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Suggest remedy for pain while walking when suffering from subcortial cyst in knee

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Posted on Tue, 26 May 2015
Question: Hi Doctor XXXXXXX

I wanted to ask you some more questions about my knee problems?
The last answer you gave me, I have attached to the end of this email

1. The subcortical cyst in my left knee is causing me pain.. it hurts every time I walk and when I put pressure on it. What can I do about this?

2. Every time I walk, both knees feel hurt and like they are catching. AM I causing more damage, as I am in constant pain when I move? I have done 5 months of physio with little improvement, Please tell me what else I can do as I cannot keep going this way.

Thanks,

XXXX
Your last response:

Thanks for writing again.
To strengthen the hamstrings specific exercises can be learnt from your physiotherapist. Subcortical cyst is a benign cyst and it can remain as it is without any symptoms for years. The cyst will not regress but will not cause you any symptoms either.
All this inflammation can cause an early osteoarthritis. Do take calcium and vitamin D 3 supplements also to help the healing.
The grinding sound is due to a decrease in joint lubricants. Taking glucosamine supplements will help.
Surgery can help you to some extent but it cannot revert all the degenerative changes. Patella tracking brace will help you but be sure to use the one with right fitting.

Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Replied by Dr. XXXXXXX Tayal , Mon, 20 Apr 2015
Disclaimer: The Expert's advice is provided for general informational purposes

doctor
Answered by Dr. Praveen Tayal (5 hours later)
Brief Answer:
If pain is unbearable then surgery needs to be considered.

Detailed Answer:
Hello,
Thanks for posting your query.
1. If there is a pain in the subcortical cyst area then it is better to get it removed surgically.
2. The pain during walking is due to the degenerative changes in the knee joints. It is better to start with joint lubricant supplements like Glucosamine and chondroitin. Intra articular injections of hyaluronic acid can also be given for relief.
In case the pain is persistent and is unbearable even after all these treatments and physiotherapy then joint replacement needs to be considered. Bearing weight on the knees and walking is necessary to retard the further progression of the problem. It will not worsen your problem.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Praveen Tayal (17 hours later)
Thank for the reply Dr XXXXXXX

I have been told that you cannot remove a subcortical cyst? Can you please clarify this?

Thanks:)

XXXX
doctor
Answered by Dr. Praveen Tayal (18 minutes later)
Brief Answer:
Can be removed if necessary.

Detailed Answer:
Hello.
Thanks for writing again.
The cyst can be removed if it is causing the persistent pain. This needs a bone grafting or the knee replacement takes care of the cyst. It also depends on the position and size of the cyst. The decision to remove cyst depends on your surgeon.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Praveen Tayal (2 hours later)
Thanks so much.
I will see an orthopaedic surgeon here in Melbourne and discuss my options as I have been suffering pain for over 6 months now.
just to clarify- if I go for a walk and it hurts- I am not causing more damage? I just cant seem to walk for more than about 15 mins without pain and I am scared to keep going incase I cause further damage and inflammation?? Is this not true?
doctor
Answered by Dr. Praveen Tayal (4 hours later)
Brief Answer:
Walking will not do more harm.

Detailed Answer:
Just walking on a plane surface will not cause any further damage. It can cause rubbing of the arthritic surfaces causing the pain. But that should not make you do a bed rest all the time. Walking is the minimum exercise that is needed to keep the muscle tone intact.
Do a hot compress and apply a local analgesic gel before a walk to decrease the pain.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12253 Questions

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Suggest remedy for pain while walking when suffering from subcortial cyst in knee

Brief Answer: If pain is unbearable then surgery needs to be considered. Detailed Answer: Hello, Thanks for posting your query. 1. If there is a pain in the subcortical cyst area then it is better to get it removed surgically. 2. The pain during walking is due to the degenerative changes in the knee joints. It is better to start with joint lubricant supplements like Glucosamine and chondroitin. Intra articular injections of hyaluronic acid can also be given for relief. In case the pain is persistent and is unbearable even after all these treatments and physiotherapy then joint replacement needs to be considered. Bearing weight on the knees and walking is necessary to retard the further progression of the problem. It will not worsen your problem. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal