Baker's cyst is a buildup of joint fluid (synovial fluid) that forms a cyst behind the knee.
Popliteal cyst; Bulge-knee
A Baker's cyst is caused by swelling in the knee. The swelling is due to an increase in the fluid that lubricates the knee joint (synovial fluid). When pressure builds up, fluid bulges into the back of the knee.
Baker's cyst commonly occurs with:
- A tear in the meniscal cartilage of the knee
- Knee arthritis (in older adults)
- Rheumatoid arthritis
- Other knee problems
A large cyst may cause some discomfort or stiffness, but there are often no symptoms. There may be a painless or painful swelling behind the knee.
The cyst may feel like a water-filled balloon. Sometimes, the cyst may break open (rupture), causing pain, swelling, and bruising on the back of the knee and calf.
It is important to know whether pain or swelling is caused by a Baker's cyst or a blood clot. A blood clot (deep venous thrombosis) can also cause pain, swelling, and bruising on the back of the knee and calf. A blood clot may be dangerous and requires immediate medical attention.
Exams and Tests
During a physical exam, the health care provider will look for a soft lump in the back of the knee.
- If the cyst is small, comparing the affected knee to the normal knee can be helpful.
- There may be a decrease in range of motion caused by pain or by the size of the cyst.
- In some cases there will be catching, locking, pain, or other signs and symptoms of a meniscal tear.
Shining a light through the cyst (transillumination) can show that the growth is fluid filled.
If the lump grows quickly, or you have night pain, severe pain, or fever, you will need more tests to make sure you do not have other types of tumors.
X-rays will not show the cyst or a meniscal tear, but they will show other problems that may be present, including arthritis.
MRIs can help the health care provider see the cyst and look for any meniscal injury.
Often no treatment is needed. The health care provider can watch the cyst over time.
If the cyst is painful, the goal of treatment is to correct the problem that is causing the cyst, such as arthritis or a meniscus tear.
Sometimes, a cyst can be drained (aspirated) or, in rare cases, removed with surgery if it becomes very large or causes symptoms.
- The cyst has a high chance of returning if the cause is not addressed.
- The surgery may also damage nearby blood vessels and nerves.
A Baker's cyst will not cause any long-term harm, but it can be annoying and painful. The symptoms of Baker's cysts usually come and go.
Long-term disability is rare. Most people improve with time or arthroscopic surgery.
When to Contact a Medical Professional
Call your health care provider if you have swelling behind the knee that becomes large or painful. Pain could be a sign of infection.
Biundo JJ. Bursitis, tendinitis, and other periarticular disorders and sports medicine. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 271.
Huddleston JI, Goodman SB. Hip and knee pain. In: Firestein GS, Budd RC, Harris ED Jr, et al, eds. Kelley's Textbook of Rheumatology. 9th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 48.
Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency
or for the diagnosis or treatment of any medical condition. A licensed medical professional
should be consulted for diagnosis and treatment of any and all medical conditions. Call 911
for all medical emergencies. Links to other sites are provided for information only -- they
do not constitute endorsements of those other sites. © 1997-A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
The Agency for Health Care Administration (Agency) and this website do not claim the information on, or referred to by, this site is error free. This site may include links to websites of other government agencies or private groups. Our Agency and this website do not control such sites and are not responsible for their content. Reference to or links to any other group, product, service, or information does not mean our Agency or this website approves of that group, product, service, or information.
Additionally, while health information provided through this website may be a valuable resource for the public, it is not designed to offer medical advice. Talk with your doctor about medical care questions you may have.