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.
The Inside Scoop On Ski Safety: 6 Tips
January 10, 2023
Injuries happen to skiers of all levels, even under pristine conditions and when using the best available equipment. “Beginners are more likely to get injured. But when experienced skiers go down, they tend to have more severe injuries,” says Michelle Gambino-Gorney, a certified athletic trainer at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
But you don’t have to let the risk of injury hold you back from having fun on the slopes. A few basic safety tips? Stay within your ability level and ensure your skis are in good condition. That said, going beyond ski safety basics and learning how to avoid injuries can help you stay safe on the slopes. Here are six expert tips:
Use caution when getting on and off the ski lift. Ski lifts make a lot of people anxious. Being high off the ground on your journey up the mountain can invoke a fear of falling. “But it’s getting on and off the ski lift where the vast majority of lift-related injuries occur,” Gambino-Gorney says. To lower your risk of injury, remove pole straps and backpacks before loading, look over your shoulder to make sure you sit squarely on the seat at the correct time, and don't try to retrieve items you lose hold of (including poles, gloves and phones). It’s best to let them go and ski back for them.
Keep it simple at terrain parks. Terrain parks include human-made features like ramps and rails that enable skiers to do jumps, flips and other maneuvers. Any time your skis leave the ground, injuries are possible. You can safely enjoy terrain parks by starting with smaller obstacles and maneuvers and mastering them before moving on to other challenges. Do not rely on online tutorials to learn new skills. Ski instructors can help you learn the correct technique and provide personalized tips for achieving your goals.
Beware of trees. Trees present multiple dangers. Colliding with a tree, especially at high speed, leads to some of the most severe ski injuries. A small number of skiers die each year from tree collisions. To avoid collisions, ski with control. Other concerns include tree wells and snow immersion suffocation. This type of injury occurs when a person falls head first into a pocket of loose snow near a tree trunk and gets trapped. Skiing with a partner on ungroomed paths, which typically run past tree wells, is essential. If you become immersed in a tree well, a partner can step in to help you break free.
Pay extra attention during your final run of the day. Injuries are more common during skiers’ last runs. “Skiing later in the day can be dangerous because small changes can affect your ability to maneuver and react to conditions,” Gambino-Gorney says. Fresh powder may get matted down. Groomed areas become bumpy. And fatigue can make you less aware of hazards and other skiers. While it may be tempting to give it your all on your last run, it’s better to ease up and take your time.
Follow the Skier Code of Responsibility. People of all ages, abilities and ski levels can safely share the slopes when everyone follows the National Ski Area Association™ Responsibility Code. Key points include: Giving right of way to people ahead of (downhill from) you, staying off closed trails, and looking uphill for other skiers when merging.
Expedite access to help in an emergency. Being prepared can help you quickly reach ski patrol in an emergency. Most ski areas list their ski patrol phone number near the lifts. While you are waiting in the ski lift line, program it into your phone. If you or someone nearby experiences an injury, being able to call for help will save precious time. Instead of waiting for someone to ski down the mountain and ask for help, you can stay with the injured person and call for help. Calling also makes it easier to share important details so that ski patrol arrives with the appropriate people and equipment.
“Skiing is like any sport in that there’s a risk of injury. But many people hit the slopes without incident. Some skiers go decades without a single fall,” Gambino-Gorney says. Follow these insider tips and don't forget to wear a helmet so you can relish your next powder day and get the most out of the season.
To find a sports medicine provider at Henry Ford, visit henryford.com/sports or call 313-651-1969.
Michelle Gambino-Gorney is a certified athletic trainer at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.