Baker's Cyst: Understanding Your Knee Condition

A Comprehensive Guide to Popliteal Cysts

Orthopedics

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Last updated: Mar 24, 2025

What Is a Baker's Cyst?

A Baker's cyst, also known as a popliteal cyst, is a fluid-filled swelling that develops behind the knee. It occurs when synovial fluid builds up in the popliteal space, forming a visible bulge.

Common Symptoms

  • Swelling behind the knee
  • Stiffness in the affected knee
  • Pain, particularly when fully extending or flexing the knee
  • A feeling of tightness behind the knee
  • Discomfort during physical activities

Causes and Risk Factors

Primary Causes:

  • Knee osteoarthritis
  • Rheumatoid arthritis
  • Meniscal tears
  • Cartilage damage

Risk Factors:

  • Age (more common in older adults)
  • Previous knee injuries
  • Inflammatory conditions

Diagnosis

  • Physical examination
  • Transillumination test
  • Ultrasound imaging
  • MRI (in some cases)

Treatment Options

Conservative Treatment:

  • Rest and activity modification
  • Ice therapy
  • Compression bandages
  • Over-the-counter pain medications

Medical Interventions:

  • Corticosteroid injection
  • Fluid aspiration
  • Physical therapy

Complications

While usually harmless, complications may include:

  • Cyst rupture
  • Compressed blood vessels or nerves
  • Persistent pain and swelling

Prevention

  • Maintain healthy weight
  • Regular exercise
  • Proper knee protection during activities
  • Early treatment of underlying knee conditions

When to See a Doctor

Seek medical attention if you experience:

  • Severe pain
  • Rapid swelling
  • Inability to flex the knee
  • Redness or warmth in the affected area

Prognosis

Many Baker's cysts resolve on their own with conservative treatment. However, addressing underlying knee conditions is crucial for preventing recurrence.

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