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.
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.
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.
If your tear is on the outer one-third of the meniscus, it may heal on its own or be repaired surgically. This is because this area has rich blood supply and blood cells can regenerate meniscus tissue — or help it heal after surgical repair.
Meniscus recovery timelines for grade 3 tears and other surgical repairs can be as long as four months.
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.
What type of meniscus tear is the worst? Bucket-handle meniscus tears are the most serious type of meniscus injury. They often occur alongside a ligament injury. Bucket-handle tears require prompt surgery in order to have the best possible chance of recovery.
Not everyone with a meniscus tear will have severe pain. In fact, many of you may have no pain at all if you give your knee a few weeks to rest. If your pain persists despite a few weeks of rest or PT then we may consider repairing your tear.
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.
Menisci were graded on a 5-point scale: 1, definitely no tear; 2, probably no tear; 3, indeterminate or equivocal; 4, probably a tear; and 5, definitely a tear. Meniscal signal changes, meniscal surface morphology, and extrameniscal abnormalities were noted.
If these conservative treatments no longer help treat the pain, surgery is the only option for repairing a torn meniscus. A grade 3 meniscus tear will require surgery and there are different forms of surgery depending on the tear.
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. Ice. Ice can reduce knee pain and swelling.
Tears on the outer one-third of your meniscus can heal independently because this area has a rich blood supply, and blood cells can regenerate the meniscus tissue. However, if the tear is located on the inner two-thirds, the tear will not repair itself and will need to be surgically removed.
How soon you can return to work depends on your job. If you sit at work, you may be able to go back in 1 to 2 weeks. But if you are on your feet at work, it may take 4 to 6 weeks. If you are very physically active in your job, it may take 3 to 6 months.
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.
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.
Strenuous exercise can tear the meniscus, a layer of cartilage in the knee. Gentle exercises — such as mini squats, standing heel raises, and hamstring curls — may help with recovery.
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.
Many ACL tears we see only have problems ascending stairs, jogging, or walking downhill but can walk up hills and on flat roads without an increase in pain. A meniscus tear, on the other hand, will cause fairly severe pain even just standing on it.
There is often sharp pain when you twist or squat. Symptoms may go away but can come back from overuse or when you do activities that involve twisting. 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.
A meniscal repair will help reduce the effects of osteoarthritis because the damaged cartilage is repaired and saved versus being removed. An ACL may possibly have the least long term effects. Some patients may have decreased strength of the operated side and increased patellar tendinitis.
Tighten the quadriceps of your injured leg. Keeping your knee as straight as possible, lift your injured leg off the bed until your heel is about 30 centimetres (12 inches) above the bed or floor.
Avoid positions and activities that place excessive pressure on knee until pain and swelling resolve. Problematic positions include squatting, pivoting, repetitive bending (eg, climbing stairs, rising from seated position, operating clutch and pedals), jogging, and swimming using the frog or whip kick.
Range of motion may be limited due to pain, swelling, and/or mechanical limits from the tear. Daily activities such as walking up and down the stairs, walking down a hill, kneeling, and squatting are often made difficult due to increased pain in the knee.