Do you need surgery for a meniscus tear?
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- Опубликовано: 6 дек 2015
- It is common for adults in their 50s and 60s to have degenerative meniscus tears of the knee along with arthritis changes in that knee. In this Ask Dr. Geier video, I explain why orthopaedic surgeons often do not proceed with surgical treatment for the meniscus tear like we do with younger patients.
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Manny in California asks:
I am a 77 year old male with dancing as my main sport plus some activity in the gym. Almost three months ago some small pains developed in the right knee mostly on the lateral and rear, mostly with flexion. Extending the knee usually causes a click. An MRI showed a horizontal cleavage tear with 10-13 mm cyst and grade 2-3 patellar chondrosis. I've seen two orthopedic surgeons who have different views on whether I should have surgery now or wait. I can't decide. Almost minimal symptoms. They say it’s nonrepairable. No surgery could cause tear to worsen though. What are your views?
In the past, orthopaedic surgeons often performed arthroscopic debridements to clean up degenerative meniscus tears and arthritis of the knee. The long-term results of those surgeries have not proven as successful as we might have hoped. There are patients for whom surgery to trim out a meniscus tear can be helpful, though. In this video, I discuss the pros and cons of the surgery and offer some points to consider.
Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
If you have questions about the injuries or treatments mentioned in this video, or about a sports or exercise injury, subscribe to my channel and click the bell to be notified of my Better Than Ever LIVE! streams, including an Ask Dr. Geier live show I do most Fridays at 12:00 PM ET.
Very helpful video Doctor, thanks for sharing. so I do have a medial meniscus tear in the front horn, it locks my knew at times. I am currently on waiting list to perform the operation procedure on the tear, but I am going thru some pain, I did not get prepscription for pain relief from my doctor, sometimes the knee swells a bit, it inflamates, what can I do relief that pain, what over the counter med would be good to get, maybe some light excersises? please advise. Thank you Doctor.
Hello Dr Géiser I torn my meniscus on my left knee 1 year ago I noticed a small cyst growing on the inside of the knee have no pain can do pretty much everything but no aggravating activities ,I had a MRI done my doctor said need to get surgery to repair meniscus and remove para meniscus cyst.
My question is do I really need surgery for meniscus cyst or can it be drain ?
Thank you very much for this honest video, Dr. Geier.
The best honest doctor !
I appreciated all the information. I have been diagnostic with meniscus tear and the information you are giving make me understated the maid of it. Thank you Dr. Geier
You’re welcome! I’m glad it was helpful for you.
Helpful thank you. As a result I’m wondering if my knee pain might in fact be a ligament problem. I need to get a proper physical assessment. Thank you very much. Very clear
I developed a meniscus tear left knee lateral. I'm 57 worked out since 12yrs old. It happen 5 months ago from Deadlifts and Squats. Did no steroids ever. I did air squats and very very light squats no deadlifts at all. and now after 5 months much improvement. I'm back up into the 200's on my squats and getting stronger little by little. But no deadlifts. And a lot of bike riding.
Hi, I have a chronic displaced detached bucket handle lateral meniscus
tear which I've had I suspect for about 18 years. It used to lock at
around 20-30 degrees but because I didn't know any better I used to sit
on the ground and straighten my leg, there'd be a loud pop and something
would go back into place! Then since I reinjured it a couple of years
ago (and did the hamstring of the same leg at the same time) it doesn't
lock anymore - it will hurt briefly but then swell for 3 days or so
during which time I'll be limping around. The MRI report from shortly
after I reinjured it a couple of years back said that most of the
posterior horn is torn off and sitting over the anterior horn, a
surgeon's told me that this would in theory stop me straightening my leg
fully which I can kind of see (a few degrees maybe). If I have just this
bit that's sitting in the wrong place removed, what's the chance of
making my knee worse? I'm pretty functional now, but it seems to be
happening increasingly easily (I managed to do it once a few days ago
just doing a simple straight kick in the air - no twisting at all and no
weight on the knee!). Sorry for the long question, great video!
Adding to my previous post, I had a tear repaired 34 years prior on the same knee. Never had a bit of limitation. In fact, I had forgotten which knee had the surgery. After 34 years, and after the surgery, my physician stated I had very little arthritis and my knee appeared healthy.
Hi jim. . U said "tear reapaired" can u explain it? Did they cut off a part of the tear meniscus ?
I also have a tear meniscus.
@@rishiramsoekh6001 Yes, they "trimmed" the tear. I'm not exactly sure what that entails.
@@jimbrew4529 thank you
Dr. Geier, I have what I suspect is a meniscus tear in my right knee. It's been 7 weeks since I've twisted my knee while skiing. I'm 49 and always been active (hockey, skiing, jogging and training). I've had an MRI and I will see the doctor in a few days for a definitive diagnostic. The symptoms that seem to point to a meniscus tear are the following : after several weeks of physio and strengthening, I did make some progress, but my knee flexibility has now reached a maximum threshold and it just locks and can't flex any further. I can't bend it to its normal angle. I don't feel pain, but I limp and it's starting to have an impact on my left hip. I hope to have surgery (if it's needed) so I can ski next season !
Thanks Dr David for good videos. I’m 55 ys old. I had an old injury (20 ys)to my rt knee menisci (lateral part). I was doing good in terms of practicing sport with occasional mild pain. Several months ago I had another trauma to the same site. MRI shows injury and degenerative changes. Now with no sport I’m experiencing mild to moderate pain but the pain exacerbate if with sport. I don’t want to stop sport. Do you advice to do surgery or any other suggestions?
Hello, I was diagnosed with osteoarthritis when I went in to see the doctor. I had explained that this pain started worsen like the beginning of the year and gradually started have problems like I would feel locking in my knee where I would move and I’d feel a very painful feeling. So that’s when the doctor had me do X-ray. He got the results from the X-ray and told me that I have degenerative wear and tear forming osteoarthritis cause of the inflammation in my knee. My primary doctor thought it wasn’t osteoarthritis and wanted me to see a orthopedic to see what was going on. Went in to see the orthopedic, took X-ray and same thing the first doctor saw, they also explained that it was so narrowing that it was almost bone to bone. They gave me 3 option and 1: excercise, 2: injunction 3: surgery. At the time I worked as a Budweiser merchandiser walking, being on my feet, bending was part of the job. I was almost taking time off cause I was having so much pain. I would take ibuprofen through out the day but the pain would come back and worsen through the night. I don’t work anymore cause my calling off was effecting my work performance. So what would be best for me in my case? No surgery or surgery?
had knee surgery on my left knee nd I 've felt so much better...had a meniscus tear nd a cyst...glad I had the surf...
Do you know if it hurts in the surgery hurt and how long do you need to rest
Yes. You do
Great video Dr Geier!
I have had a meniscus tear for over 10 years and when it was first diagnosed I was told to have surgery but I did not like the idea of having cartilage cut away and turned the opportunity down. I must admit there has been times when I get frustrated when It pains if I do certain movements but in general I can manage the pain and when i want to go hiking i wear a brace which is fantastic as it keeps everything in place. Normal walking no Pain but squatting can cause some discomfort along with certain stretches. I would only have surgery if I felt I could not do my normal daily activities and after watching your video you have confirmed I done the right thing not to have the surgery.
I'm glad it helped, Paul!
I was injured playing Soccer longtime ago (almost 16 yrs) which I keep using knee braces of all kinds just to keep playing but lately, I feel a lot of pain and after every time I’m playing or doing like squat my knee getting swallowing so I see an orthopedic that asked to do the MRI and they found that I have a severe meniscus tear .so my advice if you have a tear meniscus that gonna take a month to heel up after a month is much better than be on my situation .
@@Ilyaselho did u have surgery?
@@itsm3dud39 yes I did and feels better thanks to the surgeon
@@Ilyaselho was that trim or repair?
Hello; thank you for your information. I've had left knee meniscus surgery and it worked well. I tore my right meniscus while working out. Plan to have surgery after saving for the time off work. I'm 56 years young
I hope it goes well!
Mam did you go for surgery ???.
I feel like I have many of the same symptoms of a miniscus tear and would like to seek medical attention. Which sorts of doctors should I see - a General Practitioner, a physio, a chiropractor or a biokineticist?
I had a tear end of June 22. Had a shot little relief. Did an MRI shown tear and Arthritis. Decided (after research) and started stretching exercises. Now 8/15 very little pain and continue daily stretch. Will start doing walking slowly and if situation continue without surgery. Read that surgery may not relive pain . Some robotic surgery may be better. Your comments thanks PS
If you are able, join Dr. Geier here on Friday’s Ask Dr. Geier Live! show at Noon ET, on August 19. He would be happy to discuss this. Also, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
How r u now?what treatment did u take?even I have medial meniscus tear n its painful. Feeling depressed
carol greentree I have meniscus horzontol tears arthritis and gout in and doctor is me to wait for replacement if ican
I feel myself lucky to have watch this video. There's no swelling and developed gradually. There is a tear of posterior horn of the medial meniscus. All others are normal without evidence of tear. Anterior cruciate ligament is intact but surrounded by fluid. Now using knee brace. Generally how long does meniscus tear pain last? Which is best to apply ice or hot pack if there's no swelling found on the knee?
Good after noon Dr. Geier, Thanks 4 your video! My name is Charles, 52 years old!I have found Medial Meniscus tear on my righ knee after i did MRI however, the outside of my knee has NO swelling or redness ! I have bad pain specially in my lateral movement! After many times ultrasound, massage therapy & I did not exercises & bending in my right knee for over 1 month it was better but still has some pain if I bend or twist! Please advise me what should I to relief my pain and do my normal act! Thanks,
Hi Dr Greier,
I fell on my knee at work and was told it was a meniscus sprain but my doctors not says lateral collateral ligament strain. I was hurt almost a month ago and was restricted to two hours of walking a day my employers did not respect my restrictions and a few days ago I began having even more pain. I have a grinding sensation in my knee and my knee/foot began swelling as well. When I bend my knee my leg locks. I'm just wondering why my foot began swelling weeks after.
Hi Dr. Geier. I am a 29 year old male, very active. I had an MRI scan done after a sports injury and it revealed a torn meniscus in my right knee. I have not undergone surgery for it as yet as I feel the pain has subsided and does not interfere with my day to day activities. I wanted to find out from you if I could return to playing sports with this meniscus tear if it’s not really giving me much pain. Your help on the matter would be much appreciated. Thank you
I am scheduled for surgery in a week but still am unsure. I am 50 year old fairly active person with minimal grade 0-1 level arthritis. I have had episodic pain and swelling gradually that was gradually getting worse. I had PT and seems to quelled the pain and returned full function. MRI report said horizontal tears in both medial and lateral with a horizontal flap tear and bakers cyst. My Ortho said the decision is up to me and didnt say one way or the other. My PT said it seems counter intuitive because my knew feels great but most likely the pain will return again with the swelling, pain and loss of function. There is some popping and instability depending on the motion, load, and position.
Hi Dr David, I had several injuries on my right knee. The situation only got worse for me, due to which, i had ACL reconstruction and Medial Mensicus removal surgery 7 years ago. I have been okay, but whenever i perform some physically challenging activity on a regular basis, i get minor discomfort, pain and minor knee swelling. I am afraid the problem is aggravating steadily. Is this early onset of arthritis? I am 27 years old and a sports enthusiast. Is there any way i can tackle this?
First of all I am 41 yrs. old and I have dislocated my patella 4 times and chipped the patella. I was lucky I hadn't torn my ACL but the MRI showed I had uneven cartilage and torn cartilage and particles floating in my knee... I recently had surgery on my knee. Dr told me after surgery, that he had removed a chunk about the size of a nickel and also stated that it was possible that the chunk was the source of all my pain. Do you think I should have had surgery? My pain just kept getting worse over the past 3 months. What happened was that I squatted down and my left knee felt like something was going to rip in half. The skin on that side went completely numb.
I happen to be a early 30s really active. I was suggested to have surgery for a meniscus tear and a loose body in the knee. I do get pain but there is a mechanical locking. In a mechanical locking issue is surgery normally the best route for repair?
35 plus years ago I was told to have surgery for my ruptured meniscus. I did not but I am getting by. I do partial squats and it seems to help.
35 yildir iyimisiniz
Thank you so much for your informative video. By default Have not had arthroscopy surgery yet. My HMO paperwork and communication between my primary referral to the specialist has taken almost 2 weeks. My MRI showed a torn meniscus with osteoarthritis.I am so glad that I came across your video so I am not stressing as much.When the pain was intense I was prescribed 800mg ibuprofen which resulted in high BUN and Creatinine and contrast MRI could not be done.
Over time and not putting weight on my right leg the pain is a tad better.
I’m glad it was helpful.
How r u now? Did u have surgery? I have medial meniscus tear n its painful
wow great video thank you for being honest ! i just found out through an mri i have a slight miniscus tear and this is right before i want to join the army unfortunately .i only have pain if my knee is bent too long and i dont stretch it ,or ocassionaly if i pivot a certain way..in this case maybe i will only get it rehabilitated .
+Ms Marie I'm glad it was helpful!
how much time it take to back on football after acl tear and meniscus tear surgery..tell me plz
I had a lateral meniscus tear on Jan 1. I couldn't walk properly for about 1 1/2 months. Had an MRI scan and they said that I should get a surgery, but I declined it. As of now, I can finally go back on doing the things that I used to do, but only at 85% effort. Hurts a little bit when I flex it, but doesn't hurt when I stand, walk or jog.
Thanks for sharing your experience!
How much do you weigh bro?
My MRI report shows grade 2 signals on both meniscus of left knee. What thus means? Is it abnormal? @dr.devid
Dear Dr. Grier I recently had my lateral meniscus repaired due to a bucket hole tear but after the surgery my incision points are burning… should I change the dressing??
Hello Dr. Geier. Loved your video. I'm a 58 year old man with a medial meniscus tear on my right knee. Pain started 6 weeks ago while using the elliptical at the gym and got worse while swimming on 4th of July. Could hardly walk and pain was awful. Visited an orthopedic surgeon who did an MRI. He recommended surgery to trim the torn section. Says it is a small tear. Got a 2nd opinion from a sports doctor who uses non-surgical methods and he recommended cortisone and PT. Have a surgery date for Aug 25 but am uncertain whether to proceed or not. I want to get back in shape and play tennis again some day. Any thoughts on going straight to surgery or doing injection and PT first? Thanks.Phillip Miller
I would love to hear his opinion on that. I’m 48 and in the same situation, but both knees. Whatever you decide, I hope it will make you feel better soon. 🙏🏼
Thanks for video sir I have minimal medial meniscus tear in right knee .can I do surjary
9937418909 call me sir
Hello Dr. I had a knee injury 2 weeks back.MRI suggested that I have ACL tear. Apparently after a week my knee start showing symptom of meniscus tear as well. after consultations with my doctor. I decide to wait for few more days before going into any operation. as per today, the pain is reducing but my knee movement is still very restricted despite attending multiple physiotherapy sessions. I want to go for operation a.s.a.p because it is difficult for me from doing any activity even walking. I appreciate your view on this..thanks
Sir i have mild intrasubstance hyperintensity seen within posterior horn medial meniscus not reaching upto articular surface
Can i run sir
What exercise
Please help me sir
I fell and a few weeks later, my knee was in alot of pain. I was told I had bursitis and they gave me a cortizone injection. I requested an MRI and it stated that I have a meniscus tear. i have a little arthritis in the knee as well. I took naproxen for inflammation, magnesium and a muscle relaxer for a while. It helped and the pain died down alot. Due to the arthritis in the knee i feel alittle pain during bad weather. I return to the orthropedic Dr. soon. I really don't want surgery if I can live without it. I lost 7 pounds so far, I go for walks at a moderate pace and hope for the best. I believe that If i loss the weight, it will help just in case I need surgery. wish me luck. where are you located?
Great video! I like the insight and clarity in your description and explanations! I have a medial meniscal tear on the right side. I'm going through 12 weeks of PT to hopefully conservatively heal the tear. I'm a runner, and do not want to lose any part of my meniscus via surgery if at all possible, however, I cannot currently run because it is very painful. I'm hoping that PT can heal the tear.. I'm 6 weeks in and it's still too painful to run, but it does feel better than it did. My question is, if I do end up going the surgical route (if PT fails to resolve it), is it typical to expect to return to running? I'm a 35 year old male, in otherwise great health.
Patients usually can return to running. Good luck!
@joseisen did you end up getting surgery? asking for advice.
How r u now? Did u have surgery?
Good info, I started to look upon meniscus tear, I had my ACL broken and meniscus lesion grade 3 after MRI, did a surgery to do my ACL but the surgeon said that he couldn’t do nothing for my meniscus. Still feel pain from my meniscus and gets swollen when I run only. I’m thinking to look in for a surgery on meniscus, is it a good idea ?
Hello my name is Nihal from India.I have radial tear at the lateral meniscus...What i have to do.....Is it surgical or will it heal its own....Or have any tablets for healing process...
Great video Dr Geier.👍
I just have diagnosed for Minescus tear & Patellar Retinacullum tear in Right knee, its really painful only when I bend my knee.. FYI, I was martial art athlete 23 years a go.
And finally I just did my Arthroscopic surgery on Jun14th 2019, now I'm in recovery period by fisiotherapy (4th time), its required 6 time fisiotherapy.
My question is, do my tear off minescus can grow after surgery and do I will have my normal knee function after sometime, how long it would be?
I was handled by a very expert Orthopaedic doctor, I would like to have your suggestion/ advice to complete my treatment informations. Thank you Doc..
Did you get an x ray that confirmed dislocated patella first doctor visit before finding out you had this condition?
I had a medial meniscus tear after i tore my acl but i had no pain. I was able to jump and still squat but my knee buckle from the acl not being there. The doctor repaired that tear with a suture along with the acl and put me on crutches for 6 weeks. My question is if i didn't have pain from it in the first place how will he be able to tell if it's repaired or would he have to do another MRI?
I have a discoid lateral meniscus with intrameniscal degeneration. What should i do?
I turned 14 last sunday, and i have a medial meniscus and LCL injury. I have an appoinent with my ortho in november or december. I play soccer with the U15 girls team in my hometown, and i’m in pain every day.
I’ve been at the doctor’s and the hospital for x-rays, PT appts., and ortho visits 36 times since january 2019.
I can’t walk the stairs normally, and i can’t run as i used to (i’ve aleays been an active person.)
I had a meniscus tear 5 days ago. The pain was unbelievable. I was given a cortisone shot. The pain is completely gone. My doctor has scheduled surgery in two weeks; however, he told me if the pain was gone and I could bend my knee, then we could cancel the surgery. I think I will cancel!! Thanks for your information.
I'm 28 years old and have a meniscus tear in my right knee. That's all I know, as my doctor has point blank refused to do more. Is it worth to ask for a arthroscopic debridement? or is that only if for those suffering from arthritis?
Yes I do Mencius tear
Hello Dr. Geier, I suffered a small to medium meniscus tear 21/2 years ago. My initial Orthopedic initially did not recommend surgery. I recently have experienced a pretty dramatic increase in my pain level up to 6-8/10. In fact, I have great difficulty even walking, let alone pursuing normal activities like hiking, golf, etc. I went in for another MRI and the report stated the same, small/medium tear accompanied this time with arthritis and a cyst. I can no longer exercise, have gained weight, and am depressed. Any suggestions?
@reggierico did you do surgery?
@@redwoods2023 First of all, I can't believe this post was five years ago. Yes, in fact, I have had total knee replacement surgeries to BOTH knees, the right knee in March and the left knee in August. I've had outstanding physical therapy and am about 85% with some aching after exercise but no pain, which is great.
@@reggierico Good luck to you. Knee replacement on both knees sounds a lot. Hope you are recovering well.
48 year old female recreational runner. 8/18/18 Partial later Meniscus removed for tear. 11/07/18 go for slow run. 2 mile sharp pain. MRI 11/25/18 says "New radial tear at posterior root. Since prior MRI there is a new grade 4 chondral defect along weight bearing lateral femoral condyle measuring 0.8x0.7 cm with prominent underlying subchondral edema. And smaller grade 4 chondral defect 0.3 cm in maximal diameter just anterior and medial to this. ." Plus two chondral fragments are noted in the anterior aspect of the intercondylar notch. Told never can run again and need partial removal of meniscus (again) and may qualify for OATS procedure. Tear your Meniscus twice? I don't understand. Should I do surgery again?
i am scheduled to have surgery on my knee for that tear as well as artiritis
Good luck!
Watch your video and I have the latter part of the symptoms. Started feel a lot pain. Loud pops from my knee. Had MRI done. It was a tear in the meniscus on the inside of right knee. However, that was 3 1\2 years ago and now the pain has greatly increased. Go See a specialist on Thursday. I just been putting this off for this long period of time.
What are your thoughts on this?
I've had the same pain went from almost two months knee pain went to the ER x-rays show no broken bones and referred to an Orthopedic doctor he said it was dislocated patella no surgery needed. Been in a brace for a month with worse pain now. Tried PT now I can't walk. I think getting an MRI and knowing what's going on inside the knee can help with knowing if you need surgery. If it's really bad cartilage damage. I think surgery could repair your issue but arthritis can become your enemy.
hello! thank you for the infos you give here! i am a 53 year old woman, in good shape and active and my problem is i woke up one morning with a slight pain and swollen knee. As the swelling was still there after 5 weeks i decided to consult with a doctor who told me i need a arthroscopy. I had a MRI which says i have a slight tear horizontal on the medial meniscus. The rest is all good. i am not in pain but i still have a little bit of swelling and it doesn't allow me to do all the movements i want to do such as easy pose (in yoga=sitting crossed legged) or nor can i squat...which bothers me. Do you think i can avoid surgery and get better (get ride of the swelling) just by doing physical therapy? THANK YOU for your help! Josiane :)
I'm glad to be of help! Good luck!
how r u now?
Did you go for surgery man
Dr I have a partial tear and grade 3 medial meniscus as per recent reports...I can walk and run but when I turn while running knee shows some kind of instability...I can bend my knee and have no pain at all in my knee...some dr say it requires surgery and some say no to surgery...I need your recommendation...plzz ??
sir I have lateral minscus grade 3 tear . should I go for operation?
please guide me.
Have you pain while walking or doing something
I feel pain after now. Only can run around 5 km.
I used to run 15km and over. What should I do
I hoping I only have sprain knee. I did hear a crack or pop sound. I can barely stretch or bent my leg without pain. it hurts more and harder to beb without it getting stiff on me and it swelled up too.
Chino 2G6 same happened to mines about 2 weeks ago how is your knee now and what did you do to recover.
Dr. David Geier,
Thank you for the informative video. I am in a peculiar situation (I am 30 years old). I noticed swelling in my left knee 3 years ago and figured i just sprained it. I iced and everything for a couple weeks and then felt normal again. The past 3 years i have been playing sports, basketball, tennis, and working out 4-5x a week. This past August after playing tennis for 3 hours straight, i felt some soreness and said ok let me get an MRI, which showed medial meniscus tear. I do not feel pain doing every day activities and working out, just after strenuous activity for a couple hours it'll feel sore. I'm not sure if I should get the surgery or not. Any advice would be greatly appreciated, thank you.
I can't give you specific advice. Generally I don't think it is necessary for people without symptoms to undergo surgery for a meniscus tear. If they can't do what they want because of the tear, it can be a different story.
Dr. David Geier,
I thank you very much for the prompt response. That's my mindset right now and have been mulling surgery for a few weeks now. By symptoms to get surgery do you mean constant/intermittent swelling, constant pain and/or discomfort during daily living? Moreover, what are your thoughts on if somebody leaves a meniscus tear in the knee? Does that expedite arthritis? Again, thank you very much for your time and appreciate your insight.
@@Mattwhelanj
Hi Matthew,
Just came across your comments just now. How are you feeling these days and did you opt for surgery?
I did have surgery on my left lateral meniscus. I believe it has re-torn and this time my head is in a million places 24/7 whether to push through with it or get surgery.
Hope you are well.
I had an ACL and meniscus tear about a year ago but recently I had sharp pain in my knee while playing soccer. Im not sure if I tore my meniscus . I have been to 2 different doctors and they both said 2 different things. The first one said "you need to have surgery" but the second one said "that my ACL and meniscus weren't fully heal from the last surgery" I kept playing soccer at lower level like just jogging and try not to force my knee as much. After a few weeks I'm able to jog, sprint, cuts and everything with no pain at all but after I'm done running I get an after pain. What do you think it could be? And should let rest for a while and ice it?
doctor i have already an accident and my knee while its happen like circle and now my knee not normal i cant stright my knee again ? so what your advice do i have to listen to surgery please help me
i have had grade 3 meniscus tear at posterior horn of medial meniscus then after 15 days in follow up docter said u ve injury in condyle of femour. its still hurting locking and clicking......
my MRI report says I have T2/ proton density high signal intensity area noted in anterior horn of lateral meniscus which is not extending to articular surface and also it says I have features likely of grade I chondromalacia patella with minimal subcutaneous inflammatory changes overlying right patella and minimal right knee joint effusion. this injury occurred after I got hit directly by an hard cricket ball. Doctor I need your help as the doctor I showed told me I should leave the sport I have been playing where as other doctor told me I could continue my sports after some week of physio therapy. help me out of this doctor
Hello Sir My name is Henry Chinedu, am a footballer and i got injured in my knee, i went for MRI test and below is the discovery:
(1) Partial tear of the anterior crucial ligament
(2)tear of posterior horn of the lateral meniscus
(3)mild amount of knee joint effusion
(4)bone marrow oedema of the medial femoral and tibial condyles .
After i went to see a doctor with the test and he said that i need a surgery but the hospital where i did the MRI test told me that i only need physiotherapy. please do i need a surgery in this case?
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At 17 I had a medial meniscus tear and a loose fragment locked my knee. It's the only time I've ever lost consciousness from pain. Arthroscopic surgery was required, and for the majority of 25 years after I referred to it as my 'good' knee. However, the past 3 years I've been dealing with constant swelling & moderate pain, and its gradually lost range of motion to the point of being unable to bend much beyond 90°. I wondered if arthritis was the culprit, but after an osteopath visit, xrays and MRI, its another medial tear. I'm getting it scoped again in 6 weeks.
Wow! I am sorry to hear that. Did get any arthritis after all this time? I have a medial meniscus tear in one knee and another meniscus tear in the other knee with a lose fragment. Even though a Dr told me to do surgery, I’m reluctant not knowing exactly what to do. Even the one that has only the meniscus he told me to do surgery. I am in pan but not really sure yet what to do. I hope your surgery and recovery goes well. God bless! 🙏🏼😊
@@TheJessica44023 Its developed mild arthritis over the course of 30 years. Nothing to the extent that I've lost any sleep or ever felt like it was necessary to take ibuprofen, aspirin, etc to manage. Overall I've had considerably less discomfort with it than the limitations and pain levels before the procedures. But the vast majority of the time it feels no different (and sometimes slighly better than) the knee that's never had any problems. The 2nd scope went well. I only needed crutches for 3 days and was off work for a week. My first day back at work a couple of people looked a little bewildered and asked if I had my knee surgery. Since I was able to walk at my normal pace by then, they thought I might have canceled or rescheduled it. I hope you get some relief from yours, whichever route you choose.
@@TheJessica44023how r u now?what treatment did u take?even I have complex medial meniscus tear n its painful. Feeling depressed
hello. i have a tear of 4mm.i am 22 years old will it heal?
Actually I think I have. When I run marathon but do not what I have to do
Thank you for posting this video. Itripped and fell at work last year Oct. Serious pain. Dr.did xrays. Said I had a contusion on left knee. Pain never went away knee swole up. Right knee got snagged during same fall. Got sent back to work after bout 11/2 wks off. 4 mo's later both knee's still hurting. Went back to see the same Dr. Was told I should've already healed. They did mri. Found torn meniscus right rear both meniscus' and left front meniscus. Knee cap slid upwards. Went through PT. Just made it worse. Now I'm finnally getting better. But kneecap just aches all day and night. Any advice? I'm all ears at this point. 53yrs old. Used to be athletic. Was doing flatbed steel hauling now just driving no more lifting.
+Gerald Braxton I think it really depends on the cause of your pain. If it is the meniscus tear causing a patient's knee pain, arthroscopic surgery can often help. If not, then other treatments like physical therapy, injections and more might be useful.
Thank you for your response. Since I've been pretty much stuck behind the wheel, I try very much to keep my left leg straightened while driving the semi. And its getting better very fast.
+Gerald Braxton Great to hear!
Ice it
What do you do if you have surgery on the meniscus tear lateral and you have bad pain yet . Then what is done ?
Good question! How are you now? Same situation with me
Hi, I'm 42 years old and active. My doctor is out on vacation and I'm trying to make sense of my MRI report and thinking what are my options. I have pain with steps (unstable) and can't exercise due to pain. My MRI report says "A large tear is present involving the anterior horn of the lateral meniscus extending to the anterior horn-body junction."
Any thoughts? Thanks in advance!
I am 28 yrs old. In 2016 I got injured, getting exercises and taking pain killer I recovered .But now I feel pain....what's the matter ?
I’m having surgery on 11/11/22 I have been in so much pain for 2 yrs I’m ready for this to be over
I hv a grade 2 generated meniscus in the posterior horn....... what should I do ???
Dr Geier I had a meniscectomy in 2001 right knee lateral meniscus. 2 weeks later i tried wrestling on it. I fell back (knee to heel) and was in severe pain. It never healed properly (no pt either) and 5 months later had to have it again.
Last one was in 2002 so its been 15 years. I still wrestle, jump rope and do yoga almost daily. Sometimes if I am in a squatting motion and move forward it clicks or snaps. There is some slight bone abnormality and its a little puffy. my question is is this typical after 15 years and could my knee now be osteoarthritic? im 31 and plan to contine being extremely active.
Yeni bir mr cektirmeniz gerekiyor sonucu bende merak ediyorum
After arthroscopy may I play soccer
Good day doc. I have injured my knee december 27, 2015. i thought it will heal on its own because after a week i can walk with mild pain only but after a month or so when i suddenly dodge sideways my knee gives out and i fall. after that i realize that my knee got some serious injury. its almost a year since that and no surgery or treatment have done on my knee. surgery here in the philippines is so much that i couldnt pay for it. im feeling that im a disabled person cause i cant run or twist and im afraid to put pressure on my knee im really sad that this thing happen to me in a young age of 20. sorry for my long post doc thanks...
Lester Lara filipino ka?
Lester Lara now how is your knee you can play any sports after that
Lester Lara My friend I am in a same situation as you. But I discovered that not only did I have a meniscus tear but ACL tear as well. Therefore active life in the past. You should see the doctor to be assured that you don't have ACL tear as well.
Lester L
51 years young, was extremely active, now I only walk...Rt Knee Impression: Small Vertical flap tears of the medial meniscus at posterior horn, no chondrosis but but high grade localized chondrosis within the posterior lateral tibia. Both knees feel week and hurt. 30 years of 20 plus miles a week running and mens soccer on Sundays. I feel like if I get this surgey, I will still have issues and be in the same place. My tears seems to slowly be getting better with my new activity level. Thinking no to the surgery to clean it up. What do you think?
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, January 26, when he'll be live on RUclips at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
Hi,
I had an injury about 10 years ago when I was 23 yrs old and was diagnosed as a second grade meniscus tear, my knee used to lock many times for a long time. though I lost about 15 kilos of my weight then symptoms have almost gone.. it no longer locks but sometimes if I did a wrong move or had an excessive effort it feels like there is something went out of its place and it hurts me and I cannot step on it. this symptom rarely happens but it does happen some times.
the latest MRI report indicates: Grade 1 sprain of ACL and grade 3 tear of posterior horn of medial meniscus with minimal intra articular synovial effusion and focal bone marrow contusion.
would physiotherapy do any improvement? or should I have surgery
sorry for being long.
thanks for your time
how r u now?
Surgery ✌️
Hi, now I’m 36 and barely doin any sports except of minor walking (3000-5000 steps a day) there is no pain of any kind but I feel afraid to fully bend the knee because of the lock that used to happen before..thanks for your time
I had maniscus tear in left knee since 4 years but Dr says it will be heal by physiotherapy what i do
I think I may have torn my medial meniscus in my right knee, but haven't seen a doctor yet. it stings when I press along my joint line. it also hurts and stings quite a bit when I stand on one leg and bend it, and occasionally clicks, pops, or grinds when I do that. but it doesn't click pop or grind when I walk. some times it also just starts to sting when i'm doing absolutely nothing to it. opinions?
how r u now?
I have a partial medial meniscus tear with a minimal knee effusion. Do I have to undergo a knee surgery to repair it?
how r u now?
A have a posterior radial meniscus tear grade 1..and the doctor suggesting surgery. Also have intial osteoarthritis.
Please suggest
I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, August 25, when he'll be live on RUclips at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
How r u now?what treatment did u take?even I have a medial meniscus tear n its painful. Feeling depressed
Hey Dr. Geier,
I'm 19 years old and have been dancing for most of my life. Over a year ago during my senior year in high school, my knee just began to give me pain in dance class, so I had to sit out of dance for a few months. As I took a break from dance, there was a little pain from daily tasks, but it was manageable for the most part, although I could not squat. Months later I began to dance again and my knee hurt terribly. I received an MRI and the doctor said that there was a tear in my lateral meniscus and that I should get the arthroscopic surgery. However, we cannot afford it. I just want to dance again with no pain. Do you have any insight on the alternative treatments? I've heard about injections and physical therapy.
Thanks, Summer
+Summer Hayes It’s always reasonable for a patient to try physical therapy or injections. The only real risk is that they might not work.
Injection Will reduce your pain. If you want to continue your dance activities you should go for the surgery. In India especially in Kerala it is less expensive and high quality.
Hi doctor,
what do you think about stem cells therapy. the stem cells extracted from the patient himself? They inject it sometimes with the PRP and sometimes they do arthroscopic surgery to prepare the place for injection of stem cells
+Abdulaziz Adil I haven't seen studies on the effectiveness of stem cells for a meniscus year. If you do it, let us know how it goes!
*****Thanks doctor. I am thinking to try it.
Please have a look on the bellow research and Plz send me you feedback
hoajonline.com - Pre-SVF arthroscopy: A case report of new concept of meniscus and cartilage regeneration using arthroscopy followed by intra-articular injection of adipose-derived stromal vascular fraction
***** some patients may require only SVF injection with or without PRP and some may need to have pre SVF arthroscopy.
I think me and many others my benifit from your opinion.
Insurance doesn't pay for it, and there isn't data proving they work, but for some patients, they can be reasonable treatments.
***** thanks doctor
Please have a look on this research on HOAJ and advise us. I think your opinion is important
hoajonline.com
i am 25 and i had a bike accident due to which i got acl partial tear grade 2 level
it not paining but its almost 4 month ago still cant walk properly
physiotrapy im doing
just to ask do i need surgery
and if not then will it recover completly or
can make trouble in future
thanks doctor
MrAbdurrehman89 can you please tell what happened to your knee? And did you continue on physiotherapy or did you choose surgery?
Evet durumunuz nasil?
Hello Dr. Geier.
I had a tibia plateau break. It has been 8 months since surgery for it. I just had a MRI and it showed to meniscus tears and some jaggedness to the meniscus. The surgeon wants to go in with a scope and file down the meniscus.
I have been watching your videos and find them very helpful, I would like your opinion please, is it necessary to do that? Will it cause more problems later to the meniscus. Please, I really need your opinion. Thank you!!!
Hello Did you end up doing the surgery? I'm in identical situation, also 8 months in and trying to gauge if I should go along with the surgery but i'm worried about the increased risk of arthritis !
@@Etc155 hi, yes I had the scope done. It went well. I do have arthritis in the knee, my surgeon said that arthritis is going to happen regardless. He said walking and exercise can somewhat help but arthritis is a sure thing. Let me know how you make out. It's a horrible break hey? I will pray for you.
@@maryperry7944thank you so much for your reply. I'm so glad your scope went well. Hope recovery was smooth too. My surgeon is saying the same thing about arthritis but I guess I'm just hoping for it to happen later than sooner :( hope the arthritis isn't bugging you too much. Apparently this is one of the rarest bone to break 😭 wouldn't wish this on my worst enemy. 🥲 thank you for your prayer, you're too kind!
@@Etc155 my break was in 2017, the arthritis is not a problem yet. I got away from all sugar, bad oils processed food, I think that has helped me, now saying that, over the last few months I have been eating stuff that I shouldn't have. I am going back to the way I was eating, I feel that it has helped with the slow progress of the arthritis and of course exercise for the leg.
Thank you for your kind words. I am the person that I am because of Jesus in my life. Jesus is real and He, if we invite Him into our lives, He changes our heart. He took unforgiveness from me, it was a beautiful transformation. I just wanted to share why I am kind, I give Jesus the thanks for that.
MENISCI
LATERAL MENISCUS:- Anterior horn is swollen and tortuous.PDFS hyper intense signal is seen in the anterior horn.PDFS hyper intense signal is seen in the posterior horn and extending into the superior and inferior articular surface.Posterior root attachment is not distinctively seen.
Impression:-
1.Grade 2 tear in the anterior horn of lateral meniscus.
2.Grade 3 tear in the posterior horn and extending into the superior and inferior articular surface of the lateral meniscus and involving posterior root attachment.
3. Sprain of ACL
4. Minimal fluid in the joint space.
Above details are the results of MRI of my left knee. Please help me out. I am 22 years old right now but when I was 15 years old I got my left knee twisted. Since then I hadn't have any pain. Generally clicking sounds used to come from left knee but there was no pain. I was doing gymming without any problem. But in December 2016 I got 2-3 jerks while doing exercise on cross trainer and to make the things worse I did cross training that day for 30 minutes continuously. Next day when I got up I had so much pain and swelling in my left knee. Moverover I continued the gym for a month after this incident. Right now I am not going gym. I can walk but there is always some pain and a little bit of swelling. I cannot bend my knee, I cannot squat and I cannot run. Please do help me out whether I should go for surgery or go to physiotherapist. My doctor is saying to get the surgery. But I am still confused. I want my body to heal on its own without any surgery.
Nasil oldunuz ve ne yaptiniz
I have a mcl grade 1 injury and horizontal oblique tear prosterior horn and body of medial meniscus been on PT for 3 months got my range of motion back but my knee gets stiff when I sit for a long time.. Can't run or do eliptical I feel sharp pain inside... Plus my medial side feels tender. My doctor wants to go in and take a look .. He says people with mCL injuries often mess up the meniscus on the side since there to close together I've been down for 4 months now.. Is sugary my best option.. He says I'll heel quick
Surgery can be effective for patients with pain from meniscus tears.
I'm not a physician, but have had two tears repaired. My advice would be, if your injury is limiting your physical activities, get the surgery asap. If you hem and haw and your quads have atrophied on your bad leg, rehab and recovery time may be a bit more difficult. Just my opinion.
Thanks Jim!
Jim my mom age 50 years advises surgery for meniscus tear
If she goes for arthoscopy......
Is meniscuz is removed
What are chances of recovrry ???
Few say removal of
Meniscus can cause
Arthittis...
Please suggest me
My mom weight 80 kg
Height 5 feet....
Has early sighs of oestroarthititis
@@hemudwarak8819 Often, the torn meniscus is just trimmed, not removed. I'm no doctor, but recovery is expected for all patients.
Hi doc! I'm a basketball player. I had my ACL and lateral meniscus repair surgery last year. Everytime I play i need to mueller tape my ankle because if dont tape my ankle i have a knee pain outside of my knee in the LCL area and my knee always swelling after i play/practice and i cant play/practice 2 consecutive days. Last week I had MRI.. And it said i have Lateral meniscus tear. My doctor said i need menisectomy.. Just want to ask if thag was a good advice by my doctor?
Some meniscus repairs don't heal, and the surgeon has to go back in an trim it out - partial meniscectomy. I recorded a video on that subject 2 days ago. Go to my page and check it out. Hope it helps!
I had a meniscus tear and I got a surgery. After 8 months the pain is still there and I cannot get back fully to my previous activity. I don’t think that the surgery was the answer.
Dear Dr. Geier,
I have a tear in my medial meniscus posterior horn. The first doctor I have been to said I should have an operation. And they will cut out 1/3 of the meniscus. Then I will be very comfortable.
And the second doctor said, If I were you I would not have a surgery. Looking at the physical examination and the symptoms I did not need a surgery. I may have a little discomfort but in the long time my knee will become older then me.
I am a 40 year old active man. I do workout almost everyday, fitness, crossfit, bicycle, basketball etc.
I have heard that if I do not have some part of the meniscus (considering the workout I am doing everyday) then the bones will rub each other and it will cause calcification and rheumatism in time.
I am confused, should I have surgery or not?
Or without surgery should I ease the workout. (not jumping too much, Not doing heavy squats etc.)
Any suggestions,
Thank you in advance,
Kind Regards.
Oben.
+oben unustasi I think I would base it on your symptoms and how limited you are.
Hello, to begin with, I am 23 years old. I injured my right knee February, 2016. I was getting up from a deep squat. Instantly, I was not able to walk. I literally had to crawl. My knee was locked, it took me a few days to straighten my leg out. One month after, I got a MRI and my knee looked normal. However, I had very bad pain, I was not able to hyperextend my leg and my knee kept locking. Since then, I have had chronic knee pain. When I workout, my knee is more prone to locking. Till this day, my knee is very stiff and I still cannot hyperextend my leg. I am very limited in motions. Therefore, I decided to get another MRI. I just received my results yesterday and the doctor told me I have a large meniscus tear. I am getting referred to an orthopedic surgeon. Before seeing the doctor, I would like to gather as much information as I can.
Any advice you can give me?
Thank you,
how r u now?
Surgery will change your life.
Myxoid degeneration at the posterior horn of medial meniscus what to do
how r u now?
Hi sir .m a cricket player..I got meniscus tear as my doctor told me. I don't know when this tear happened .may be it happened while squatting or jumping ..my doctor told me not to do MRI or any x-ray coz there were no swelling found..so it will heal after 3 wks by own and by through exercises..sir what ur thinking plz rply
Same happened for me...how are you now..did you do surgery?? Can you able to play after the surgery... please do reply
I had a acl reconstruction done of mylest knee in 2007 but suddenly around june 2016 i m feeling pain on the outer side of my left knee, i had an mri done and it shown everything normal except one that i have an intra substance degeneration seen in the anterior horn of lateral meniscus and for that my gave me an shot of hyalone injection but still i feel pain while climbing down not climbing up, plz suggest an option
I can't give you specific medical advice. Generally those issues get better without surgery.
how r u now?
Hello Dr, I am 30yrs old and having grade 3 posterior horn of medial meniscus tear on my MRI, will it be fixed without surgery? I don't have any pain but when I bend my leg full while sitting the it gets locked.
Same here ...please tell ur treatment or any suggestions
Please suggest me. Should i reqire surgery..?
My MRI report point is..👇
1. There is T2WI hyperintensity and irregularity of ACL suggestive of grade ll injury with stretching of PCL.
2. LCL- grade l injury. MCL are normal in appearance.
3. There is grade l injury of posterior horn of medial miniscus:grade lll injury of anterior horn of leteral miniscus.
4. Non diplaced fracture of tibial spine noted. Small contusions seen in leteral condyles of femur and tibia. the visualised joints appear normal.
5. Joint alignment is maintained.
6. Joint effusion noted.
Hi Dr. David
I had just done my MIR and it says
Grade II tear of posterior horn of medial meniscus. Grade IIIA tear of posterior horn of lateral meniscus.
I have slight pain while walking. Do i need Surgery? Please help.
Did you have surgery ?? Let us know and do you feel pain
i am having knee pain for the last six month, when i took MRI it is found the knee tear has damaged and doctor suggest to go for surgery i would like to know surgery is successful or again the pain may be expected
how r u now?
Please help me sir...I have grade 1 tear of meniscus tear seen In my mri but my doctor is telling to do surgery can I have to do surgery otherwise it will grow worse in longer time as said ny my doctor...ease help sir can I have to do surgery to treat grade 1 inner meniscus tear?? And what are the treatment other than surgery please comment