LATERAL Meniscus Tears: Symptoms, Treatment (Surgery vs. Exercise), & Recovery Time
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- Опубліковано 28 тра 2024
- In this video, Maryke discusses lateral meniscus tears. She looks at what the research says about surgery for lateral meniscus tears vs. conservative treatment and also what conservative treatment for lateral meniscus tears entails. Finally, she discusses how long the recovery process for lateral meniscus tears might be.
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📽️Videos you may find useful:
▶️How to treat meniscus tears: • Treatment for Meniscus...
▶️Exercises for meniscus tears: • Meniscus Tear Exercise...
▶️Cortisone Injections - How They Work & When To Avoid Them: • Cortisone Injections -...
▶️Do Injections Just Mask Injuries? • Do Injections Just Mas...
📚Chapters:
00:00:00 Introduction
00:00:56 Anatomy
00:02:38 How does a lateral meniscus tear happen?
00:03:00 Lateral meniscus tear symptoms
00:04:26 Does a lateral meniscus tear require surgery?
00:06:56 Lateral meniscus tear treatment - conservative approach
00:14:04 Lateral meniscus tear recovery time
00:15:07 How we can help
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References:
Gastaldo, M., et al. (2022). "High quality rehabilitation to optimize return to sport following lateral meniscus surgery in football players.” Annals of Joint, Vol 7.
Van De Graaf, V. A., et al. (2018). "Effect of early surgery vs physical therapy on knee function among patients with nonobstructive meniscal tears: the ESCAPE randomized clinical trial." Jama 320(13): 1328-1337.
Van der Graaff, S. J., et al. (2022). "Meniscal procedures are not increased with delayed ACL reconstruction and rehabilitation: results from a randomised controlled trial." British Journal of Sports Medicine. Published Online First: 22 September 2022. doi: 10.1136/bjsports-2021-105235
Lee, Yong Seuk, Lee, O-Sung, Lee, Seung Hoon. Return to Sports After Athletes Undergo Meniscal Surgery: A Systematic Review. Clinical Journal of Sport Medicine: January 2019 - Volume 29 - Issue 1 - p 29-36 doi: 10.1097/JSM.0000000000000500
Lavoie-Gagne OZ, Korrapati A, Retzky J, et al. Return to Play and Player Performance After Meniscal Tear Among Elite-Level European Soccer Players: A Matched Cohort Analysis of Injuries From 2006 to 2016. Orthopaedic Journal of Sports Medicine. 2022;10(1). doi:10.1177/23259671211059541
Englund M, Guermazi A, Gale D, et al. Incidental Meniscal Findings on Knee MRI in Middle-Aged and Elderly Persons. New England Journal of Medicine 2008;359(11):1108-15. doi: 10.1056/NEJMoa0800777
Kise Nina Jullum RMA, Stensrud Silje, Ranstam Jonas, Engebretsen Lars, Roos Ewa M. Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up. BMJ 2016;354 :i3740
Brukner, P, et al. Brukner & Khan's Clinical Sports Medicine (5th ed.) Vol 1: Injuries. (2017) McGraw-Hill Education.
Borque, K. A., et al. (2021). "Evidence-based rationale for treatment of meniscal lesions in athletes." Knee Surgery, Sports Traumatology, Arthroscopy: 1-9.
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I’m going through the worst time of my life right now. I’m a postman who can’t walk! I’ve never been laid up for more than 2 weeks but now? Having to take STD for months and doing nothing but sleep+rehab has me questioning my whole life like nothing ever could. The reassurance I’ve taken from this video is leagues beyond anything I could articulate here. Thank you from the bottom of my heart for making this!❤ I’m 2 sessions into what looks like 180 sessions till a hopefully full recovery. 3 months and counting. Wish me luck! Good luck to y’all out there suffering the same knee pain. I can empathize 😂
Thanks for sharing!
Good luck and best wishes!
Hi, I too am a postal worker, (clerk). I tripped at work on one of those plastic bands that are used to bind magazine bundles and fell on the cement. I have been out of work for 2 months and am in a lot of pain!
How is it going now
Wtf man me to @@melbamitchell4835
After residencies in surgery and EM and 50yrs of practice I've never seen such a terrific overview of meniscus tears...well done!
Hello
Please let me what you think, i’m terrified of surgery. I’m 60 years old MRI shows arthritis, in my lateral knee, and 😢bucket handle meniscus that’s needs surgery I’ve had too many episodes where I go three weeks without any praying and then I can get up from having dinner and then I feel a pulled muscle where I cannot move my leg, I eventually get it straightened, but it’s very painful to walk. What are steps to recovery after surgery? And I was told I was still having pain.
try microcurrent fsm first since they use that in the VA for all the joint pain,.. What will also work is stem cell but that will cost $5K -oviously stem cell can become any tissue.
@@Cordycep1 Kaiser doesn’t believe in stem cells, and my insurance won’t cover it
you were more informative than my doctor!
Your comment about importance of movement for the hydration/fluid supply in the joint is an absolute mind blowing way to look at it. Thank you
You're welcome!
Very smart lady. This was a huge help to me
Sincere, detailed and very informative clip. Touched my heart!!
Fantastic info and great presentation. Thanks for sharing
This is the best sports physio channel I have found. Thanks for the detail.
Wow, thanks!
I injured myself 4 weeks ago and basically did some research on this. I basically followed exactly what she has said. Big difference in my leg! The thing that sucks is the full recovery time but hoping the end result is very good and I can continue my cycling/gym life style at its fullest. Key word is patience .
What is the full recovery time?
Very useful advice! Thanks for your thorough explanation too.
My pleasure!
Outstanding and comprehensive information well done 👍
So nice of you
Always great content . Cheers .
Much appreciated
Grateful to come across this video… would love one on medial tears!
We do have one on that: ua-cam.com/video/C6loNMqxj7A/v-deo.html
Very informative and wonderful video! Thank you for sharing all the wonderful information 😊
You are welcome!
Very Informative. Thank you so much.
You are welcome!
That was very helpful, thanks for the information 👍
Glad it was helpful!
Very informational. Thank you.
Very welcome
Great video! You explain very well.
Thank you!
Amazing information and really helping 👏🏻👌🏻👍🏻
Glad it was helpful!
absolutely great video ,made me very knowledgeable about my tear and what to expect!
Glad it was helpful!
Thank you for this, really good information 👍👍
My pleasure!
Amazing! Very good informations!
Thanks for watching!
Great video, thank you
You are welcome!
Thanks for this video, it has helped me
You're welcome!
Thank you so much. I was in a quandary. Now going for MRI. Was in excruciating pain for a while.
Best of luck!
thank you for this video ❤❤❤
Welcome!!
정확한 설명 감사합니다♡
Very useful information
Thanks a lot
You are excellent…..Viva South Africans‼️‼️‼️🇿🇦🇿🇦🇿🇦one here too….your info has helped me tremendously plus my physical therapy.
I’m 68 years old. Three years ago while bodyboarding I got hit by big wave on the side of my left knee. I had to crawl out of the surf and could barely move. Unfortunately I didn’t realize at the time that I had done some damage. I was a mountain biker, so after resting for a few weeks I got that on the bike. I bought a boarded a few more times, but it seem to aggravate my knee. I continued to hike and mountain bike. A year and a half ago. My husband had a shoulder injury and we stopped biking. I came off a hiking trail and the next day was in agony. My left knee had ballooned. My entire leg from the ankle to the thigh was black and blue. I went to the orthopedist and was diagnosed with complex meniscus tears, a burst baker cyst, and stage 2-4 osteoarthritis. I did PT for a week, but could hardly move my knee because of the fluid. I had some of it drained and continued sports PT. I had remarkable results with my left knee. Without any warning, my right knee ballooned. I continued PT, but it seem to worsen. An MRI showed complex meniscus tears, including a lateral. Also a lot of fluid and a bakers cyst. My knee would lock up in any movement planting my foot even picking my leg up to the side with send me through the roof! I have not gone back to PT yet because of family issues. I do have a stationary bike which I use and I am doing balance and stabilization exercises. It has gotten better. Thank you so much for a great explanation of not only the anatomy but possible outcomes. I urge anyone that feels that they’ve done some injury to their knees to get it checked ASAP. I believe I created more damage by waiting. Once you have OA there is no correction.
Whats oa?
Spell out the words, no abbreviation!!
Osteoarthritis
@@chantallxvx4102 🫡😂
very usefull, thank you very much!
You're welcome!
Years of wear and tear on my knee I think has taking its toll. Just left the specialist and she thinks I have a torn meniscus. I’ve had fluid drained twice in the past two weeks from it and it’s very painful. I initially thought it was gout bout the fluid was tested and it showed no crystals. I have to have a MRI now just to make sure, but now I’m out of work for who knows how long because of this. I pray everything works itself out
I just recently diagnose with a complex tear lateral meniscus and high grade acl i am very scared since my ortho surgeon immediately tell me than i need to go through surgery to repair it but good thing i watch this video it helps me alot thank you.
Good luck with your recovery!
I was actually under the impression that my medial meniscus was torn but from what I was reading from my operation report I actually had 3 procedures done 1. Arthroscopy of left knee with partial lateral meniscectomy.
2. Chondroplasty, medial femoral condyle.
3. Chondroplasty, patellofemoral joint.
I also read this I had a free edge tear in my lateral meniscus
I recently had a re occurrence of meniscus injury and your video is truly helpful, i will try to follow your methods and see whether it works. Ill post my updates here
Good luck with your recovery!
Any updates on your progress?
Thank you so very much you gave me more valuable information then the Dr that treated me at the Urgent care facility still waiting to get MRI my X-ray was ok …. Happened teaching a ballet jump to students at school . Sharp pain outside of knee and in back of knee . Thank you I pray I dont need surgery.Hello from the Border Laredo Tx .
Good luck with your recovery!
Good explanation sir ...I have to see this video ...I have to confidence myself ..
All the best
thank yo so much for explaining
You're welcome!
Nice thanx God blles you
Most welcome 😊
Thank you so much for your help!!! Super informative!!!
Glad it was helpful!
thank you so much
You're welcome!
Thank you very much it really helped me, been injured for over a month now but the pain is mild now, I can a little bit but it's still uncomfortable and gets painful when I run hard
Glad you found it helpful!
My physio skipped satge 1 and went straight to stage 2. How frustrating. I've had no resting time. I've had it 6 months now, and it's exactly the same. I may go back to the beginning & start again. Im 60 so i expect its going to be a long journey. I just woke up with mine one morning so unless Ive been doing some kind of gymnastics in my sleep I have no idea how it happened either. Thank you for this video. I feel way more informed. At least I now know 100% that I have a lateral meniscus tear from your description of the symptoms.
Good luck with your recovery!
I’ve been scouring the internet since I injured my knee last week and this has been the most helpful video yet. My doctor suspects a meniscus tear, I will get an MRI soon. I am really hoping it’s not a meniscus tear, but I’m grateful for this video answering so many of my questions if it is. I wish recovery was quicker, I already miss running. 😢But I guess there’s hope that limping around and not being able to fully bend or straighten my knee won’t last forever.
Thanks for sharing, and good luck with your recovery!
Suffering for years with my knee..meniscus tear..no surgery just living with the injury😢..l can't even do the required exercises 😢
Great video..l wish l could get your help
One of our team of expert physios would be able to help you via video call. More info here: www.sports-injury-physio.com/
Great video, any chance you have the same video for the medial meniscus? Thank you again ❤
Here's our video for the medial meniscus. Its Description has links to some more videos: ua-cam.com/video/C6loNMqxj7A/v-deo.html
Thanks
Welcome
It has been 10 months since I tore my meniscus and sprained ACL. I wear compression and still had to go to work as a teacher. Swelling went down and I start to feel much better...and then I feel awful again. Probably over doing it. Then I begin to heal again...and now I'm on my second "flare up." I got up off a low couch one day and felt injured again shortly after. Probably the twisting motion. This video makes a lot of sense. Once the pain stops, I begin to resume my "normal" activity level...and that irritates it again. This is going to be a long healing journey.I'm wondering why after 10 months, I'm still not all the way back to my regular level of activity. I'm 58. Thank you for making this video.
Thanks for sharing, and good luck with your recovery.
This is the best information I have found and matches so accurately with my experience. I am in week 9 and while it fluctuates from day to day I feel I am 80% better. The information about movement and the nourishment of the muniscus thru Synovial fluid is very important. I feel like modest movement is better than just sitting and not moving.
"Synovial fluid is a thick fluid with an egg-white-like consistency that lubricates and reduces friction between joints. When synovial fluid is low, which tends to happen with age, it can contribute to joint stiffness and other aging-related joint conditions like osteoarthritis." Thanks you so much!
You're welcome!
Great video, thanks! I tripped on a kerb in September last year. My right knee started to click in November. I had 6 physio sessions via my employer but they thought it wasn’t a meniscal tear because I had too much movement in the knee and there was no swelling. An X-ray showed mild OA changes and pseudo gout (I’m 63, male, previous spinal surgeries, on the heavy side and already use a walking stick :) Anyhow was taken to hospital by ambulance 2 weeks ago in quite a lot of pain. MRI showed lateral meniscus tear. I’ve been off sick from work since November (I’m a UK-based mental health nurse). The recent flare-up appears to have subsided and the orthopaedic consultant wants to see me again in June. I’m going to go back to work if my boss agrees and engage with physiotherapy. I just hope the delay in diagnosis won’t hinder my recovery. Thanks again.
Thanks for sharing, and good luck with your recovery.
I think I did this to myself playing badminton. Thankfully, I found an old crutch in the back of the wardrobe 😁 Thank you so much for all this information, it is very helpful 🙏🏻
Glad you found it helpful!
I tore both meniscus and ACL
I'm only 27 and I went hiking 2 months ago, cycled the day after and my knees have been awful since.
I think I tore my lateral meniscus in my left knee over 10 years ago while playing basketball and I never got it looked at. I still feel pain till this day. When I play basketball my left knee feels weaker than normal. If affects my movement and jump shot. I also feel it when I walk at times.
I have exactly what you described
Bucket handle injury is no joke. My knee got stuck suddenly while doing something very simple. It was impossible to straighten my knee without surgery. I am happy that it was repaired, but I am afraid to go back to martial arts. I don't know what caused it, but I bet it was my years of jiu jitsu (a lot of crazy movements).
It’s the worst when you don’t know exactly what caused the tear. I tore my hip labrum by unknown means and now I’m too afraid to go back to riding horses because the injury derailed my life for ten years (nobody diagnosed it and thought I was making the pain up because there was no instigating moment of onset).
I'm glad that you're both better now. It can be really hard to decide what is the right thing to do after injury.
I found this video because of a knee injury I sustained from Jiu Jitsu. My right leg got crushed while playing guard, and next thing I knew, my right foot collapsed into my left shoulder. I heard 3 loud pops in my knee. I have swelling on the outside and back of the knee. But I can walk and do all my daily activities. Just not sure what to do from here without surgery!
@@mikelester7502You need an MRI
Hi, I have a bucket handle tear from simple things, I’ve had recurrent issues and now I’m going ahead with the surgery, they may need to cut out damaged part, anyway how was your recovery? Do you still have knee pain? I was told I may still have pain especially knee cap, tell me abt your case please
Great video! Had a traumatic event 3-4 weeks ago. Got hit pretty hard on side of thigh 4-5” above my knee. At first just pretty sore in all of leg (didn’t notice anything particular in knee itself) but hard headed and like always felt like it would heal up in a few days. Played in a golf tournament the following week. 1st day ok just touchy. 2nd day was different story. When shifting weight to my front leg knee couldn’t hold it and would go over and cause pain. Survived. That was three weeks ago and have been trying to do much of the some light work to strengthen it back up and retain flexibility.
Seems like the accident may have caused a lateral meniscus tear. I’m 62 but have stayed in pretty good shape and hoping I can recover without any surgeries.
Thanks for sharing, and good luck with your recovery!
Doctors useless diagnosticians in the US.
Hello! I hope you are doing well. I recently got my MRI results, and it mentioned a grade 3 tear at the posterior horn of the medial meniscus. The report also states that the ACL is not adequately seen. There's no joint effusion. I'm quite worried and hesitant about surgery. Can this be fixed through physiotherapy and a knee immobilizer? I really want to explore alternatives to surgery. Your insights would mean a lot to me during this challenging time. Thanks in advance for your help.
Hi! Great Video! Thank you for all the great information. I have a question: Right after initial injury how long should I try to keep weight off my knee? How long should I be using a cane? 1 week? 3 weeks? When do go from phase one to phase two and starting to exercise it?
There is no set time for progression because every person's injury is different and people also heal at different rates. Progression is according to how your knee tolerates different activities etc. A physiotherapist will be able to guide you through this process.
I tore my lateral meniscus mid February. At first, I couldn't walk up stairs at all, it was way too painful. Two weeks after I tore it I started walking more, stretching and going on an exercise bike eventually. Now three months later, I've been at rugby training twice a week and I've also play in a few games, one been the full game. I also participate in the scrum as I play lock and I haven't really had any issues, my knee just feels a little "off" sometimes but I haven't had much pain at all, mainly discomfort.
I tore my meniscus while running on a treadmill preparing myself for rugby season. When I was on the treadmill, I was feeling unstable but I kept pushing and increasing the speed until I stepped too hard and tore my meniscus. I got a sharp pain, but I could walk quite fine but I couldn't even lift my leg up to put in on the side of the treadmill. This happened after I just after trained legs so my muscles were fatigued.
Learn from my mistakes and rest if you have too, it's much better than having an injury that will probably linger for the rest of your life. I've been too afraid to squat and I'll probably wait a few months until I try.
Thanks for sharing!
Hello! Thank you for this video! Could you make a video about chondral tears/defects? I have it in both my knees and the MRI showed “stage three chondromalacia” in my no operative knee. It hurts as much as my operative knee doing PT. I’ve had hyalauronic acid injections for the nonoperative knee but it’s not really doing anything.
I have added it to the list. Best wishes for your recovery x
Hi Maryke. Super video as always. Gutted as just been told I have a lateral meniscal tear, my knee is unable to straighten/extend fully naturally. Waiting for MRI appointment to confirm. Gutted and very low as walking running keep the demons at bay. Trying to get my head around it and very much NOT wanting surgery. Am I right in thinking that because my knee can’t fully straighten then I have a bucket handle tear? Fearing I have the worst type of meniscal tear. Clutching at straws and worrying I have made mine worse with pushing myself through pain with painkillers.
Going to try all the strength training/rehab you have suggested. Thank you so very much for your videos, super helpful! ❤
It may just be that the meniscus is swollen and stopping extension - don't go and overdo rehab - rather do things like gentle movements and load management to give it the best chance to calm down and the swelling to reduce inside and you may regain your extension.
@@SportsInjuryPhysio thank you so very much for replying Maryke… it’s the knee extension with the towel/foam roller under knee one that I can’t make any progress with, I can get my calf to lift but only slightly in comparison with the other leg, pain smack under the knee cap going into the top of the shin bone, feels as if something is stopping it, I truly hope it is just a matter of time. I will keep persevering with the rehab. I will also give your video on TENS machines a watch, see if buying one may help with the pain/quad activation? Thank you so very much once again. Super videos from yourself, so comprehensive and far better than anything on here! Thank you! ❤️
I have grade 3 mensicus tear doctor has suggested me for the surgery can that be fixed without surgery i Play cricket as well
I got today the recommendation to do surgery for medial meniscus tears, I'm so freaking sad about it. I tried conservative therapy for 6 to 8 months and I improved a lot, but apparently not enough.
Also, I feel a little bit stupid because I'm not sure if I ruined my own recovery by getting too greedy and comfortable, I went from not being able to walk and not being able to do a squat, to biking 60 km and squatting 100 kg (this is the part that worries me, maybe I ego lifted and screwed up my recovery)
Anyways, too late for regretting, hope to be soon doing my sports again and having my life.
Strong hug to everybody going through this injury, we will recover our lifes :)
Thanks for sharing, and good luck with your recovery!
Do you have a video on medial meniscus tears?
Yes, we have two:
Treatment for Meniscus Tears - Tips My Patients Find Useful: ua-cam.com/video/C6loNMqxj7A/v-deo.html
Meniscus Tear Exercises: 23 Exercises Explained and Demonstrated: ua-cam.com/video/eaph0zLlzPI/v-deo.html
Is about 10 month with meniscus injury but up to now i fill some pain
7 weeks ago my left knee locked. Hospital gave me some drugs to straighten it out and put a mechanical brace on it for 6 weeks. MRI says I have a small tear. Now brace is off and sports support is one and feels good. Am waiting for the UK NHS report before physio, but as i dont walk far but cycle a bit, is 7 weeks a good time to start doing some strength exercise (i have been stretching it within the confines of the brace). Havent had a shower in 6 weeks because of this mechanical support!!!
Rehab exercises are usually started within 5 days of sustaining a meniscus tear so I really don't think you have to wait for any reports before you go and see your physio. I would suggest that you speak to your doctor and get physio organised asap.
@@SportsInjuryPhysio Many thanks, now I understand a lot more. Seems it is indeed a small lateral tear. Thx again
Thank you 🙏
Welcome!
Impresion:-Lateral meniscus posterior horn tear near the root attachment with meniscal flap projecting in the intercondylar notch. An additional posterior horn lateral meniscus tear is noted in the peripheral third.
Intact femorotibial articular cartilage and medial meniscus. Will this tear heal?
I can't answer that, but usually the best thing to do is not to worry about it and start doing your rehab. If you find that you are improving continue rehab, but if you find that you don't improve, then consider other options.
I have a friend who has been receiving PRP injections in both knees. His left knee is doing well but his right knee appears to have Baker's cyst issues. Could the Baker's cyst problem be directly related to the inflammation caused by the PRP injection?
PRP is not meant to cause such a significant inflammatory reaction, so it is more likely to be down to the initial injury. But the doctor should be able to cast more light on this.
This is a nice video. I have surgery next week for a bucket handle tear. I wondered about the statistics for how many people have more problems that didnt show on the MRI. I heard from a few people including the surgical nurse, that sometimes they have to sew something notseen on the MRI. Cutting out my torn meniscus will be a quick recovery but sewing say a ligament will be longer. What percent of people have an unexpected surprise waiting inside the knee? Thanks.
There is no percentage to quote but it is not uncommon - But also, don't worry about it too much - just because they have to do a bit more in there doesn't mean your recovery will be longer.
@@SportsInjuryPhysio thank you very much! That is reassuring!
Hello Doctor, here is my story - about two months ago, I started playing badminton outdoors daily for 1 to 1.5 hours. One day, I felt pain above and below my patella, but the pain went away the next day. However, this pain continued for another 15 days, after which I began feeling pain above both of my patellas when going up and down stairs. I took some rest and started playing again, but whenever I played, I experienced pain in both knee areas, and it lasted for a few days, with more pain on my right knee compared to my left knee. I also didn't use proper shoes and played outdoors.
Recently, I've been feeling like my right leg has become slightly shorter, like 2 or 4mm shorter. Visibly, it's not noticeable, but when I walk normally, I feel like my right side is going down a little compared to my left. Additionally, when I try to stand straight and lock my knees, my left knee is fine, but my right knee feels like I am hitting something right below the patella.
So, I went to a local doctor, who stretched my legs and pressed on my knee cap and told me that it's just knee cap pain. He also gave me Arachiton Nano 60K IU Vitamin D3 (5 ML per day), Rejulox-C (daily 2 for 30 days), and MeAxon plus tab (daily 1 for 30 days) and said that he was giving medicine for cartilage improvement. I've been using these for 15 days, but my pain while going upstairs has only improved slightly. My right knee still feels the same way, a little lowered when walking, and I feel a hitting pain when I straighten my knee to the maximum.
The doctor also suggested that I not use stairs, and to go for quadriceps strengthening exercises and some cycling. Honestly, I haven't gone for physiotherapy yet, but sometimes I do cycling exercises at home, and whenever I do that, I get some pain in both knees that lasts for 1 to 1.5 days.
Based on my history, can you tell me what could be the problem, and do you think there could be a tear in my meniscus? Can I still get back to playing sports (now, I am being very careful in choosing my shoes and only playing indoors)? If so, how long does it usually take to recover? Also, I almost forgot to mention that I am 30 years of age, and I have learned a lot by watching your well-organized videos.
Thank you.
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
I tired going to your site but it doesn't work, I've had calf issues for about 15 years since I've played football and keep having cramp I would love to discuss and have a consultation to see how I can improve this
I'm sorry to hear that - it could have been a temporary glitch.
The site looks fine from our side at the moment. Could you please try it again? www.sports-injury-physio.com/
@@SportsInjuryPhysio now it works ☺️
Hi doc!
I just had my meniscus torn last week, went to doctor and he prescribed medicines. I felt much better after a week than back to my lifting weight with my PT. But my knee got a bit warm after that so I went back to see my OT doctor. He told me to take rehab sessions. My question is what kind of weight lifting exactly that I can not do to heal faster? Thanks❤
You should ask your PT that - I can't tell without assessing you.
Thank you so much for your information. I don't know if i have a meniscus tear or not but the symptoms are exactly of meniscus tear and it happened when i fell from my bed and my knee hit the tile on the ground. My knee then started to swell up and i couldn't even bend my knee it's been almost 4 months and i almost fine but i can't stop suddenly while running or walking cause it hurts my leg for a while and i can not walk properly then in winters i can feel more pain while twisting my leg more often. Hope if you can help me with this 😢
This does sound like something we can help you with. One of the physios in our team can do an assessment of your injury via video call and work out a personalised rehab plan. More info here: www.sports-injury-physio.com/
How about clicking Doc?i do walking without any pain....but if i play basketball and do running i can feel a slight pain that i run a lil limping....not before that i can accelerate straight running
Yes, a lateral meniscus tear can cause clicking.
Hello! Thank you for this video! I just got an MRI scan and I got a 4,5 mm lateral meniscus tear (radial)…Do you think that needs operation or is conservative treatment recommended instead?
Most of them recover without surgery and there is no way to predict it so, unless your knee is locking, then it will likely be able to recover with rehab only.
hi I had a bucket handke lateral meniscus tear. I recently had a partial meniscectomy, any tips for rehab and what is my outlook like post surgery? I want to get running soon. I had surgery 3 days ago
It is very important not to rush your rehab too much - Remember that it is the weightbearing part of the joint that is injured and it will take several weeks to be happy to carry full weight - if you do too many load bearing exercises e.g. squats or increase walking too quickly, it often just irritates the cartilage and you get pain and swelling - so ease into things and give yourself permission to take 8 to 12 weeks before getting back to running. In the meantime, find a way to use a stationary bike - cycling feeds the joint due to lots of movement without pressure going through the joint and can really speed up recovery. You can find exercise examples for meniscus tears in this video - you may have to progress more slowly after surgery but your physio will guide you on this: ua-cam.com/video/eaph0zLlzPI/v-deo.html
A combination of a radial tear and an extensive horizontal tear is noted in the body and posterior horn of the medial meniscus. Just got my MRI report. Not sure how complex it is. can this be managed by PT. Please advise
Scan results doesn't really tell you much with regards to how it will reacts to rehab vs. surgery. The only way to know is to trial 12 weeks of a slow progressive rehab plan and then decide - if you are making progress, then continue rehab. If you are not really making progress, then surgery may be an option.
❤😂 my answer to my pain, harm, hurt,: doc discouraging🎉😅
I just had surgery on my meniscus they only had to trim it, so you recommend a brace when I return to working out/running
Not really - your rehab has to prepare you properly for your training - braces aren't usually needed for meniscus tears.
If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call - my colleagues Barry, Kevin and Dominic will be best suited to help you with this. You can read more about how the online consultations work here: www.sports-injury-physio.com/services
Hi
I’m so thankful I found you. I had a bucket handle tear of my lateral meniscus 5 days ago and my knee was locked in flexion for 3 days when it suddenly opened with a pop.
Now I’m on anti inflammatory medication and have been advised arthroscopic menisectomy to be done after 5 days
I’ve started on your Physiotherapy routine from today.
I just hope I’ll get back to normal soon. I’m 57 years old but I run, do high altitude treks and strength train. My life looks pretty gloomy at the moment.
Do you think my muscles will regain enough strength to trek by the end of the year from your vast experience
Thanks in advance
Yes! You sound pretty fit to me so your muscles will be fine by then. The first few weeks can feel as if nothing will wver get better but usually after week 4 you start seeing good results.
@@SportsInjuryPhysio thank you so much for your encouraging reply
@@SportsInjuryPhysio how about my good leg. Should I do the same exercises on both legs. I don’t want the good side to get weaker
@@rajyashreechamaria2888 not a doctor but I recommend doing it on both legs I had surgery on my tibia and eventually one leg got stronger than the other now I’m here
@@isaiahpierre3695 thank you. I’m doing the exercises on both legs
Hi thankyou for the information provided, I am having the same pain that you are showing in the video part 3:13. This pain comes and goes. It happend again while I was just standing and somthing unusual came into the knee with a pop and that cause difficulty in standing usually I wait for another pop that adjust my knee again, but why does it happens again and again.
Sometimes there is something loose in the knee and it just catches in the wrong position - then you can't really place weight through it because it pinches but when you move the joint a bit, the thing goes back into place and you can go again. Often it is a tear in the meniscus that folds back on itself.
Thanyou for your feedback, how do you recommend to treat this@@SportsInjuryPhysio
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
May I send you Mri report
Lateral meniscus tear and grade 2 PCL tear
An MRI report on its own isn't very useful - the information has to be married up with your injury history and the results of clinical tests, which we can do for you via a video consultation with one of our physios. You can find more information here: www.sports-injury-physio.com/
How can i take with u ? Cuz i have injury and I didn’t find u on the websites
I'm afraid that I've stopped all my clinical work, so I can't offer you an appointment. However, I have taken great care to build a team of physios who have the same level of experience and approach injury treatment in a similar way as I do, so please do consider booking in with one of my colleagues. www.sports-injury-physio.com/
I had meniscus trim on left lateral knee a year ago and it may be the worst thing i've ever done. Now it's feels very sore at times and tons of
clicking and perhaps some catching. I'm not sure what to do at this point . Wish i never did it. On the initial write up before the procedure it says medial arthroscopic surgery and doc ended up doing lateral .
In most cases like this, working on really strengthening the knee slowly over time is the best solution. At the start you may find that you have to use very light weights and restrict the range of motion you work through but this then slowly improves over several months.
I'm getting there too. Just had mine done 6 weeks ago and I can't tell what direction I'm going. I've hit a wall and haven't gotten back to normal yet despite moving it, stretching it and trying to do PT exercises.
Thank you so much for the video Dr.!
Sir i Had a tear 2 weeks back and the Mri showed that i had a lateral minscus co capsular separation, though i had no swelling at all i had pain the next day after the injury but after a week the pain is gone i can walk with a little unease but it doesn’t hurt at all while i walk, my Dr. Suggest me to undergo arthroscopic repair but I honestly don’t want to go for a surgery. I am 23 years old and quite physically active( used to workout 5-6 days a week) do you think conservative treatment will help me because i asked my doctor about it and he said the minscus won’t heal unless it is attached to the bone again. Sir please help me with your advice
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
@@SportsInjuryPhysio I would not have surgery - sounds like your knee is on its way to recovery.
Is there need for surgery for a small radial tear in the white zone. No pain etc, will this inevitable get worse over time now that the rear has begun?
The current advice is that if you have full function without pain, surgery is not required because surgery carries its own risks and may cause your knee to actually get arthritis earlier than if you didn't have surgery. Also, there really isn't any evidence that a tear like that will get worse without surgery.
I’m in my 30’s. Had a motorbike accident 13 years ago tore my ACL. Got surgery done for it, now for same knee I have been told that i have a meniscus tear also and cyst formation. But i have full range of motion. I usually get severe pain and stiffness around knee every now and then when i have too much activity. But it gets back to normal in 2,3 days. I’m having this condition since last 7 years. If i just get cyst removal surgery done and stick with some rehab will that be enough?
Removing the cyst doesn't really work that well - it usually comes back. I discuss baker's cysts (which I assume is what you're talking about) in this video: ua-cam.com/video/ZuErcWYqWTA/v-deo.html
Greets madam ..After 6 years of ACL surgery ,I had a buckle tear in lateral meniscus which is getting locked nearly 4-5 times once in a gap of 3-4 months and getting notorious pain ...please guide and suggest me madam
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
Thank you for this video!!! My knee has been hurting for three months. I cannot sit without it becoming unbearable. I went to the dr yesterday and she sent me for an XRay. Thank god the XRay came back fine. No arthritis or anything else. So I asked ok what do we do from here? I was told “go to PT.” What??? Why would a PT touch me without knowing what is going on? I have a clear X Ray. I wonder if I would have a similar from an MRI. Something is really not right with my knee and I don’t understand the logic of just getting PT when we don’t know what is going on inside my knee. Am I off base on this??
An X-ray scan only shows bone, so it wouldn't show any possible injuries/damage to soft tissue in your knee joint, e.g ligaments or meniscus. PTs are usually able to diagnose soft-tissue injuries by making you do certain movement tests, and would only decide how to proceed with treatment once they know what is going on. In rare cases when a PT cannot diagnose you with certainty, an MRI would be useful.
Is meniscal repair preferable over conservative treatment in the meniscus area with no blood flow?
It depends on your age, how active your are and what condition your joint is in. Very young, active people tend to get better results from repairs in those conditions but for most others conservative treatment works find for lateral meniscus tears.
Can a lateral meniscus symptoms go up to muscle above it? vastus lateralis, quads, or surrounding...
Can it effect to the hip also?
Thanks
It can if the pain is causing the muscles to tighten up.
It's crazy I haven't got an mri yet but my ortho thinks I have a tare that's cought in my joints but if I go up steps if I push off with my injured knee it feels like the lateral collateral ligment is snapping but my ortho said my ligaments looked fine in the xrays 🤷🏼♀️
X-rays don't show ligaments - only MRI scans can show that. But the ligament doesn't usually give a snapping sensation when it is injured - it is more likely the torn meniscus that is creating that sensation.
@@SportsInjuryPhysio interesting how a little area of the knee feels like it's creating chaos throughout the knee lol
I had ACL reconstruction + menisectomy on my right knee last 2013. Everything went well after that till last week while I was playing some basketball. Planted my foot wrong. felt a pop now I can't flex my knee on a specific angle without getting pain. I'm afraid i reinjured my knee again.
Praying for you
Hello doc! Ive been dealing with this for years. It'll sometimes lock and swell for weeks during wrestling matches. First ortho thought I had "snapping bicep femoris" now after a MRI they think is lateral discoid meniscus. MRI doesn't show torn, but if its not torn why does my leg lock out and leave me needing physical therapy for weeks? And after one lock out its way more likely to lock the first month after injury.
Hmmm. don't know - sorry.
Hi, I had "Complex bucket handle type tear of the lateral meniscus with a flipped fragment within the intercodylar notch and associated strut tear" I had arthroscopy on the knee 4 weeks this Sunday, I am currently wearing a hinged knee brace restricted to 90 degrees for 6 weeks is there anything else I should be doing? I am approaching 4 weeks since surgery, still on crutches and unable to fully weight bare, the surgeon said the op went well (1 hour) and that he managed to repair the damage with 3 stitches rather than removing the cartilage. My current daily exercises involve sitting on the edge of the bed and raising my leg so it's straight and holding for 5 seconds, 5 sets of these a day. Thanks
You have to check with your surgeon - they likely have a very specific protocol for when you are allowed to move on to other exercises.
I don’t know if I’ve torn my miniscus I’ve just got back from training and i kind of have an aching pain on the side of my knee . I can fully extend my knee but it just has a slight ache
It might be torn but can't really tell by just reading the description - a physio will be able to perform test on it and give you an answer.
Well this video has put me in a bit of a dilemma. I'm due for surgery in 2.5 weeks. My left knee medial meniscus has a horizontal cleavage tear and ACL rupture. The meniscus tear and ACL rupture are evident, but over the course of 9 weeks, there is zero pain when doing any exercise (ATG squats for example) and zero swelling, pretty much from week 2. I felt a fair amount of instability early on but not a lot anymore and the meniscus is catching a bit and fully extending (into hyperextension) feel a little friction of the meniscus and bone touching. But zero swelling and zero pain. Only 9 weeks on. So do I go ahead with ACL reconstruction surgery and meniscus repair/menisectomy in 2.5 weeks or wait (if I wait my 8.5 week newborn will be crawling and recovery will be harder I think)?
It sounds like your case will actually benefit from surgery - this video is about lateral meniscus injuries and they are very different from medial. Significant medial meniscus tears combined with ACL tears often does better with surgery. Also, you sound as if you're young, so your knee will likely benefit from surgery more than an older person's.
@@SportsInjuryPhysioso do you think there is a world in which I can suggest to the surgeon to not do a meniscectomy and only repair it or leave it. And reconstruct the ACL.
Hello, I’ve had and MCL and lateral menus tear I’m in the 12th week since I got the injury, I’ve been doing your exercises and I got better, I can walk I can run to an extent, but when I play ball I have pains, like my knee side gives off a weird slight pain for a minute and then stops, it hinders me from freely using my leg, what do I do?
When you kick a ball or play with it into different directions, it actually places quite large forces through your knee. It may just need another couple of months to regain that final strength and be ready for it. So I would suggest that you continue your rehab and keep the ball activities to very gentle and not very competitive for now.
Alright, I really want to appreciate this video. You have really been of great help, I’ll continue to do the rehab, so it’s okay for me to still play a bit yes??
Or should I stop for now?
Do you advice I play with a brace on?
I’m trying to figure out what’s up with my knee. It keeps getting really stiff (not painful just stiff) the day after a long run and some other days unprovoked. If I lift my leg to a 90 degree angle and wiggle it from side to side the joint will pop and then the stiffness goes away for a day or two. No clue what this is.
That doesn't sound like a typical presentation so I would not want to hazard a guess at it - a physio should be able to assess it for you and diagnose it.