Repairing Guides

how to repair a meniscus tear in knee

by Mr. Felton Ullrich Published 3 years ago Updated 2 years ago
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Surgery is a very effective way to repair a torn meniscus. If the tear is too big to repair, your surgeon may remove all or part of the meniscus. After recovery, your knee will be more stable, and you'll be less likely to develop additional knee problems.Apr 17, 2021

Medication

  • Rest: Avoid the sport or activity that caused your tear in the first place, and use crutches as needed to get around.
  • 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. ...
  • Compression: Wrap an elastic compression bandage around your injured knee. ...

More items...

Procedures

Your meniscal tear will commonly take up to six or eight weeks to fully heal. As mentioned previously, some meniscal tears will require surgery. Your physiotherapist will guide you as to what is most likely for your knee injury. Herein, can a torn meniscus heal on its own?

Therapy

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.

Self-care

Yes, but here’s the thing: A meniscus tear will heal only if the tear is located at the part of the meniscus with blood supply (i.e. the red zone). Luckily, only 19% of the meniscus tears happen in the part with no circulation (i.e. the white zone), so most tears can heal naturally to some degree. ( 7)

Nutrition

How to heal a torn meniscus naturally?

How long does a torn meniscus take to heal?

What happens if you leave a torn meniscus untreated?

Can torn meniscus heal itself?

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Can a 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.

How long does it take for a torn meniscus to heal without surgery?

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.

How do they fix a torn meniscus?

Meniscus repair: The surgeon sews torn pieces of cartilage back together so they can heal on their own. However, because of tear type and blood supply, less than 10%of tears are actually repairable. Partial meniscectomy: The surgeon trims and removes the damaged cartilage and leaves healthy meniscus tissue in place.

What happens if a meniscus tear is left 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.

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.

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

SymptomsA popping sensation.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.Feeling of your knee giving way.

Is meniscus repair surgery painful?

Arthroscopic meniscus repair is moderately painful. Because more soft tissue surgery is performed, it is more painful than a standard arthroscopy, but less painful than a ligament reconstruction or another procedure that requires drilling holes through the bone.

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.

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 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.

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

How long can you go with a torn meniscus?

Ordinarily, your doctor or physical therapist will ask you to reduce your sports activities while your meniscus tear heals. Healing could take between four and eight weeks. However, the time depends on the severity and position of the tear.

How do I know if my meniscus is healing?

1:237:26How can you tell if your meniscus repair didn't heal? - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe side away from the out of the midline of the body. And you can tear that with twisting injuriesMoreThe side away from the out of the midline of the body. And you can tear that with twisting injuries or deep squatting injuries some older people don't even remember.

Can you live with a torn meniscus?

“You can live with a meniscus tear,” Dr. Parker says. “And it may heal on its own, or just not cause you problems.”

Does a torn meniscus hurt all the time?

Do all meniscus tears hurt? Yes, at some point in time most all meniscus tears will hurt. But that doesn't mean they will hurt for a long time. In many cases the pain from a meniscus tear will either improve significantly or go away without surgery.

How to tell if a meniscus is torn?

A torn meniscus often can be identified during a physical exam. Your doctor might move your knee and leg into different positions, watch you walk and ask you to squat to help pinpoint the cause of your signs and symptoms.

What is the best way to detect a torn meniscus?

MRI. This uses radio waves and a strong magnetic field to produce detailed images of both hard and soft tissues within your knee. It's the best imaging study to detect a torn meniscus.

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 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.

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 to strengthen knees?

Physical therapy can help you strengthen the muscles around your knee and in your legs to help stabilize and support the knee joint.

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.

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.

How to repair a tear in the knee?

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.

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.

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.

How long does it take to recover from a meniscectomy?

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.

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.

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.

Meniscus Tear Treatment With 4 Exercises To Avoid Surgery

A meniscus tear is a common cause of knee pain. Meniscus complaints can arise because the meniscus is irritated or torn.

How Do You Heal A Torn Meniscus Without Surgery

All in all, the goal of treatment, natural or otherwise, is to control both pain and inflammation, get your range of motion back to normal, and help get you stronger muscles.

Comprehensive Meniscus Tear Diagnosis

To diagnose a meniscus tear, we will first ask you about your symptoms. We may also order diagnostic tests including:

When To See A Doctor

See your doctor if you experience any of the following symptoms after a suspected meniscal tear:

Question 3 Of : What Other Non

1 Talk to your doctor about steroid injections. Corticosteroids may help with the pain, and can help lower swelling. At your appointment, your doctor will inject the steroids directly into your joint, which may get rid of some pain and swelling.XResearch source

How Do Doctors Diagnose A Meniscus Tear

The diagnosis of a knee injury begins with the history and physical examination. If there is an acute injury, the doctor will ask about the mechanism of that injury to help understand the stresses that were placed on the knee.

What Does The Pain Feel Like

Another difference between arthritis and a torn meniscus is how the pain feels.

How to fix a meniscus tear?

Depending on the tear, they’ll either fix or remove the meniscus tear using tiny surgical tools. Afterward, your surgeon might suggest physical therapy to help support your knee and get you back in shape for your favorite sports and usual activities.

What to do if your meniscus is tearing?

If your torn meniscus doesn’t cause your knee to lock in place, you can take over-the-counter painkillers, like ibuprofen or acetaminophen, to address the swelling and pain. [7]

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.

What to do if your knee hurts?

It often depends on the underlying cause of the knee pain. I have an appropriately cushioned mattress and working on mobility and stretching can help. If the knee pain is caused by arthritis such as If it's gout or pseudogout, then you probably need to discuss with talk to your rheumatologist about medications or therapy. If the underlying cause it's osteoarthritis, you could discuss physical therapy, oral medications or topical medications that may help.

How to get around a tear?

Rest: Avoid the sport or activity that caused your tear in the first place, and use crutches as needed to get around.

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.

How do you heal a torn meniscus without surgery?

All in all, the goal of treatment, natural or otherwise, is to control both pain and inflammation, get your range of motion back to normal, and help get you stronger muscles.

How does healing a meniscus help?

If all these check out, healing a meniscus naturally comes down to controlling the inflammation, getting stronger and adequately flexible, and improving your balance and mechanics.

How to stabilize knees?

It also helps stabilize the knee. Focus on your quads and hamstrings during this stage. For your quads, you could place a rolled towel under your knees and attempt to push it down. The towel helps keep your knees in a slightly bent position while preventing movement.

What does "protect" mean on a meniscus?

PRICE is short for: Protect – This means shielding your knee from any more injury. For meniscus tears, this generally means walking with crutches. Rest – Again, this may also mean walking with crutches. This takes all or some pressure away from your knee, allowing the injury to heal unhampered.

Why can single trauma injuries to the outer third (red zone) heal?

Single-trauma injuries to the outer third (red zone) can heal because it has sufficient blood supply.

How to recover from a knee injury?

While your knee injury is still recovering, start with isometric exercises. These are exercises where you contract your muscles without moving the joint. This helps preserve the strength of your muscles while you’re unable to participate in full-on exercise. It also helps stabilize the knee.

Is there a specific exercise for menisci?

There isn’t one specific exercise for injured menisci but programs should be aimed at improving strength, flexibility, balance, and control.

How to treat a meniscus tear?

1) Non-Surgical Treatment: In the early stages, meniscus tear treatment aims to reduce the pain and inflammation through the use of ice, medication and occasionally knee braces . For the long term, the best meniscus tear treatment is exercises to strengthen the knee and regain full movement. 2) Surgical Treatment: where part ...

What happens when you tear your meniscus?

When the meniscus get torn, either through a twisting injury or gradual wear and tear, it can lead to weakness, stiffness, locking and pain in the knee. Most commonly, there is a medial meniscus tear, on the inner side of the knee. It can take quite a while to recover from a meniscus injury as the cartilage has a poor blood supply which slows ...

What exercises can help with meniscus tear?

There are two main aims with meniscus tear treatment exercises: 1) Regain full range of movement: knee bending and straightening. 2) Regain full strength: of the quads, hamstrings and glutes. Here we will look of a range of meniscus tear treatment exercises that can help.

What to do if knee is stuck in one position?

If you have problems with persitent locking at the knee (i.e. it gets stuck in one position), or your symptoms fail to settle, you may well need surgical meniscus tear treatment, usually an arthroscopy. You can find out more about this in the Meniscus Tear section. Knee Pain Guide. ›.

How to get your knee to stop getting stiff?

Action: Relax your leg and straighten the knee allowing gravity to help it to stretch down into a straighter position. Hold for 1-2 minutes then gently bend and straighten your knee a few times to stop it getting stiff.

How to get your knee to straighten?

Variations: If you are struggling to get your knee to straighten fully, place a rolled up towel underneath the ankle so that your leg is lifted slightly on the bed. Then do the exercise as described. Lifting the knee up slightly lets gravity help the knee to straighten.

How to get your knees to flex?

Action: Slide your foot backwards on the floor as far as comfortable so you are bending the knee more. Hold for 3-5 secs.

What is the procedure to repair a meniscus tear?

For most people who have a symptomatic meniscus tear, arthroscopic surgery is selected to remove or repair the torn tissue.

What is the best surgery for meniscus tears?

Knee Arthroscopic Surgery for Meniscus Tears. The knee is one of the most commonly injured parts of the body, and meniscus tears are often the cause of knee pain and knee injury. The meniscus is the tough, rubbery cartilage that absorbs shock between the shin bone and thigh bone and distributes weight across the knee joint.

How many incisions do you need for a meniscus tear?

Arthroscopy has revolutionized how knee surgery is performed. In the past, a torn meniscus required a three- to four-inch incision and an overnight stay (or two) in the hospital. Now, the meniscus tear can be repaired with the arthroscope through two tiny (less than a half-inch) incisions.

What is the cartilage that absorbs shock between the shin bone and thigh bone?

The meniscus is the tough, rubbery cartilage that absorbs shock between the shin bone and thigh bone and distributes weight across the knee joint. When this cartilage tears, it can cause pain and instability in the knee joint.

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

Recovery from arthroscopic meniscus tear surgery is relatively quick, and most people can resume normal activities within a few weeks. The pain relief is dramatic, and the postoperative incision pain is quite minimal.

Why do meniscus tears happen?

Meniscus tears can result from a twisting injury in sporting activities, such as football or soccer, or even something as simple as turning to put the dishes away.

What is the most common finding on a meniscus exam?

The most common findings on exam include tenderness over the joint line where the meniscus is torn, swelling, and sometimes loss of motion.

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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.

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