Baker's Cyst Aspiration and Injection

Let's say you have a patient with a long history of osteoarthritis who presents with worsening pain in the back of her knee.  You astutely diagnose a Baker's cyst.  She has become accustomed to opioid injections for acute exacerbations of OA related pain with a follow up Norco script.  Is the there an alternative to the opioids and ortho referral plan?  Is there a way to add value to the ED visit, improve outcomes, reduce reliance on specialty care, and avoid over utilization of opioids for chronic MSK pain, all in one fell ultrasound-guided swoop?  Sure there is.

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