Can i treat a meniscus/knee injury without surgery?

Sometimes: Some meniscal tears become asymptomatic without surgery. Generally, such tears occur in patients over the age of 30 and are not associated with trauma as they result from degenerative changes in the meniscus (think: gray hair or wrinkle). Tears in young people, associated with ligament injuries, and with symptoms (swelling, locking, instability, pain) lasting more than 6 weeks require surgery.

Yes, possibly: Not all meniscus tears are the same, and asymptomatic tears do not require surgery. If a tear continues to be bothersome, blocks motion or significantly inhibits normal activities of daily living despite an adequate course of nonoperative management (rest, ice, elevation, and a graduated physical therapy program), then arthroscopy to repair or debride the tear becomes warranted.

Therapy: If you have a meniscus tear that is amenable to repair, i suggest surgery because of your young age. If repair is not an option, then nsaids, ice, therapy.

Usually not.: If you have a meniscus tear that is symptomatic, you will most likely require arthroscopic surgery.