A Baker’s cyst is an accumulation of fluid in the back (posterior) aspect of your knee. It denotes that something is wrong inside the joint, which is causing the production of the fluid. Often a Baker’s cyst is associated with a tear or injury to the meniscus, the cushion cartilage in the knee. It is important to find the cause of the swelling because swelling has what we call degradative enzymes in it--components that break down cartilage and tissue in the joint. Chronic swelling of the joint is not good for the joint surfaces; therefore, careful diagnosis and a treatment plan should be started. Physical therapy such as Ice, soft tissue massage, anti-inflammatory, compression are good first steps for symptom relief. Aspiration of the cyst with a cortisone injection is sometimes helpful. Surgical repair of the underlying problem usually cures the cyst.
You are told you have knee arthritis. The advice the doctor gives you is to go home, rest your knee, take anti-inflammatory drugs, lose some weight, wait until you are older and then get an artificial knee replacement. This advice is awful. Here's why.
Artificial knee replacement surgery used to mean the reduction of sports activities like golf, swimming, and cycling. Yet with severe arthritis affecting younger and younger people, we are currently pushing the envelope of sports participation with joint replacements and learning as we go.