Repairing Guides

how to repair a medial meniscus tear

by Ms. Meagan Adams III Published 1 year ago Updated 1 year ago
image

Treatment
  1. Rest. Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee. ...
  2. Ice. Ice can reduce knee pain and swelling. ...
  3. Medication. Over-the-counter pain relievers also can help ease knee pain.
Jan 6, 2022

Medication

  • In the case of a medial meniscus tear, pain on the medial joint line (inner knee)
  • In the case of a lateral meniscus tear, pain on the lateral joint line (outer knee)
  • Giving way of the knee
  • Tenderness to touch the inner or outer joint line
  • Locking of the knee
  • Weakness around the knee
  • Swelling along the joint line

More items...

Procedures

  • Individuals with a meniscus tear often complain of pain along the joint line
  • They often have pain or weakness with bending the knee and sometimes they have a catching or locking sensation
  • With an acute tear, individuals may notice a lot of swelling in the knee and often report that they heard or felt a pop.

More items...

Therapy

Typically, the recovery time from a torn meniscus is 4-6 weeks — or about a month. So a basketball or hockey player that tears his meniscus will only miss a month or so of a long season.

Self-care

The following are some of the things that can develop if your torn meniscus is left untreated: –Pieces of your meniscus can become loose and enter your knee joint, potentially causing excruciating pain or limiting your range of motion. –Pain, swelling, and inflammation can increase over time.

Nutrition

What is the recovery time after a meniscus tear?

How can you tell if you have a torn meniscus?

How long does it take to recover from a meniscus?

What happens if you leave a torn meniscus untreated?

image

Can a medial meniscus tear heal on its own?

In the case of meniscus tears, some people think the injury will heal over time on its own. But the truth is that there are different types of meniscus tears — and some tears won't heal without treatment. If your tear is on the outer one-third of the meniscus, it may heal on its own or be repaired surgically.

What is the treatment for a torn medial meniscus?

Conservative treatment — such as rest, ice and medication — is sometimes enough to relieve the pain of a torn meniscus and give the injury time to heal on its own. In other cases, however, a torn meniscus requires surgery.

How long does it take to recover from a medial meniscus repair?

Recovery and Outlook It takes longer for a meniscus repair to heal than a meniscectomy. Full recovery from meniscus surgery can take anywhere from six weeks to three months. Your care after surgery may involve: Crutches to take stress off the knee as it heals.

What happens if you leave a torn meniscus untreated?

An untreated meniscus tear can result in the frayed edge getting caught in the joint, causing pain and swelling. It can also result in long term knee problems such as arthritis and other soft tissue damage.

Will walking on a torn meniscus make it worse?

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.

Will a knee brace help a torn meniscus?

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.

Can you walk immediately after meniscus surgery?

Arthroscopic surgery for a torn meniscus (meniscectomy) It may take 4-5 months for full healing. The patient should be able to bear weight on the knee while standing or walking, immediately after surgery. Crutches will be necessary for 2-7 days after surgery.

Will my knee ever be the same after meniscus surgery?

Most meniscal surgeries (95%) are partial meniscectomies where part of the meniscus is actually removed, not just repaired. Therefore, the remaining meniscus is now smaller and does not perform as well.

What percentage of meniscus tears require surgery?

Differing treatment It's important to know the differences between the tears because usually only acute traumatic tears are surgically repairable. Less than 10 percent of meniscal tears occurring in patients age 40 or older can be repaired.

What aggravates a torn meniscus?

You're most likely to injure your meniscus when suddenly twisting or turning while your foot is stationary and planted. You could injure your meniscus while playing sports, such as football, soccer, or baseball. You could also injure your meniscus off the field by lifting heavy boxes or slipping on a wet floor.

How long can you delay meniscus surgery?

These are the typical times for returning to activities.ProgressUncomplicated Meniscus Removal or MeniscectomyFull movement capacity1-2 weeksCome back to athletic activity4-6 weeks, if: If your motion and strength are recovered. There is no swelling or pain in your knee.3 more rows•Jun 10, 2021

What is the best exercise for a torn meniscus?

Once you have your doctor's approval to begin exercising, try some of these exercises to enhance your strength and stability following a meniscus tear.Quadriceps setting. ... Mini-squats. ... Straight leg raise. ... Hamstring heel digs. ... Leg extensions. ... Standing heel raises. ... Clams. ... Hamstring curls.

What percentage of meniscus tears require surgery?

Differing treatment It's important to know the differences between the tears because usually only acute traumatic tears are surgically repairable. Less than 10 percent of meniscal tears occurring in patients age 40 or older can be repaired.

What are 3 signs of a meniscus tear in the knee?

What are the symptoms of a meniscus tear?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.Inability to fully extend or bend the knee joint.Limping.

What to do after meniscus surgery?

After surgery, you will need to do exercises to increase and maintain knee strength and stability. If you have advanced, degenerative arthritis, your doctor might recommend a knee replacement.

How to help knee pain?

Ice can reduce knee pain and swelling. Use a cold pack, a bag of frozen vegetables or a towel filled with ice cubes for about 15 minutes at a time, keeping your knee elevated .

How does a knee splint work?

The device contains a light and a small camera, which transmits an enlarged image of the inside of your knee onto a monitor. If necessary, surgical instruments can be inserted through the arthroscope or through additional small incisions in your knee to trim or repair the tear.

Can you have surgery for a knee tear?

Many other tears that aren't associated with locking or a block to knee motion will become less painful over time, so they also don't require surgery. Your doctor might recommend: Rest. Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee.

Can you have a knee replacement if you have arthritis?

If you have advanced, degenerative arthritis, your doctor might recommend a knee replacement. For younger people who have signs and symptoms after surgery but no advanced arthritis, a meniscus transplant might be appropriate. The surgery involves transplanting a meniscus from a cadaver.

Can a torn meniscus show up on X-rays?

X-rays. Because a torn meniscus is made of cartilage, it won't show up on X-rays. But X-rays can help rule out other problems with the knee that cause similar symptoms.

Why is it important to repair a medial meniscus tear?

Thus, when there is a medial knee injury such as a medial meniscus tear, it is very essential to repair the tear, because if not reconstructed and is trimmed out there will be an increase in the load on the medial compartment which finally starts to osteoarthritis and induces medial knee pain.

How to prevent meniscus tear?

One should perform quadriceps setting exercises with the knee straight or mini-squats, bending the knee only 15 degrees, to prevent the quadriceps muscle atrophy.

Why is a medial meniscus tear more common than a lateral meniscus tear?

A medial meniscus tear is more common than a lateral meniscus tear because it firmly attaches to the deep medial collateral ligament and the joint capsule. Also, the medial meniscus absorbs up to 50% of the medial compartment’s shock, making the medial meniscus susceptible to injury.

How does a medial meniscus tear happen?

Medial meniscus tears commonly happen with an ACL tear by twisting on a slightly flexed knee. This is because the medial meniscus acts as a secondary stabilizer to restrict the knee from slipping forward, and when the ACL tear, it gives extra stress on the medial meniscus which prompts to it tearing.

How long after meniscus surgery can you go back to work?

It recommends that patients who have a minimum amount of meniscus trimmed out take back on any impact activities until a minimum of 6 weeks after surgery. In cases that have a notable amount of meniscus resected, it recommended to avoid significant impact activities because of the greater risk of the development of osteoarthritis in these cases with this activity.

What is the width of a medial meniscus?

C-shaped with a triangular cross-section. Average width of 9 to 10 mm. The average thickness of 3 to 5 mm.

What is the shape of the knee meniscus?

The knee meniscus is fibrocartilage that separates the femur from the tibia. We commonly refer it to as cartilage. The knee meniscus has a wedged kidney shape . Each knee joint possesses a medial meniscus and a lateral meniscus. The medial meniscus is an important shock absorber on the medial aspect of the knee joint.

How to repair a meniscus 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: 1 Arthroscopic repair. Your doctor will make small cuts in your knee. They’ll insert an arthroscope to get a good look at the tear. Then they’ll place small devices that look like darts along the tear to stitch it up. Your body will absorb these over time. 2 Arthroscopic partial meniscectomy. Your doctor will remove a piece of the torn meniscus so your knee can function normally. 3 Arthroscopic total meniscectomy. During this procedure, your doctor will remove the whole meniscus.

What happens if you tear your meniscus?

If you tear your meniscus, your leg might swell and feel stiff. You might feel pain when twisting your knee, or be unable to straighten your leg fully.

What to do if you have a grade 3 knee tear?

If it’s Grade 3, you probably will. Your doctor might choose to do any of the following: Arthroscopic repair. Your doctor will make small cuts in your knee. They’ll insert an arthroscope to get a good look at the tear. Then they’ll place small devices that look like darts along the tear to stitch it up.

How long does it take to recover from a meniscus surgery?

They may also share some exercises you can do at home. If you have a partial or total meniscectomy, you can expect your recovery to take about a month. If your meniscus was repaired, it may take as long as 3 months.

How to keep your knee stable?

You may have to wear a brace or cast to keep your knee stable. You’ll likely also have to use crutches for at least a month to keep weight off your knee. Your doctor may recommend physical therapy as part of your recovery. It’ll help increase your range of motion and help your knee get stronger.

Can you have surgery for a knee injury?

This will help to strengthen the muscles around your knee and keep it stable. If these treatments don’t work -- or if your injury is severe -- they might recommend surgery. To be sure, your doctor will probably have an MRI done. And they might look at the tear with an arthroscope.

Can a doctor remove a torn meniscus?

Your doctor will remove a piece of the torn meniscus so your knee can function normally. Arthroscopic total meniscectomy. During this procedure, your doctor will remove the whole meniscus. Meniscus repair is low-risk. Complications are rare. They may include injury to skin nerves, infections, and knee stiffness.

How to recover from a meniscus tear?

The inner portion of your meniscus lacks this blood flow. That part of your meniscus gets its nutrients from the synovial fluid within your knee capsule. Moving your knee will produce more synovial fluid and thus improves the recovery of your meniscus tear. The best way to do this is by riding a stationary bike.

How long does it take to heal a tear in the medial meniscus?

Recovery can take up to 3 months and might require surgery. Since the medial meniscus on the inner side of your knee damages most often, the symptoms are usually felt here. Due to the tear, an inflammatory process starts to remove the damage so that it can begin the repair.

Why is my knee blue?

You can also experience some instability of your knee. That is because your femur and tibia don’t fit together anymore. A bucket Handle tear is one of the most common forms of a severe meniscus tear. Usually, swelling kicks in right after the injury, and your knee might become blue after 1-2 days.

Why does my knee turn blue after a meniscus tear?

That is because of a popped blood vessel inside the meniscus or the surrounding tissue and the inflammatory process that starts to clean up the damage. Walking is usually very difficult after a severe meniscus tear.

How much does it cost to repair a meniscus tear?

The recovery without exercises takes a little bit longer but comes without side effects. Surgery costs about $10,000 and also increases your risk of developing osteoarthritis. A total knee replacement because of that later in life will cost an ...

What happens when your knee locks?

Now, this part of the meniscus can move freely inside the joint space. It can cause your knee to pop or lock. When your knee locks, you may not be able to bend it for some time. You can also experience some instability of your knee.

How to stop twitching in knee?

Give your knee rest and support by applying ice every 2 hours and wear this knee brace. It will reduce the pressure on your knee and meniscus for immediate relief and prevents sudden twitches of your knee. Put this anti-inflammatory cream on your knee to reduce swelling and inflammation and thus your pain.

How to know if you have a meniscus tear?

With a meniscus tear, your knee might feel painful, swollen, and/or extra stiff. You might also feel like your knee is popping.

How long does it take for a knee to heal after meniscus surgery?

You’ll feel worn out for a few days after your surgery and your knee might feel numb for several days, due to the incisions your surgeon made. Your recovery time ultimately depends on the type of surgery you received, as meniscus repair surgery takes longer to heal than a meniscectomy.

How long after meniscus surgery can you drive?

After meniscus repair surgery, you can put weight on your knee while wearing a brace; move without crutches within 4-6 weeks; drive a car between 4-6 weeks; get full range of motion after at least 4-6 weeks; and play sports after 3-6 months. Question 6. of 10:

How to heal a knee tear?

Ice: Wrap a cold pack in a towel or rag and ice your injured knee for 20 minutes at a time, multiple times throughout the day. For your own safety, never ice your knee directly.

How to recover from a sprain?

1. Follow the RICE method. “RICE” is an acronym for Rest, Ice, Compression, and Elevation, which are the four main things you need to recover safely and comfortably at home. After your injury, the RICE method helps reduce any swelling and discomfort while encouraging flexibility and recovery in the process.

Can a tear in the meniscus heal itself?

Yes, but it depends on how bad the tear is. Small tears along the outer third of your meniscus can heal independently, and might not need surgery. However, tears along the inner two-thirds of your meniscus will probably need surgery.

Can meniscus tears be repaired?

Unfortunately, most meniscus tears can’t be repaired, so partial meniscectomies are more common. [10]

Why repair posterior horn medial meniscus tears?

Preference is given to repair posterior horn medial meniscus tears, if possible, to help preserve the meniscus and minimize the risk of developing arthritis.

Why is the meniscus important?

By protecting the articular cartilage, the meniscus helps prevent the onset of arthritis. As you can see below, if the articular cartilage is subject to too much force or load due to a meniscus tear then the cartilage can start to degenerate. Notice the smooth white normal Articular Cartilage in a knee.

How does the meniscus protect the tibia?

It deforms outward and dissipates a lot of the force from the femur before it contacts the tibia. This is how the meniscus protects the articular cartilage. The articular cartilage coats the ends of our bones within a joint . If the articular cartilage wears away, arthritis will occur.

Why do meniscus tears occur?

People can develop tears of the meniscus because of trauma, or sports injuries. Believe it or not most meniscus tears do not occur due to injury in middle-aged individuals. A meniscus can tear simply because it wore out. Most of you will not recall any specific injury.

What is the treatment for meniscus tear?

Generally speaking, the treatment options for meniscus tears include rest, physical therapy, activity modification and occasionally a surgery we refer to as an arthroscopy.

What is the most common area for pain in runners?

Most common area for the pain to occur. The posterior horn is also the most common area for degenerative tears of the meniscus where the tissue simply wore out, and it is a very common cause of pain in runners.

How to visualize meniscus tear?

An arthroscopy involves placing a small fiber-optic camera into the knee through a 1/4 inch incision. The camera is used to visualize the meniscus and other structures within the knee. During an arthroscopy, we have the choice of either repairing the meniscus tear or removing the torn piece.

How to treat a torn meniscus?

The first step in treating a torn meniscus is getting the injury examined by a physician who specializes in orthopedics. During the exam, they may check the tenderness of your knee joint and move your leg to get a measure of your knee’s range of motion.

How to preserve meniscus?

The goal of surgery is to preserve the meniscus by repairing or removing the torn part. The procedure is typically done arthroscopically, meaning a small camera is inserted into a tiny incision in the knee to guide the surgeon in repairing or removing the tear using small instruments inserted into another tiny incision.

How to heal a tear?

Non-surgical treatment for tears that can heal on their own may include: 1 Physical therapy 2 RICE: Rest, Ice, Compression, Elevation 3 Anti-inflammatory medications

How many meniscus wedges are there in each knee?

Each of your knees has two meniscus wedges. Meniscus tears are common among athletes, especially those who play sports that require a lot of squatting, twisting, and changing positions. You will feel a pop when your meniscus is torn. Afterward, you may experience:

What happens if you bend your knee?

Pain in the knee joint that comes and goes and gets worse when putting pressure on the joint. The feeling that your knee is giving way, locking, or catching when you bend it. If not treated, part of the meniscus may come loose and slip into the joint. You may need surgery to restore full knee function.

What test is used to determine the severity of a tear?

They may also order imaging test, such as an MRI or X-ray, to determine the exact location and severity of the tear. The best course of treatment will be determined based on the location, degree, and type of tear, as well as your age and activity level.

Can a meniscus tear cause arthritis?

Not necessarily. Left untreated, a meniscus tear can limit your daily life and ability to participate in exercise and sports. In serious cases, it can develop into long-term knee problems, like arthritis. In addition moving around with a torn meniscus could pull fragments of the cartilage into the joint causing larger knee issues which could ...

image

Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes physical therapy and medication. Although treatable, the condition needs life-long precautionary measures to prevent complications.
Medication

Anti-inflammatory medications: Such as NSAIDs are given shortly after injury to reduce swelling.

Ibuprofen . Naproxen


Corticosteroids: Cortisone injection therapy to decrease joint inflammation. Usually given in severe cases.

Cortisone

Procedures

Partial meniscectomy: Trimming the torn meniscus. If the damage is less severe.

Total meniscectomy: Removing the whole meniscus. If it is severely damaged.

Meniscal repair: Sewing the torn meniscal edges. Usually done when both the ligament and meniscus has to be repaired.

Micro fracture surgery: Stimulating new cartilage growth.

Joint replacement surgery: Recommended for patients with severe knee degeneration and damaged cartilage.

Therapy

Physical therapy:Physical therapy to strengthen the muscles around the knees.

Electrical stimulation:Electrical stimulation of the muscles and nerves around the knee. If the condition does not resolve with rest and medications.

Viscosupplementation:Hyaluronan preparation or injection therapy to treat mild to moderate knee degenerative arthritis. If the condition does not resolve with rest and medications.

Self-care

Always talk to your provider before starting anything.

  • Provide adequate rest to the affected knee by avoiding activities that aggravate pain.
  • Use crutches to take off pressure from the knee.
  • Use ice packs to reduce pain and swelling.
  • Wrap the affected knee using an elastic bandage with help from your doctor.

Nutrition

Foods to eat:

  • Fruits and vegetables high in antioxidants
  • Omega 3 fatty acids containing foods like avocadoes

Foods to avoid:

  • Pro-inflammation foods such as Omega-6 fats -present in sunflower, peanut and soybean oils

Specialist to consult

Orthopedic surgeon
Specializes in the surgery of bone and joint disorders.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9