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Meniscus tears are pretty common, but that doesn’t make them any less painful. “Meniscus” is a fancy term for the cartilage cushioning your knees. During an intense sport or activity, this cartilage can tear, leading to pain, swelling, and catching and locking. [1] Don’t try to grin and bear this injury on your own; instead, visit a doctor first to get a thorough diagnosis of your injury. We’re here to help walk you through all your treatment options, so you can get back on your feet as soon as possible.

Question 1 of 10:

Can a meniscus tear heal on its own?

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  1. Small tears along the outer one-third of your meniscus can heal independently, and might not need surgery. However, tears along the inner two-thirds of your meniscus cannot heal and usually need surgery. A doctor can pinpoint your injury and point you in the right direction for treatment. [2]
    • The treatment your doctor recommends will depend on your age, symptoms, and activity level, as well as the type, size and location of the injury.
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Question 2 of 10:

What at-home remedies can I try?

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  1. “RICE” is an acronym for Rest, Ice, Compression, and Elevation, and it is the most effective protocol to recover safely and comfortably at home. [3] After your injury, the RICE method helps reduce any pain and swelling, while encouraging flexibility and healing. [4] Here’s what you need to do:
    • Rest: Avoid the activity that caused your tear in the first place, and use crutches as needed to get around. [5]
    • Ice: Use a cold pack to ice your injured knee for 20 minutes at a time, several times a day. For your own safety, never ice your knee directly.
    • Compression: Wrap an elastic compression bandage around your injured knee. Keep the bandage snug, but not too tight—if your knee feels tingly or numb, loosen the bandage. [6]
    • Elevation: When you are sitting or lying down, prop your injured leg up so it’s above your heart.
  2. If your torn meniscus doesn’t cause your knee to lock in place, you can take over-the-counter painkillers, like ibuprofen or acetaminophen, to address the swelling and pain. Check-in with your doctor if your knee still hurts after 6 weeks; at this point, surgery may be your next best option. [7]
    • Acetaminophen: Adults can take 650 to 1000 mg every 4-6 hours as needed. Follow the label instructions carefully, and never use more than 4,000 mg of acetaminophen in one day. [8]
    • Ibuprofen: For MOTRIN®, take one tablet every 4-6 hours. [9] With Advil, take 400 mg per every 6-8 hours. For either medicine, limit yourself to 1,200 mg per day. [10]
    • Naproxen sodium: Take 550 mg for the first dose, then 550 mg every 12 hours or 275 mg every 6-8 hours. Do not exceed 1,375 mg per day. [11]
    • Aspirin: Take 1-2 pills every 4-6 hours. Cap yourself off at 12 pills in 24 hours so you don’t overdose. [12]
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Question 3 of 10:

What other non-surgical treatments are there?

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  1. Corticosteroids may help with the pain, and can help lower swelling. Your doctor will inject the steroids directly into your knee joint, which may get rid of some pain and swelling. [13]
    • Researchers are also developing biologics injections that may help treat meniscus tears.
  2. Physical therapy is helpful for any kind of meniscus tear, even if you don’t need surgery. [14] A physical therapist might provide manual therapy, suggest icing and compression treatments, use neuromuscular electrical stimulation (NMES), and suggest different exercises to help you recover. Eventually, your therapist will help you figure out when you can go back to an active routine. [15]
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Question 4 of 10:

Do I need surgery?

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  1. During the surgical procedure, your surgeon will typically slide a tiny camera into your knee so they can clearly see the injury. Depending on the tear, they’ll either fix or remove the meniscus tear using tiny surgical tools. Afterward, your surgeon might suggest physical therapy to help support your knee and get you back in shape for your favorite sports and usual activities. [16]
    • Typically, your surgeon will either perform a meniscus repair, where the meniscus is sewn back together, or a partial meniscectomy, where damaged meniscus tissue is removed. A meniscectomy is a good option for more severe tears, since they usually cannot heal back together completely, even with a repair. [17]
    • Meniscus repair is a safe procedure with a complication rate of 1.3%. [18]
Question 5 of 10:

How long does it take to recover from torn meniscus surgery?

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  1. You’ll feel worn out for a few days after your surgery and your knee might feel numb for several days, due to the incisions your surgeon made. [19] Your recovery time ultimately depends on the type of surgery you received, as meniscus repair surgery takes longer to heal than a meniscectomy. [20]
    • After a meniscectomy, you can apply weight to your knee right away; walk without the help of crutches within 2-7 days; drive a car within 1-2 weeks; get full range of motion between 1-2 weeks; and play sports after 4-6 weeks.
    • After meniscus repair surgery, you can put weight on your knee while wearing a brace; move without crutches within 4-6 weeks; drive a car between 4-6 weeks; get full range of motion after at least 4-6 weeks; and play sports after 3-6 months.
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Question 6 of 10:

How long does it take for a torn meniscus to heal without surgery?

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  1. At this point, your knee shouldn’t look swollen or feel painful anymore. Unfortunately, if the swelling and pain hasn’t resolved in 6 weeks, your injury likely won’t heal without surgery. [21]
    • Serious meniscus tears might not heal on their own. Always visit a doctor first so you can understand the full scope of your injury. [22]
Question 7 of 10:

What is the prognosis for a torn meniscus?

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  1. During rehab, your physical therapist may walk you through at-home treatments, and help you safely adjust to everyday activities, like walking and climbing stairs. While every case is different, many people can go back to their usual routines after 4 months of regular physical therapy. [23]
    • With a few months of rehab and treatment, you may be able to fully recover and do everything that you used to do before the injury. [24]
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Question 8 of 10:

How do I know if I have a torn meniscus?

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  1. After a meniscus tear, you might not be able to straighten or rotate your knee like you normally would. You might also feel like your knee is locked, or that it can’t support your weight. [25]
  2. Pay attention to your regular, daily movements, like climbing out of bed or walking down the street. With a meniscus tear, your knee might feel painful, swollen, and/or extra stiff. You might also feel like your knee is popping. [26]
    • The pain may be especially obvious when you rotate or twist your knee.
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Question 9 of 10:

Do I need to see a doctor?

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  1. A physician who specializes in orthopedics can check out your knee and tell you how bad the tear is. Depending on how bad the injury is, they might recommend non-surgical treatments, or suggest getting surgery to fix the tear. [27]
    • During your appointment, your doctor might see how much you can move your knee, and see if your knee feels sore or tender. They might also do an MRI or X-ray to get a better idea of where the tear is.
Question 10 of 10:

Can you walk around on a torn meniscus?

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  1. A torn meniscus may seem easy to ignore at first, but it can lead to bigger problems later on. An untreated meniscus tear can increase in size and lead to complications, like arthritis. [28]
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Expert Q&A

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  • Question
    What is the fastest way to relieve knee pain?
    Meera Subash, MD
    Board Certified Rheumatologist
    Dr. Meera Subash is a board certified Rheumatologist and Internist. She specializes in scaling up healthcare technology solutions for rheumatic and chronic disease management. Dr. Subash holds a BA in Human Biology from Stanford University and a Doctor of Medicine (MD) from Texas Tech University Health Sciences Center. She completed a residency in Internal Medicine at The University of California, San Diego, where she served as Chief Resident in Quality and Patient Safety at The VA San Diego Healthcare System. Dr. Subash also completed a fellowship in Rheumatology at The University of California, San Francisco - School of Medicine. She is currently pursuing another fellowship in Clinical Informatics at The University of California, San Francisco - School of Medicine.
    Board Certified Rheumatologist
    Expert Answer
    It often depends on the underlying cause of the knee pain. I have an appropriately cushioned mattress and working on mobility and stretching can help. If the knee pain is caused by arthritis such as If it's gout or pseudogout, then you probably need to discuss with talk to your rheumatologist about medications or therapy. If the underlying cause it's osteoarthritis, you could discuss physical therapy, oral medications or topical medications that may help.
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      1. https://www.stlouischildrens.org/health-resources/dosage-tables/ibuprofen-motrin-advil-dosage-table
      2. https://www.mayoclinic.org/drugs-supplements/naproxen-oral-route/description/drg-20069820
      3. https://www.nhs.uk/medicines/aspirin-for-pain-relief/how-and-when-to-take-aspirin-for-pain-relief/
      4. https://orthoinfo.aaos.org/en/diseases--conditions/meniscus-tears/
      5. https://www.hss.edu/condition-list_torn-meniscus.asp
      6. https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-meniscal-tear
      7. https://www.pennmedicine.org/updates/blogs/musculoskeletal-and-rheumatology/2018/september/meniscus-tears-why-you-should-not-let-them-go-untreated
      8. https://my.clevelandclinic.org/health/treatments/21508-meniscus-surgery
      9. https://orthop.washington.edu/patient-care/articles/sports/arthroscopic-meniscus-repair.html
      10. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc2311
      11. https://www.uofmhealth.org/health-library/te7372
      12. https://orthop.washington.edu/patient-care/articles/sports/torn-meniscus.html
      13. https://my.clevelandclinic.org/health/diseases/17219-torn-meniscus
      14. https://www.choosept.com/symptomsconditionsdetail/physical-therapy-guide-to-meniscal-tear
      15. https://my.clevelandclinic.org/health/diseases/17219-torn-meniscus
      16. https://www.mayoclinic.org/diseases-conditions/torn-meniscus/symptoms-causes/syc-20354818
      17. https://www.mayoclinic.org/diseases-conditions/torn-meniscus/symptoms-causes/syc-20354818
      18. https://www.pennmedicine.org/updates/blogs/musculoskeletal-and-rheumatology/2018/september/meniscus-tears-why-you-should-not-let-them-go-untreated
      19. https://www.pennmedicine.org/updates/blogs/musculoskeletal-and-rheumatology/2018/september/meniscus-tears-why-you-should-not-let-them-go-untreated

      About This Article

      Article Summary X

      To heal a meniscus tear, try to avoid activity for the first 24-72 hours after your injury. During this time, put ice inside a moist towel and put it on your injury for 15-20 minutes every 2-3 hours. The cold will decrease blood flow and swelling while increasing the flow of lymph fluid, which carries healing nutrients to the tissue around the injury. Propping your knee up on pillows will also help reduce swelling. When you do start moving around, wear a splint or bandage to stabilize your knee and prevent movement that can further damage the muscles and tissue. For information on how and when to consider physical therapy or surgery to treat your meniscus tear, read on!

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