Often, it's possible to walk on a knee with a torn meniscus, leading many people to skip a doctor's visit. However, within several days, the knee can get progressively worse, becoming stiff, swollen, and painful.
If not treated, part of the meniscus may come loose and slip into the joint. You may need surgery to restore full knee function. Untreated meniscus tears can increase in size and lead to complications, such as arthritis.
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.
A torn meniscus is certainly not life threatening. Once treated, the knee will usually function normally for many years. A meniscal tear that catches, locks the knee, or produces swelling on a frequent or chronic basis should be removed or repaired before it damages the articular (gliding) cartilage in the knee.
Ordinarily, your doctor or physical therapist will ask you to reduce your sports activities while your meniscus tear heals. Healing could take between four and eight weeks. However, the time depends on the severity and position of the tear.
A tear is usually labeled as severe if the meniscus has a big tear. Loose pieces may cause the knee joint to lock or catch. This level of injury may also keep you from bending or straightening your leg and can make walking difficult. Severe tears usually require surgery to repair.
Meniscus tears are among the most common orthopedic injuries. Meniscus surgery can reduce knee pain, help you feel more stable, improve comfort as you walk and stand, and return to activities you enjoy.
Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee. If your pain is severe, using crutches can take pressure off your knee and promote healing.
You will have a physical examination to find out if you have a torn meniscus and to rule out other knee injuries. Your doctor will check both knees for tenderness, range of motion, and knee stability. X-rays are usually done. Based on your symptoms and the physical examination, your doctor may diagnose a meniscus tear.
Typically, a patient can walk normally with a torn meniscus, and many patients won't experience pain when walking. The pain often intensifies with twisting or bending of the knee and intensified impact.
For people with less severe tears, doctors may recommend gentle exercises. It is normal for these exercises to cause a little discomfort. If any exercise causes pain, however, stop doing it.
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.
Meniscus tears, indicated by MRI, are classified in three grades. Grades 1 and 2 are not considered serious. They may not even be apparent with an arthroscopic examination. Grade 3 is a true meniscus tear and an arthroscope is close to 100 percent accurate in diagnosing this tear.
Your doctor may recommend the RICE regimen—rest, ice, compression, and elevation—to treat a meniscus tear. Resting your knee can help relieve your symptoms. Your doctor may suggest using a cane for a few weeks to keep weight off your knee and to stay away from physical activity that may have contributed to the injury.
If the meniscus has been removed, even if a small piece has been removed, then the stress on the articular cartilage increase 3-fold. That can cause osteoarthritis, which may go on to require a knee replacement. What is this? Your risk of developing osteoarthritis increases when a meniscus tear occurs.
So unfortunately, having a meniscal tear which requires surgery may raise your risk of getting arthritis later in life. It has also been shown that a knee that has undergone meniscus surgery has weaker thigh muscles and poorer quality of cartilage 4 years after the surgery [3].
In severe tears, pieces of the torn meniscus can move into the joint space. This can make your knee catch, pop, or lock. You may not be able to straighten it. Your knee may feel "wobbly" or buckle without warning.
A little swelling often develops slowly over a couple of days. Many times, people can walk with only a little pain, although pain increases when you squat, lift, or rise from a seated position. These symptoms usually go away, although you may still have pain when you bend or twist 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. Compression: Wrap your knee with a compression bandage to help reduce swelling. Elevation: Rest with your leg raised higher than your heart to decrease swelling.
Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months.
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.
Over time, a meniscus tear may become more severe and cause further damage if left untreated. Further, certain activities may cause symptoms to flare up. Some patients might find it difficult and painful to climb stairs, or even to get out of bed.