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This article was co-written by Danielle Jacks, MD. Danielle Jacks is a medical doctor with the Ochsner Clinic Foundation in New Orleans. She received her doctorate from Oregon Health and Science University in 2016.
There are 14 references cited in this article that you can view at the bottom of the page.
This article has been viewed 7,204 times.
A hamstring cyst (also known as a Baker’s cyst) is a sac of fluid (cyst) behind the knee that causes tightness, pain, and stiffness in the knee, which gets worse with movement. The buildup of synovial fluid (the fluid that lubricates the knee joint) when the knee is under pressure causes swelling and cyst formation behind the knee. To treat a Baker’s cyst you must rest your leg and deal with the underlying cause of the cyst, such as arthritis. If you think you have a Baker’s cyst you should see your doctor to rule out other more serious problems, like blood clots or clogged arteries.
Steps
Treatment of cysts at home
- Wrap a towel around an ice pack (or something frozen like a bag of frozen peas) before applying it.
- The wrapping force should be tight enough to immobilize the knee joint, but not so tight that it cuts off blood circulation.
- Elevate your legs while you sleep by placing a few pillows underneath.
- Children and adolescents under 19 years of age should not take aspirin because of the potential for Reye’s syndrome (liver and brain damage), especially if they have chickenpox or the flu. [6] X Research Source Consult your doctor before giving aspirin to children.
- Many medical professionals recommend that you consult your doctor before taking an NSAID if you have liver, kidney, or stomach problems. [7] X Research Sources
Go to the doctor
- When making an appointment, tell the clinic that you are concerned that the cyst is growing.
- Feeling of water running down the calf
- Red and swollen
- Sharp pain caused by fluid leakage and then inflammation, leading to blood clotting.
- Because these symptoms are similar to those of blood clots, it’s important to see your doctor right away just in case you need treatment for a blood clot. Thrombolysis can be life-threatening. [10] X Trusted Source National Heart, Lung, and Blood Institute Go to the source If your doctor says there’s no risk of complications from a ruptured cyst, your leg will slowly absorb fluid over 1-hour periods. 4 weeks, besides they also prescribe pain medicine for you. [11] X Research Source
- They may have to use an ultrasound machine to look at the cyst as the needle is inserted.
- The needle used to aspirate synovial fluid in the cyst is 18G-20G in size because the fluid has a viscous consistency.
- Depending on the amount of fluid in the cyst or the number of sites where the fluid collects, the doctor may need to aspirate more than once.
- It is quite common to have to drain (drainage) after a steroid injection. Many studies show improved symptoms and better knee function after patients undergo these two procedures. [14] X Research Sources Bandinelli F. et al. Longitudinal ultrasound and clinical fplow-up of Baker’s cysts injection with steroids in knee osteoarthritis. Clinical Rheumatology. April 2012 Vp. 31 Issue 4, p727[15] X Research Sources Di Sante L. et al. Ultrasound-guided aspiration and corticosteroid injection of Baker’s cysts in knee osteoarthritis: a prospective observational study. American Journal of Physical Medicine & Rehabilitation. 2010 Dec;89(12):970-5.[16] X Research Source Koroglu M. et al. Ultrasound guided percutaneous treatment and fplow-up of Baker’s cyst in knee osteoarthritis. November 2012 Vpume 81, Issue 11, Pages 3466–3471
- This procedure usually takes about an hour (or less depending on the size of the cyst). The larger the cyst, the more time it takes to operate because the swelling covers the nerves and blood vessels.
- Your doctor will prescribe pain medication for you if needed.
- After you go home you should do RICE therapy (rest, ice, compression and elevation).
- They may suggest that you use crutches or a cane for several days afterward so that the knee doesn’t put pressure on it.
Maintains joint and muscle health with Baker’s cyst
- You should focus on the quadriceps, hamstrings, glutes, and calves. [19] X Research Source
- Practice 2 times a day, 3 beats each time, before and after doing another exercise.
- If it doesn’t feel tight enough, lean slightly toward the stretched leg, as well as forward. [21] X Research Source
- Practice 2 times a day, 3 times each time, performed before and after exercise.
- If you can’t reach your arms and legs, wrap a towel around your legs, then perform the same stretch by pulling the towel. [23] X Research Sources
- Practice 2 times a day, 3 times each time, performed before and after exercise. [24] X Research Sources
- If you don’t feel pain, you can do 20 reps a day.
- Hold that position for 5 seconds each time, repeat 10 times, and try to press the knee as hard as possible as long as it doesn’t hurt.
Advice
- If you are obese, you should lose weight after the cyst heals because being overweight puts a lot of pressure on the knee and will cause damage later.
Warning
- Don’t try to force yourself to walk when your foot has a Baker’s cyst.
- This article provides information on Baker’s cysts but should not be taken as medical advice, and consult your doctor before developing a treatment plan.
This article was co-written by Danielle Jacks, MD. Danielle Jacks is a medical doctor with the Ochsner Clinic Foundation in New Orleans. She received her doctorate from Oregon Health and Science University in 2016.
There are 14 references cited in this article that you can view at the bottom of the page.
This article has been viewed 7,204 times.
A hamstring cyst (also known as a Baker’s cyst) is a sac of fluid (cyst) behind the knee that causes tightness, pain, and stiffness in the knee, which gets worse with movement. The buildup of synovial fluid (the fluid that lubricates the knee joint) when the knee is under pressure causes swelling and cyst formation behind the knee. To treat a Baker’s cyst you must rest your leg and deal with the underlying cause of the cyst, such as arthritis. If you think you have a Baker’s cyst you should see your doctor to rule out other more serious problems, like blood clots or clogged arteries.
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