Thanks for your question. You have tried conservative measures for a symptomatic Baker's cyst
, and despite those, you are still very symptomatic. This is the stage where surgical intervention of the cyst is considered to provide you with better quality of life.
I encourage you to discuss this option with your primary for a referral to the appropiate specialist in your system, likely an orthopedist.
Dr Brenes-Salazar MD
Mayo Clinic MN