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.
Wake Up And Walk! 7 Benefits Of Taking A Morning Stroll
By
Nick Parkinson, M.Ed., AT, ATC, TSAC-F
Henry Ford Health
May 3, 2022
Still having difficulty fitting exercise into your day? Start by heading out for a morning walk.
No matter your fitness level, walking offers tremendous benefits, including improving your mood, managing your weight, increasing your energy and reducing your risk for disease. All you need is a good pair of walking shoes and a place to stroll.
7 Benefits Of A Morning Walk
Starting your day with a morning walk helps you check something important off your daily to-do list – your fitness.
Even if you only have time for a 10-minute walk each morning, you’ll have up to 70 minutes of exercise by the end of the week. And any type of movement that you add in later in the day, whether it’s taking the stairs or walking to your car at the far end of the parking lot, improves your overall health.
Morning walks offer many benefits, helping to:
Boost your inner athlete. Taking a morning walk boosts your stamina, flexibility and energy. As your fitness improves, you’ll be able to move through your daily activities more easily.
Improve your mood. Getting outside gives you a chance to enjoy fresh air and nature. Walking, like any form of exercise, reduces stress and anxiety. You’ll start the day with a positive attitude, better able to manage challenges during the day.
Increase your productivity. After a morning walk, you feel energized and ready to take on the day. Starting your day with physical activity improves your concentration and productivity.
Keep you standing tall. Many of us are sitting at work or school for several hours each day, often without watching our posture. Walking with your shoulders back and head held up improves posture. Walking also improves your core muscles, which help support your spine.
Manage your weight. After a full night’s sleep, walking helps jump-start your metabolism, allowing you to burn calories at a faster rate. Along with a healthy diet, walking can help manage weight.
Reduce your risk for disease. A regular walking routine can reduce your risk for diabetes, heart disease, hypertension (high blood pressure), obesity and some cancers.
Strengthen your bones. Our bodies are constantly making new bone and breaking down old bone. After age 50, we lose bone mass as our bodies break down old bone at a faster rate. Along with a healthy diet, weight-bearing exercise like walking strengthens your bones and reduces your risk for osteoporosis.
How To Start Your Morning Walk Routine
Keep these strategies in mind as you plan your morning stroll:
Eat a light snack before you walk. After sleeping all night, it’s helpful to eat a light snack or breakfast before heading out the door. Toast with almond butter or some yogurt with nuts and berries can give you the energy you need, especially if you’re planning a longer walk.
Check out different walking routes or events. On a busy morning, you may choose to walk close to home to save time. When your schedule permits, explore different neighborhoods, nature preserves or trails in your area. You may also want to check out local 5K races — many of these events welcome walkers.
Don’t forget to stretch. After walking, take a few minutes to stretch your leg muscles to work out any knots in your calves, hamstrings or thighs.
Increase impact with weights and intervals. As you build your stamina, boost the benefits of your walk by holding light weights or wearing a weighted vest. Try turning your walk into an interval training session by alternating between a fast and slow pace.
Prepare for the weather. To avoid falling on icy winter sidewalks, wear proper boots and spikes. Wear hats, scarves and gloves to protect your skin from frostbite. Wear a hat and sunscreen in the summer heat. Carry a water bottle to stay hydrated, especially on longer walks.
Schedule your morning walks. Add a morning walk to your calendar and keep the appointment. Over time, morning walks can become a habit you won’t want to give up.
Walk with a buddy. Find a walking partner who will hold you accountable for your commitment to exercise. To enjoy even more socializing as you walk, check out walking groups in your community.
To find a doctor at Henry Ford, visit henryford.com or call 1-800-436-7936.
Nick Parkinson, M.Ed., AT, ATC, TSAC-F Supervisor of Athletic Training with Henry Ford Sports Medicine, also leads Sports Performance training at the William Clay Ford Center for Athletic Medicine. He is a regular contributor to Henry Ford LiveWell. Learn more about Nick