Treatment FAQ

what is the best treatment for meniscus tear

by Cordie Hagenes I Published 3 years ago Updated 2 years ago
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What's the Treatment for a Meniscus Tear?
  • Rest the knee. ...
  • Ice your knee to reduce pain and swelling. ...
  • Compress your knee. ...
  • Elevate your knee with a pillow under your heel when you're sitting or lying down.
  • Take anti-inflammatory medications. ...
  • Use stretching and strengthening exercises to help reduce stress to your knee.
Jan 26, 2022

Medication

Oct 28, 2021 · Acetaminophen and non-steroidal anti-inflammatory medications (NSAIDs) like ibuprofen are used to treat pain and swelling associated with meniscus tears. Office-Based Cortisone Injections. Cortisone injections may temporarily decrease the pain associated with a tear but cannot heal a meniscus tear.

Procedures

Dec 07, 2020 · MFAT Meniscus Treatment. Lipogems, also known as micro-fragmented fat (MFAT) have been proven to help patients with knee osteoarthritis and meniscus tears, with this 2020 study indicates significant improvements in MFAT patients following treatment. Adipose (fat) is an excellent source of mesenchymal stem cells, vascular cells called pericytes, and …

Therapy

Nonsurgical treatments may include: Icing Bracing Pain medication Muscle-strengthening exercises

Self-care

Jul 18, 2014 · Ninety middle aged patients with non-traumatic MRI confirmed medial meniscal tears were split into two treatment groups [ 1 ], arthroscopic partial meniscectomy followed by supervised exercise or [ 2] supervised exercise alone. The aims of the exercise were to improve muscle strength, flexibility and proprioception for a period of eight weeks.

Nutrition

For an effective meniscus tear treatment, it is essential to put weight on your knee again gently. As a result, the meniscus receives sufficient nutrients to recover without being overloaded. One way to reduce the load on the meniscus is to wear a knee brace. A knee brace minimizes the pressure on your knee so that you experience less knee pain.

How to heal your torn meniscus naturally without surgery?

Jul 07, 2020 · The initial treatment of a meniscus tear is the R.I.C.E. protocol: Rest with modified activity. 10 Apply ice or a cold pack to your knee for 15- to 20-minute sessions, several times a day. Compress your knee with a brace or knee sleeve to prevent additional swelling. Elevate your leg above your heart while icing it or whenever resting/relaxing.

When might surgery be needed for a meniscus tear?

Apr 15, 2022 · Conservative treatment usually involves rest, ice, compression (or wrapping with a pressure bandage) and elevation (or keeping your knee raised up higher than your heart). Non-steroidal anti-inflammatory medications such as ibuprofen may help with swelling. If surgery is necessary, a surgeon may repair the tear in your meniscus with sutures.

What happens if you leave a torn meniscus untreated?

Dec 23, 2020 · Indeed, they are the ones who are best equipped to determine and provide the least-invasive treatment possible for your musculoskeletal issue. In the meantime, let’s talk about a few things you should know to help you understand meniscal tears and their possible treatments: ... Nonsurgical Treatment for a Torn Meniscus. Your orthopedic doctor ...

Can a meniscus tear heal itself without surgery?

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How long does it take for a torn meniscus to heal without surgery?

Meniscus tears are the most frequently treated knee injuries. Recovery will take about 6 to 8 weeks if your meniscus tear is treated conservatively, without surgery. If your symptoms persist after 3 months or your symptoms become significant, your doctor may recommend surgery to repair the tear.Jan 25, 2021

What is the most common treatment for a torn meniscus?

Arthroscopy. Knee arthroscopy, a minimally invasive procedure, is often used to treat meniscal tears.

Is walking good for torn meniscus?

Many people with a torn meniscus can still walk with the injury. Some athletes may even continue to play their sport with the injury, especially immediately after the incident as it may take several days for the stiffness and swelling to develop fully.Dec 21, 2020

What happens if you leave a torn meniscus untreated?

An untreated meniscus tear can result in the frayed edge getting caught in the joint, causing pain and swelling. It can also result in long term knee problems such as arthritis and other soft tissue damage.Nov 26, 2020

Will a knee brace help a torn meniscus?

Yes. Although knee braces do not heal or treat your meniscus tear directly, they can provide extra support and stability for your knee while your meniscus injury heals. A good brace will protect your knee and take the pressure off your meniscus, allowing it to rest.Oct 19, 2021

What are two treatments for a meniscus tear?

Conservative treatment — such as rest, ice and medication — is sometimes enough to relieve the pain of a torn meniscus and give the injury time to heal on its own. In other cases, however, a torn meniscus requires surgery.Jan 6, 2022

Does a cortisone injection help a meniscus tear?

A cortisone injection cannot heal your meniscus tear. In most cases, your body will heal over time. Cortisone only helps with reducing the pain and inflammation from meniscal injuries.Oct 19, 2021

What aggravates a meniscus tear?

You're most likely to injure your meniscus when suddenly twisting or turning while your foot is stationary and planted. You could injure your meniscus while playing sports, such as football, soccer, or baseball. You could also injure your meniscus off the field by lifting heavy boxes or slipping on a wet floor.

Can I make my meniscus tear worse?

A meniscus tear can get worse when left untreated. For example, you might have trouble managing the pain and swelling in your knee, or your knee may continue feeling like it's catching or locking.Aug 9, 2021

Can a meniscus tear lead to knee replacement?

Conclusions: In patients with knee osteoarthritis arthroscopic knee surgery with meniscectomy is associated with a three fold increase in the risk for future knee replacement surgery.

What is the best treatment for meniscus tear?

Older people, whose meniscus tears are the result of age and wear and tear, may benefit from physical therapy and guided exercise, non-steroidal pain medication, and other non-surgical treatment . Returning to Sports Activities. Athletes who want to return to their normal level of activity may benefit from minimally invasive arthroscopic knee ...

What is the procedure to repair a meniscus tear?

Meniscus Surgery. During the meniscus surgery, a small instrument called an arthroscope, which has a camera at its tip, is inserted into your knee. Orthopaedic knee surgeons use arthroscopic knee surgery to pinpoint the location of the meniscus tear and repair or remove the damage, depending on the location and pattern of the tear and condition ...

How to get back to normal after meniscus surgery?

Knee-specific exercises strengthen the muscles that surround and stabilize the knee joint. Physical therapy will help prepare your knee for surgery and help you get back to your normal activities faster after surgery. It rarely eliminates the need for meniscus surgery in a younger person or someone without any arthritis. A skilled therapist can provide recommendations for an exercise program as appropriate for the type of tear and discomfort.

What is a transplanted meniscus?

The transplanted meniscus, which is donated from a cadaver, uses plugs to secure it to the native bone, and stitches secure it to the joint capsule. RELATED BLOG ARTICLE. Knee Arthroscopic Surgery for Meniscus Tears.

What is MRI in knee?

An MRI evaluates the soft tissues -- muscles, cartilage, ligaments, and tendons -- of the knee. An MRI helps knee specialists assess the specific part of the cartilage that is damaged. Wear-and-Tear Injuries.

What is the best way to check for popping and clicking in the knee?

A physical exam is performed to assess tenderness along the knee joint and to determine if there is popping/clicking of the knee with rotational movement. X-rays check for broken bones and the presence of arthritis. An MRI evaluates the soft tissues -- muscles, cartilage, ligaments, and tendons -- of the knee.

Can meniscus tears happen during sports?

For More Information. Meniscus tears can occur suddenly during a sports game, or from simple daily activities such as turning to put dishes away or twisting when someone calls your name. Damage to the meniscus cartilage that cushions your knee joint can also result from years of wear and tear. Duke knee specialists evaluate the severity ...

How to heal a torn meniscus?

When it comes to treating a torn meniscus, there are two primary treatments that are considered, surgical methods and regenerative orthopedic methods. Studies show that surgery alone can make things worse or put you at risk of reinjuring yourself.

What is MFAT for meniscus?

MFAT Meniscus Treatment. Lipogems, also known as micro-fragmented fat (MFAT) have been proven to help patients with knee osteoarthritis and meniscus tears, with this 2020 study indicates significant improvements in MFAT patients following treatment.

What age is a good candidate for cartilage repair?

Patients that are younger, 30 and below, are generally good candidates for repair. Once you are older repairs are typically less successful. There are portions of the cartilage situated in what is known as an avascular area, meaning there is no adjacent blood flow.

Why does cartilage tear?

Movements that place abnormal strain or forceful twisting can put undue stress on the joints, causing the cartilage to tear. Given that it is such a prevalent injury, an increasing amount of research is being done to determine the most efficacious treatment option for a torn meniscus.

What is the most common knee injury?

One of the most common knee injuries is a torn meniscus. Situated between the skin and thigh bone in the leg, your meniscus is the cartilage that separates the bones in the joint and ensures smooth, fluid movements.

Can a meniscus tear heal?

By introducing growth factors to this area, the meniscus tear can heal more completely and offer a higher resilience against future injuries.

What is the most common surgery for a meniscus tear?

Partial Meniscectomy. The most common type of surgery for a meniscus tear is a partial meniscectomy. During this procedure, the surgeon will trim off the torn part of the meniscus, leaving behind as much of the intact meniscus tissue as possible.

What is a meniscus tear?

Meniscus Tear Treatment. The meniscus is a crescent-shaped disc of cartilage found between the bones of the knee ( the femur and tibia). Each knee has two menisci that cushion the joint. Depending on the severity of the tear, symptoms of a torn meniscus may include pain, swelling, stiffness, clicking or locking of the knee.

How long does it take for a meniscus tear to heal?

Because the meniscus tissue needs to heal back together, recovery time is longer for this procedure than a partial meniscectomy. It is common for patients to be on crutches for about two weeks and in a brace for up to six weeks after surgery. It may be six months or more before it is safe to return to sports activities.

Can a meniscus tear cause another knee injury?

We will help you choose the best treatment plan to meet your needs. Having torn your meniscus once could make you more likely to experience another knee injury.

How accurate is MRI for meniscal tear?

MRI scans are only 80%-90% accurate at diagnosing meniscal tears initially and even less accurate post-operatively. High signal in the meniscal tissue can represent oedema, degeneration, an actual tear or a healing tear post repair[56].

What is the difference between medial and lateral meniscus?

The medial meniscus is “U” shaped covering around 60% of the medial compartment whereas the lateral meniscus is more “C” with a shorter distance between its anterior and posterior horns covering 80% of the lateral compartment[6]. Meniscal tissue consists mainly of water and type I collagen fibres[7].

Why is the structure of the meniscal fibres important?

The structure of these fibres are important clinically when deciding which meniscal tears are stable or which are unstable and warrant resection or repair. The blood supply to the menisci is of high relevance having important implications for the potential healing of a meniscal repair.

What is the most common pathology of the knee?

Meniscal tears are the most common pathology of the knee with a mean annual incidence of 66 per 100000[1]. Historically it was believed that the menisci served no functional purpose and they were often excised with open total meniscectomy[2].

Does a meniscus tear heal?

The blood supply is fundamental to the success of a meniscal repair. Only tears in the red-red or possibly the red-white zone are expected to heal. The absence of blood vessels in the remaining meniscus prevents widespread use of meniscal repair and patients are subjected to meniscectomy.

How to recover from a meniscus tear?

The inner portion of your meniscus lacks this blood flow. That part of your meniscus gets its nutrients from the synovial fluid within your knee capsule. Moving your knee will produce more synovial fluid and thus improves the recovery of your meniscus tear. The best way to do this is by riding a stationary bike.

How much does it cost to repair a meniscus tear?

The recovery without exercises takes a little bit longer but comes without side effects. Surgery costs about $10,000 and also increases your risk of developing osteoarthritis. A total knee replacement because of that later in life will cost an ...

Why does my knee turn blue after a meniscus tear?

That is because of a popped blood vessel inside the meniscus or the surrounding tissue and the inflammatory process that starts to clean up the damage. Walking is usually very difficult after a severe meniscus tear.

What happens when your knee locks?

Now, this part of the meniscus can move freely inside the joint space. It can cause your knee to pop or lock. When your knee locks, you may not be able to bend it for some time. You can also experience some instability of your knee.

How to stop twitching in knee?

Give your knee rest and support by applying ice every 2 hours and wear this knee brace. It will reduce the pressure on your knee and meniscus for immediate relief and prevents sudden twitches of your knee. Put this anti-inflammatory cream on your knee to reduce swelling and inflammation and thus your pain.

What is the function of the meniscus?

You have 2 in each knee laying next to each other. Its function is to improve the stability of your knee and improve its movements.

How long does it take to heal a tear in the medial meniscus?

Recovery can take up to 3 months and might require surgery. Since the medial meniscus on the inner side of your knee damages most often, the symptoms are usually felt here. Due to the tear, an inflammatory process starts to remove the damage so that it can begin the repair.

What is the best treatment for a meniscus tear?

Surgery. Surgery has the best results when the primary symptoms of the meniscus tear are mechanical. 16  This means that the meniscus tear is causing a catching or locking sensation of the knee. In other words, when the meniscus tear is causing pain only, the results of surgery may not be as reliable. There are three types of surgery used ...

What is the procedure to remove a torn meniscus?

A meniscectomy is a procedure to remove the torn portion of the meniscus. This procedure is far more commonly performed than a meniscus repair. The meniscectomy is done to remove the damaged portion of the meniscus while leaving as much healthy meniscus as possible.

Why does my knee feel like it's giving out?

The medial and lateral menisci act as shock-absorbers and also provide cushioning and stability to the knee, which is why any tear or damage to a meniscus results in pain, swelling , and sometimes, a feeling that the knee is giving out. While knee meniscus tears are common in athletes, older people are also at risk.

What causes a meniscus tear?

Causes. Most commonly, a meniscus tear results from an acute injury to the knee, often from a sudden twist of the knee while squatting during a sports activity. Examples of sports that increase a person's risk for a menisci tear include: Soccer 5 . Football.

How long does it take for a meniscus tear to pop?

In contrast, the swelling of an isolated medial meniscus tear tends to develop gradually over the course of one to two days. 2  An MRI can confirm one or both diagnoses.

Why do meniscus tears occur?

But meniscus tears can also occur due to age-related degenerative (wear-and-tear) changes ( knee osteoarthritis ). 7  As people age, their menisci weaken and become more brittle and prone to damage. Everyday movements like getting up improperly from a chair can be enough to cause a meniscus tear. 3 .

How to diagnose a meniscus tear?

In order to diagnose a meniscus tear, your doctor will perform a medical history, physical examination, and order one or more imaging tests. 1 .

How do you know if your meniscus is torn?

The only way you will know if your meniscus is torn, or whether the pain is being caused by something else, is to have your knee evaluated by a medical expert. Orthopedic surgeons are experts in diagnosing and treating problems with the bones, joints, and muscles, so this is the type of specialist to see as soon as possible if your knee is ...

What does it feel like to have a torn menisci?

The menisci play a very important function of protecting and stabilizing the joint and for smooth movement. If it is torn, your knee will be less stable and may feel like it’s not moving correctly. Other symptoms might include pain, swelling, popping, or locking.

What is the knee joint?

The knee is a hinge joint. If you imagine a door hinge, you know that it works via two-way movement, just as your knee can extend forward and bend back.

What is the joint that protects the knee?

Inside the knee joint, the bottom of the thighbone (the femur, which is in your upper leg) meets the top of one of the lower leg bones (the tibia), and they work together like a hinge. In the meantime, the kneecap glides along the bottom and front of the femur, protecting the knee and increasing the strength in your leg.

How to keep knees from hurting?

You should try to keep your knee elevated, and ice it carefully.

Can you move your knee without pain?

Patients may have a lot of swelling or none at all. Also, some patients with a meniscus tear can move their knee without pain, while others may have more symptoms when the knee is really flexed. Regardless of your symptoms or the pattern of your injury, some patients may be good candidates for nonsurgical treatment.

Can you treat a torn meniscus without surgery?

Treating a Torn Meniscus Without Surgery. Even if you already know that you have knee arthritis, new knee pain can mean a new problem. If you are experiencing a popping in the joint, or it’s locking, then you might also have an injury to your meniscus – which is a moon-shaped section of cartilage in your knee that is an extra cushion between ...

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