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'Prepapalooza' Kicks Off 3-Week Celebration
May 31, 2016
By Geoff Kimmerly
Second Half editor
Nearly 30,000 athletes will take part over the next six days in what will again be the busiest week of the MHSAA calendar, with teams in all nine spring sports competing for District, Regional or Finals championships at sites across both peninsulas.
The first Finals champions of this spring will be awarded Wednesday in Upper Peninsula boys tennis (UPDATE: both U.P. tennis Finals have been moved to Thursday due to rainy weather concerns), followed by six more in Upper Peninsula boys and girls golf Thursday. Four divisions of Lower Peninsula girls tennis start their two-day tournament Friday, and on Saturday, more than 7,000 athletes will join them competing in four Lower and three Upper Peninsula Track & Field Finals.
In addition, baseball, softball and girls soccer teams begin District action tonight, with most of those tournaments wrapping Saturday. Girls and boys lacrosse teams continue Regional play this week, and Lower Peninsula boys golf teams will play Regionals on Wednesday, Thursday and Friday.
Second Half again will serve as your home for all MHSAA Finals coverage, with correspondents providing stories and photos, along with full results, from all of the Upper Peninsula Finals this week and then all 18 LP and UP Finals this weekend, Lacrosse and LP Golf Finals on June 14, and Baseball, Softball and Soccer Finals being played June 19-21.
Check back as well for video highlights from most competitions and sign up to watch all broadcast tournament action over the next three weeks for only $9.95 on MHSAA.tv. All schedules, lists of competitors and tournament brackets updated with scores real-time can be found on MHSAA.com. Keep connected as well with the MHSAA’s social media on Facebook, Twitter and Instagram.
PHOTO: The Unionville-Sebewaing softball team celebrates last season's Division 4 championship.
![A person holds a knee that may be injured.](/sites/default/files/2024-04/240402_HF_2H.png)
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.