Baker's Cyst

Question 1

What is a Baker’s Cyst?

Answer 1

A fluid-filled sac at the back fo the knee typically in the popliteal fossa region.

Question 2

What causes the development of a bakers cyst?

Answer 2

Underlying intraarticular problem or inflammatory reactions, common with OA, RA, GOUT, ACL injury or meniscal tears.

Question 3

What is the clinical presentation of a baker’s cyst?

Answer 3

• Vague pain posteriorly
• Swelling and mass in popliteal space
• Limited ROM
• Stiffness increased by activity

Question 4

If a cyst was to rupture, how would it present?

Answer 4

Calf pain and swelling, often with an itchy feeling in the calf.

Question 5

What may be found on clinical examination to diagnose a bakers cyst?

Answer 5

Diagnosis of exclusion & observation dependent on size and positioning of cyst.
There may be pain end range KE or a reduced range of KF.

Question 6

Management of a bakers cyst?

Answer 6

Medical: Steroid injections or Surgery dependent on severity and symptoms.
PT: PRICE with NSAIDS, then gentle posterior chain stretches.

Question 7

What is the clinical bottom line for a bakers cyst?

Answer 7

Baker’s cysts are more of a medical problem that PT problem, severe symptoms should be managed with PRICE and NSAIDS and referral for corticosteroid or surgical intervention.