A Baker’s cyst is an accumulation of fluid in the back (posterior) aspect of your knee. It denotes that something is wrong inside the joint, which is causing the production of the fluid. Often a Baker’s cyst is associated with a tear or injury to the meniscus, the cushion cartilage in the knee. It is important to find the cause of the swelling because swelling has what we call degradative enzymes in it--components that break down cartilage and tissue in the joint. Chronic swelling of the joint is not good for the joint surfaces; therefore, careful diagnosis and a treatment plan should be started. Physical therapy such as Ice, soft tissue massage, anti-inflammatory, compression are good first steps for symptom relief. Aspiration of the cyst with a cortisone injection is sometimes helpful. Surgical repair of the underlying problem usually cures the cyst.
To cut, or not to cut? To repair, or to let heal? To rehab without fixing? To live with imperfect parts? Each of these questions is faced every day by surgeons and their patients. Here are a few decisions about incisions.
Gluten-free, vegan, dairy-free…all these variations of diets originally designed to address irritable bowels are exploding—apparently, because people’s bowels are now explosive. Celiac, diverticulitis, irritable bowel syndrome, and their relatives are being diagnosed more frequently than ever. As a society, Americans are becoming both more mindful and more stressed. Could these be linked through the gut?
Top skier breaks her leg. Doctor fixes it, gives her narcotics, and sends her home. She’s told to come back in two weeks for a checkup and have the rod taken out in a year. Doctor moves on to the next patient. What is wrong with this picture?