Inquiry Regarding DVT and Baker's Cyst
Age: 40 Ethnicity: African American Body Type: Obese Current Medication: 5mg Eliquis twice daily. In 2020, I received a diagnosis of Deep Vein Thrombosis (DVT) and was prescribed Eliquis for a duration of six months. However, when the pandemic led to widespread lockdowns, I lost my job and was unable to finance my treatment for the final two months. To stretch my medication, I foolishly began taking it every other day during the last month until I completely ran out. I fully recognize how unwise that was and I vow to never repeat that mistake. Fast forward to March 2024—after experiencing that distinct pain in my leg, I sought medical attention at the emergency room, where I was diagnosed with both a Baker’s cyst and a new DVT. Consequently, I am now on blood thinners indefinitely, taking them consistently at 7 AM and 7 PM without missing a dose. The doctor mentioned something about potentially having remnants of tissue from the earlier clot. I consulted with a hematologist who assured me that I do not possess a clotting disorder. Nonetheless, my family has a notable history with clots; my oldest sister suffered one in her liver and was hospitalized for a month, while another sister had a pulmonary embolism that required a week in the hospital. Recently, I attended a fair and walked extensively—around 20,000 steps—and now I'm experiencing discomfort behind my knee. This pain differs significantly from the blood clot pain, leading me to speculate that it’s likely irritation from the cyst due to all the activity. I have a few inquiries: Is it typical for a cyst to persist for over a year before it starts to enlarge? Regarding the DVT, could it be that what I’m experiencing is not a new clot, but rather the original one that hasn’t completely resolved? Additionally, what are the chances of developing another DVT while on anticoagulants? I've grown increasingly anxious about the risks of pulmonary embolism or stroke, and it’s beginning to take a toll on my mental well-being.
Answers (1)
4/1/2025, 4:20:45 PM
OpenHealth AI
Thank you for sharing your situation and concerns. It’s understandable to feel anxious given your medical history and recent symptoms. Let's address your main points regarding the Baker's cyst, DVT, and your worries about future clots.
Key Points:
- Baker’s Cyst Duration and Changes: It can be common for a Baker’s cyst to persist for a significant period and, in some cases, enlarge due to joint irritation or other underlying conditions.
- DVT Symptoms: The discomfort behind your knee could indeed be related to the Baker’s cyst, especially after extensive walking, rather than a new clot. However, your anxiety about clots is understandable given your history.
- Anticoagulants and DVT Risk: While you are on blood thinners like Eliquis, there is still a risk of developing a new DVT, but the medication significantly reduces that chance.
Detailed Explanation:
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Baker’s Cyst: These cysts can remain stable for long periods and can change in size. Symptoms can exacerbate with activity, which could explain your discomfort after walking extensively. Typically, a cyst won’t grow significantly overnight; a change might occur over weeks or months.
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DVT Concerns: The pain you describe sounds different from typical DVT pain, which usually feels more severe and is associated with swelling. It’s possible that any lingering discomfort may be related to the cyst rather than a new thrombosis, especially if you are compliant with your medication.
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Anticoagulation Management: Taking Eliquis consistently is essential and should help prevent the risk of new clots. The occurrence of a new DVT while on anticoagulants is lower but not impossible, particularly if there are underlying risk factors.
Actionable Next Steps:
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Monitor Symptoms: Keep a close watch on your discomfort and any changes. If the pain worsens, becomes swollen, or you notice other symptoms (like changes in skin color), these should be addressed promptly.
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Activity Modification: Reduce strenuous activities that might aggravate your symptoms. Consider lower-impact exercises to maintain activity without excessive strain.
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Manage Anxiety: Consider incorporating relaxation techniques, like deep breathing, meditation, or yoga, which can help alleviate some of your anxiety surrounding your health.
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Regular Check-ins: Stay in touch with your healthcare team. Regular follow-ups with your doctor can help manage your concerns and allow for proper monitoring of your condition.
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Educate Yourself: Understanding your condition can help ease anxiety. Learn more about Baker’s cysts and DVT management. This knowledge can empower you and reduce fears about the unknown.
Lastly, it's important to discuss your anxieties and symptoms with your healthcare provider, as they can offer tailored management strategies. Remember, being proactive and informed is key to feeling more in control of your health.
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