Physical Therapy
Strengthening the thigh and leg muscles and stretching the knee, thigh, and leg can help to restore the full range of motion to the knee. Low-impact exercises such as stationary biking may reduce your level of pain, improve mobility, and restore function to the area around the meniscus tear.
Because it is ideal to keep and preserve the entire meniscus, a meniscus tear repair is preferable when possible. For children, teens, and patients in their early twenties, the meniscus may have enough blood supply to heal.
The injury won't heal on its own, which means it may continue getting worse without proper care. For example, a partial tear may continue to worsen until it's a complete tear. Continuing to walk on the affected leg can aggravate your symptoms, making pain and stiffness worse in as little as a few days.
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.
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.
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: Arthroscopic repair.
For instance, if the meniscus tear is mild, which would be a Grade 1 or 2, you will most likely not need surgery. However, if your injury is more severe at a Grade 3 rating, then your doctor might discuss your surgery options.
Since the meniscus helps protect the knee from wear and tear, surgeons try to repair the meniscus whenever possible. However, most meniscus tears are not considered repairable. The meniscus has a limited blood supply, and tears in areas of little or no blood flow have a high risk of not healing.
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.
Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months.
“You can live with a meniscus tear,” Dr. Parker says. “And it may heal on its own, or just not cause you problems.” However, you'll know pretty quickly when it is a problem.
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 ...
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 a number of cases, meniscal tears do not require surgery as they can be present and cause little to no symptoms. In those people who develop persistent symptoms of catching, buckling, or giving way, there may be a need to consider treatment and diagnosis.
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.
Studies have found that knee arthroscopy usually does not relieve pain, and any pain relief a patient does get is short-lived.
You may be able to return to a desk job or your normal routine in a few days. But if you do physical labour, it may be a few weeks to a few months before you can go back to work.
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.
Complicated arthroscopic repair of a meniscus tear requires that the patient's knee be completely immobilized for 2 weeks after surgery. Followed by 2 weeks of limited motion before resuming daily activities.
A cortisone shot can help decrease the inflammation and pain caused by a torn meniscus. A cortisone shot usually does not help in healing of the meniscus and, hence, does not improve any mechanical symptoms. If a meniscus is repairable, then a cortisone shot is not preferred as it may impair healing of the meniscus.
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.