Advertisement - Hide this advert





Author Topic: Baker's cyst with no other problems?  (Read 724 times)

0 Members and 1 Guest are viewing this topic.

Offline CarrieKate

  • MICROgeek (<20 posts)
  • *
  • Posts: 2
  • Liked: 0
Baker's cyst with no other problems?
« on: July 16, 2013, 04:50:02 PM »
I first noticed pain in my left knee after getting on the stationary bike in March. I had been doing an hour or more on the bike most days, so I figured it was just overuse and took a break. Pain didn't go away and was more frequent so I stayed off the bike.

Woke up on April 12 (I remember because it was my birthday! :( ) and as soon as I stood up my knee just felt really WRONG in addition to the pain, like something was out of place, and it was difficult to straighten my knee. Not totally locked or anything, because I could get it straight eventually. I got an appointment with my primary care Dr that afternoon after hobbling around work for awhile and it not feeling much better. Of course, by that point it wasn't as bad as it had been that morning. The dr noted that my joints were pretty lax in general (they are) and said it was probably just a strain or something. He gave me a prescription for Naprosyn and told me to put an ace bandage on it and come back in two weeks.

Two weeks later it was worse. The bandage did not help at all. Dr decided it was PFPS and sent me for 6 weeks of PT with a follow-up in the middle.

PT was extremely painful. Nearly everything they want to try hurts. I've now been told it's my flat feet, or my weak quads, or my too tight & strong quads with weak hamstrings, maltracking patella...basically it changes each week.

Went in for follow-up with dr around  Memorial Day weekend and he decided we should do a cortisone shot. WORST experience so far. Could not completely straighten OR bend my knee for nearly a week afterwards and had really bad bruising at the injection site. Knee was swollen for awhile afterwards.

Back to PT for awhile, only with a different therapist with 50 new theories on the cause of the PFPS. Nothing working so far and all the exercises she wants to try are very painful. She sees lots of progress in the muscle tone & balance and my flexibility, basically right on track with what she wants to see, but the pain is still getting worse.

Back to the doctor again for follow-up about 3 weeks ago because pain is still getting worse. He gives me a referral to the orthopaedic center. I saw one of the assistants there and he twisted and yanked my knee around and got some awful clicking sounds and pain out of me and decided it was probably a torn meniscus. No biggie, surgery shouldn't be that bad if you want to get it taken care of, he says. We scheduled an MRI for the next week.

Just had my follow-up from the MRI yesterday. The knee specialist says there is an obvious Baker's Cyst (even I could see it on there) but he doesn't see any tears so doesn't think there are any. He thinks it's just the PFPS as decided before and I just need to keep up with the PT and it should improve. He doesn't understand why the cortisone shot would be painful and says it might just be that I have a low tolerance for pain. I didn't have a lot to say at the time because I was upset at yet again not getting any real answers and he didn't really give me much info to go on.

So now, looking at things online, am I correct in thinking that the Baker's Cyst nearly always means there's something else going on in there? We did lots of x-rays in there as well, and no one sees any sign of arthritis or wearing down of cartilage. On the MRI & x-rays the knee cap looked good, was in the right place, etc. Orthopaedist messed around with my knee a lot and said my knee cap is tracking properly.

The Baker's Cyst makes sense with some of the stiffness I'm getting, but it's not huge or anything and I don't see how it could be causing all the pain. At this point I can only walk for 5-10 minutes before it gets very painful. I can stand for a little longer without pain if I'm not moving around. The pain used to be mostly at the end of the day after I'd been out and about all day. Now I can't make it through my morning routine without pain. The whole time I've had a hard time describing the pain. It basically feels like it's IN the knee joint, so it's hard to pin point. I also have some medial tenderness on the joint line. Knee is catching and popping fairly often, but not locked. I can't squad without blinding pain. Stairs are awful. Twisting the joint at all is also horrible. The best way I can describe it when it's at it's worst is that it feels like my knee joint is rubbing back and forth (laterally-medially) even though I can look at it and see that it looks normal on the outside.

My uninformed self reading things on the internet thinks that there has to be more going on here. PT and Dr basically have both brought up meniscus tears as a possibility and then dismissed it because I don't have a history of any sort of fall or traumatic injury and am not old enough for degenerative tears.

Input? Anyone else have something like this?

Oh, I should probably also mention that I'm 28 and a little chunky but not huge. No history of joint problems and no other joint problems currently. I've never been a hardcore athlete but I've been pretty active.

Sorry for writing a whole novel!

Offline IHMK

  • Forum Faithful
  • ****
  • *
  • Posts: 249
  • Liked: 26
    • I Hurt My Knee
Re: Baker's cyst with no other problems?
« Reply #1 on: August 23, 2013, 07:23:58 PM »
I'm wondering if you have gotten any answers from your doctors, or found any relief by now?  I'm surprised there isn't more on this board about Baker's cysts.  I have this too, as a result of meniscal injury.  My surgeon doesn't seem concerned about it; I guess in theory it will resolve as time passes (I'm just 8 weeks post-ACLr).

I haven't gotten very far with my attempt to learn more about it, but found this link interesting. 

Please post again if you have time to update.
My knee story: http://www.ihurtmyknee.org

28 March 2013: tore right ACL (also meniscus tear, MCL tear ["Unhappy Triad"!!], tibial plateau fracture & condylar bruise)
28 June 2013: surgery to reconstruct ACL (allograft)

Offline CarrieKate

  • MICROgeek (<20 posts)
  • *
  • Posts: 2
  • Liked: 0
Re: Baker's cyst with no other problems?
« Reply #2 on: August 23, 2013, 08:17:02 PM »
Sort of. The new verdict is an inflamed plica as the problem. Another cortisone shot was the only option they gave me, and it did nothing (again). The cyst isn't the cause of most of the pain, and it's not too large, so it doesn't bother me too much in comparison. My main concern with the cyst before was that they were telling me nothing was wrong at all, besides the cyst, but everything I've seen gives the cysts as symptoms of another issue.

Offline IHMK

  • Forum Faithful
  • ****
  • *
  • Posts: 249
  • Liked: 26
    • I Hurt My Knee
Re: Baker's cyst with no other problems?
« Reply #3 on: August 23, 2013, 09:30:58 PM »
How frustrating to have a problem with no obvious solution.  I suppose one approach is to look into ways to reduce inflammation in general - I know very little about that except that it seems to start with cutting out a lot of foods that one tends to like.  There may be homeopathic remedies as well - again, sort of a crapshoot.

Good luck!
My knee story: http://www.ihurtmyknee.org

28 March 2013: tore right ACL (also meniscus tear, MCL tear ["Unhappy Triad"!!], tibial plateau fracture & condylar bruise)
28 June 2013: surgery to reconstruct ACL (allograft)

Offline apembs

  • MICROgeek (<20 posts)
  • *
  • Posts: 1
  • Liked: 0
Re: Baker's cyst with no other problems?
« Reply #4 on: May 16, 2018, 06:20:53 AM »
Hi,

Just wondering if this was ever resolved? I have a similar thing going on basically started as a baker's cyst then a year later this plica thing popped up. I'm a triathlete and I'm sure the repetitive motion of running and cycling hasn't been kind to this thing but there is nothing else wrong with my knee. The baker's cyst is really large and continues to grow....