Symptoms from a Baker’s Cyst arise from either the underlying cause or as a result of the mass effect of the cyst itself. Therefore, patients might have feelings of pain, stiffness or catching in the knee as well as fullness in the back of the knee. Rarely, Baker’s Cysts can get large enough to compress nerves and vessels in the back of the knee. Sometimes a Bakers Cyst can rupture and this can often be mistaken for a DVT or a clot in the veins of the leg.

It is important to see one of our experts to assess the knee properly. The first step is a thorough clinical examination. Following this, most experts will perform some detailed imaging. Normally this will commence with a knee X ray to exclude underlying arthritis, then often an MRI or ultrasound to assess the structures inside the knee such as the meniscus. It is also essential to exclude other problems that can manifest as a lump in the back of the knee.

he first step in treating a Bakers Cyst is to identify the underlying cause. When a cause is found, such as a meniscal tear or arthritis in the knee, then treating the cause frequently leads to the resolution of the cyst. Aspiration of the cyst and injection with steroids can be successful in reducing symptoms, although there is a risk of recurrence. It would be very rare to consider surgery to remove the cyst itself.