Bakers Cyst

6 messages
28/02/2006 at 15:50
I know this has been dealt with before but I've been told I've got a Bakers cyst. Got an excruciating cross-friction massage yesterday and it feels more swollen & painful than before. Any advice I've found online mentions nothing about massage, has anyone got any advice please? I've to endure these massages once a day, eek!!
01/03/2006 at 13:44
...anyone???
01/03/2006 at 13:57
Oh go on then.

I have treated a few dozen of these successfully by aspiration - sticking a needle in the side of the knee and sucking the fluid out. In practice I find that the contents of the cyst are a ballooning out of the knee joint fluid, so that if you 'milk' the cyst then the fluid reappears in the knee joint and can be aspirated. I do this with a small local anaesthetic and folk tell me that this is fairly close to painless. The long term sucess seems to be a bit better than 50% without recurrence long term - not perfect but simple and safe.

Try having a chat with your GP/consuultant/physio about this.
01/03/2006 at 15:09
D'you inject steroid after aspirating, BTB?

I never have, but have often wondered if it would be worthwhile.
01/03/2006 at 15:13
So would a GP do this then? It was a podiatrist that diagnosed and massaged.
01/03/2006 at 16:35
MM - I am a GP, although few will have the particular interest that I do. Worth asking though.

V'rap - yes - triamcinolone 40mg, although the evidence for this is not robust, but seems to help.

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