APPLICATION FOR CYSTS
ORTHOPEDICS SPORTS MEDICINE
GOLDIC® SERUM
INJECTION BAKER’S CYST
A popliteal cyst, also known as a Baker’s cyst, is a fluid-filled swelling that causes a lump at the back of the knee, leading to tightness and restricted movement. The cyst can be painful when you bend or extend your knee.
They are usually seen when there is other damage to the knee, either the cartilage, the meniscus, or inflammation in the knee such as in rheumatoid arthritis.
GOLDIC® serum injections are increasingly used in patients with cysts, like Baker’s cyst. Baker’s cysts are membrane-lined, fluid-filled lumps that develop behind the knee. Common causes of Baker’s cysts include arthritis, torn cartilage in the knee and advanced osteoarthritis.
All GOLDIC® serum injections are performed as an outpatient procedure. An experienced physician should perform the injections. GOLDIC® procedure may be done with image guidance.
PRECAUTIONS
Pre-Injection Precautions
- Appropriate patient education and discussion have occurred with an informed consent signed prior to the initiation of the procedure.
- Patients are advised to drink plenty of fluids the day before the procedure.
- No special preparation is needed for this procedure.
Injection Precautions
- All necessary materials for the injection (GOLDIC® set, needles, US gel, etc.) should have been planned and placed on a sterile table adjacent and easily accessible to the physician.
- A doctor or technician prepares the GOLDIC® for injection and the affected area is cleansed with disinfectant. The patient’s skin is cleansed appropriately and towels or drapes may be used to create an aseptic field.
- Sterile technique is used, including mask, sterile gloves, and sterile preparation.
- In light of safety and efficacy differences between guided and blind injections, we adhere to guided injections as the general standard with GOLDIC® injections. Individual physician ability and patient preference may alter this choice on a case-by-case base.
- Sterile single-use needles should be used with appropriate handling and disposal.
- The patient is placed in an appropriate and comfortable position that allows for sterility and access to the site of injection.
- The procedure begins with applying an anaesthetic on top of the cyst.
- Cyst aspiration (removal of excess fluid). The cyst is punctured with a needle in order to begin aspiration. Then, using a syringe, the fluid is drained from the base of the cyst.
- GOLDIC® serum is injected into the empty cyst in order to reduce inflammation, swelling and pain.
- A typical treatment consists of four (4) 3 ml GOLDIC® serum injections every 2 days.
- Apply a dressing or appropriate bandage to protect the needle entry site.
Post-Injection
- Monitor for post-procedure complications.
- Following the injection, the patient usually remains for 30 minutes to ensure that there are no immediate complications or adverse reactions, such as allergic reaction or leg weakness/numbness…
- Tenderness at the needle insertion site can occur for a few hours after the procedure and can be treated by applying an ice pack for 10 to 15 minutes once or twice an hour…
- Patients should be given post-procedure instructions, precautions, and emergency contact information.
- In addition, patients are usually asked to rest for the remainder of the day on which they have the intra-muscular GOLDIC® serum injection.
- The procedure should be recorded in detail with a procedure note including date, pre/post-procedure diagnosis, procedure title, performing physician w/wo assistants, anaesthesia, a brief indication of procedure, description of procedure including guidance and instruments.
- All patients should follow a rehabilitation program consisting of physiotherapy, stretching, and strengthening exercises with progression from isometric to concentric to eccentric; followed by sports training with progression from cycling to jogging to sprinting.
GOLDIC® PREPARATION GUIDE
