Meniscus Issues: Symptoms, Treatment, and Recovery

Meniscus issues

Hello, Doctor: I discovered at the end of December last year that my right knee often makes a popping sound.
Later, I experienced pain when going up and down stairs for about 2-3 weeks.
In mid-January 2021, I went to the hospital, and the doctor prescribed a 14-day course of anti-inflammatory medication.
However, by February, my condition had not improved, so I returned to see the doctor.
The doctor performed an X-ray and indicated that there were no issues with the bones, recommending that I use a gel and perform leg raises for 1.5 months.
By the end of March, my condition still had not improved, so I switched to a larger hospital, where an MRI was arranged.
The doctor informed me that there is some tearing in the lateral meniscus of my right knee that requires surgery, and that the areas of hyperplasia need to be addressed.
I have a few questions for the doctor: 1.
If I do not undergo surgery, will my condition worsen? 2.
If I have surgery, are there options for insurance coverage, or will it be out-of-pocket? I saw that the cost for the suturing device and PRP is over 30,000.
3.
Is this surgery typically effective in one session, or will multiple treatments be necessary? 4.
What is the recovery period after surgery? I apologize for the many questions, and I greatly appreciate your patience in reading this.
Thank you.

Mr. Chen, 20~29 year old female. Ask Date: 2021/04/08

Dr. Chen Yongxue reply Orthopedics

Hello,
1.
Whether the condition will worsen without surgery depends on the extent of the meniscal damage.
Generally speaking, it is possible for the condition to become more severe.

2.
Is there an option for insurance coverage for the surgery, or is it only out-of-pocket? The cost of the surgery is covered by insurance, but most of the surgical materials will require out-of-pocket expenses to cover the difference.

3.
Is this surgery typically effective in one procedure, or does it require multiple treatments? Post-surgery rehabilitation is very important to avoid recurrent injuries, and strengthening the thigh muscles is also crucial.

4.
What is the recovery period after surgery? It typically ranges from three months to six months.

Reply Date: 2021/04/08

More Info

Understanding meniscus issues, particularly in the context of your knee pain, is crucial for effective treatment and recovery. The meniscus is a C-shaped cartilage in the knee that acts as a cushion between the femur (thigh bone) and the tibia (shin bone). Injuries to the meniscus can occur due to acute trauma, such as twisting the knee while bearing weight, or through degenerative changes over time, especially in older adults.

Based on your description, it seems you have been experiencing symptoms consistent with a meniscus tear, including a popping sound in the knee and pain when using stairs. The initial treatment with anti-inflammatory medication and physical therapy is standard practice for managing mild to moderate meniscus injuries. However, if symptoms persist, as in your case, further imaging studies like MRI are warranted to assess the extent of the injury.

1. If you choose not to undergo surgery, will the condition worsen?
- Yes, there is a risk that not addressing a meniscus tear can lead to further complications. The torn meniscus can cause ongoing pain, swelling, and instability in the knee. Additionally, the damaged cartilage can lead to accelerated wear and tear on the knee joint, potentially resulting in osteoarthritis over time. If the tear is significant, it may also lead to a condition known as "locking," where the knee gets stuck in a position due to the torn cartilage.

2. Is there insurance coverage for the surgery?
- In many cases, knee surgeries, including meniscus repair, are covered by health insurance, but this can vary depending on your specific plan and the nature of the procedure. It’s essential to consult with your healthcare provider and insurance company to understand what is covered. The costs associated with surgery, including the use of specialized equipment like sutures or PRP (Platelet-Rich Plasma) therapy, can add up, so clarifying coverage beforehand is crucial.

3. Is the surgery typically a one-time procedure, or are multiple treatments required?
- Most meniscus surgeries aim to repair the tear or remove the damaged portion of the meniscus in a single procedure. However, the need for additional treatments can depend on various factors, including the severity of the tear, the presence of other knee issues (like ligament injuries), and how well you adhere to post-operative rehabilitation protocols. In some cases, if the meniscus is severely damaged or if there are complications, further interventions may be necessary.

4. What is the recovery period post-surgery?
- Recovery from meniscus surgery varies depending on the type of procedure performed (repair vs. partial meniscectomy) and individual factors such as age, overall health, and adherence to rehabilitation. Generally, if the meniscus is repaired, recovery can take several months, with a gradual return to normal activities. Physical therapy is often recommended to regain strength and range of motion. If a partial meniscectomy is performed, recovery may be quicker, often allowing for a return to light activities within a few weeks.

In conclusion, addressing meniscus issues promptly is essential to prevent further complications. Surgery may be necessary if conservative treatments fail, and understanding the implications of your choices regarding surgery, insurance coverage, and recovery can help you make informed decisions about your health. Always consult with your orthopedic surgeon for personalized advice and treatment options tailored to your specific situation.

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