Popliteal cyst - Baker's cyst

Very low urgency
--
A popliteal or Baker's cyst is a build-up of joint fluid which appears at the back of the knee (popliteal fossa). When the pressure builds up, the fluid puts pressure on the back of the knee. A large cyst can cause some discomfort or rigidity, but generally, there are not any symptoms. There may be a feeling as if there was a balloon full of water. Sometimes, the cyst may open (break) and produce pain, inflammation and hematoma in the back of the knee and the calf. The diagnosis is performed through the clinical history and full physical examination without the need for any additional imaging tests. Usually, treatment is not required. If the cyst is painful, the goal of the treatment is to correct the problem which causes it.
Bibliographic references

1. Simon M Helfgott, MD. Popliteal (Baker's) cyst. UptoDate. Jul 06, 2015. 

2. Hayashi D, Roemer FW, Dhina Z, et al. Longitudinal assessment of cyst-like lesions of the knee and their relation to radiographic osteoarthritis and MRI-detected effusion and synovitis in patients with knee pain. Arthritis Res Ther 2010; 12:R172.

3. Marra MD, Crema MD, Chung M, et al. MRI features of cystic lesions around the knee. Knee 2008; 15:423.

4. Fritschy D, Fasel J, Imbert JC, et al. The popliteal cyst. Knee Surg Sports Traumatol Arthrosc 2006; 14:623.

5. Handy JR. Popliteal cysts in adults: a review. Semin Arthritis Rheum 2001; 31:108.

Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Back of the knee is swollen


    Balloon sensation behind the knee


    Pain in the back of the knee


    Knee flexing difficulty


    Swollen calf

Symptoms to watch out for

Sharp pain in the knee
Knee swelling
Reddening of the calf
Sensation of water running down the calf

Self-care

Relative rest, rest until symptoms subside.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Compress the knee with a bandage.
Keep the limb raised
Take over-the-counter pain relievers or anti-inflammatories.