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Suggest Treatment For Pain And Swelling In Knee After Injury

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Posted on Thu, 30 Jul 2015
Question: Hi, I injured my calf 4 months ago working out, it hurt bad behind the knee, some swelling, As it felt better I went back to working out and kept re-aggravating it. Finally went to ortho suregeon, He thought I may have DVT and sent me for ultra sound, she said I had bakers cysts, behind the knee and side of the knee, most likely ruptured. But about 4 weeks ago, noticed lump on inside of upper calf, right below knee, Felt like muscle tear and was more prominent when leg flexed. The ultra sound showed a small spot on calf, of unknown origin, she said it was superficial and not getting blood which she said was good sign. Had Mri this past Monday, got results today and my ortho still doesn't know what it is, 5.7x1 x 1.8cm..No pain and hasn't changed size or shape since it appeared 4 weeks ago. He has I also have muscle tear in posterior medial meniscus, and some Varicosities are present in medial aspect of knee. small bakers cyst present..Very worried about tumor. Interesting it showed up in same area and same leg of injury. Any advice appreicated

I can upload mri report if need be
doctor
Answered by Dr. Aashish Raghu (3 hours later)
Brief Answer:
Baker's cyst

Detailed Answer:
Hi there.

I have read your query and understood your problem.

Have you had knee joint pains frequently ?

Do you have any shortness of breath or chest pain ?

It appears that a sudden muscle spasm would have ruptured a Baker's cyst leading to sudden pain and swelling of the calf muscles. It can occur spontaneously or after some trauma.

Sometimes the meniscus after tearing can cause a cyst formation which grow in size filled with fluid and protrude from the back of the knee as Baker's cyst.

It is advisable to be in a knee brace for now. Avoid any sudden movement to the knee. Avoid squatting, cross leg sitting, kneeling, climbing stairs. These can aggravate the arthritis and medial meniscus tear and cause more pain.

I don't think it is a tumour but a Baker's cyst which has ruptured and probably separated and moved to the calf or could also be an area of muscle tear.

Kindly upload the repot of your MRI scan so that I will be in a better position to comment on the cause of the swelling in your calf.

Awaiting you reply...

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Aashish Raghu (34 hours later)
THANK YOU DR. IS THERE A PLACE TO UPLOAD REPORT
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Report

Detailed Answer:
Hi there.

Yes You can upload Reports. Kindly consult with the Healthcare Magic team and they shall guide you. I think there is a provision for uploading reports from your side.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Aashish Raghu (3 hours later)
I just uploaded my mri
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Not able to access your Report

Detailed Answer:
Hi there.

I'm sorry to say that I'm not able to view or access your MRI. Kindly chunar the Healthcare Magic team in this matter.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Aashish Raghu (23 hours later)
Hi, I uploaded again, are you able to view
doctor
Answered by Dr. Aashish Raghu (8 hours later)
Brief Answer:
Yes, I have been able to read your Report.

Detailed Answer:
Hi there.

Yes, I have been able to read your Report.

As I suspected, you have a tear in the medial meniscus which is causing your the symptoms of locking and severe pain while flexing the knee. This needs to be treated by arthroscopic deride entry and repair to help you be pain free.

Also mentioned in the report is presence of a partial Baker's cyst which would probably resolve on its own.

The mass in your calf muscle is suspected to be a clot or a soft tissue tumor. The only way to confirm is by doing a contrast CT or biopsy. Misfit consult your Surgeon in this regard.

I hope I have answered your query.

Thanking you.

Regards,

Dr. Aashish Raghu
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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Suggest Treatment For Pain And Swelling In Knee After Injury

Brief Answer: Baker's cyst Detailed Answer: Hi there. I have read your query and understood your problem. Have you had knee joint pains frequently ? Do you have any shortness of breath or chest pain ? It appears that a sudden muscle spasm would have ruptured a Baker's cyst leading to sudden pain and swelling of the calf muscles. It can occur spontaneously or after some trauma. Sometimes the meniscus after tearing can cause a cyst formation which grow in size filled with fluid and protrude from the back of the knee as Baker's cyst. It is advisable to be in a knee brace for now. Avoid any sudden movement to the knee. Avoid squatting, cross leg sitting, kneeling, climbing stairs. These can aggravate the arthritis and medial meniscus tear and cause more pain. I don't think it is a tumour but a Baker's cyst which has ruptured and probably separated and moved to the calf or could also be an area of muscle tear. Kindly upload the repot of your MRI scan so that I will be in a better position to comment on the cause of the swelling in your calf. Awaiting you reply... Dr. Aashish Raghu