Treatment FAQ

what is the treatment for a torn meniscus

by Hilma Bogisich Published 2 years ago Updated 2 years ago
image

What happens if you leave a torn meniscus untreated?

Oct 28, 2021 · Nonsurgical Options. Physical Therapy. Knee-specific exercises strengthen the muscles that surround and stabilize the knee joint. Physical therapy will help prepare your ... Medications. Office-Based Cortisone Injections.

Does a torn meniscus heal on its own?

Treatment for meniscus tears ranges from icing and pain medication to surgery, depending on your symptoms and the type of tear. Nonsurgical Options. Nonsurgical treatments may include: Icing; Bracing; Pain medication; Muscle-strengthening exercises; Meniscus Tear Surgery. Our specialists perform meniscus tear surgery arthroscopically, by making small cuts in the knee. …

Can a torn Mensicus heal without surgery?

Dec 07, 2020 · 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.

Does a torn meniscus always need surgery?

Torn Meniscus: Treatment Options www.uhcw.nhs.uk - 2 - What is the treatment for a tear? There are three options for treating a torn meniscus, depending on the location and the extent of the tear: Non-Surgical Treatment Surgery: Partial menisectomy Surgery: Meniscal repair Non-surgical treatment

image

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

Can a meniscus tear heal on its own?

In the case of meniscus tears, some people think the injury will heal over time on its own. But the truth is that there are different types of meniscus tears — and some tears won't heal without treatment. If your tear is on the outer one-third of the meniscus, it may heal on its own or be repaired surgically.Nov 10, 2020

Can you walk around with a torn meniscus?

A torn meniscus usually produces well-localized pain in the knee. The pain often is worse during twisting or squatting motions. Unless the torn meniscus has locked the knee, many people with a torn meniscus can walk, stand, sit, and sleep without pain.

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

Does a torn meniscus show up on xray?

Because a torn meniscus is made of cartilage, it won't show up on X-rays. But X-rays can help rule out other problems with the knee that cause similar symptoms. MRI . This uses a strong magnetic field to produce detailed images of both hard and soft tissues within your knee.Jan 6, 2022

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.

Does a torn meniscus hurt constantly?

The pain may be sharp or instead it can just be a constant dull ache sensation. It usually hurts more when bending the knee deeply or straightening it fully. It can also hurt when twisting on the knee with your foot fixed on the ground.

Can I make my meniscus tear worse?

If you have a mild ache during the run, or a mildly sore knee after a run then you can often continue running. There is very little risk that running will worsen the tear. Meniscus tears can always worsen… remember, this is a process of degeneration.Sep 17, 2021

How do I know if I tore my meniscus?

SymptomsA popping sensation.Swelling or stiffness.Pain, especially when twisting or rotating your knee.Difficulty straightening your knee fully.Feeling as though your knee is locked in place when you try to move it.Feeling of your knee giving way.Jan 6, 2022

What is the best exercise for a torn meniscus?

Once you have your doctor's approval to begin exercising, try some of these exercises to enhance your strength and stability following a meniscus tear.Quadriceps setting. ... Mini-squats. ... Straight leg raise. ... Hamstring heel digs. ... Leg extensions. ... Standing heel raises. ... Clams. ... Hamstring curls.Mar 19, 2019

Where does a meniscus tear hurt?

Symptoms of a meniscus tear may be different for each person, but some of the most common symptoms are: Pain in the knee joint: usually on the inside (medial), outside (lateral) or back of the knee. Swelling. Catching or locking of the knee joint.

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 ...

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.

Can cortisone help with meniscus tear?

Cortisone injections may temporarily decrease the pain associated with a tear but cannot heal a meniscus tear. These injections are used primarily when the knee is inflamed and swollen and there is arthritis associated with the meniscus tear.

Can meniscus tears occur?

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 call s 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 of your injury, ...

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.

Is running good for your health?

Running is a great activity for your heart, weight and mental health, but it comes with a risk of injuries, no matter how experienced you are. Orthopaedic surgeon James Ficke, M.D., and physical therapist Ken Johnson discuss measures you can take to avoid common running injuries.

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 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.

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 cartilage avascular?

There are portions of the cartilage situated in what is known as an avascular area , meaning there is no adjacent blood flow. This area is not capable of the same level of healing that the vascular region is and is therefore likely to heal incompletely and is at a greater risk of additional injury in the future.

What is a lipogem?

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 structural collagen fibers. These cells bind to the injury site and release hundreds of chemical messengers, which repair the damaged tissue.

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 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 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 .

Where is the meniscus located?

The meniscus is a type of C-shaped cartilage that sits within your knee joint between your thigh bone and shin bone. Each knee joint has two mensici—one on the outside of the knee (called the lateral menisci) and one on the inside of the knee (called the medical menisci).

What causes knee pain and swelling?

Collateral Ligament injury. Col lateral ligament injuries may also cause knee pain and swelling, like meniscus tears. 12  These may involve the medial collateral ligament (located on the inside of the knee) or the lateral collateral ligament (located on the outside of the knee).

How to keep knees from hurting?

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

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.

What does it mean when your knees are popping?

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 the ends of the bones.

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.

Can a meniscus tear cause knee pain?

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.

What is the cartilage in the knee?

Inside the joint, cartilage helps the bones glide smoothly and also acts as a shock absorber when walking or running. The meniscus is actually a separate, thick pad of cartilage between the femur and the tibia, and each knee has two menisci – one on the inside of the knee and one on the outer side.

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.

What Is a Meniscus?

The meniscus is a fibrocartilage structure that sits on top of the tibia (lower leg bone). There is one on the medial (inside) aspect of the knee, one on the lateral (outside) aspect of the knee. It is shaped like a C and provides some cushion and support for the knee joint as it acts as a shock absorber.

Types of Meniscal tears

Meniscal tears come in a variety of different types, which can affect potential treatments, symptoms or relevance.

Natural Remedies For a Torn Meniscus

If you have knee pain and have been told you have a suspected meniscal tear either from an exam or from MRI, much of the time this can heal on its own with 4-6 weeks of rest, doing some physical therapy that would focus on some range of motion and strengthening exercises and correcting any biomechanical problems that may stem from the core, back, hips or the ankles.

Treatments For A Meniscal Tear Without Surgery

If you go to most pain practices if you fail physical therapy and surgery is not recommended, they may recommend a steroid injection, which can help temporarily reduce inflammation in and around the knee and meniscus, but this is not advised as steroids as we know can cause damage to the joint cartilage, inhibit healing, and has a host of other negative side effects..

Bottom Line

Meniscal tears are common findings in the knee, which many times are of little clinical significance.

What is the best way to fix a torn meniscus?

Meniscus surgery can fix an injured or torn meniscus, a piece of cartilage in the knee joint. Talk to your healthcare professional if you have knee pain that interferes with your life, work or activities. An arthroscopic procedure can reduce pain, improve mobility and stability, and help you return to activities.

How long does it take to repair a meniscus tear?

The most common procedure for a torn meniscus is knee arthroscopy. It usually takes less than an hour. First, you receive anesthesia. The surgical team cleans the skin on your knee and covers the rest of your leg with a surgical drape. The team might place a clamp on your upper thigh to help with positioning during surgery.

Why do meniscus tears hurt?

Many people with a torn meniscus choose surgery because the injured cartilage can make the knee unstable (buckle and give way), cause pain and swelling or cause the knee to “lock-up” or become “stuck.”.

What is regional anesthesia?

Regional anesthesia is a shot that numbs your body from the waist down. General anesthesia is medication that puts you to sleep. If you receive local or regional anesthesia, you may also be sedated to help you relax. Most often you will have a general anesthetic for this type of procedure.

How many menisci are there in the knee?

Each knee has two menisci. They are rubbery, C-shaped cushions that serve as shock absorbers in the knee joint. If your meniscus is injured or torn (often called torn cartilage), your healthcare provider may recommend surgery to remove the damaged part or repair it.

What to do before surgery?

A few days before surgery, your healthcare provider will: Give you a prescription for medications to manage pain after the surgery. Make appointments for physical therapy or a fitting for crutches. Tell you how to prepare for surgery.

What is the procedure called when a surgeon cuts a knee?

The surgeon makes a few small stab incisions (cuts) in your knee called portals. The team then fills the knee joint with a sterile fluid. The fluid helps control minor bleeding in the joint and washes away debris, which helps the surgeon see inside the joint.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9