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Baker’s Cyst

Baker’s Cyst

BAKER’S CYST

WHO?

  • Cyclists/ runners
  • Older adults
  • Sports requiring lots of running/ turning/ jumping etc.

WHAT?

Baker’s cyst is a condition whereby there is swelling at the back of the knee joint that accumulates within the joint space and bursa. It may also be referred to as a popliteal cyst, in reference to its location at the back of the knee, which is medically known as the popliteal fossa. The fluid-filled cyst can result in pain or discomfort at the back of the knee with during normal day to day activities that may increase with activity or overuse of the knee. Patients often complain of a feeling of “fullness” at the back of the knee, particularly with activities that require the knee to be in and fully flexed or extended position.

WHEN ?

A Baker’s cyst typically occurs as a result of both chronic degenerative changes to the knee or acute injuries to the knee joint, such as meniscal tears and strains. Patients can experience a range of symptoms, in minor cases there may be no pain and no palpable lump at the back of the knee. In more severe cases patients may be able to feel a large lump, and suffer significant pain or tightness at the back of the knee joint. This sensation of fullness or tightness can sometimes even extend further down the leg into the calf.

HOW?

As a result of chronic degenerative changes to the structures within the knee, such as knee OA, wear and tear occurs over time. This leads to irritation of the structures within the joint capsule, thus resulting in swelling. Similarly, following an acute injury, such as a fall or meniscal tear, the knee will undergo an acute inflammatory response which results in inflammation within in the knee joint. In both the chronic or acute scenario, there is an accumulation of inflammation and swelling within the joint capsule and/ or the bursa, resulting in a Baker’s cyst.

MANAGEMENT?

Treatment and management of a Baker’s cyst normally requires any underlying causes to be addressed. Although in some cases a cyst may develop for no reason and require no treatment either.  Your physiotherapist at our Move Forward Kinross Physiotherapy clinic will assess the whole lower limb, as well as the hip and low back in order to determine the exact cause of your knee pain. Following this assessment, you will be provided with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

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Fat Pad Impingement

Fat Pad Impingement

WHO?
• Young athletes
• Runners
• Cyclists
• Soccer/ Footy players

WHAT?

Fat pad impingment syndrome is a common condition affecting the knee joint and may also be referred to as Hoffa’s Syndrome. The fat pad is a small, sensitive area of soft tissue, composed mailny of adipose tissue (hence the name), that is found just underneath the bottom half of your kneecap and patellar tendon. This fat pad helps to lubricate the knee joint, whilst also acting as a bit of a shock absorber.

WHEN?

Fat pad impingement can occur at any age but most often occurs in active teenagers and adults between the ages of 20-50. It usually occurs over time and is regularly seen in persons performing running activities or sports that require lots of kicking. It is also a condition seen in the elderly either as a result of trauma to the knee or gradual wear and tear from age and/or conditions such as OA.

HOW?

Irritation to the fat pad is usually as a result of activities that require repetitive extension (straightening) of the knee. Over-extension of the knee can also be caused by a traumatic injury or a fall onto the knee. When the knee is overly straightened this fat pad can get pinched between the knee cap and the bones of the knee joint (femur and tibia) resulting in impingement. Repeated pinching and impinging of the fat pad results in inflammation which causes pain and swelling to occur around the knee cap.

MANAGEMENT?

Treatment and management for fat pad impingement is often quite straightforward, with a focus on managing painful symptoms in the initial weeks before moving onto to an exercise modification and rehabilitation program to target long term relief. Your local move forward physiotherapist will assess your knee as well as your hips, low back and ankle to determine the underlying cause of your injury. Once assessed you will then be given an individualised treatment plan to manage your painful symptoms and prevent any further damage. A number of techniques may be used to do this including;
• Dry needling/ acupuncture
• Knee mobilisations
• Deep tissue massage
• Heat/ Ice therapy
• Hydrotherapy
• Pilates
• Stretching and strengthening exercises
• Activity/ exercise modifications at either our Pilates studies at Quinns Physiotherapy , or within Healthy life gym located by hillarys Physiotherapy

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