Monthly Archives: September 2019

The Poor Misunderstood Baker’s Cyst – Not From Baking!

September 9, 2019

Baker’s cysts, or more correctly popliteal cysts, are fluid filled structures, located in the back part of the knee.  While relatively common and frequently detected on routine knee examination or by feeling a lump behind the knee, they are not associated with being a baker!  In fact, most of the general public and even some clinicians commonly misunderstand the cause and treatment of these cystic structures.

Bakers cysts, named after the physician who originally described them in the 1800’s, essentially are bursal sacs that become distended with fluid exiting from the back part of the knee joint.  This pressurized fluid enters into the bursa via a one-way valve mechanism causing swelling and possibly a painful lump behind the knee. They are detected on imaging studies like ultrasound and MRI’s but cannot be visualized on a standard x-ray. While these cysts can cause local symptoms from the pressure they create and may even rupture if extremely large, their presence is often indicative of an underlying problem within the knee joint itself.  Conditions, which frequently cause Baker’s cyst, include knee effusions (water on the knee), cartilage injury, meniscal tears, and osteoarthritis.

While it seems tempting to simply have the cyst drained in the hopes of resolving the swelling, the success rate of this treatment can be poor as the bursa will often refill with fluid. More importantly, the underlying problem itself within the knee joint needs to be addressed in order for the cyst to be appropriately reduced in size.  While surgery may be indicated in rare circumstances, most non-surgical treatments can be extremely helpful in resolving symptoms from a Baker’s cyst.

So remember the next time someone tells you they have a Baker’s cyst, tell them it’s not from baking and more significantly, their knee should be examined to determine precisely why they have this common but often misunderstood problem.

About the author Paul Lento, MD is a PM&R, Physical Medicine & Rehabilitation physician at 360 ORTHOPEDICS.  He is triple Board Certified and specializes in the non-surgical treatment of various musculoskeletal problems by identifying the cause of pain or loss of function.  360 ORTHOPEDICS treats patients in three locations and offers same day/next day appointments when needed.


This entry was posted in on September 9, 2019 by SalesRep-Admin.


September 3, 2019

“Move it or lose it” – “Motion is lotion” – “Keep moving” – “Git up and go”

If you’re a patient with us at 360-ORTHOPEDICS, you’ll hear these words of advice to keep your joints and muscles at their peak performance. Why?  Problems arise when you stop moving. We spend about a third of our life sleeping. What would happen if you stayed there?  What would happen if you stopped moving?

Your muscles and organs need oxygen to stay healthy. Movement encourages that flow of oxygen to keep you moving. Without it, muscles decrease and you lose 10% strength each week without movement. Bones lose mass.  Your heart rate goes up. Your blood volume goes down. Your endurance declines making it harder to move. If you’ve ever had to stay in a hospital bed for a period of time, you already know how quickly your body stiffens.

Of course, we’re not going to plan on remaining in bed for prolonged periods of time, but let’s consider one of the things that keep us from moving on a daily basis … sitting. It’s almost as harmful as smoking! Prolonged sitting can be detrimental to your health even if you are otherwise fit with an optimum BMI (body mass index).  Studies have shown sitting to be a contributing factor to increased blood sugar, blood pressure, and cholesterol.

Experts tell us we should sit no more than three hours in a day and for many, particularly those with a desk job, that’s impossible. A good guideline to follow is to take a break and stand once every hour. You may even want to set a timer to get up and stretch for a few minutes.

Some other things you can do to maintain your muscle and joint health:

  • Walk 30 minutes every day.
  • Develop a fitness routine that you are able to sustain. It doesn’t need to be high intensity; swimming, yoga, walking, cycling, and weight training are all great additions to your plan.
  • Maintain a healthy weight.
  • Eat superfoods (salmon, leafy greens, berries, nuts, eggs, ginger, turmeric, avocado).
  • Say NO to sugar!

Bottom line, moving is key to a healthy body, so “GIT UP”.  Check out this link to see how our staff at 360-ORTHOPEDICS took on the latest dance craze, the “Git Up Challenge” (by Blanco Brown) to encourage our patients to keep moving!  We hope it inspires YOU to “Git Up” too.

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This entry was posted in on September 3, 2019 by SalesRep-Admin.