
Meniscus Tears Can Be Very Painful: Here's What to Know

Most of us remain blissfully unaware of our meniscus until knee pain strikes. Once this crucial shock absorbing cartilage ceases to work properly, it may lead to ongoing pain and inflammation.
Fortunately, there are a variety of surgical and nonsurgical options that repair the damage and pain of a torn meniscus. Sports medicine doctor and orthopedic surgeon Robert A. Mileski, MD, treats meniscus tears and more at Phoenix Orthopedic Group in Scottsdale, Arizona.
What causes a meniscus tear?
Each year, around 1 million people in the United States experience meniscus tears. Located in the middle of each knee between your thighbone and shinbone, the meniscus is composed of two C-shaped pieces of cartilage. It often tears as a result of a sports injury or degeneration due to arthritis or aging.
An acute tear may occur when you:
- Rotate your knee
- Stop suddenly or pivot
- Kneel while lifting a heavy object
A degenerative tear, on the other hand, develops gradually over time. Dr. Mileski repairs both acute and degenerative tears.
Symptoms of a torn meniscus
Whether you’ve torn your meniscus by twisting your knee playing sports or simply walking over uneven terrain, certain symptoms usually appear within 24 hours. These include:
- Pain
- Swelling
- Stiffness
- Difficulty extending your knee
- Locked knee
- Popping
Dr. Mileski examines your knee and diagnoses your injury through X-rays or MRI (magnetic resonance imaging) to help choose the best course of action.
Nonsurgical solutions
Dr. Mileski may employ platelet-rich plasma (PRP) injections containing growth factors and other restorative substances from your own blood to reduce your inflammation and pain.
During the initial stages of your injury, we suggest the RICE method, which includes:
- Rest
- Ice
- Compression to reduce swelling
- Elevation
We may recommend medication, as well, to ease your pain.
Surgical intervention
Dr. Mileski offers arthroscopic knee surgery to repair your torn meniscus. This minimally invasive surgery involves smaller incisions than traditional surgery.
During the procedure, Dr. Mileski:
- Places your knee in a stabilizing device to keep it in position
- Inserts a lighted arthroscope tube with a camera through a tiny incision
- Views images on a screen
- Repairs torn cartilage guided by these images
Dr. Mileski completes the surgery by closing your incision and bandaging your knee.
Postsurgical care
During the first few days following your procedure, Dr. Mileski recommends you:
- Elevate the knee to reduce swelling
- Use over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) or prescription pain medication
- Avoid putting weight on the knee
- Keep the area bandaged and clean
We may also prescribe physical therapy or at-home exercises to rebuild your strength and mobility.
How to prevent meniscus tears
While we offer various ways to repair your torn meniscus and reduce your pain, the best option is to avoid tearing your meniscus in the first place. To that end, Dr. Mileski proposes several suggestions, such as:
Perform dynamic stretching beforehand
Movement-based stretching often works better than static stretches. By mirroring the specific actions of your upcoming activity, your body eases into it, reducing risk of injury and soreness.
Build your core muscles
Strengthening your legs helps reduce pressure to the meniscus.
Pay attention to other injuries
Repairing any other injuries, such as anterior cruciate ligament (ACL) sprains, to lower your risk of meniscal tears.
Dr. Mileski treats a variety of injuries as well as meniscus tears.
We’re here to help
Minor meniscus tears may resolve through gentle exercise, such as:
- Mini squats to strengthen your quadriceps
- Hamstring curls for flexibility
- Standing heel raises to build calf muscles
- Sitting leg extensions to strengthen your thighs
Stay away from deeper squats or any movement that involves twisting your knees. Check with Dr. Mileski before beginning any exercise routine when dealing with knee pain to ensure the best outcome.
The most common sign of a torn meniscus is persistent knee pain and swelling. If you’re experiencing sudden or ongoing knee pain, or wish to discuss other orthopedic issues, simply schedule a consultation online or by phone with Dr. Mileski at Phoenix Orthopedic Group today.
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