The knee meniscus is a fibrocartilaginous structure that provides cushioning and stability to the knee joint. A meniscus tear, one of the most common knee injuries, occurs when this cartilage is torn, often due to twisting or turning quickly, especially with the foot planted and the knee bent.
Meniscus tears are classified into three types: minor, moderate, and severe. Minor tears might cause slight pain and swelling, but generally, the knee maintains its stability. Moderate tears can lead to pain at the side or centre of the knee, swelling, and stiffness, often worsening over several days. Severe tears involve pieces of the torn meniscus moving into the joint space, leading to a locked knee that cannot be fully straightened, pain, and swelling.
Symptoms of a knee meniscus tear vary depending on the severity of the tear.
The most immediate and noticeable symptom often occurs at the point of injury or on the inside or outside of the knee. Additional pressure placed on the knee could lead to prolonged or intensifying pain.
This can occur immediately or may develop over several days post-injury. Swelling is a reaction to the knee injury and an indicator of joint inflammation.
Difficulty in fully straightening or bending the knee is common, often due to pain or swelling. This can cause complications in everyday activities, such as walking, bending, going up or down the stairs, wearing trousers, or getting out of the car.
In severe cases, torn pieces of the meniscus can lodge in the knee joint, causing it to lock up or catch during movement.
Instability or the feeling of the knee not being able to support weight reliably, especially when making twisting or turning motions
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Knee meniscus tears can occur due to the following causes and risk factors:
The condition is often seen in athletes, especially those involved in contact sports like football or sports that require quick turns and stops, such as basketball or tennis. Sudden pivots, deep squatting, or heavy lifting can lead to a tear, especially if the knee is already bearing weight.
As people age, the meniscus weakens and thins, making it more prone to tearing. Even mundane activities like standing up from a squatting position can cause tears in older adults.
Individuals with congenital knee problems or misalignments may be more prone to meniscus tears.
Occupations or activities that involve repetitive squatting or kneeling can increase the risk of a meniscus tear.
Those who have had injuries in the knee are more susceptible to developing the condition.
This involves the use of medications such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), opioids, and other specialised medications designed for pain management. The type and dosage are tailored to the individual’s condition and medical history.
Minimally invasive treatments aim to effectively relieve common pain conditions by targeting pain sources.
For chronic pain conditions originating from spinal issues, Neurospan can be performed by our team of pain specialists from Singapore Paincare Center.
Preventing knee meniscus tears involves strategies aimed at reducing the risk factors and strengthening the knee joint.
Some meniscus tears, particularly minor ones, can heal on their own with rest and conservative treatment. This healing potential largely depends on the tear’s location and size.
Surgery is not always necessary. Many tears can be managed effectively with non-surgical treatments, especially if the tear is small and on the outer edge of the meniscus.
Recovery time varies depending on the tear’s severity and treatment. Conservative treatment usually requires several weeks, while recovery from surgery might take several months.
Many people return to their previous level of activity after a meniscus tear, but this depends on the injury’s severity, the treatment chosen, and the rehabilitation process.
If not properly managed, a meniscus tear can lead to complications like chronic knee pain, swelling, and an increased risk of developing knee arthritis.
Strengthening the muscles around the knee, maintaining a healthy weight, using proper sports techniques, and avoiding activities that put excessive stress on the knee can help reduce the risk.
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