Treatment FAQ

what is treatment for meniscus tear

by Miss Arvilla Reynolds Published 3 years ago Updated 2 years ago
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Medication

  • Rest: Avoid the sport or activity that caused your tear in the first place, and use crutches as needed to get around.
  • Ice: Wrap a cold pack in a towel or rag and ice your injured knee for 20 minutes at a time, multiple times throughout the day. ...
  • Compression: Wrap an elastic compression bandage around your injured knee. ...

More items...

Procedures

Your doctor might choose to do any of the following:

  • Arthroscopic repair. Your doctor will make small cuts in your knee. They’ll insert an arthroscope to get a good look at the tear. ...
  • Arthroscopic partial meniscectomy. Your doctor will remove a piece of the torn meniscus so your knee can function normally.
  • Arthroscopic total meniscectomy. During this procedure, your doctor will remove the whole meniscus.

Therapy

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. Why do meniscal lesions often require surgery to repair? Due to their lack of blood supply, these tears have a very unlikely chance of healing.

Self-care

If you've torn your meniscus, you might have the following signs and symptoms in your knee:

  • A 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

Nutrition

How should it take for a meniscus tear to heal?

When might surgery be needed for a meniscus tear?

How long does a meniscus tear take to heal?

What happens if a meniscus tear is untreated?

See more

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How long does it take for a meniscus tear 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.

Can meniscus tears 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.

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.

Can you walk on 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.

What are 3 signs of a meniscus tear in the knee?

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.Inability to fully extend or bend the knee joint.Limping.

What percent 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.

Can a torn meniscus get worse over time?

Since your torn meniscus won't heal on its own, the pain may continue getting worse as the tear gets worse. You might experience pain that worsens when you stand or twist your knee. Along with pain, other common symptoms are stiffness and swelling around the joint.

Does a torn meniscus hurt all the time?

Do all meniscus tears hurt? Yes, at some point in time most all meniscus tears will hurt. But that doesn't mean they will hurt for a long time. In many cases the pain from a meniscus tear will either improve significantly or go away without surgery.

What aggravates a torn meniscus?

Lifestyle and home remedies. Avoid activities that aggravate your knee pain — especially sports that involve pivoting or twisting your knee — until the pain disappears.

How do doctors tell if you have a torn meniscus?

An MRI test can tell whether you have a meniscus tear or other related injuries, and it can help with treatment decisions. Arthroscopy can identify a meniscus tear and treat it at the same time. It can also see if you have other injuries.

Does a torn meniscus hurt at night?

The most common problem caused by a torn meniscus is pain. This can be very severe with a combination of an ache and also sharper pains. The pain can be very bad at night. In the majority of cases it improves over six weeks and is much better at three months, although may last longer.

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.

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.

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.

Did Grace Herpel ever run again?

But after tearing her left meniscus during the Ocean City half marathon in April 2016, she feared she might never run again.

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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.

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 the cartilage that protects the knee joint and surrounding bones from the stresses of walking, running, and

The meniscus is the cartilage that cushions and protects the knee joint and surrounding bones from the stresses of walking, running, bending, and climbing. Forceful twists from sudden stops or pivots -- common in football, hockey, soccer, lacrosse, tennis, and golf -- or deep knee bends can cause the meniscus to tear.

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 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 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.

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 ...

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.

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 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 to know if you have a meniscus tear?

People who tear a meniscus often feel like something has popped in their knee at the time of the injury. Other symptoms include: Feeling like your knee might give out beneath you. Having knee pain or stiffness or a swollen knee. Being unable to fully bend or straighten your leg.

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

Most people who tear a meniscus can return to full activity. If you have surgery to repair a torn meniscus, your knee should be fully recovered after a few months of physical therapy. If you have surgery to remove all or part of your meniscus, you may be at higher risk of developing arthritis down the road.

Why do my knees tear?

As you get older, the cartilage in your knees wears down and gets weaker. This thinner cartilage can tear more easily. Arthritis (a breakdown of cartilage in the joints) can also lead to a meniscus tear.

What is the cartilage in the knee?

Two pieces of cartilage sit inside your knee, between your thighbone (femur) and shinbone (tibia). This cartilage is the meniscus. The rubbery wedges of cartilage act like shock absorbers for your knee, providing cushioning for your bones and knee joint. Cleveland Clinic is a non-profit academic medical center.

What tests are done to check for swelling in the knee?

Your healthcare provider will physically examine your knee, looking for signs of swelling. They will test your range of motion. You may also get imaging tests, such as X-rays or an MRI, to assess the damage. Your provider may recommend knee arthroscopy to better view and accurately diagnose your injury.

What to do if you have a torn meniscus?

If your injury doesn’t improve with RICE, NSAIDs and physical therapy, your healthcare provider may recommend arthroscopic surgery. Surgery is a very effective way to repair a torn meniscus. If the tear is too big to repair, your surgeon may remove all or part of the meniscus.

How long should you put ice on your knee?

Rest: Keep your weight off the injured knee as much as possible. Ice: Place an ice pack on your knee for about 20 minutes, several times a day.

What exercises can help with meniscus tear?

There are two main aims with meniscus tear treatment exercises: 1) Regain full range of movement: knee bending and straightening. 2) Regain full strength: of the quads, hamstrings and glutes. Here we will look of a range of meniscus tear treatment exercises that can help.

What to do if knee is stuck in one position?

If you have problems with persitent locking at the knee (i.e. it gets stuck in one position), or your symptoms fail to settle, you may well need surgical meniscus tear treatment, usually an arthroscopy. You can find out more about this in the Meniscus Tear section. Knee Pain Guide. ›.

How to get your knee to stop getting stiff?

Action: Relax your leg and straighten the knee allowing gravity to help it to stretch down into a straighter position. Hold for 1-2 minutes then gently bend and straighten your knee a few times to stop it getting stiff.

How to get rid of a swollen knee?

Hold for 3-5 secs and slowly lower. Repetition: repeat 10-20 times, 3x daily. Progression: 1) Increase the size of the towel under the knee 2) Add a weight e.g. by wearing a shoe, or using a light ankle weight. Progress further by using a heavier weight.

How to treat a meniscus tear?

1) Non-Surgical Treatment: In the early stages, meniscus tear treatment aims to reduce the pain and inflammation through the use of ice, medication and occasionally knee braces . For the long term, the best meniscus tear treatment is exercises to strengthen the knee and regain full movement. 2) Surgical Treatment: where part ...

What is the purpose of a medial meniscus tear?

Purpose: Strengthen the buttock muscles (glutes) to help support the knee and prevent excessive weight going through the inner side of the knee, a majority of tears are medial meniscus tears.

How to get your knee to straighten?

Variations: If you are struggling to get your knee to straighten fully, place a rolled up towel underneath the ankle so that your leg is lifted slightly on the bed. Then do the exercise as described. Lifting the knee up slightly lets gravity help the knee to straighten.

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.

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 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.

How long does it take to heal a meniscus tear?

Recovery time for your knee depends on a number of factors, including how severe your meniscus tear is. Full recovery from surgery may take 4 to 6 weeks, depending on the type of procedure performed as well as other factors. But keep in mind that people also heal at different rates.

How to reduce swelling in knees?

Use an elastic bandage or a neoprene type sleeve on your knee to control swelling . Elevate your knee with a pillow under your heel when you're sitting or lying down. Take anti-inflammatory medications. Non-steroidal anti-inflammatory drugs ( NSAIDs ), like Advil, Aleve, or Motrin, will help with pain and swelling.

How to tell if a meniscus tear is bad?

Symptoms of a meniscus tear include: Pain in the knee. Swelling. A popping sensation during the injury. Difficulty bending and straightening the leg. A tendency for your knee to get "stuck" or lock up. At first, the pain may not be bad. You might even play through the injury.

What is the cartilage in the knee?

It's a piece of cartilage in your knee that cushions and stabilizes the joint. It protects the bones from wear and tear. But all it takes is a good twist of the knee to tear the meniscus. In some cases, a piece of the shredded cartilage breaks loose and catches in the knee joint, causing it to lock up.

What sports cause meniscus tears?

Meniscus tears are common in contact sports like football as well as noncontact sports requiring jumping and cutting such as volleyball and soccer. They can happen when a person changes direction suddenly while running, and often occur at the same time as other knee injuries, like an anterior cruciate ligament (ACL) injury.

How to fix a knee that is not locking up?

If your knee is not locking up, is stable, and symptoms resolve, nonsurgical treatment may suffice. To speed the recovery, you can: Rest the knee. Limit activities to include walking if the knee painful. Use crutches to help relieve pain. Ice your knee to reduce pain and swelling.

What is the best medicine for swelling?

Non-steroidal anti-inflammatory drugs ( NSAIDs ), like Advil, Aleve, or Motrin, will help with pain and swelling. However, these drugs can have side effects, such as an increased risk of bleeding and ulcers. They should be only used occasionally, unless your doctor specifically says otherwise.

What is a torn meniscus?

Torn meniscus. The meniscus is a C-shaped piece of tough, rubbery cartilage that acts as a shock absorber between your shinbone and thighbone. It can be torn if you suddenly twist your knee while bearing weight on it. A torn meniscus is one of the most common knee injuries.

How to tell if you tore your meniscus?

If you've torn your meniscus, you might have the following signs and symptoms in your knee: 1 A popping sensation 2 Swelling or stiffness 3 Pain, especially when twisting or rotating your knee 4 Difficulty straightening your knee fully 5 Feeling as though your knee is locked in place when you try to move it 6 Feeling of your knee giving way

What happens if you twist your knee?

A torn meniscus causes pain, swelling and stiffness.

Can a torn meniscus be caused by a squat?

A torn meniscus can result from any activity that causes you to forcefully twist or rotate your knee, such as aggressive pivoting or sudden stops and turns. Even kneeling, deep squatting or lifting something heavy can sometimes lead to a torn meniscus. In older adults, degenerative changes of the knee can contribute to a torn meniscus ...

Can a torn meniscus be a risk?

Performing activities that involve aggressive twisting and pivoting of the knee puts you at risk of a torn meniscus. The risk is particularly high for athletes — especially those who participate in contact sports, such as football, or activities that involve pivoting, such as tennis or basketball.

How to repair a meniscus tear?

If your doctor’s exam shows your meniscus tear is mild (Grade 1 or 2), you may not need surgery. If it’s Grade 3, you probably will. Your doctor might choose to do any of the following: 1 Arthroscopic repair. Your doctor will make small cuts in your knee. They’ll insert an arthroscope to get a good look at the tear. Then they’ll place small devices that look like darts along the tear to stitch it up. Your body will absorb these over time. 2 Arthroscopic partial meniscectomy. Your doctor will remove a piece of the torn meniscus so your knee can function normally. 3 Arthroscopic total meniscectomy. During this procedure, your doctor will remove the whole meniscus.

What happens if you tear your meniscus?

If you tear your meniscus, your leg might swell and feel stiff. You might feel pain when twisting your knee, or be unable to straighten your leg fully.

What to do if you have a grade 3 knee tear?

If it’s Grade 3, you probably will. Your doctor might choose to do any of the following: Arthroscopic repair. Your doctor will make small cuts in your knee. They’ll insert an arthroscope to get a good look at the tear. Then they’ll place small devices that look like darts along the tear to stitch it up.

How long does it take to recover from a meniscus surgery?

They may also share some exercises you can do at home. If you have a partial or total meniscectomy, you can expect your recovery to take about a month. If your meniscus was repaired, it may take as long as 3 months.

How to keep your knee stable?

You may have to wear a brace or cast to keep your knee stable. You’ll likely also have to use crutches for at least a month to keep weight off your knee. Your doctor may recommend physical therapy as part of your recovery. It’ll help increase your range of motion and help your knee get stronger.

Can you have surgery for a knee injury?

This will help to strengthen the muscles around your knee and keep it stable. If these treatments don’t work -- or if your injury is severe -- they might recommend surgery. To be sure, your doctor will probably have an MRI done. And they might look at the tear with an arthroscope.

Can a doctor remove a torn meniscus?

Your doctor will remove a piece of the torn meniscus so your knee can function normally. Arthroscopic total meniscectomy. During this procedure, your doctor will remove the whole meniscus. Meniscus repair is low-risk. Complications are rare. They may include injury to skin nerves, infections, and knee stiffness.

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