July 27th, 2011
08:01 AM ET

Will my meniscus tear heal without surgery?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society.

Question asked by Gloria from San Antonio, Texas

I just learned I have a tear in my meniscus. Can this heal any way other than surgery?

Expert answer

The meniscus is a crescent-shaped pad of fiber and cartilage. There are two in each knee sandwiched between the tibia (bone of the shin and lower leg) and the femur (the bone of the thigh or upper leg).

Their purpose is to distribute the force of weight placed on the knee while walking and running. The meniscus stabilizes the knee during rotation, and lubricates the knee joint.

A meniscal tear is a very common injury. Traumatic tears occur most often from twisting motions commonly found in soccer, football, basketball and other sports. Older patients are more subject to degeneration of the meniscus and can be prone to tears with minimal twisting or stress.

There may be little or no pain at the initial injury and athletes often continue playing after a meniscal injury. Within a day or so after the tear, there is usually pain, swelling and stiffness of the knee.

A large tear can impair the smooth bending motion of the knee and cause locking, catching or "giving out" of the knee. A smaller tear can be perceived simply as instability of the knee.

A health care provider may make a presumptive diagnosis through history and physical examination or may do imaging with ultrasound or magnetic resonance imaging.

Some patients may also get the definitive diagnosis through exploratory arthroscopy, which is a surgical procedure in which a scope is placed in the knee allowing the surgeon to directly see the meniscus.

Initial therapy of a torn meniscus in a stable knee involves avoiding things that cause pain. One should apply ice to the knee 15 minutes every four hours and elevate the knee.

Crutches and a leg cuff may be needed to enable walking without pain and protect the knee from unnecessary bending and twisting. Nonsteroidal anti-inflammatory drugs, such as ibuprofen, are also useful.

After the initial inflammation subsides, exercises to strengthen the quadriceps and hamstring muscles of the upper leg are usually prescribed. This is best done under the supervision of a physical therapist.

Conservative therapy with muscle strengthening is frequently all that is needed for minor tears in which good knee function returns as inflammation subsides.

The meniscus has very little blood flow, and it often does not heal. Some patients getting conservative therapy for an old tear may have an occasional knee problem and may eventually choose to have surgical treatment.

Candidates for early surgery are patients who have persistent difficulty after the initial inflammation subsides. These patients are often unable to bear weight, have restricted knee movement, have continued pain or have other knee problems such as ligament damage. These patients generally have larger, more complex tears.

The meniscal surgery may be a repair of the tear or removal of part or all of the meniscus. The operation is most often done by arthroscopy, but in some instances has to be done through an open procedure with a larger incision.

Long-term, patients with untreated tears of the meniscus or who have removal of part or all of the meniscus are at increased risk for osteoarthritis.

Follow @CNNHealth on Twitter.

soundoff (335 Responses)
  1. order generic viagra online canada

    pfizer viagra canada pharmistry https://canadaviagrastore.com/ how much cheper is viagra in canada

    April 29, 2021 at 01:32 | Report abuse | Reply
  2. https://www.songmanhits.com

    Best view i have ever seen !


    April 29, 2021 at 18:19 | Report abuse | Reply
  3. https://www.songmanhits.com

    Best view i have ever seen !


    April 29, 2021 at 18:19 | Report abuse | Reply
  4. avanafil

    avana india avanafil 50

    April 30, 2021 at 03:16 | Report abuse | Reply
  5. cvs erectile products

    erectile dysfunction when viagra doesn t work https://canadaerectiledysfunctionpills.com/ top erectile dysfunction physicians

    April 30, 2021 at 13:31 | Report abuse | Reply
  6. anyone order viagra from canada

    is it illegal to by viagra from canada https://canadaviagrastore.com/ what is the brand name for the generic drug for viagra in canada

    May 2, 2021 at 04:01 | Report abuse | Reply
  7. erectile dysfunction drug

    is erectile dysfunction curable https://canadaerectiledysfunctionpills.com/ erectile dysfunction prognosis

    May 2, 2021 at 09:28 | Report abuse | Reply
  8. cialis on line purches canadian pharmacy

    canadian viagra cialis https://canadacialisstore.com/ buy generic cialis without prescription canadian pharmacy

    May 2, 2021 at 10:28 | Report abuse | Reply
  9. priligy

    buy avanafil dapoxetine

    May 3, 2021 at 13:59 | Report abuse | Reply
  10. aralen for sale

    chlorowuine https://chloroquineorigin.com/ is chloroquine available over the counter

    May 4, 2021 at 03:37 | Report abuse | Reply
  11. 출장 홈타이

    This piece of writing offers clear idea in support of the new people of blogging, that actually how to do running a blog.

    May 4, 2021 at 18:34 | Report abuse | Reply
  12. clonidine hcl

    is chloroquine available over the counter https://chloroquineorigin.com/ is chloroquine a sulfa drug

    May 7, 2021 at 15:18 | Report abuse | Reply
  13. ffsLJuc

    525435 748855Hey, you used to write great, but the last couple of posts have been kinda boringK I miss your super writings. Past several posts are just a bit bit out of track! come on! 193125

    May 7, 2021 at 16:05 | Report abuse | Reply
  14. meniscus tear surgery singapore

    Very interesting, good job and thanks for sharing such a good blog.

    May 12, 2021 at 00:28 | Report abuse | Reply
  15. storno brzinol

    Thank you for the good writeup. It in fact was a enjoyment account it. Glance advanced to more brought agreeable from you! However, how could we keep up a correspondence?


    May 14, 2021 at 09:12 | Report abuse | Reply
1 2 3 4 5 6 7

Leave a Reply to Tom in AZ


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.