Symptoms of a Meniscus Tear — and When to Seek Treatment
April 2, 2024
Meniscus tears are not one size fits all: Sometimes they cause no pain, other times they’re excruciating.
Once in a while they heal or adapt on their own, but more often than not they require physical therapy or surgery.
“Your meniscus is a fiber elastic cartilage that acts as a shock absorber for the knee,” says Ahmad Bazzi, M.D., a sports medicine physician at Henry Ford Health. “It also helps stabilize the knee joint. But when it tears — which can occur in young athletes after a pivot injury or in older people who have arthritis — it can be painful.”
Here, Dr. Bazzi shares symptoms of a meniscus tear and when to see a doctor.
What Does A Meniscus Tear Feel Like?
Depending upon the level of injury and type of tear, meniscus tears can either be asymptomatic or cause symptoms like:
- Locking. When the meniscus tears, a piece of it might move into the knee joint, causing mechanical issues like stiffness and locking of the knee joint.
- Catching or clicking. This often feels like a sudden ‘click’ in the knee joint, where it suddenly gives out while you’re walking or doing certain movements.
- Localized pain on the inner or outer part of the knee. In young athletes, a meniscus tear often causes an impaired range of motion and localized pain on the inner or outer part of the knee.
- Pain and swelling. In older people, a meniscus tear often causes swelling and an overall aching pain in the knee.
Treatment Options For Meniscus Tears
A meniscus tear can only heal on its own if the tear is on the outer part of the knee where it has better access to blood supply. If you’re experiencing pain a few days after injury and you have limited range of motion, instability and/or swelling in the knee, Dr. Bazzi recommends seeing a doctor to get an examination and, if needed, an MRI for diagnosis.
“It’s hard to tell what type of meniscus tear you have if you haven’t seen a doctor,” says Dr. Bazzi. “If you have a mechanically unstable tear and it goes untreated, it could lead to worsening range of motion and stiffness, or worsening arthritis. It’s important to get seen by a doctor to get an accurate diagnosis and the proper treatment. It may take one to three months for a full recovery.”
Here, Dr. Bazzi shares treatment options:
Surgery
If someone is having mechanical symptoms like locking or catching, surgery may be considered right away, especially if it’s an athlete younger than 40 years old. “Meniscus tear surgery has a shorter recovery compared to other knee surgeries,” says Dr. Bazzi. “Surgery could either consist of a meniscectomy, which is partial or complete removal of the meniscus, or sometimes just a meniscus repair.”
Hyaluronic acid or cortisone injections
Non-operative treatments are often recommended for older people who have degenerative tears due to arthritis. “This is because meniscus surgery doesn’t often relieve their pain since they have underlying arthritis, meaning they have cartilage loss in the meniscus,” says Dr. Bazzi.
Instead, a cortisone injection, which is an anti-inflammatory medication that can be injected into the knee, can reduce inflammation, swelling and pain caused by arthritis.
A hyaluronic acid injection may also be considered, which adds cushioning in the knee. “Hyaluronic acid is one of the substances that make up our cartilage, so this injection helps us mimic the lost cartilage,” says Dr. Bazzi. “It also has anti-inflammatory properties.”
Physical therapy
Physical therapy is another great option, especially for older people who need non-operative treatment options. It can help the knee adapt to the tear, reduce pain and encourage full range of motion. “Physical therapy for meniscus tears focuses on balance exercises and exercises to strengthen the muscles around the knee,” says Dr. Bazzi. “This helps to uphold the knee joint to achieve full range of motion and strength while being pain-free.”
To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.
Reviewed by Ahmad Bazzi, M.D., a sports medicine physician who sees patients at Henry Ford Medical Center – Fairlane.
Sports Injuries & Student Athletes: A Parent’s Guide
March 7, 2023
Playing sports is a great way for children of all ages to maintain a healthy lifestyle. It also builds confidence and teaches them valuable life lessons, like working as a team and the value of hard work. While it may be every sports fanatic’s dream to have their kid make it big time in the arena or on the diamond, sometimes pushing young athletes to be the best at a young age can lead to serious injuries that will take them out of the game altogether.
"Sports help with physical and psychological well-being," says Matthew Santa Barbara, M.D., a sports medicine physician at Henry Ford Health. "However, year-round participation in a single sport at a young age can lead to overuse injuries and mental burnout."
Nowadays, many kids will start playing one sport at a young age and continue to play that same sport year-round for years. This can be harmful to your child because his or her soft tissue and bone structures aren't fully developed. Furthermore, the pressures of year-round participation and focus on excelling, rather than enjoyment, can negatively affect a young athlete's mental health.
Basketball causes the most injuries among high schoolers, causing many visits to the emergency room each year for stressed and torn ankle ligaments. In baseball, the Tommy John surgery, a procedure to reconstruct torn ligaments in the elbow after overuse, has also been increasingly used to treat young athletes still in high school.
How To Prevent Sports Injuries
Preparing your children appropriately before a sports season begins and supporting them during the season is important. Dr. Santa Barbara offers four key pieces of advice to help your youth athletes avoid injury.
1. Don’t limit your child to one sport. Playing a variety of sports in different seasons is a great way to work different parts of the body. When your child gets older, they can make the transition to playing a single sport they are good at and enjoy.
2. Warm up. Make sure your child is properly warming up before they play any sport. Dynamic warmups--incorporating exercises that involve moving the body such as lunges, high knees and arm circles – are preferable to stretching alone.
3. Strengthen core muscles. Building up core strength takes pressure off joints in the arms and legs. It gives young athletes more momentum and can help improve their performance.
4. Abide by rest rules. Many schools and sports leagues have rules in place to limit how many teams kids are on or how often they play. Follow these to ensure your child is allowing time for their joints and muscles to recover from physical activity.
Children participating in a sport should never push through pain, and injuries should be promptly evaluated by a sports medicine physician. Physical injuries are often more obvious, while mental health issues due to sports participation can be more subtle. Symptoms such as fatigue and declining performance can be signs of burnout. In these situations, rest is also important.
"Sports should be fun for kids," says Dr. Santa Barbara. "Avoiding single-sports specialization at a young age keeps the focus on enjoyment while reducing the physical and psychological risks of year-round participation."
To find a sports medicine provider at Henry Ford Health, visit henryford.com/sportsmedicine or call 313-651-1969.
Matthew Santa Barbara, M.D., is a non-operative sports medicine physician at Henry Ford Health. He sees patients at the Henry Ford Center for Athletic Medicine in Detroit, Henry Ford West Bloomfield Hospital, Henry Ford Medical Center - Columbus, Henry Ford Medical Center - Bloomfield Township and Henry Ford Medical Center - Fairlane.