Treatment FAQ

what is the treatment plan for a torn meniscus

by Prof. Al Runolfsson MD Published 2 years ago Updated 2 years ago
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Treatment of a torn meniscus may include observation and physical therapy with muscle strengthening to stabilize the knee joint. When conservative measures are ineffective treatment may include surgery to repair or remove the damaged cartilage.

Medication

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. Is walking good for torn meniscus? Many people with a torn meniscus can still walk with the injury.

Procedures

  • Meniscus – It acts like a shock absorber for your knees and it’s located just between the tibia and femur. ...
  • Ligaments – All the bones in our body are joined with ligaments. ...
  • Tendons – Your muscles are connected with bones by tendons. ...
  • Collateral ligaments – Collateral ligaments are found at the side of your knees. ...

More items...

Therapy

Many times these tears are in a portion of the meniscus that does get blood supply so they could potentially heal on its own. If they do not heal naturally then surgical repair can sometimes be tried to help.

Self-care

Unfortunately, a torn meniscus is a fairly common injury among triathletes, but it doesn’t always have to mean surgery. Dr. Jordan Metzl explains. John is a 40-year-old triathlete who came in to see me with a painful knee and an MRI scan. “Doc”, he said, “my knee has been hurting for a few weeks, so I got an MRI from my primary care physician.

Nutrition

How long does it take a torn meniscus to heal?

What happens if you leave a torn meniscus untreated?

Does a torn meniscus heal on its own?

Does a torn meniscus always require 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.

What is the most common treatment for a torn meniscus?

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.

What are the treatment options for a torn meniscus?

Treatment for meniscus tears ranges from icing and pain medication to surgery, depending on your symptoms and the type of tear....Meniscus Tear Treatment OptionsIcing.Bracing.Pain medication.Muscle-strengthening exercises.

How long is therapy for a torn meniscus?

As part of a conservative treatment, you'll probably try PT for around 4 to 6 weeks, on a regular schedule. Also, you must regularly exercise at home the way you are taught. If it doesn't work, then it may be time for surgery.

Will walking on a torn meniscus make it worse?

Continuing to walk on the affected leg can aggravate your symptoms, making pain and stiffness worse in as little as a few days. Plus, suffering a torn meniscus may also increase your risk of complications, like developing osteoarthritis in that knee.

Does a knee brace help a torn meniscus?

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.

How long does a cortisone shot last for torn meniscus?

Pros of a cortisone injection for meniscus tears But, the change is gradual, and it might take up to three weeks for the inflammation to decrease entirely. Pain relief from a cortisone shot can last approximately three months to a year.

What happens if you don't repair a torn meniscus?

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.

What does an orthopedic do with a torn meniscus?

Orthopedic surgeons can perform arthroscopic surgery for a meniscus tear, leading to a quicker and more successful and complete recovery. The most common procedure for meniscus repair is a partial meniscectomy in which the surgeon trims off part of the meniscus, leaving only the healthy parts behind.

Can a meniscus tear heal with physical therapy?

Not all meniscal tears require surgery. In fact, a study published in the New England Journal of Medicine shows that physical therapy can be just as effective. Physical therapy for meniscal tears shows similar rates of functional improvement and pain scores as compared with meniscal surgery.

What percentage of meniscus tears require surgery?

Differing treatment It's important to know the differences between the tears because usually only acute traumatic tears are surgically repairable. Less than 10 percent of meniscal tears occurring in patients age 40 or older can be repaired.

Will therapy fix a torn meniscus?

Physical therapy should be the first choice when managing the pain and functional limitation that may come with a knee meniscus tear. Your therapist can help you regain normal motion and strength and help you return to your previous level of activity.

Overview

You have two menisci in your knee, the medial (inner knee) meniscus, and the lateral (outer knee) meniscus. These c-shaped cartilage discs act like...

Symptoms - what does a meniscus tear feel like?

The symptoms you experience can vary depending on your type of tear. For minor tears:You may not notice when you tear it. For example, you miss-ste...

When to see a doctor

Most minor to moderate meniscus tears can be successfully treated at home using a conservative exercise-based treatment plan as outlined in the app...

What causes meniscus tear

There are 2 main reasons why you may tear a meniscus: Trauma: A sudden strong force that usually involves a rotation movement of the knee. For exam...

Treatment, healing times & prevention

TreatmentMost minor and moderate meniscus tears can recover with a conservative treatment plan consisting of the following steps: First, allow the...

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 to heal a torn meniscus?

On rare occasions, it may be recommended to you that rest and anti-inflammatory action (ice, pain killers, etc) are the only necessary treatments for a torn meniscus. Doctors will only recommend this if there is only a small partial tear in the meniscus. Since there is no guarantee that your body will correctly heal itself, this treatment option is often used in conjunction with other forms of meniscus tear treatment. In these cases, rest and anti-inflammatory treatments serve as a way to prevent the body from undergoing further damage before the other treatments begin. Although rest is the least expensive treatment option, it is also by far the least effective.

How to treat meniscus tear?

Physical therapy for meniscus tears is designed to optimize knee stability and reduce the level of inflammation during recovery. A physical therapy treatment usually includes a combination of strength and flexibility exercises for the muscles and tissues surrounding the meniscus, compression and the use of a brace.

What is the meniscus?

The meniscus is a small piece of cartilage that protects your knee by cushioning the connection between your thighbone and shin. Severe trauma or wear over time can cause the meniscus to tear; when this happens, pain ensues and it becomes extremely difficult — if not impossible — to walk. If you have suffered a meniscus tear, then you should know how it can be treated for the best recovery potential.. Here are some treatment options for a torn meniscus:

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 ...

Research-based treatment plan

The research shows that most people with meniscus tears can fully recover by following a graded strength training program.

The app teaches you about your meniscus injury

You have two menisci in your knee, the medial (inner knee) meniscus and the lateral (outer knee) meniscus. These c-shaped cartilage discs help to absorb some of the shock and protect your knee joint when you are walking and running. They also increase the congruency of the joint surfaces so that the bones “sit” better on top of each other.

The meniscus tear treatment plan consists of 6 stages

In order to regain full strength the workout intensities have to increase as your meniscus heals. The app ensures that you progress at the correct time by setting you clear targets for each stage.

Recover faster. Now

Download the App now and start the recovery with your tailored treatment plan. Adjusted to your specific needs.

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.

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.

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.

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

If a conservative, non-surgical approach is taken, the pain and swelling of a torn meniscus should resolve within a few days. Recovery and rehabilitation become a long-term commitment, as does making certain that the muscles surrounding the knee are kept strong to promote joint stability.

How to tell if a meniscus is torn?

Symptoms and signs of a torn meniscus include knee pain, swelling, a popping sound, and difficulty bending the leg. Treatment may involve resting, icing, compressing, and elevating the knee, in addition to wearing a knee brace, taking anti-inflammatory medications, and stretching the knee.

Why does a torn meniscus occur?

A torn meniscus occurs because of trauma caused by forceful twisting or hyper-flexing of the knee joint.

What is the front part of the meniscus called?

Each meniscus is curved in a C-shape, with the front part of the cartilage called the anterior horn and the back part called the posterior horn. There is also articular cartilage that lines the joint surfaces of the bones within the knee, including the tibia, femur, and kneecap ( patella ).

What is the cartilage of the lateral meniscus?

The medial and lateral meniscus are two thicker wedge-shaped pads of cartilage attached to top of the tibia (shin bone), called the tibial plateau.

Why is knowing where a meniscus tear is located important?

Because the blood supply is different to each part of the meniscus, knowing where the tear is located may help decide how easily an injury might heal (with or without surgery). The better the blood supply, the better the potential for recovery.

How long does it take to heal an ACL tear?

Rehabilitation after surgical repair of an ACL tear may take more than nine months.

Overview

You’re chasing your kids around the yard when suddenly you feel a “pop” in your knee. Or you’re playing basketball and twist your body (and knee) too quickly while your feet are on the ground. The pain comes immediately, and not long after, your knee becomes swollen and stiff.

What is a meniscus?

There are two menisci (the plural of meniscus) in each knee—one on the lateral (outer) side of the knee, and one on the medial (inner) side. Each meniscus is a thin, “c”-shaped disc of rubbery tissue made of cartilage that is attached to the top of the tibia, or shinbone.

How do meniscus injuries occur?

In young, healthy people, meniscus tears often happen as a result of an injury in which the knee rotates or twists while the foot is planted. This kind of injury is known as an acute meniscus tear. It frequently occurs when playing sports such as soccer, football, and basketball that involve pivoting and sharp changes of direction.

What are the symptoms of a meniscus tear?

Depending on its severity, a torn meniscus can cause a variety of symptoms, including the following:

How are meniscus tears diagnosed?

To diagnose meniscus injuries, doctors assess the patient’s medical history, perform a physical exam, and run diagnostic tests.

How are meniscus tears treated?

There are two general forms of treatment for meniscus tears: conservative, or nonsurgical, and surgical. The choice of treatment depends on several factors, including severity of the tear and which part of the meniscus is damaged, as well as the patient’s age, overall health, physical activity level, and overall condition of the knee joint.

What is the outlook for people with meniscus tears?

In general, with proper treatment and rehabilitation, people who experience meniscus tears, especially older patients, are often able to go back to their normal activities. Still, meniscus tears may increase the risk of developing osteoarthritis, and if left untreated, they can worsen over time.

How long does it take to heal a torn meniscus?

Meniscus surgery is a common operation to remove or repair a torn meniscus, a piece of cartilage in the knee. The surgery requires a few small incisions and takes about an hour. Recovery and rehabilitation take a few weeks. The procedure can reduce pain, improve mobility and stability, and get you back to life’s 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 a meniscus in the knee?

What is a meniscus? 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 is the tool used to look at a knee tear?

The surgeon inserts a small tool called an arthroscope into the incision. An arthroscope is a thin tube with a small light and video camera at the end. The camera projects video images from inside your knee onto a monitor. The surgeon uses the arthroscope to look at the tear and decide what surgical technique to perform:

What happens before meniscus surgery?

What happens before torn meniscus surgery? If you and your surgeon decide to move forward with surgery for a torn meniscus, you may have some tests in advance . For example, blood tests, electrocardiogram (EKG) and chest X-ray can help determine whether you are healthy enough for surgery.

What to do after knee surgery?

Your care after surgery may involve: Crutches to take stress off the knee as it heals. Knee brace to stabilize the joint as you recover. Pain medications. Physical therapy. Rehabilitation exercises at home to restore mobility, range of motion and strength. RICE (rest, ice, compression and elevation).

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