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Doctor insights on: Complex Medial Meniscus Tear

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Dr. Frederick Buechel, jr. md
354 doctors shared insights

Torn Meniscus (Definition)

In the knee joint there are two types of cartilage, articular cartilage and meniscal cartilage. The meniscus is a triangular shaped piece of fibro-cartilage that sits between the femur and tibia. The meniscus can tear as a result of injury or secondary degenerative changes that occur over time. Because the meniscus cartilage dies not have it's own blood supply, tears often ...Read more


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Medial meniscus tear , does it heal?

Not usually: Meniscal tears do not usually heal on their own but require surgical intervention. ...Read more

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What is the treatment for a medial meniscus tear?

What is the treatment for a medial meniscus tear?

Surgery: Because meniscus tissue is cartilage and has a poor ability to heal, the standard treatment is an arthroscopic meniscus repair or meniscectomy. ...Read more

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Was having a Cortizone shot a bad idea for a medial meniscus tear?

Was having a Cortizone shot a bad idea for a medial meniscus tear?

Probably not: It is very common for someone your age to have a degenerative meniscus tear. There's a good chance you have arthritis as well. An occasional cortisone injection (max. 3/year) can relieve pain and inflammation. There are other injection options. I would only recommend a knee scope (arthroscopy) if you have persistent and significant swelling or if the meniscus tear is "locking" the joint. ...Read more

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I have an untreated grade 2 medial meniscus tear. What are the precautions I should take when swimming? or shouldn't I swim at all?

None usually: Most meniscal tears can be treated non operatively. Swimming is a great exercise for those with arthritis and joint issues. With this limited info I would suggest continuing to be active and avoid deep knee bends and cutting activities. You can also get a virtual second opinion and post your MRI. ...Read more

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Does twisting your knee to the left or right with pain indicate a medial meniscus tear? If i move my knee that way the pain is unbearable

Does twisting your knee to the left or right with pain indicate a medial meniscus tear? If i move my knee that way the pain is unbearable

Sounds like tear: What you are describing in orthopedics is called the apley's test and is characteristic of a meniscus tear. Similar pain can occur if you have some arthritis in this compartment of the joint. Agree that you should see an orthopedic surgeon particularly if catching, swelling and/or giving way is occurring. They will consider an MRI to better define the pathology. ...Read more

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In MRI report, they told me lateral and medial meniscus tear. Can i get it corrected by excercise/medicine etc? How to confirm if i need surgery?

See ORS: A meniscus tear may feel better w/nsaids and pt but the meniscus will not heal w/this treatment.Turning, twisting and squatting activities may further tear the meniscus.They generally cause pain, sometimes popping or'catching' and swelling.See your ors.The tx. Of choice is arthroscopy w/meniscus repair vs. Resection. ...Read more

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I had knee surgery for a medial meniscus tear, how long does it take to start feeling better?

I had knee surgery for a medial meniscus tear, how long does it take to start feeling better?

~6 weeks: Typically will take 6-8 weeks of physical therapy plus independent exercises(per therapist) to see recovery. If not, see your doctor. ...Read more

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Does pain and clicking at the medial joint line suggest that you have a medial meniscus tear? Where is your tibiofemoral joint line?

Does pain and clicking at the medial joint line suggest that you have a medial meniscus tear? Where is your tibiofemoral joint line?

Possibly: The knee joint is the joint between the femur and the tibia, and so the to tibiofemoral joint line is just another the name for the knee joint. A medial meniscal tear can cause pain and clicking in the knee, but is not the only cause. Usually a detailed exam and appropriate diagnostic studies can help make the diagnosis. Thank you for your question. ...Read more

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Medial meniscus tear i did 8 weeks of rehab 3 times a week my theripist wants me to do 2 more weeks my job requires me to walk up to 10 miles a day a?

Medial meniscus tear i did 8 weeks of rehab  3 times a week my theripist wants me to do 2 more weeks my job requires me to walk up to 10 miles a day a?

Your question is?: If the tear is significant and you continue to have significant pain then you may need arthroscopic repair. Speak with your orthopedist. ...Read more

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Is surgery the only way to fix a medial meniscus tear in the knee? Can someone having burning and there knee?

Is surgery the only way to fix a medial meniscus tear in the knee? Can someone having burning and there knee?

Knee surgery: A meniscal tear can be treated conservatively or non operatively with physical therapy and a knee sleeve understanding of course that this will not "heal" the tear. As long as one is not experiencing "locking" symptoms and decreased range of motion with stiffness -assuming of course you do not have dramatic arthritis there is no immediate rush for knee arthroscopy. ...Read more

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Hurt at work, left knee, horizontal meniscus tear. Right knee, oblique tear medial meniscus . Do I need surgery ?

Hurt at work, left knee, horizontal meniscus tear. Right knee, oblique tear medial meniscus . Do I need surgery ?

Meniscus Tear: With that kind of specific knowledge your must have had an MRI of your knees. Without a knowledge of your symptoms and exam of your knees it is impossible to know wether you need surgery or not. The simple presence of a tear without any corresponding symptoms or exam specific to that area would not need surgery. Either would minimal or mild symptoms which resolve with rest and no surgical care ...Read more

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My knee hurts to pedal a stationary bike. I can't go forward I can only go backwards. I do have a medial meniscus tear? Help

My knee hurts to pedal a stationary bike. I can't go forward I can only go backwards. I do have a medial meniscus tear? Help

See ortho doc: You answered your own question with the diagnosed menus all tear. This can be helped with arthroscopic surgery. Your bicycle is loading the joint, creating pressure on the tear and causing pain. Topical prescription and oral NSAIDS will reduce the inflammation. Using a reclining bike that shifts your weight will allow you to pedal a lot further with outs generating this pain. ...Read more

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I am suffering from knee pain diagonised with medial meniscus tear...Can i heal it without any surgery...Should i wear a brace?

Rarely: The meniscus of the knee has for 90%+ no circulation and because of it little potential to heal. Unless the tear is small and very peripheral (where circulation is best) it will not heal on its own. Surgery is advised for tears that are causing locking of the knee. Your symptoms have to correlate with the MRI findings to recommend surgery. ...Read more

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Does medial meniscus tear get worser at night? And does it cause a "pulsation" feeling just behind the knee? I have knee MRI also. Thanks.

Not necessarily: At night you are more aware of your bodily pain mental thoughts. So every thing seems worse. Take Ibuprofen before going to bed. Apply ice also.ay use heating pas at night when it feels throbbing. Do follow up with your doctor after6 weeks. ...Read more

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I have medial meniscus tear in posterior horn do I need bed rest doc gave medicine for 15 days .I am a flight attndt should I fly? Or take rest

I have medial meniscus tear in posterior horn do I need bed rest  doc gave medicine for 15 days .I am a  flight attndt should I fly? Or take rest

If this is a new: Tear, then resting until relatively pain free and swelling if any has gone down is advisable, but not bed rest. Bed rest is rarely recommended b/c of the risk of blood clots. Old tears don't need to be rested. However you need to be able to do your job safely in a more confounded space than most people. Eventually though you should get the tear fixed to avoid arthritis later in life. ...Read more