BKA patient with cyst problems.
Walz, Konrad P.
Description
Collection
Title:
BKA patient with cyst problems.
Creator:
Walz, Konrad P.
Date:
12/7/2011
Text:
Dear List,
I am looking for anyone with experience with cysts behind the knee. I do not know if it is a Bakers/Popliteal cyst or Ganglion cyst but a cyst nonetheless.
I have a 35 year old male who had a traumatic BKA (non blast) who is currently hovering around 300 lbs. He is active but is being limited in his walking due to pain from multiple cysts in the popliteal area. He constantly squeezes them trying to pop them in his pursuit of relief, and he is sometimes successful. Some of them have been large, on the order of 5cm to 7cm across. He has tried to have them aspirated in the past with minimal fluid being removed and thus, minimal relief. The patient is not keen on surgery because of the down time but has not ruled it out.
I would like to know what practitioners thoughts might be on socket design and suspension. The patient would like relief in the socket for the cysts but besides relieving pain, would a relief of pressure encourage the cysts to engorge? Along those lines would suction or elevated suction exacerbate the problem? The patient prefers elevated suction. Would pin be better with normal socket contact/pressure or with slight relief in the area?
I invite all ideas and especially those with experience with this issue. I will post responses.
Thank you in advance.
Konrad Walz CO, BOCP
United States Department of Veterans Affairs
I am looking for anyone with experience with cysts behind the knee. I do not know if it is a Bakers/Popliteal cyst or Ganglion cyst but a cyst nonetheless.
I have a 35 year old male who had a traumatic BKA (non blast) who is currently hovering around 300 lbs. He is active but is being limited in his walking due to pain from multiple cysts in the popliteal area. He constantly squeezes them trying to pop them in his pursuit of relief, and he is sometimes successful. Some of them have been large, on the order of 5cm to 7cm across. He has tried to have them aspirated in the past with minimal fluid being removed and thus, minimal relief. The patient is not keen on surgery because of the down time but has not ruled it out.
I would like to know what practitioners thoughts might be on socket design and suspension. The patient would like relief in the socket for the cysts but besides relieving pain, would a relief of pressure encourage the cysts to engorge? Along those lines would suction or elevated suction exacerbate the problem? The patient prefers elevated suction. Would pin be better with normal socket contact/pressure or with slight relief in the area?
I invite all ideas and especially those with experience with this issue. I will post responses.
Thank you in advance.
Konrad Walz CO, BOCP
United States Department of Veterans Affairs
Citation
Walz, Konrad P., “BKA patient with cyst problems.,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/233090.
