all this other less invasive treatment if it only delays the inevitable? Is an MRI the only way to accurately identify a Baker's cyst and its location? Also, I don't understand the references to arthritis in the other Baker's cyst postings. Does a Baker's cyst predispose me to developing arthritis in that knee? What is the connection there?



Re: Baker's Cyst

Posted by
HELEN on January 28, 2001 at 02:30:42:

In Reply to: Baker's Cyst posted by DKP on January 27, 2001 at 00:48:43:

I,too have a baker's cyst - diagnosed last year and I still have it. I had an x-ray taken which showed that I have the BC, but my doctor still made me go for an MRI. Reason being to find out what exactly in the knee causes the rapture. However, even the MRI didn't show anything so the doc looked at my application and said that "based on your age" (I am now 62) it could most likely be arthritis. I accepted that fact but I am now applying for health ins. and have already been turned down because of the cyst. I would like to get it removed, however, cannot ask my doctor the details about the surgery (where to go, will it be on an out-patient basis, how long and to what extend will I be incapacitated,etc) because if I just go to his office to ask him it will be considered a visit and it will cost me $200. (new ded for this year) So I am hoping someone out there has had the surgery and can give me some help.

Thank you very much

Helen



Re: Baker's Cyst

Posted by Sue on January 28, 2001 at 18:47:07:

In Reply to: Re: Baker's Cyst posted by HELEN on January 28, 2001 at 02:30:42:

I have had a problem with a Baker's Cyst behind my right knee for the past 22 years. It comes and goes every few years. It is more of a pain in the tush then a pain in the knee. As soon as my Dr. felt it, 22 years ago, he knew what it was. At the time it was very noticable with exam and manipulation, sorda like a golf ball sticking out the back of my knee...hard to miss. After the exam it was much better since with the exam he really 'pushed' the fluid out of the cyst 'pocket' and back into the knee cavity where it belongs. Sounds gross, but it worked. My understanding of it is, they do not remove a 'cyst' but rather repair the rip in the lining of your knee, thus keeping the fluid where it belongs...lubricating you knee joint. I don't think this helped you much and I'm sorry for that, but just know that I have lived with mine for many years without many flair-ups. I have never even thought about surgery. Good luck with yours...
Sue



Re: Baker's Cyst (Archive)

Posted by Walt Stoll on January 29, 2001 at 08:08:11:

In Reply to: Baker's Cyst posted by DKP on January 27, 2001 at 00:48:43:

Hi, DKP.

It is the other way around: arthritis predisposes one to a Baker's Cyst.

It is more difficult for the surgeon to find the tear and repair it than just to remove the "cyst" although the neck of the "cyst" points directly at the tear. I have always thought it inexcusable that surgeons tried to short cut the work just because SOME Baker's do not recur following the simplistic surgery.

Your doc is right that it would take an MRI to be CERTAIN of the diagnosis. However, docs diagnosed Baker's for many years before the invention of the MRI. Baker, himself, dicovered the syndrome at least 100 years before the MRI.

Hope this helps.

Walt




Re: Baker's Cyst (WHY?) (Archive.)

Posted by Walt Stoll on January 30, 2001 at 07:44:44:

In Reply to: Re: Baker's Cyst posted by HELEN on January 28, 2001 at 02:30:42:

Hi, Helen & Sue.

Since the surgery does nothing about WHY the Baker's is there why not learn why before having the surgery? See the archives. This takes learning and work but your alternative is worsening arthritis and a likely recurrance.

Walt



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