Meniscal Tear? Everything you need know! (symptoms surgery and recovery)
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- เผยแพร่เมื่อ 19 มิ.ย. 2024
- If you have had a Meniscal tear, today Simon Moyes is breaking down symptoms and treatments of the meniscal tear.
In this episode we look at meniscal tear symptoms and then discuss treatment options including meniscal tear surgery and also meniscal tear recovery time. Simon Moyes and Chris Myers discuss the main causes of a Meniscal Tear and what to do when you have one.
Mr Simon Moyes is a highly in-demand consultant orthopaedic surgeon practising in his private clinics in London. He specialises in arthroscopy in addition to knee, shoulder, ankle, and foot conditions and treatments. Following his general medical training at The Middlesex Hospital, Mr Moyes subsequently received specialist trauma and orthopaedic training at Westminster Hospital Registrar programme and the Royal National Orthopaedic Senior Registrar Programme. Additionally, Mr Moyes completed fellowships at both North Sydney Orthopaedic and Sports Medicine Centre and Southern California Orthopaedic Institute in Los Angeles, USA.
00:00 - What is the knee menisci?
01:58 - Who gets a meniscal injury?
04:20 - Which meniscal tears heal and which tears do not? How does this relate to osteoarthritis in later life and return to sport?
08:01 - What are the signs and symptoms of an acute meniscal tear? When is it a surgical emergency?
11:00 - How do you diagnose a meniscal tear?
12:50 - Which meniscal tears can be repaired and how do you know if it can be repaired or not?
14:40 - How do you repair a meniscus during surgery?
16:20 - Post-operative management following a meniscal repair
20:25 - How do you know if a meniscal repair has worked?
23:00 - Does it matter how long you wait after a meniscal injury for surgery - the sooner the better?
23:35 - Does every surgeon perform meniscal repairs - both private and NHS?
24:05 - Why a meniscal repair is the best option for a meniscal tear for the long-term health of your knee joint.
24:18 - What if you cannot repair this meniscus - what is next? What is a meniscal resection?
25:23 - What are the signs and symptoms of a degenerative meniscal tear?
28:00 - Can you predict who will and who will not get better without surgery?
30:00 - What is the recommended treatment for a degenerative meniscal tear?
30:40 - What if a patient has a meniscal tear and osteoarthritis of the knee - does this change the treatment options?
33:15 - What are the treatment options for osteoarthritis of the knee?
35:30 - What are the injection options for osteoarthritis of the knee?
37:43 - Bone marrow and stem cell injection options - what are they and do they work?
40:30 - Steroid versus hyaluronic acid versus platelet-rich plasma (PRP) - which injections work?
43:03 - Bracing for knee osteoarthritis - what are the options and do they work?
47:10 - Summary of key points during podcast - วิทยาศาสตร์และเทคโนโลยี
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Thank you that was awesome information. I am 61 & just tore my menicus & do not want surgery. So I am hoping the therapy as you have mentioned will heal it ! God bless you for doing this video! 😊
Thankyou so much for his video. Clear, evidenced based. Really really helpful
Excellent content. Thank you.
I love the type of well-educated English accent that Simon has. It makes him sound super intelligent!
Wow. This is fantastic. Thank you so much for a really informative interview.
Hi, thank you for your feedback. Really glad that found it useful. Please follow our channel for more videos or take a look at our website blogs page. complete-physio.co.uk/blogs/
What an incredible video! Thank you so much for making this, I shall now go into my next appointment fully prepared and educated. 👍😁🙏
Hi, thank you for your feedback. Really glad that found it useful. Please follow our channel for more videos or take a look at our website blogs page. complete-physio.co.uk/blogs/
Really informative video, 👏🏼 well presented both.
Glad you found it useful. Please follow us if you would like to keep up to date with our latest videos.
Great video and excellent explanation
Glad you liked it! If you'd like to stay up to date with all our new content then please hit the subscribe button if you haven't already done so.
Thank you gentlemen … very informative
Glad that you found it useful.
Please like and follow our channel for up to date videos. You can also fine lots of useful information on our website. complete-physio.co.uk/blogs/
Thank you so much for that great info!!!!
Glad that you found it useful.
Please like and follow our channel for up to date videos. You can also fine lots of useful information on our website. complete-physio.co.uk/blogs/
Thank you for this.
Glad you found it helpful.
You only listed sports injuries and age-related meniscus damage, but you should have also included auto accidents, which is how I got a lateral tear in one knee and a medial tear in the other knee.
Correct! Car accidents can cause traumatic injuries to knees and all other joints. I hope you're recovering well.
7 months after the collision I was in, I’m still confused whether I should get surgery on both knees that still cause level 2-5 pain constant with intermittent shooting pain. My meniscus are still attached. The Dr isn’t communicating what and where the repairs would be exactly and if the tears are likely to heal over time without surgery.
@TrutherThinkTank I'm having similar issues but only one knee. Are you having any physical therapy in the meantime? I'm doing all this without an attorney and thought the medical community would be more authoritative. But it seems even they may need an attorney or us to tell them what to do. It's quite odd. I just want to be better.
any accidents!!!
What if you have osteoarthritis and had an injury causing a medial miniscus tear
Love the information. Havve knee locking when walking.
Glad you liked it! If you'd like to stay up to date with all our new content then please hit the subscribe button if you haven't already done so. You can also fine more info on meniscal tears on our website complete-physio.co.uk
Very informative. I have bilateral meniscus tear and OA long standing,doing physio at the moment. Not keen on knee replacement at my 72 years of age. The brace really help especially when golfing. I am relatively painfree except on certain movements.
Hi, Thanks for getting in touch. Glad that you found it useful. If you would like to get up to date info and videos then please follow our channel. We also have lots of information on our website too. complete-physio.co.uk/blogs/
Great information meniscal video It would be very helpful to have had some information on cost of some of the treatments as most people who want to help them selves and do not have insurance would have to fund themselves best video i have ever seen on tis subject.
Hi Stephen, this is quite a difficult question to answer as it depends exactly what surgery or treatment you require. Surgeons and hospitals have different pricing structures for self pay patients so it is best to contact the secretary of the consultant who you would like to see. With regards to physiotherapy treatment prices here is a link to some of the treatments we offer and appointment costs.
completephysio.connect.tm3app.com
agreed the nhs is broken, but not sure i can afford private
Helpful
Glad that you found it useful.
Please like and follow our channel for up to date videos. You can also fine lots of useful information on our website. complete-physio.co.uk/blogs/
I injured my knee in a soccer game 10 weeks ago. I just started walking straight with very minimal limping. My limping is caused from pain when my leg is in full extension while bearing weight on it. I do PT once or twice a week, I also do strength training on my own in the gym. I think I can heal with no surgery and willing to wait a few more months. It's getting better very slowly.
Good luck with the rehab. It can be a slow process. Make sure that you touch base with a physiotherapist if you feel things are not going to plan.
I recently had a meniscus repair surgery and my surgeon told me there was damage to the cutaneous nerve because of which I feel slight numbness and burning sensation in my lower leg - will that recover with time , could you please ask the Doc to share his thoughts, would be very helpful ?
I am 27. Slightly above avg athlete. I do trail biking, basketball, and bowling. I hyperextened my right knee lifting something may 2022. I tried to avoid surgery for that. In that time i compensated heavily on my left knee and i ended up tearing that meniscus. I heard the pop when that happened. I tried to limit my activity but i continued to bowl here and there (probably made it worse). Started doing PT november of 2022 till may 2023 and didnt see any improvement. I think I waited to long to take action. I had a bucket handle tear in my medial meniscus got the repair in may 2023 and it failed 2 months later.
This can be a devastating injury from personal experience.
I'm really sorry to hear this. You have been incredibly unlucky, I hope that you are on the mend, it can be a slow road to recovery but you will get there. If we can be of any help, please get in touch. complete-physio.co.uk
Excellent video. Love the British accent.
thanks! and dont forget to sub...
I had meniscus surgery 1 year ago. swelling never went down with therapy and some pain. got a MRI. shows fractured bone. my new doc says its just a complication, has me using an unloader brace and suggested that i buy Exogen ultrasound bone stimulator. 58 yo male your thoughts?
Hello! Thank you so much for this video! Very informative because I recently got news of a meniscus tear. It says I have oblique posterior horn tear of the medial meniscus. How do I know if It’s in the red or white zone in terms of healing on its own without surgery? The reporter of the MRI also didn’t put the dimensions of the tear that I can see on my report.
Hi. This is a difficult question to answer. The best thing to do is to see an orthopaedic consultant and ask them to review your MRI. They will be able to give you advice on whether they think it will heal without surgery or not.
I am both. Sports injury tear of meniscus and now age
I slipped on black ice I’m hairdresser 43 years walked for 30 years ride bike in us for 9 years 7 months a year tore both meniscus flipped my bucked handle meniscus that’s why he is going in getting surgery waiting 5weeks for this surgeon hope to be back to work in 2weeks pry for me
Are tou currently walking with a limp??can you fully extend out your leg???
I woke up in knee pain medial to my patellar tendon, I can’t walk, bear weight or traverse stairs without severe agony. I am icing it while I figure out what to do. Seems like something clicking and falling around in there if that’s possible. Had a medial meniscal tear 20 years ago. Location wise it looks like Pez Anserine Bursitis. How might I distinguish between medial meniscus tear & Pez Anserine Bursitis?
this sounds like my knee cant straighten it all started with me hitting my foot on a metal cart and i strapped it up as it usually heals within a couple weeks... wish i could get them to mri my knees foot etc
Very helpful…..putting off meniscus surgery
Glad you liked it! Hope you manage to avoid surgery.
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@@CompletePhysio said no to surgery, doing my Physio exercises daily….pain almost all gone after 2 1/2 months. Have scoliosis and spinal stenosis too….no surgery. Doing daily exercise for this too. Takes all of 15 minutes and pain of all conditions at about 10%…..worth that time to make me feel better. I do believe in the mind body connection and that the body heals itself with the right conditions and exercises for that condition. I avoid meds and injections too unless it’s so bad I must. Just can’t do my long walks anymore🥲. Yes am following.
Woooow ❤❤❤❤
Informative thank you. i cant straighten or bend my knee i think i nee doperation :(
Hi, I hope you get your knee sorted. If you would like more information on knee injuries please follow our channel or take a look at our website. complete-physio.co.uk/blogs/
Good luck
What if you had the meniscal repair (lateral) surgery and now you feel much worse after 8 months than before the repair. Lateral knee pain and tons of clicking and cracking . Is there any hope ??
Sorry to hear that you are still having pain and symptoms. I would suggest that you return to see your consultant, or look for someone to give you a second opinion. If there are no complications from the surgery, you will need to embark on some focused knee rehabilitation. We would be happy to take a look if you are London based. Good Luck
5 wks ago , I injured my knee. Yesterday I had a MRI, diagnosed w/a medial meniscus tear & a Baker's Cyst. So far I don't know the degree of the tear. Very painful, I can't lay my leg flat, and it's hard to sleep. Also painful w/a pillow. So far the DR says no surgery is indicated, will have physical therapy, compression, Nsaids, I have a brace. In 6 wks. I go back to the DR if not better.
Have you seen a physio yet? We would be happy to see you in clinic
Same, baker's cyst,medial meniscus posterior horn tear, early June/ late May..see orthopaedic next 7 September. Age 55 was hiking 26km daily for years. Now gentle spin bike, rower, upper body weights you tube Caroline Girvan, fish oil, curcumin,othero supps, collagen powder, vit c, magnesium, k2, vit . Also ankle weights while cycling to add a bit of stimulus to leg muscles.
@@angeladavies you don't see the Ortho until Sept 7? Why so late? I have a complex meniscus tear, Baker's cyst & a Bone Bruise. My DR says my knee is a mess! I go see him again this Tues. No better. So you are exercising, it seems. How is your cyst? Mine is leaking and hurts. I haven't started PT yet, until the 24. You were really active! You hope not to have surgery? I just want to get better, and get over this mess.
@@estelleadamski308 I saw assoc prof Tim Lording in Melbourne Australia, he did multiple test while I on bed, looked at MRI seems just wait and give it time. Baker's Cyst no longer hurting but initial weeks crap.
@@angeladavies Hello Angela, Do you plan on getting back to hiking?
I have questions. I have meniscus tear verified by MRI.
What do I do if I aggravate the meniscus and have pain?
How do I prevent aggravating the meniscus?
Does the meniscus tear heal or repair if I practice physical therapy for long time like 3 months?
What actions would aggravate the meniscus?
Hi, Thank you for your questions. If you have aggravated your knee pain, you should rest it and ice it, and seek advice on taking appropriate pain relief medication. If your symptoms don't start to settle after a few days then I would suggest that you see professional advice from a Physiotherapist, sports doctor or your GP.
Activities that tend to aggravate the meniscus are things like deep squats, twisting and turning movements and side to side or change of direction activities.
A torn meniscus can settle an heal in time, with patience and physiotherapy - 3-6 months is a good timeframe, but it depends on a number of factors and every individual is different.
I hope that helps. You can find further information and advice on our website complete-physio.co.uk/what-is-a-meniscal-tear/
I’m a mental health nurse. I have suffered with back problems for years and had spinal fusion, so rely on my knees as I can’t bend very far. Approx. 3 months ago after kneeling my right knee started to click every step I took and while laying in bed if I moved the knee. The clicking stopped after a couple of weeks and the pain/dull ache began on the inner part of my right knee. I went to urgent care and after a very quick examination said I have bone on bone arthritis. I’m waiting for a physio apt from work but it’s taking a while and I’m worried I’m doing more damage by walking on it. The pain ramped up tonight so not sure if I’ll make it to work tomorrow. Do you think it’s a meniscus tear or something more serious? I’m male, on the heavy side, 62, but my knees have been without issues apart from bursitis in my 20s. Many thanks.
Hi, Thank you for getting in touch. It would be very hard to make a diagnosis without doing a full assessment.
I hope that you get a physio appointment soon. If it is an option, then you may wish to see a private physio for an initial assessment, which will likely be quicker.
If you are London based then we would be happy to help.
Here is our website. complete-physio.co.uk/clinics/
@@CompletePhysio thanks for getting back to me. The physio has ruled out a meniscus tear as I have full range of movement. I’ve been assessed has having arthritis around the patella and they have strapped it up using a blue tape. I’m taking some rest from work and doing leg extension exercises from a seated position. I think it’s gradually improving.
Hi. I hope I am not too
Late to ask. I’ve been having clicks and pop sound at my right knee. Is it one of the symptoms of meniscus tear?
No. If you’ve actually torn it, you would know. Popping and clicking is normal
Hi, If you are concerned then you should get a proper musculoskeletal assessment by a trained physiotherapists or GP. Lots of people suffer from clicking knees, but it doesn't mean that there is any significant damage, especially if it is not associated with any pain. You might also find this video helpful. th-cam.com/video/j0sC7cSixs8/w-d-xo.html
what i the brand name of the brace you recommended at about the 44:15 mark - it sounded like "Oxo Offloader?" I could find a match although there are many "offloader" knee braces our rhere
Hi Stephen, we tend to use the Ossur unloader knee brace. www.ossur.com/en-gb/bracing-and-supports/unloader/unloader-braces
What’s a bucket handle?
It is a type of tear in the meniscus of the knee. This blog has more information you might find useful. complete-physio.co.uk/what-is-a-meniscal-tear/
I had knee surgery when I was 19 yrs old. The result was abysmal . At every stage along the process from GP, physio and specialist I was given bad advice, culminating in incompetant, botched surgery.
Really sorry to hear that.
Nooooo. NHS arnt offering repairs. They almost laugh you out when you present the issue to them. They don’t even consider repairing. I had a five year battle, just getting them to entertain an MRI and they even argued with me when I told them I had insurance. I had just turned 40 and had a specific tear sound / experience and the 25 year old physio did no physical assessment, just told me I was old and she signed me off. I asked and asked many many times if it could be repaired? I was told bluntly it can’t be repaired. So people who have insurance and approach a GP are told no can’t be repaired. Even the two consultants I went to, we’re not interested in repairs. Iv asked about cartilage farming, and stem cell treatment from the hip bone, and nobody is interested in this?
What if your doctor was Christopher Walken?
17 year old grand daughter got kicked by a cow. Surgery is this week.
That sounds like a very painful injury! I hope your granddaughter is recovering well.
I wish the doctor would stop interfering with the interviewer !