Edward V. Craig, M.D: Nonsurgical: Meniscal Tear
Injuries and Conditions : Knee : Meniscal Tear : Treatment : Non-Surgical : Conservative Treatment of Meniscal Tears
 
Overview
A damaged meniscus may not require surgery for a full recovery. There are some cases where patients with tears that do not cause locking of the knee, can improve over time. Differences in the severity and type of injury will affect the treatment, as well as the degree of activity that the patient wishes to pursue after treatment.

Meniscus injuries range from minor tears to complete tears of the structure. Some patients, even those with quite severe injuries, may choose to not undergo surgery. A partially torn meniscus can rebuild itself. However, a more severe tear will require surgery to repair and prevent further damage to the joint.
Rehabilitation Program
  • Ice packs around the knee may be used to reduce pain and swelling, usually for 20-30 minutes every hour until the pain subsides.

  • After the activity or behavior that has injured the meniscus is identified (running, soccer, etc.) the modification or elimination of the injurious activity is required while the tears are healing.

  • Bandaging the knee helps reduce and prevent swelling.

  • Anti-inflammatory medications (NSAID's) may be prescribed.

  • A knee immobilizier or other type of brace may be recommended.

    		•
    Medication and Medical Products
    Knee: Support A knee support is a sleeve-like support that fits firmly around the knee. The support is used to reinforce the joint during motion and provide compression to aid healing and reduce pain and swelling. Patients suffering from knee strains or inflammation will usually be directed to use a support during daily activities.

    The thin and flexible construction of the support allows for normal movement of the knee and also allows the support to be worn under loose fitting clothing. To prevent harmful pressure to certain structures, the support applies differing compression around the knee. The sides of the joint receive intermittent pressure to help stimulate blood flow while the rear of the support fits relatively loose to prevent constriction of circulation. The kneecap is aided in positioning, but remains free of compression to allow its natural movement.

    Knee supports can be used to treat:

  • Strains
  • Sprains
  • Inflammation
  • Chondromalacia patella

    •
    NSAIDs NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
  • Pain resulting from inflammation or swelling.
  • Pain after injury.
  • Joint pain and arthritis.




    • Long-Term Expectations for Recovery
  • Patients can expect a full recovery after treatment.

  • With moderate exercise to recondition the surrounding muscles and reduce stiffness after injury, a patient may participate in athletic activities at their pre-injury level.

  • If the meniscal tear is a result of a specific athletic activity, the patient will need to discontinue or modify that activity to prevent re-injury.

    		•
    Possible Complications and Risks
  • The meniscal injury may recur if the patient returns to the injury producing activity.

  • More severe injuries that are treated non-surgically may not heal completely, demanding the knee be used at a less intensive level during athletic activity.

  • Injury to other structures of the knee may occur if the meniscus is not providing correct support, lubrication or insulation from impacts while running or walking. Damage to the bones of the knee or cartilage can be severe if activity is continued on an injured meniscus.

    		•