Your doctor may inject a corticosteroid medication into your knee joint to help eliminate pain and swelling. Other nonsurgical treatment. Biologics injections, such as platelet-rich plasma (PRP), are currently being studied and may show promise in the future for the treatment of meniscus tears.
Treatments for these tears begin with conservative measures and include rest, ice, compression, and elevation; medications to relieve pain; physical therapy; corticosteroid injections; and biologic injections.
Non-surgical treatment for tears that can heal on their own may include: Physical therapy. RICE: Rest, Ice, Compression, Elevation. Anti-inflammatory medications.
The most common type of tear to the meniscus is a radial tear. This type of tear occurs in the area of the knee that isn't supplied with blood, so it cannot heal on its own. Surgery may be required if the tear is severe. In the case of a radial tear, the surgeon will trim away the damaged part of the meniscus.
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.
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.
The vascular portion is called the “red zone” due to the presence of capillaries in the meniscal tissue. The avascular portion is called the “white zone” due to its absence of blood supply. Red zone tears have the potential to heal and white zone tears will likely never heal.
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 should not put all of your weight on your leg if it hurts or if your doctor tells you not to. Rest and self-care may be enough to allow the tear to heal. You may need to use crutches. Afterward, you will learn exercises to make the muscles, ligaments, and tendons around your knee stronger and more flexible.
Tears that occur in the outer one-third of the meniscus may be capable of healing on their own. This is due to having a rich blood flow, supplying necessary nutrients to the area. Conversely, the inner two-thirds of the meniscus lacks this nutrient blood supply.
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.
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.
Most meniscus injuries get better with conservative treatment (such as physiotherapy) and in very few instances has surgery been found to provide superior outcomes both in the short and long term.
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.
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.
Don't walk, run, or play sports because this can make your injury worse. Ice. You should put ice on your knee as soon as possible. Leave it in place for 15 to 20 minutes 3 to 4 times a day, especially for the first two days after you are injured.
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].
The pain may come and go over a period of years if the tear isn't treated. Larger tears usually cause more pain and immediate swelling and stiffness. Pieces of the torn meniscus can float into the joint space. This can make the knee catch, pop, or lock.
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.
Those in severe pain and for whom basic treatments don't work may be candidates for meniscus surgery. The best way to ensure that this is the right course to take is by receiving an MRI. A physician may also look at the tear with an arthroscope, a thin tool with a camera and a light at the end.