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Have a small meniscus tear in my left knee

Posted on 7/19/22 at 5:16 pm
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34222 posts
Posted on 7/19/22 at 5:16 pm
42M, 5'11 165

I've had this pain in my bottom left corner of my knee since i was a kid. It always came and went and I thought i had grown out of it. It came back in Nov and hasn't left. Its odd, it doesn't bother me while i run or lift(which is daily), but ill wake up in the middle of the night with throbbing pain.

Saw a dr and got an MRI and he said there is a small tear in the meniscus but nothing crazy for a very active 42 year old former athlete.

He said it hasn't turned over(whatever that means), and it would be an easy scope, or I can do conservative treatment and live with it. He said if i do surgery there is a 3x higher chance ill get arthritis in it at some point.


Im just curious if this is accurate and how serious this injury is? Its odd ive had it since i was 10. So was it torn my whole life and got worse?
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
191 posts
Posted on 7/19/22 at 5:38 pm to
One of the most recent studies from JAMA

Check out this article that just got released.
Posted by CodeName1
Member since Mar 2021
230 posts
Posted on 7/19/22 at 7:58 pm to
He’s referring to a bucket handle tear. Small tears aren’t a big deal. You’re past the age that any surgeon would repair that. If you have had it since you were 10, you probably have scar tissue buildup that conservative treatment and therapy could help somewhat. Generally everyone see’s almost immediate relief from a meniscectomy, but arthritis is just about a guarantee down the road like he said. Live with it until you can’t.
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
191 posts
Posted on 7/19/22 at 9:05 pm to
He doesn’t mention a bucket handle anywhere, which would have been noted in his imaging. I have had the same “pain” off an on in my knee and I have yet to worry about it.

Our bodies age on the inside the same as we get gray hairs and wrinkles on the outside.

Edit* I jumped the gun and started to go negative against your comment but then reread it in entirety
This post was edited on 7/19/22 at 9:09 pm
Posted by Boss
Member since Dec 2007
1792 posts
Posted on 7/19/22 at 9:59 pm to
I have a partial tear. Putting off surgery as long as I can. Stairs in the morning suck. 45 years old and play tennis 4 to 5 times a week. Once you start surgically measing with your knee it is never the same.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34222 posts
Posted on 7/20/22 at 8:56 am to
Do you use anything for support?

What exercises are bad for it? Im guessing squats? What about deads?
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
191 posts
Posted on 7/20/22 at 10:04 am to
You still want to load the knee. Find a fitness forward PT to eval and set you up with a program. You can get decent info online but having an actual PT work with you is better
Posted by LChama
Member since May 2020
4063 posts
Posted on 7/21/22 at 7:31 am to
My first meniscus surgery in 2012 was a 100% success. Last year had a second with terrible results. I feel like the meniscus wasnt the problem at all last year in retrospect. (Although the pain was similar). I feel almost like a ligament in the lateral aspect of my knee is causing weakness, pain, and instability. However I wouldve thought the doc wouldve picked up on any structural problems that were not the meniscus .. before cutting on the knee. Any ideas? Repeat MRI im guessing… Hurts posterial and laterally to bend the knee.
Posted by CodeName1
Member since Mar 2021
230 posts
Posted on 7/21/22 at 4:10 pm to
What all was done in your knee surgeries? Some patients that have one aspect of the meniscus worked on come back for the other side as soon as 5-6 months, especially if new injury occurs. Structural issues are easily seen during arthroscopy. Sounds like it could be a new injury to the cartilage and you possibly need a chondroplasty.
This post was edited on 7/21/22 at 5:09 pm
Posted by roadkill
East Coast, FL
Member since Oct 2008
2128 posts
Posted on 7/25/22 at 12:15 pm to
I tore my meniscus over 20 years ago when I was in my mid-40s. I loved to run after work most days (3-5 miles/day with an occasional 10k). Doc gave me this choice - repair the meniscus or quit running. I quit running. Over the years since then I replaced running w/walking. I walk for an hour daily w/no pain and get the aerobic and mental benefits running used to give me. Late 60s now and in decent physical shape.

Best advice I can give - the meniscus repair is elective surgery - never get elective surgery unless your livelihood depends on it - pro athlete, etc. Adjust your exercise regimen to activities within your current capabilities.
Posted by LChama
Member since May 2020
4063 posts
Posted on 7/25/22 at 12:41 pm to
I just know that the meniscus was repaired/shaved in may if last year. Pain when bending and squatting behind the knee. Just like in 2012. When it was repaired in 2012, the symptoms went away. This time there was no relief from post op day 0. Now i would say it is worse, in that i could for example push myself up with the front leg if trying to stand up on a surfboard, in fact i cannot push up with left leg from a squat. I guess i need to go back to the doc from 2012 (who got it right) and see if he can just take a look at it structurally.
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