Popliteal cyst - Baker's cyst

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Baker's cyst or popliteal cyst is an accumulation of joint fluid that forms a cyst behind the knee (popliteal socket).

This swelling is due to an increase in the synovial fluid that lubricates the knee joint.

A large cyst may cause some discomfort or stiffness, but usually has no symptoms. It may feel like a water-filled balloon. Sometimes, the cyst may break open (rupture) and cause pain, swelling, and bruising in the back of the knee and calf.

Diagnosis will be made by a complete history and physical examination without the need for additional radiological tests.

Usually no treatment is necessary. If the cyst is painful, the goal of treatment is to correct the problem that is causing 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

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

Self-care

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