Cyst on the leg under the knee

A Becker cyst under the knee is characterized by accumulation of exudate in the bag between the semi-membranous tendon and the calf muscle. Pathology occurs against the background of some deviations with inflammation in the knee joint and joints located nearby. Such a violation is also called a hernia or bursitis of the fossa under the knee. It is possible to detect the formation of a popliteal cyst with impaired flexion function and leg pain. The tumor does not resolve on its own, so you need to contact a doctor sooner, who will help cure Becker’s cyst and prevent complications.

What is the point?

The synovial cyst of the popliteal fossa looks like a pathological formation located behind the left or right knee. It is formed against the background of excessive accumulation of intra-fluid in the bag. Becker’s cystic neoplasm is a consequence of a previous injury or a prolonged inflammatory process in the tissues of mobile joints. Because of the cyst, a person cannot normally move his knees and move.

The movement of the joints is carried out due to the moving cartilage tissue, ligamentous apparatus and intraarticular fluid. The latter is a lubricant that allows the joints to move easily and not cause friction. A small amount of synovial fluid enters the tendons. But if its volume increases, then accumulation occurs in the inter-tendon bag, which is Becker’s cystic formation.

In the ICD, the disease is assigned the code M71.2 – Synovial cyst of the popliteal region.

Causes of appearance

Becker hernia under the knee, as a rule, is the result of metabolic-dystrophic or other disorders accompanied by inflammation. Osteoarthritis, arthrosis, rheumatoid arthritis are provocateurs of deviations in the popliteal region. There are other sources of cyst formation:

  • inflammation in the knee
  • changes in pathological origin in the meniscus,
  • mechanical injury
  • increased physical activity,
  • deviations in the cartilage, as a result of which their destruction is noted.

Symptoms Signaling a Problem

Mostly doctors observe a single cyst, which forms on one leg. Multicameral neoplasms and pathologies of two lower extremities are diagnosed in rare cases. At first, Becker hernia does not manifest any symptoms, so it is difficult to determine at an early stage. A cyst of the knee joint is determined when its size has increased to 3-15 mm. In this case, the disease proceeds with the following symptoms:

  • It is difficult to bend and unbend a damaged leg due to the formed dense neoplasm under the knee.
  • The resulting tumor hurts, especially when pressed on it. Over time, pain appears in the groin, ankle, and thigh.
  • Cystic formation affects the nerve fibers, which leads to numbness of the legs, goosebumps. The patient may feel a cold in the limb and a slight tingling of the foot.
  • The neoplasm provokes aches in the calf muscles.

It also happens that the Becker cyst ruptures, as a result of which the patient has edema, redness and swelling in the damaged area. Symptoms of the cyst also occur in children, which is mainly associated with injuries, bruises and sprains of the meniscus and knee. The common age for the appearance of a child’s popliteal hernia is 4-7 years, while the pathological process at this age can go on its own, but regular medical supervision is required.

Diagnosis of a Becker cyst under the knee

Before treating Baker’s cyst, it is worthwhile to consult a doctor who, using diagnostic procedures, will confirm the diagnosis and find out the severity of the violation. It is better for the patient to consult an orthopedist or traumatologist. After a visual examination of the lower limb, a complex diagnosis is prescribed, including:

  • Ultrasound examination. Using this method, the condition of the joint and adjacent structures is assessed.
  • MRI and CT. Manipulations make it possible to examine movable joints from all s >

With early diagnosis, Becker’s popliteal cyst is well treated and completely eliminated. The right doctor will help you choose the right therapeutic measures, based on the results of the diagnosis. With conservative therapy, a hernia is punctured, then the accumulated fluid is removed using a catheter. After conservative treatment, it is required to wear an elastic bandage or knee pad on the knee for 2 weeks, while the sore leg can be lubricated with Dolobene gel. So that after the manipulation there is no inflammatory reaction, the drugs indicated in the table should be used.

Лекарственная группаНазвание
Nonsteroidal anti-inflammatory drugsAertal
Butadion
Ibuprofen
CorticosteroidsBetaspan
Dexamethasone
Kenalog
Antispasmodic medicinesDiazepam
Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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When is surgery required?

If drug treatment of Baker’s cyst does not bring the desired result, then an operation is performed, during which the neoplasm under the knee is eliminated. Surgery is also prescribed in such cases:

  • prolonged presence of a cyst
  • the large size of the tumor, due to which nerve fibers, blood vessels and soft tissues are affected,
  • limited mobility of the knee joint.

The operation is performed using local anesthesia, while the surgeon makes a small incision in the skin, a neoplasm is isolated, and the area of ​​the joint between the bag and joint is sutured. After these actions, the Baker cyst of the popliteal fossa is directly excised. The duration of the intervention on average takes no more than an hour and is not difficult to perform. A day after the operation, the patient is discharged from the hospital, and after 5-7 days, the stitches are removed and a small load is allowed.

Thanks to the minimally invasive therapeutic measures of Becker cysts using an arthroscope, patients are able to recover faster.

Treatment with folk remedies

It is possible to get rid of the pathology through non-traditional therapeutic methods. After consulting with a doctor, it is recommended to use a golden mustache, which is ground, mixed with 1 liter of vodka, and the resulting mixture is used for compresses. Treatment with folk remedies is also carried out with the help of such products:

  • Leaf of cabbage. A hernia of the knee joint will bother the patient less if it is regularly smeared with honey and a hot cabbage leaf is applied on top.
  • Celandine + burdock. The components are taken at 50 grams, mixed, poured with vodka and insisted for 3 weeks. Use locally on a large limb.
  • Calendula + geranium. The products are ground, combined and a little lard is added. Home ointment is applied to the resulting cyst for 3 hours. Over time, wipe with a dry and clean rag.

What are the dangerous consequences?

If timely treatment measures are not taken, then the Becker cyst is complicated and leads to such negative phenomena:

  • Compression of the veins of the lower leg. It manifests itself with the growth of a tumor, as a result of which the blood flow is disturbed. In special cases, weeping ulcerative lesions form on the lower limb.
  • Rupture of a cyst. With such a violation, the synovial fluid flows into adjacent tissues, which causes the limb to swell.
  • Thrombosis and inflammation in the venous walls. With separation, a blood clot can enter the internal organs. Of particular danger is the closure of the lumen of the artery of the lung, which will provoke instant death of the patient.
  • Muscle death and blood poisoning.

How to prevent?

In order not to form a Becker cyst under the knee, it is necessary to consult a doctor in time for violations in the joint. When playing sports, be careful and protect your knees with the help of protectors. For prophylaxis, chondroprotective agents are taken, especially if the patient is over 40 years old. It is important to treat infectious diseases in the body in a timely manner.

Becker cyst under the knee: symptoms, how to treat

A Becker cyst (or hernia, popliteal fossa bursitis) is a benign tumor that forms on the back of the lower leg (just below the popliteal fossa). It is an accumulation of inflammatory fluid of a non-purulent nature in the mucosa of the tendon bag, which is located between the tendons of the semimembranous and calf muscles. In this article, we will introduce you to the causes, manifestations, possible complications and methods for diagnosing and treating Becker cysts.

The presence of such a bag is an anatomical version of the norm, and it is present in about 50% of people. The bag communicates through the slit-like opening with the cavity of the knee joint. When inflammation occurs in it for a long time, fluid from its cavity enters this tendon bag, accumulates and forms a cyst with a special valve that prevents the return of exudate to the joint. At the initial stages, the tumor is small and does not manifest itself in any way, but as it grows, it causes pain and disruption in the knee joint, and in severe cases it can provoke the development of dangerous complications.

This disease was first described in the th century by Dr. William Becker and was named in his honor. As a rule, it is age-related and is more often detected in elderly or middle-aged people. In rare cases, it develops in children.

Causes

The formation of Becker cysts can cause inflammatory and metabolic-dystrophic pathological processes in the knee joint:

All of the above processes lead to the production of large volumes of synovial fluid. It accumulates in the tendon bag and forms a cyst. As it grows, it puts pressure on the nerve endings and causes uncomfortable sensations.

Symptoms

As a rule, a Becker cyst is formed on one leg. However, in some cases, such neoplasms can form on both limbs or be multiple.

Becker cysts can have sizes from 2 to 10-15 mm. In the initial stages, it does not manifest itself, but as the fluid accumulates and the volume increases, the formation causes uncomfortable sensations and pains. It becomes more difficult for a person to extend the knee joint and straighten the leg.

Under the knee in the upper corner of the popliteal fossa, a rounded dense and elastic formation can form. With his palpation, the patient has pain.

As cysts grow, it becomes more difficult to unbend a leg. At first, painful sensations appear only during physical exertion, and later they can also occur at rest. Compression of the nerves by the cyst causes numbness of the foot and crawling, and large sizes of the neoplasm can cause dangerous complications. With the accumulation of a large volume of liquid, it can be opened independently.

Becker cyst over time can change its size and disappear on its own or be present for many years.

Complications

When the Becker cyst ruptures, the fluid in it enters the calf muscle and causes swelling of the leg. Such a complication may be accompanied by pain, itching and redness of the skin. The spilled liquid dissolves after a few weeks on its own, but to eliminate unpleasant sensations, pain and anti-inflammatory drugs are indicated.

With large cysts, compression of the veins of the lower leg can occur, causing stagnation of blood. The leg begins to swell, and the color of her skin changes to purple. With prolonged stagnation, the color of the skin becomes brown and trophic ulcers can form on them, which are difficult to treat.

Vein compression can lead to phlebitis and thrombosis. With the detachment of blood clots and their migration to different organs, their ischemia develops, and when they enter the pulmonary artery, such a rapidly fatal condition as pulmonary embolism (pulmonary embolism).

Large sizes of Becker cysts lead to a violation of the blood supply to muscles and bones. Subsequently, this causes the development of muscle necrosis and such a dangerous disease as osteomyelitis, accompanied by a purulent-necrotic process of bone tissue and bone marrow. Later, inflammation of the bone marrow, bone, and periosteum can cause sepsis.

Diagnostics

The doctor can suspect the development of Becker cysts according to the patient’s characteristic complaints and the results of an examination of the popliteal region. An ultrasound of the knee joint is prescribed to clarify the diagnosis. If necessary, the examination can be supplemented by the appointment of MRI and arthroscopy.

Treatment

Becker cyst treatment can be conservative or surgical. His tactics are determined by the doctor individually and depends on the characteristics of each particular case. As additional funds for the treatment of this pathology, physiotherapeutic techniques and traditional medicine can be used.

Conservative therapy

In most cases, the use of medications (in the form of ointments, tablets and injections) for the treatment of Becker cysts is ineffective, eliminates only pain and brings only temporary results. In addition to medicines at the initial stages of the disease, the doctor may recommend the use of some folk remedies – compresses from tinctures of golden mustache, burdock and celandine.

Subsequently, with a worsening of the patient’s condition, cyst puncture is recommended. During this procedure, the doctor punctures the formation with a thick needle and pumps out fluid from it. After that, an anti-inflammatory drug (Diprospan, Triamcinolone, Berlicort, etc.) is injected into the cyst cavity (i.e., an inter-tendon bag).

Such manipulations give only temporary results. During remission, physiotherapeutic procedures may be prescribed for treatment. Over time, constant loads on the joint lead to repeated accumulation of fluid and the formation of a cyst.

Surgery

The following cases may become indications for performing a surgical operation:

  • prolonged existence of a cyst;
  • inefficiency of conservative therapy;
  • large cyst size, leading to compression of the vessels of the nerves, soft tissues and bones;
  • limitation of the functions of the knee joint.

Intervention is performed under local anesthesia. A small skin incision is made above the cyst, the formation is isolated, and the junction of the tendon bag with the knee joint is stitched and bandaged. After this, Becker cyst is removed and the wound is sutured.

The operation lasts about 30 minutes and is not complicated. After its completion, the patient is in the hospital during the day, and then can be discharged. After 5 days, the doctor can resolve minor loads on the knee joint. Sutures are removed after 7 days.

The development of modern medicine allows you to perform operations to remove Becker cysts using an arthroscope. Such minimally invasive interventions allow patients to recover in a shorter time.

Becker cyst can leak for a long time or give the patient minor discomfort. However, its large volume is capable of provoking the development of many serious and dangerous complications. That is why this disease needs compulsory treatment by a specialist.

Which doctor to contact

When Becker cysts show signs of protrusion in the popliteal region and pain when the legs are bent, an orthopedic consultation is necessary. To clarify the diagnosis and determine the treatment tactics, the doctor will prescribe an ultrasound of the knee joint. If necessary, the examination may be supplemented by MRI or arthroscopy.

The doctor of radiation diagnostics Ginzburg L.Z. talks about Becker’s cyst:

Cyst under the knee

With age, the joints begin to work worse, so various diseases develop. Some of them are harmless in themselves and do not cause serious discomfort in the initial stages. Such pathologies include a cyst under the knee. This neoplasm is most often found in people over 35 years of age who subject their legs to increased stress. At the initial stage, pathology almost does not manifest itself, does not interfere and does not cause pain. But it is better to treat it as soon as possible, otherwise it can grow. And with large sizes of the cyst, it is possible to get rid of it only with the help of surgical intervention.

General characteristics

Such a benign tumor under the knee is called a Becker cyst, named after the scientist who first described the pathology in the 19th century. Now this disease is also called a hernia or bursitis of the popliteal fossa. It is characterized by the appearance of protrusion from the inside of the leg under the knee joint. This is a bag filled with inflammatory fluid. Its size can be from 2 mm to 10 cm. But usually the cyst does not grow more than 3 cm.

In half of the people, the structure of the knee joint is such that an inter-tendon bag is located behind it, which communicates with the joint. Its presence is an anatomical feature, not a pathology. But in case of inflammation, synovial fluid enters this bag. It accumulates, as the valve system prevents it from flowing back. As a result, the bag increases in size. The cyst under the knee joint often does not cause any discomfort and resolves itself after a while. But it can stay for a long time and even grow to large sizes.

Most often, such a neoplasm is formed on one leg. But sometimes there are multiple cysts and even develop on both legs at the same time.

Causes of appearance

Most often, the popliteal cyst develops with age in people with joint pathologies. But the disease can occur even in a child, although much less often. After all, the main causes of tumor growth are inflammatory or degenerative-dystrophic diseases. Most often it is rheumatoid arthritis, gonarthrosis or synovitis. Especially if these pathologies are neglected and treated incorrectly. Therefore, it is very important to consult a doctor on time at the slightest discomfort in the joint.

But there are other reasons for the growth of a cyst under the knee. It can occur in healthy people after an injury to the knee joint. Especially often this leads to damage and inflammation of the menisci. Therefore, such a pathology most often affects people who regularly subject their knees to increased physical exertion. These are movers, athletes, couriers, builders. As a result of overstrain, trauma or degenerative processes, a large amount of synovial fluid is produced, which penetrates from the joint cavity into the tendon bag

Symptoms

At the initial stage, Becker cyst brings only a little discomfort. It’s still hard to notice. But as the inflammatory fluid builds up, the cyst grows. Soon she begins to interfere with movement and causes discomfort.

The following symptoms appear:

  • pain in the knee and lower leg;
  • tingling in the toes and in the sole;
  • numbness of the skin below the knee;
  • restriction of movement, especially when bending or extending the leg.

When the cyst reaches a size greater than a centimeter, it can be felt and even noticeable visually on a straightened leg. To the touch it is quite dense, elastic, with palpation there are painful sensations. If at the initial stage the pain can appear during flexion and extension of the knee joint, then as the tumor grows, the joint hurts even at rest. It becomes impossible to straighten the leg, which greatly limits the patient’s performance.

Complications

People who are faced with such a pathology do not know how dangerous such a cyst can be. This tumor can transmit the nerve roots, causing numbness of the leg below the joint and pain. If it grows to such a size when it squeezes the vessels, this can lead to the development of varicose veins or thrombophlebitis. This is dangerous because a detached blood clot can clog a vessel anywhere, causing pulmonary embolism or stroke. The leg swells due to a violation of the venous outflow, acquires a purple color. Trophic ulcers may appear.

With the advanced form of the disease, compression of the nerves and blood vessels can cause metabolic disorders in the tissues. This leads to tissue necrosis or the development of osteomyelitis. Purulent necrotic process can cause sepsis.

But more often, less serious complications arise. For example, the most common is the penetration of inflammatory fluid from a cyst into the calf muscles. It causes swelling and pain. When a cyst grows to a large size, strong fluid pressure can cause it to rupture. Spilled fluid causes pain, itching, swelling, and redness of the skin. The temperature may rise and symptoms of intoxication may appear.

Diagnostics

Not everyone knows which doctor should be consulted if cyst symptoms appear. Most often, orthopedists or traumatologists are involved in such pathologies. They can make a diagnosis based on the symptoms and external examination of the patient. But to confirm it, an additional examination is necessary. Most often this is an MRI or ultrasound of the knee joint. X-ray radiation can not determine the size and boundaries of the cyst, so it is prescribed only for injuries or arthrosis.

If surgery is planned to remove the cyst or in the case when it is complicated by other pathologies, joint arthroscopy is prescribed. It is performed under local anesthesia. Special equipment is introduced into the joint cavity using a thin needle, which helps to fully examine this area and even take synovial fluid for analysis. Sometimes blood tests may also be required if there are symptoms of severe intoxication or fever.

Treatment

Only after examination and making an accurate diagnosis does the doctor determine how to treat the cyst correctly. Sometimes she can resolve herself, but it is better to help her so that she does not cause complications. You should know that you can completely cure a cyst only if you get rid of the pathologies that were its cause. Therefore, you should not start arthrosis or arthritis, it is important to follow all the doctor’s recommendations.

In case of injury, you must contact a medical institution, even if the knee does not hurt much. This will help to avoid complications and detect the presence of a tumor at the initial stage.

In most cases, traditional methods are used to treat cysts. These are anti-inflammatory therapy, intra-articular injections, joint puncture, physiotherapy and physiotherapy exercises. Treatment should be comprehensive, and the doctor determines his features individually. In advanced cases, surgical intervention may be required. And as an auxiliary treatment, folk remedies are often used.

Conservative therapy

At the initial stage, a puncture of the cyst is enough to remove its contents. After that, corticosteroid preparations are introduced into the cavity of the inter-tendon bag. Most often it is “Berlicort” or “Diprospan”. They have anti-inflammatory and decongestant effects. The procedure is performed under local anesthesia. Such treatment of a cyst is effective if it is not complicated by swelling of the tissues or circulatory disorders. But after a puncture, a relapse of the disease is possible, therefore, it is necessary to regularly undergo an examination with a doctor in order to identify it in time.

Sometimes at the initial stage, the doctor may prescribe only non-steroidal anti-inflammatory drugs for oral administration, for example, Ibuprofen or Metindol. They relieve inflammation, pain and swelling. For the same purpose, injections of corticosteroid drugs, for example, Hydrocortisone, can be used. Such drugs can also be used as ointments.

Drug treatment is especially effective if the cyst bursts. Fluid entering the tissue causes severe swelling, pain and inflammation. They can be removed by external means based on NSAIDs or by taking these drugs inside.

But drug therapy only relieves pain and inflammation, sometimes this is not enough. If you stop treatment, the cyst may again begin to grow under the influence of increased physical exertion.

Therefore, during remission, physiotherapeutic procedures are prescribed as an auxiliary treatment. They relieve inflammation, activate blood circulation and accelerate recovery. This may be exposure to pulsed electromagnetic radiation, laser irradiation, UHF or bioresonance therapy. Radon or hydrogen sulfide baths help. Light self-massage is also useful.

With a Becker cyst, doctors often recommend doing special therapeutic exercises. They should be aimed at strengthening the muscles and ligaments surrounding the joint. This helps speed up blood circulation and relieve swelling. Therapeutic exercises are especially effective if arthritis is the cause of the disease.

Surgery

It is possible to treat a cyst that has been developing for a long time and has reached large sizes only with the help of surgery. This method is also used if the tumor squeezed the nerve roots or blood vessels, interferes with movement and causes severe pain.

Most often, surgical treatment is performed under local anesthesia. Through a small incision under the knee, suturing of the inter-tendon bag is made at the point of its connection with the joint. After this, the cyst is removed. This operation lasts only half an hour and is usually well tolerated, but in recent years it has often been replaced by less traumatic arthroscopy.

Folk methods

Sometimes the patient tries to relieve pain under the knee on his own. Compresses with ice help in this case, but it is best to consult a doctor. Alternative treatment of cysts is possible, but only as part of complex therapy after consultation with a specialist. Such funds need to be used for a long time, so it is better to use them at the initial stage.

Various compresses on the popliteal fossa area help to accelerate the resorption of the cyst and relieve inflammation. The most effective for this are burdock leaves or a golden mustache. Of them make decoctions or tinctures. In addition to external use, a golden mustache can be taken orally.

Such recipes are also effective:

  • use fresh elderberry and raspberry leaves as a compress;
  • well relieves pain and swelling a mixture of medical bile, camphor and celandine grass;
  • you can mix spicy cloves with the roots of dandelion and comfrey and make a decoction;
  • inside, it is good to take a collection of such herbs: St. John’s wort, oregano, sweet clover, calendula, hawthorn, saber roots, burdock, goat willow, calamus, licorice, pine buds, birch leaves.

If a cyst is found under the knee, consult a doctor as soon as possible. This will prevent complications and help get rid of the tumor faster.

How to treat Baker’s cyst under the knee, diagnosis of pathology and symptoms

Baker’s cyst (KB), code ICD-10 – M71.2, is called a pathological formation that occurred under the knee bend. The ailment may not appear for a long time, but then causes serious discomfort. This disease is also known as a hernia or bursitis of the popliteal fossa. From our article you will learn why there is a Baker’s cyst of the knee joint, how to treat this ailment and whether its development can be prevented.

Cyst baker

Causes of Knee Baker Cysts

CB develops in a bag located near the tendons, calf and semi-membranous muscles. During the development of the disease, the accumulation of dense mass begins. In the correct state, articular joints are filled with this mass. But when it begins to seep into the tendons, after a while a person develops a cyst under the knee.

The bag, which is the site of the development of the disease, is in most of the world’s population, and this is not a deviation. But due to some reasons, mass begins to collect in it, which then cannot get into the articular joint.

As a rule, CB provoke metabolic-dystrophic processes or inflammation occurring in the knee. KB can be caused by:

  • osteoarthritis;
  • arthrosis;
  • rheumato >Arthrosis

The main reasons for the development of design bureau are:

  • knee inflammation;
  • meniscus damage;
  • mechanical damage to the joint;
  • abuse of physical activity;
  • cartilage damage followed by destruction.

As a result, synovial fluid is produced in large quantities, fills the tendon bag and forms a cyst.

Signs of KB

More often, the formation of a single KB is observed, but in medical practice there are cases of development of KB on both legs or the occurrence of several formations at once. Initially, the design bureau does not manifest itself, but over time its dimensions reach one and a half centimeters.

As the KB increases, the patient begins:

  • discomfort when trying to bend or bend the knee;
  • the formation of a fairly dense formation.

When touching the formation, the patient experiences pain. After some time, the KB begins to hurt constantly. The sensation intensifies with movement and subsides a bit during rest. A cyst can affect the nerve endings, then the patient’s leg starts to go numb, and tingling appears. The calf muscles can sometimes hurt.

Than the cyst is dangerous

The most serious consequence of the ailment is a CB break. If this happens, the accumulated mass will leak into the muscles and provoke swelling of the leg. This phenomenon can pass on its own, but for this to happen a minimum of a week and a half should pass.

Other complications include:

  • Compression of the veins of the lower leg. Initially, this leads to stagnation of blood, then the skin begins to change color, swelling appears.
  • If the above phenomena are ignored, the skin becomes brown, places of blood stagnation are covered with trophic ulcers. Unfortunately, such phenomena are not completely cured.
  • Due to compression of the veins, the patient develops phlebitis or thrombosis. These complications are very dangerous, since a detached blood clot can block the work of the body, thereby leading to the death of a person.
  • An increase in CB prevents the blood from entering the required volume into the muscles and tissues. This can lead to tissue death. Necrosis itself can go into osteomyelitis, which is characterized by the death of tissues to the bone marrow.

Thrombosis

Finally, bone inflammation causes sepsis, a systemic inflammatory reaction that develops due to local infections. When the pathogen enters the bloodstream, it instantly spreads throughout the body.

Diagnostics

The key to successful treatment is to see a doctor at the first symptoms of the disease. The patient needs to visit an orthopedist or traumatologist. These diagnostics specialists will use:

  • Ultrasound Allows you to study the articular joint and nearby tissues.
  • MRI The doctor may examine the tissue in section.
  • Atroscopy Assumes minor internal interference. For diagnosis, a micro camera is inserted into the knee.

US

Atroscopy involves the use of a local anesthetic and the creation of a shallow opening for the camera.

Using an X-ray is inefficient because it does not show KB.

Treatment of KB affecting the popliteal region

For the treatment of CB in medicine, conservative therapy (physiotherapy, prescription of medications) and surgical intervention are used.

Description of drug therapy

If the appearance of KB is diagnosed in a timely manner, the patient is prescribed drugs with anti-inflammatory and analgesic effects.

Can be punctured KB:

  • the bag with the mass is pierced with a medical needle;
  • through a needle, fluid is drawn from the body;
  • CBs are filled with hormone, which improves vital processes.

Before the procedure, the patient is given an analgesic pill.

To fill the KB specialist can use:

    Stero >Diprospan

  • Hydrocortisone. This hormone improves protein and carbohydrate metabolism. It stops the inflammatory process, reduces capillary permeability and prevents the development of allergies. Contraindicated for the treatment of patients with psychosis, nephritis, osteoporosis and gastrointestinal ulceration.
  • Ibuprofen, indomethacin and ketaprofen. Medications treat severe pain, inflammation, and discomfort.
  • Diazepam. Used to relieve cramping.

Operative intervention

The operation to completely remove the KB is performed only when the cyst provoked the development of a serious complication. Sometimes, to cure a cyst, it is ligated, and the accumulated fluid is pulled through one large or several small incisions. Under this condition, the KB is deleted step by step.

An atroscope is a modern way to cure a popliteal cyst. This technique is the most gentle, since it does not harm the articular joint and leaves minor scars on the knee.

Note! Regardless of which method the patient will be treated with, CB, it can occur again. Therefore, it is extremely important for the patient to study the symptoms of the disease and control its manifestations.

Physiotherapy

Treatment of CB under the bend of the knee involves the use of:

  • Microcurrents, UHF, magnetic and laser exposure. It is advisable to carry out these methods only during the period of remission, since the slightest physical effort of the patient can lead to complications.
  • Gymnastics and exercise therapy. Initially, the exercises are performed under the supervision of a doctor, but if the patient is recovering, he can do exercises at home.
  • UVR exposure, UHF or low-intensity laser exposure. These procedures positively affect blood flow, prevent varicose veins and thrombophlebitis.

Folk methods

Treatment at home also gives positive results. If the design bureau is still small, its resorption can be accelerated by:

  1. Golden mustache. 20 grams of leaves pour 0,5 liters of alcohol and leave to infuse for 21 days. The resulting mass should be applied to the cyst at night, and alcohol tincture should be taken orally three times a day, one hour after eating.
  2. Burdock and celandine. Grind the plants, add 250 ml of water, bring to a boil in a water bath. Process the ointment with the obtained ointment, wrap it with cling film and a woolen shawl. The procedure is carried out at night.
  3. Heated sunflower oil. Moisten the bandage in a mass, apply it to the affected area, wrap it with a film and a scarf. The substance should dissolve the cyst and accelerate the recovery of the patient. Compress is best done before bedtime.

It is important to remember that traditional medicine is only an addition to traditional medicine, therefore it cannot be used as the only therapeutic method. Choose recipes and the period of their use should only be a qualified specialist.

disease prevention

Unfortunately, there are no specific recommendations to help prevent the development of KB. The only thing that the patient can do is to monitor his health and, at the slightest discomfort in his knee, consult a doctor.

As practice shows, prognosis for the treatment of CB is positive. In 95 percent, with timely access to a doctor, a cyst is treated and does not cause serious complications.

How to treat Baker’s cyst under the knee, diagnosis of pathology and symptoms

Baker’s cyst (KB), code ICD-10 – M71.2, is called a pathological formation that occurred under the knee bend. The ailment may not appear for a long time, but then causes serious discomfort. This disease is also known as a hernia or bursitis of the popliteal fossa. From our article you will learn why there is a Baker’s cyst of the knee joint, how to treat this ailment and whether its development can be prevented.

Cyst baker

Causes of Knee Baker Cysts

CB develops in a bag located near the tendons, calf and semi-membranous muscles. During the development of the disease, the accumulation of dense mass begins. In the correct state, articular joints are filled with this mass. But when it begins to seep into the tendons, after a while a person develops a cyst under the knee.

The bag, which is the site of the development of the disease, is in most of the world’s population, and this is not a deviation. But due to some reasons, mass begins to collect in it, which then cannot get into the articular joint.

As a rule, CB provoke metabolic-dystrophic processes or inflammation occurring in the knee. KB can be caused by:

  • osteoarthritis;
  • arthrosis;
  • rheumato >Arthrosis

The main reasons for the development of design bureau are:

  • knee inflammation;
  • meniscus damage;
  • mechanical damage to the joint;
  • abuse of physical activity;
  • cartilage damage followed by destruction.

As a result, synovial fluid is produced in large quantities, fills the tendon bag and forms a cyst.

Signs of KB

More often, the formation of a single KB is observed, but in medical practice there are cases of development of KB on both legs or the occurrence of several formations at once. Initially, the design bureau does not manifest itself, but over time its dimensions reach one and a half centimeters.

As the KB increases, the patient begins:

  • discomfort when trying to bend or bend the knee;
  • the formation of a fairly dense formation.

When touching the formation, the patient experiences pain. After some time, the KB begins to hurt constantly. The sensation intensifies with movement and subsides a bit during rest. A cyst can affect the nerve endings, then the patient’s leg starts to go numb, and tingling appears. The calf muscles can sometimes hurt.

Than the cyst is dangerous

The most serious consequence of the ailment is a CB break. If this happens, the accumulated mass will leak into the muscles and provoke swelling of the leg. This phenomenon can pass on its own, but for this to happen a minimum of a week and a half should pass.

Other complications include:

  • Compression of the veins of the lower leg. Initially, this leads to stagnation of blood, then the skin begins to change color, swelling appears.
  • If the above phenomena are ignored, the skin becomes brown, places of blood stagnation are covered with trophic ulcers. Unfortunately, such phenomena are not completely cured.
  • Due to compression of the veins, the patient develops phlebitis or thrombosis. These complications are very dangerous, since a detached blood clot can block the work of the body, thereby leading to the death of a person.
  • An increase in CB prevents the blood from entering the required volume into the muscles and tissues. This can lead to tissue death. Necrosis itself can go into osteomyelitis, which is characterized by the death of tissues to the bone marrow.

Thrombosis

Finally, bone inflammation causes sepsis, a systemic inflammatory reaction that develops due to local infections. When the pathogen enters the bloodstream, it instantly spreads throughout the body.

Diagnostics

The key to successful treatment is to see a doctor at the first symptoms of the disease. The patient needs to visit an orthopedist or traumatologist. These diagnostics specialists will use:

  • Ultrasound Allows you to study the articular joint and nearby tissues.
  • MRI The doctor may examine the tissue in section.
  • Atroscopy Assumes minor internal interference. For diagnosis, a micro camera is inserted into the knee.

US

Atroscopy involves the use of a local anesthetic and the creation of a shallow opening for the camera.

Using an X-ray is inefficient because it does not show KB.

Treatment of KB affecting the popliteal region

For the treatment of CB in medicine, conservative therapy (physiotherapy, prescription of medications) and surgical intervention are used.

Description of drug therapy

If the appearance of KB is diagnosed in a timely manner, the patient is prescribed drugs with anti-inflammatory and analgesic effects.

Can be punctured KB:

  • the bag with the mass is pierced with a medical needle;
  • through a needle, fluid is drawn from the body;
  • CBs are filled with hormone, which improves vital processes.

Before the procedure, the patient is given an analgesic pill.

To fill the KB specialist can use:

    Stero >Diprospan

  • Hydrocortisone. This hormone improves protein and carbohydrate metabolism. It stops the inflammatory process, reduces capillary permeability and prevents the development of allergies. Contraindicated for the treatment of patients with psychosis, nephritis, osteoporosis and gastrointestinal ulceration.
  • Ibuprofen, indomethacin and ketaprofen. Medications treat severe pain, inflammation, and discomfort.
  • Diazepam. Used to relieve cramping.

Operative intervention

The operation to completely remove the KB is performed only when the cyst provoked the development of a serious complication. Sometimes, to cure a cyst, it is ligated, and the accumulated fluid is pulled through one large or several small incisions. Under this condition, the KB is deleted step by step.

An atroscope is a modern way to cure a popliteal cyst. This technique is the most gentle, since it does not harm the articular joint and leaves minor scars on the knee.

Note! Regardless of which method the patient will be treated with, CB, it can occur again. Therefore, it is extremely important for the patient to study the symptoms of the disease and control its manifestations.

Physiotherapy

Treatment of CB under the bend of the knee involves the use of:

  • Microcurrents, UHF, magnetic and laser exposure. It is advisable to carry out these methods only during the period of remission, since the slightest physical effort of the patient can lead to complications.
  • Gymnastics and exercise therapy. Initially, the exercises are performed under the supervision of a doctor, but if the patient is recovering, he can do exercises at home.
  • UVR exposure, UHF or low-intensity laser exposure. These procedures positively affect blood flow, prevent varicose veins and thrombophlebitis.

Folk methods

Treatment at home also gives positive results. If the design bureau is still small, its resorption can be accelerated by:

  1. Golden mustache. 20 grams of leaves pour 0,5 liters of alcohol and leave to infuse for 21 days. The resulting mass should be applied to the cyst at night, and alcohol tincture should be taken orally three times a day, one hour after eating.
  2. Burdock and celandine. Grind the plants, add 250 ml of water, bring to a boil in a water bath. Process the ointment with the obtained ointment, wrap it with cling film and a woolen shawl. The procedure is carried out at night.
  3. Heated sunflower oil. Moisten the bandage in a mass, apply it to the affected area, wrap it with a film and a scarf. The substance should dissolve the cyst and accelerate the recovery of the patient. Compress is best done before bedtime.

It is important to remember that traditional medicine is only an addition to traditional medicine, therefore it cannot be used as the only therapeutic method. Choose recipes and the period of their use should only be a qualified specialist.

disease prevention

Unfortunately, there are no specific recommendations to help prevent the development of KB. The only thing that the patient can do is to monitor his health and, at the slightest discomfort in his knee, consult a doctor.

As practice shows, prognosis for the treatment of CB is positive. In 95 percent, with timely access to a doctor, a cyst is treated and does not cause serious complications.

Cyst under the knee

With age, the joints begin to work worse, so various diseases develop. Some of them are harmless in themselves and do not cause serious discomfort in the initial stages. Such pathologies include a cyst under the knee. This neoplasm is most often found in people over 35 years of age who subject their legs to increased stress. At the initial stage, pathology almost does not manifest itself, does not interfere and does not cause pain. But it is better to treat it as soon as possible, otherwise it can grow. And with large sizes of the cyst, it is possible to get rid of it only with the help of surgical intervention.

General characteristics

Such a benign tumor under the knee is called a Becker cyst, named after the scientist who first described the pathology in the 19th century. Now this disease is also called a hernia or bursitis of the popliteal fossa. It is characterized by the appearance of protrusion from the inside of the leg under the knee joint. This is a bag filled with inflammatory fluid. Its size can be from 2 mm to 10 cm. But usually the cyst does not grow more than 3 cm.

In half of the people, the structure of the knee joint is such that an inter-tendon bag is located behind it, which communicates with the joint. Its presence is an anatomical feature, not a pathology. But in case of inflammation, synovial fluid enters this bag. It accumulates, as the valve system prevents it from flowing back. As a result, the bag increases in size. The cyst under the knee joint often does not cause any discomfort and resolves itself after a while. But it can stay for a long time and even grow to large sizes.

Most often, such a neoplasm is formed on one leg. But sometimes there are multiple cysts and even develop on both legs at the same time.

Causes of appearance

Most often, the popliteal cyst develops with age in people with joint pathologies. But the disease can occur even in a child, although much less often. After all, the main causes of tumor growth are inflammatory or degenerative-dystrophic diseases. Most often it is rheumatoid arthritis, gonarthrosis or synovitis. Especially if these pathologies are neglected and treated incorrectly. Therefore, it is very important to consult a doctor on time at the slightest discomfort in the joint.

But there are other reasons for the growth of a cyst under the knee. It can occur in healthy people after an injury to the knee joint. Especially often this leads to damage and inflammation of the menisci. Therefore, such a pathology most often affects people who regularly subject their knees to increased physical exertion. These are movers, athletes, couriers, builders. As a result of overstrain, trauma or degenerative processes, a large amount of synovial fluid is produced, which penetrates from the joint cavity into the tendon bag

Symptoms

At the initial stage, Becker cyst brings only a little discomfort. It’s still hard to notice. But as the inflammatory fluid builds up, the cyst grows. Soon she begins to interfere with movement and causes discomfort.

The following symptoms appear:

  • pain in the knee and lower leg;
  • tingling in the toes and in the sole;
  • numbness of the skin below the knee;
  • restriction of movement, especially when bending or extending the leg.

When the cyst reaches a size greater than a centimeter, it can be felt and even noticeable visually on a straightened leg. To the touch it is quite dense, elastic, with palpation there are painful sensations. If at the initial stage the pain can appear during flexion and extension of the knee joint, then as the tumor grows, the joint hurts even at rest. It becomes impossible to straighten the leg, which greatly limits the patient’s performance.

Complications

People who are faced with such a pathology do not know how dangerous such a cyst can be. This tumor can transmit the nerve roots, causing numbness of the leg below the joint and pain. If it grows to such a size when it squeezes the vessels, this can lead to the development of varicose veins or thrombophlebitis. This is dangerous because a detached blood clot can clog a vessel anywhere, causing pulmonary embolism or stroke. The leg swells due to a violation of the venous outflow, acquires a purple color. Trophic ulcers may appear.

With the advanced form of the disease, compression of the nerves and blood vessels can cause metabolic disorders in the tissues. This leads to tissue necrosis or the development of osteomyelitis. Purulent necrotic process can cause sepsis.

But more often, less serious complications arise. For example, the most common is the penetration of inflammatory fluid from a cyst into the calf muscles. It causes swelling and pain. When a cyst grows to a large size, strong fluid pressure can cause it to rupture. Spilled fluid causes pain, itching, swelling, and redness of the skin. The temperature may rise and symptoms of intoxication may appear.

Diagnostics

Not everyone knows which doctor should be consulted if cyst symptoms appear. Most often, orthopedists or traumatologists are involved in such pathologies. They can make a diagnosis based on the symptoms and external examination of the patient. But to confirm it, an additional examination is necessary. Most often this is an MRI or ultrasound of the knee joint. X-ray radiation can not determine the size and boundaries of the cyst, so it is prescribed only for injuries or arthrosis.

If surgery is planned to remove the cyst or in the case when it is complicated by other pathologies, joint arthroscopy is prescribed. It is performed under local anesthesia. Special equipment is introduced into the joint cavity using a thin needle, which helps to fully examine this area and even take synovial fluid for analysis. Sometimes blood tests may also be required if there are symptoms of severe intoxication or fever.

Treatment

Only after examination and making an accurate diagnosis does the doctor determine how to treat the cyst correctly. Sometimes she can resolve herself, but it is better to help her so that she does not cause complications. You should know that you can completely cure a cyst only if you get rid of the pathologies that were its cause. Therefore, you should not start arthrosis or arthritis, it is important to follow all the doctor’s recommendations.

In case of injury, you must contact a medical institution, even if the knee does not hurt much. This will help to avoid complications and detect the presence of a tumor at the initial stage.

In most cases, traditional methods are used to treat cysts. These are anti-inflammatory therapy, intra-articular injections, joint puncture, physiotherapy and physiotherapy exercises. Treatment should be comprehensive, and the doctor determines his features individually. In advanced cases, surgical intervention may be required. And as an auxiliary treatment, folk remedies are often used.

Conservative therapy

At the initial stage, a puncture of the cyst is enough to remove its contents. After that, corticosteroid preparations are introduced into the cavity of the inter-tendon bag. Most often it is “Berlicort” or “Diprospan”. They have anti-inflammatory and decongestant effects. The procedure is performed under local anesthesia. Such treatment of a cyst is effective if it is not complicated by swelling of the tissues or circulatory disorders. But after a puncture, a relapse of the disease is possible, therefore, it is necessary to regularly undergo an examination with a doctor in order to identify it in time.

Sometimes at the initial stage, the doctor may prescribe only non-steroidal anti-inflammatory drugs for oral administration, for example, Ibuprofen or Metindol. They relieve inflammation, pain and swelling. For the same purpose, injections of corticosteroid drugs, for example, Hydrocortisone, can be used. Such drugs can also be used as ointments.

Drug treatment is especially effective if the cyst bursts. Fluid entering the tissue causes severe swelling, pain and inflammation. They can be removed by external means based on NSAIDs or by taking these drugs inside.

But drug therapy only relieves pain and inflammation, sometimes this is not enough. If you stop treatment, the cyst may again begin to grow under the influence of increased physical exertion.

Therefore, during remission, physiotherapeutic procedures are prescribed as an auxiliary treatment. They relieve inflammation, activate blood circulation and accelerate recovery. This may be exposure to pulsed electromagnetic radiation, laser irradiation, UHF or bioresonance therapy. Radon or hydrogen sulfide baths help. Light self-massage is also useful.

With a Becker cyst, doctors often recommend doing special therapeutic exercises. They should be aimed at strengthening the muscles and ligaments surrounding the joint. This helps speed up blood circulation and relieve swelling. Therapeutic exercises are especially effective if arthritis is the cause of the disease.

Surgery

It is possible to treat a cyst that has been developing for a long time and has reached large sizes only with the help of surgery. This method is also used if the tumor squeezed the nerve roots or blood vessels, interferes with movement and causes severe pain.

Most often, surgical treatment is performed under local anesthesia. Through a small incision under the knee, suturing of the inter-tendon bag is made at the point of its connection with the joint. After this, the cyst is removed. This operation lasts only half an hour and is usually well tolerated, but in recent years it has often been replaced by less traumatic arthroscopy.

Folk methods

Sometimes the patient tries to relieve pain under the knee on his own. Compresses with ice help in this case, but it is best to consult a doctor. Alternative treatment of cysts is possible, but only as part of complex therapy after consultation with a specialist. Such funds need to be used for a long time, so it is better to use them at the initial stage.

Various compresses on the popliteal fossa area help to accelerate the resorption of the cyst and relieve inflammation. The most effective for this are burdock leaves or a golden mustache. Of them make decoctions or tinctures. In addition to external use, a golden mustache can be taken orally.

Such recipes are also effective:

  • use fresh elderberry and raspberry leaves as a compress;
  • well relieves pain and swelling a mixture of medical bile, camphor and celandine grass;
  • you can mix spicy cloves with the roots of dandelion and comfrey and make a decoction;
  • inside, it is good to take a collection of such herbs: St. John’s wort, oregano, sweet clover, calendula, hawthorn, saber roots, burdock, goat willow, calamus, licorice, pine buds, birch leaves.

If a cyst is found under the knee, consult a doctor as soon as possible. This will prevent complications and help get rid of the tumor faster.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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