They are NOT a true cyst since it has communication with the synovial sac. They typically arise from degenerative changes or injury to the articular cartilage (arthritis) or meniscus.
At the Centeno-Schultz Clinic, we believe that baker’s Cysts are simply a barometer of the health of the knee-joint. In a healthy knee, there are absent whereas with injury and degenerative changes they are common. They arise between the tendons of the medial head of the gastrocnemius and the semimembranosus muscle.
Treatment Options for Baker’s Cyst
Treatment options include rest, drainage, cortisone injection, ice packs, and surgery. Treatment at the Centeno-Schultz Clinic with prolotherapy has been published and continues to be preferred. Because stem cell therapy and PRP may be useful for other things, as, again baker’s cysts are sort of like a barometer for the knee’s overall health, the use of stem cell therapy or PRP injections can help them indirectly by helping some other portion of the knee.
The recent introduction of ultrasound-guided prolotherapy will optimize clinically results in the non-surgical treatment of this and other conditions.