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Tear in the meniscus

Hi Doctors- I have been diagnosed in MRI report as "Discoid lateral meniscus noted and horizontal clevarage-type tear through the anterior horn .body and posterior horn".
Doc suggested me to go through the surgery to cut the tear. My knee pain is not so severe. I am able to walk with no issues but some uncomfort in the knee sometimes.
My worry is Do I really need to go through surgery given my situation. Please please advice. I really appreciate your guidance here.
Thank you.
Best Answer
15631377 tn?1448394622
Hi...sudsha
One of the most common knee problems an Orthopedist sees in the office is a degenerative meniscus tear.  A meniscus is a cushion inside your knee.  It aids in stability of the knee and minimizing the stress across the knee, thus minimizing the risk of developing osteoarthritis.
Meniscus tears are incredibly common. Although meniscus tears occur in all age groups, they are most common in adults over 50.  There are many different types of meniscus tears.  By far the most common tear is a degenerative tear of the posterior horn of the medial meniscus.
A recent article published in the New England Journal of Medicine  out of Finland studied patients with degenerative meniscus tears. They studied whether the result of an arthroscopy (surgery) was better than a sham surgery (where the patient is brought to the operating room and thinks they had the surgery).
• Your decision about surgery for a torn meniscus will depend on where the tear is located, the pattern of the tear, and how big it is. Your surgeon's experience and preference, as well as your age, health, and activity level, can also affect your treatment options.
• There are two kinds of surgery for a meniscus tear. One kind repairs the tear by sewing it back together. The other kind removes part or the entire meniscus. In general, it's better to fix the meniscus than to remove it.
• Some types of tears can't be fixed. For example, radial tears sometimes can be fixed, but it depends on where they are. But most horizontal, long-standing, and degenerative tears—those caused by years of wear and tear—can't be fixed. For these kinds of tears, you may need to have part or the entire meniscus removed.
• You may want to have surgery if your knee pain is too great or if you are unable to do daily activities.
• Surgery may help you reduce the risk of other joint problems, such as osteoarthritis. There are no long-term studies to prove it, but many doctors believe that successful meniscus repair helps to evenly spread the stress placed on the knee joint. If the knee is protected from uneven force, there is a lower risk of future joint problems.
• Some kinds of tears heal on their own. Instead of surgery, you may try rest, ice, compression, and propping up your knee on a pillow when you sit or lie down.
3 Responses
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144586 tn?1284666164
The above advice is terrific. I couldn't add anything.

Experimentally, small intestine pig mucosa (do a google search on Discovery magazine), has been used to facilitate regrowth of the tissue.
Helpful - 0
Avatar universal
Thank you Doctors for your valuable inputs. My pain in the knee is manageable  and just inconvenience while walking . I am still in my late 30's and no other complaints so far. I am keen to follow non surgical ways but Doctor here told me that if I delay in surgery,there is a huge risk of ortheritis.

its concerning me a lot as I had never been to any surgery so far in my life.
Helpful - 0
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