Meniscus tears are one of the most common knee injuries. A tear can occur when a twisting motion in the knee is combined with full weight on the joint. At Elite, we see torn meniscuses in athletes whose sport requires a quick change in motion or jumping off from a standing position (football, basketball, gymnasts, etc.). Your menisci are two pieces of cartilage between your shin and thigh bones. When these cartilages become torn, you may feel a popping sensation followed by pain and swelling. Your range of motion may be affected as well, making it difficult to fully extend your knee.
How Do I Know If I Tore My Meniscus?
You may experience a host of different symptoms that may cause you to believe you have torn your meniscus, but an MRI scan is the only way of truly knowing you have torn your meniscus. At Elite Sports Medicine, we offer MRI scans on-site at all our locations. Your doctor will examine your knee and ask questions about symptoms and when the injury occurred. It is important to be prepared for this evaluation and express your symptoms clearly so your doctor can order an MRI and get you on track to a full recovery.
Though an MRI is the best way to know if your meniscus is torn, there are a few telling symptoms to look out for.
If you are experiencing the following symptoms, it is important to see an orthopedic surgeon ASAP:
- Difficulty bending the knee
- Inability to put full weight on the knee
- Popping (when the injury occurred)
- Pain when twisting or rotating the knee
Can a Meniscus Tear Heal On Its Own?
The ability of a meniscus tear to heal on its own highly depends on the type of tear. If you have a minor tear or “micro” tear on the outer third of the meniscus, it may be able to heal on its own or at least avoid surgery. However, if your doctor determines the tear is too severe, surgery is the only option for repairing a meniscus tear. This surgery is common and 5 of our doctors at Elite Sports Medicine specialize in surgery of the knee.
What Happens If a Meniscus Tear is Left Untreated?
If left untreated you have a high risk of the tear becoming more severe, leading to even more complications long-term. There are certain treatment options directed by your doctor that will be important to follow whether the tear is severe or not. If left untreated, the tear can result in the frayed edge becoming caught on the joint or long-term soft tissue damage that could lead to arthritis.
What are the Treatment Options for a Torn Meniscus?
The RICE method (rest, ice, compress, elevate) can be used to relieve the pain caused by a meniscus tear, but it is not a cure. Your doctor may try physical therapy, a brace, or a cortisone shot to see if it relieves the pain enough to avoid surgery. These treatment options tend to only work in the short term and a long-term plan will need to be put into place to fully heal the tear. 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. Arthroscopic surgery is a minimally invasive procedure that inserts an arthroscope into the knee to see the tear. Two small incisions are made to insert the instrument and from there the surgeon will determine if a partial or full arthroscopic meniscectomy will be needed. A stitch-like device can be used to repair the meniscus and these are absorbed by the body over time.
What is Recovery From Meniscus Surgery Like?
Like any surgery, recovery can be affected by many different variables. The type of meniscus tear surgery, age, physical therapy, underlying diseases like diabetes, and more can all contribute to a longer recovery time. It can take anywhere from 6 weeks to 3 months for a full recovery.
You will begin on crutches to give your body time to heal surgical wounds but will most like begin physical therapy straight away. Your physical therapist will help with the range of motion after surgery and may even use a device called a HIVAMAT that sends electrical currents through the injury to help with swelling and reduce soft tissue pain. Your physical therapist will be a great resource for any post-operative questions you may have and will be your best teammate throughout your recovery!
Once the surgical wounds start to heal you will slow start incorporating physical therapy exercises into your daily routine to help get your strength back. You will work with your PT to develop the best exercise plan for you based on your goals after surgery.
You will also have follow-up appointments with your doctor to make sure you are on track to a full recovery. Come prepared for these follow-ups with any questions you may have about your post-op recovery, and never be afraid to call your doctor if you are experiencing strange symptoms after surgery.
Physical Therapy for Meniscus Tears: What You Need to Know
A meniscus tear is a common knee injury that can be caused by a sudden twist or turn of the knee. This injury can cause pain, swelling, and stiffness, and may require surgery to repair. However, physical therapy can also be an effective treatment option for meniscus tears. Here's what you need to know about physical therapy for meniscus tears.
How Can Physical Therapy Help Meniscus Tears?
Physical therapy can be an effective treatment option for meniscus tears because it can help to reduce pain and swelling, increase the range of motion, and improve strength and stability in the knee. The goal of physical therapy is to help you regain the full function of your knee and return to your normal activities as quickly and safely as possible.
Physical therapy for meniscus tears typically involves a combination of exercises and manual therapy techniques, such as:
Range of motion exercises: These exercises help to improve flexibility and reduce stiffness in the knee joint.
Strengthening exercises: These exercises help to improve the strength of the muscles around the knee joint, which can help to support the knee and reduce the risk of future injuries.
Balance and stability exercises: These exercises help to improve the stability of the knee joint, which can help to reduce the risk of falls and other injuries.
Manual therapy: This involves hands-on techniques such as massage and stretching to help reduce pain and stiffness in the knee.
In addition to these techniques, your physical therapist may also recommend other treatments such as ice or heat therapy, electrical stimulation, or ultrasound therapy.
Overall, meniscus tears can be a painful and debilitating injury, but there are a range of treatment options available to help manage symptoms and improve function. If you experience any symptoms of a meniscus tear, it's important to seek medical attention to determine the appropriate treatment plan for your injury.
Mayo Foundation for Medical Education and Research. (2019, November 15). Torn meniscus. Mayo Clinic. Retrieved December 15, 2021, from https://www.mayoclinic.org/diseases-conditions/torn-meniscus/symptoms-causes/syc-20354818