David Waddell

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David Waddell
Dr
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Shreveport
Orthopedic Surgery
Orthopedic Specialists of Louisiana
1500 Line Avenue, 1st floor
Shreveport
LA
71101

I have a baker’s cyst behind by knee.  It is becoming more painful.  My father had one also, and it returned after being removed.  Do I have to have it removed and can it be removed without surgery? 

Baker’s cyst is a fluid filled sac located behind the knee that causes aching and pressure, especially when the knee is flexed.  Diagnosis is by your Doctor's physical exam.  Sometimes a MRI or ultrasound is useful.  They do not have to be removed and use of ice and anti inflammatories, like Ibuprofen, can help. Occasionally theses can be treated by aspiration in the doctor’s office. Arthroscopic surgery can treat the causes of the cyst which is a normal bursa sac with excess fluid. This also allows treating associated problems like meniscal tears, arthorscopically. This type of surgery is much less invasive than your father's surgery was and has a lower rate of reoccurrence.

My brother-in-law had knee surgery and was told to start moving it immediately.  My father said that his knee was casted after similar surgery in the 60’s.  Is it ok to move your knee right after surgery?

Orthopedics has changed drastically in the last 40 years.  The biggest innovations are new techniques that allow the maximum amount of motion as soon as possible.  Cartilage does not have a blood supply. It must get its nutrition from the joint fluid.  Motion pumps oxygen and nutrients into the knee by cyclic compression.  Tendons, ligaments, and muscles also have improved circulation with motion.  After most surgeries, motion is desired.  You should follow your orthopedic surgeon’s and physical therapist’s advice on this.  But remember my saying ‘Motion is the Heartbeat of a Joint’!

 

David Waddell
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David Waddell
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