The knee sometimes hurts! Other times it doesn't hurt?
Thank you, Dr.
Shi, for your response.
However, I still have one thing that I'm not quite clear about! Sometimes my knee hurts, and sometimes it doesn't.
Could this also be caused by a meniscus tear? Why does it happen this way? I have a tear in the lateral meniscus of my right knee, but it doesn't hurt now.
Do I still need surgery? Since it doesn't hurt now, can I wait until the next time it hurts to have the surgery? I'm really worried that my doctor might say that.
I'm sorry for bothering you!
Xiao Wang, 30~39 year old female. Ask Date: 2012/12/15
Dr. Shi Guozheng reply Orthopedics
Typically, pain occurs during intense physical activity or when there are changes in weather.
If there is currently no pain, it is advisable to temporarily monitor for a lateral meniscus tear.
If the tear is located at the edge where the blood supply is more abundant, it may have the potential to heal on its own.
However, if the tear is situated on the inner edge, spontaneous healing is unlikely.
Reply Date: 2012/12/15
More Info
Knee pain can be a complex issue, and understanding its underlying causes is crucial for effective management. In your case, you mentioned experiencing occasional pain in your right knee, specifically on the outer side, which you suspect may be related to a meniscus tear. Let's delve into this topic to clarify your concerns.
Firstly, a meniscus tear can indeed cause intermittent knee pain. The meniscus is a C-shaped cartilage that acts as a cushion between your thigh bone (femur) and shin bone (tibia). When the meniscus is torn, it can lead to symptoms such as pain, swelling, stiffness, and a sensation of locking or catching in the knee. However, the pain may not be constant; it can vary based on activity levels, the extent of the tear, and other factors such as inflammation or muscle tightness around the knee.
The fact that you are currently not experiencing pain is a positive sign, but it does not necessarily mean that surgical intervention is not required. Many individuals with meniscus tears can manage their symptoms conservatively through physical therapy, rest, and anti-inflammatory medications. If your knee is stable and you can perform daily activities without pain, your doctor may recommend a conservative approach rather than immediate surgery.
However, it is essential to monitor your symptoms. If you experience a recurrence of pain, especially if it is accompanied by swelling or difficulty moving the knee, it may indicate that the tear is still present and could require surgical evaluation. Surgery, such as arthroscopy, is often considered when conservative treatments fail to provide relief or if the tear is causing significant functional impairment.
In your case, since you have a history of a right knee meniscus tear, it would be wise to maintain regular follow-ups with your orthopedic specialist. They can perform physical examinations and possibly imaging studies, like an MRI, to assess the condition of your meniscus and surrounding structures. This will help determine if there are any changes that necessitate surgical intervention.
Moreover, it is crucial to engage in rehabilitation exercises that strengthen the muscles around the knee, improve flexibility, and enhance overall joint stability. This can significantly reduce the likelihood of future pain episodes and improve your knee function.
In summary, while occasional knee pain can be attributed to a meniscus tear, the absence of pain does not automatically eliminate the need for surgical intervention. It is vital to stay vigilant about your symptoms and maintain open communication with your healthcare provider. They can guide you on the best course of action based on your current condition and activity level. Remember, proactive management is key to maintaining knee health and preventing further complications.
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