Meniscal Injuries
What is it?
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The meniscus is a C-shaped disc of cartilage which cushions the knee and helps to distribute weight evenly. Each knee has two menisci, one which sits at the outer edge of the knee and one at the inner edge.
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There are two types of tears: degenerative and traumatic.
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Degenerative tears are relatively common and can be found in about 60% of the population aged over 65.
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A traumatic tear generally occurs from a twisting motion whilst the foot is planted and the knee is bent. These are quite common in sports such as football.
Typical Symptoms/features:
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Pain on the inside or outside of the knee.
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Clicking of the knee.
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Locking of the knee (inability to move the knee without use of hands).
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Pain with bending or straightening the knee all the way.
Management:
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Activity modification
- When you first start noticing knee pain, it may help to reduce your activity for a short amount of time to allow the pain to settle.
- However, keeping active and slowly returning to your normal levels of activity can help the pain to settle quicker.
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Ice or heat
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Pain relief
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Physiotherapy including range of movement exercises and a graded strengthening programme.
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Orthopaedic options- In cases with severe and/or prolonged symptoms, or if the knee is truly locked, an orthopaedic opinion may be warranted.
Do I need imaging?
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Imaging is typically not required to diagnose or treat a meniscal tear. However in cases where the knee becomes locked or if there was significant trauma, an MRI may be useful.
