Kac Para Yarismasi

Arthritis Diet and Exercises

Meniscus Injuries | Q&A with Dr. Andrew Cosgarea


[MUSIC] A meniscus is a c-shaped rubbery
structure that sits between the end of the femur and
the top of the tibia. There are two minisci in each
joint and they function as shock absorbers to sort of protect
the surface of the joint. [MUSIC] Meniscus tears occur in
a variety of different ways. In the youngest patients,
it usually takes a major trauma, a twisting injury to the knee,
for example. In older patients, the meniscal
tissue is not nearly as sturdy. So minor little injuries such as
squatting down to pick something up can cause the meniscus
to tear or sometimes, there isn’t even any
specific injury at all. [MUSIC] The most common symptom of
a meniscus tear is pain at the site of the tear. Sometimes patients describe pain
exacerbated by squatting or going up and down the stairs. Sometimes patients have a
catching feeling in their knee. And that would usually be on
the same side of the knee as the meniscus. They can get swelling or
in the most severe cases, the knee can actually get stuck. And interestingly, sometimes,
patients don’t have any pain or any symptoms at all. [MUSIC] Meniscus surgery doesn’t cause,
treat, or prevent arthritis. Some patients have meniscus
tears independent of arthritis, an otherwise normal knee,
the meniscus tears. But other patients
have meniscus tears as part of the degenerative process
that also can include arthritis. So doing surgery to treat the
meniscus tear is independent of the arthritis process. [MUSIC] The appropriate treatment for
meniscus tears is based strictly on the symptoms that
the patient’s experiencing. Some meniscus tears cause
no trouble at all and therefore don’t need any
type of intervention. If you have minor pain, then
sometimes things as simple as modifying your activities or
using some ice, or taking some over the counter medications
can be very effective. In more severe cases where there
is swelling or the patient is limping or they’re unable to
do their normal activities. Then form of physical therapy or
bracing or even surgery might be necessary. [MUSIC] No, not every meniscus
tear needs surgery. In fact, there are quite
a few meniscus tears that are asymptomatic. They maybe picked up on
an MRI when looking for something else, or the tear may
cause just minimal symptoms that respond well to
nonsurgical modalities. Things like medication or
activity modification, or icing, or even bracing. [MUSIC] There are different types
of meniscal surgery. The most common type of
meniscus surgery is a partial menisectomy. And that’s what most people
consider a knee scope. For partial meniscectomy, we trim out the torn
part of the meniscus, and leave behind as much normal
meniscus tissue as possible. Those patients are usually
on crutches for one or two days, usually back to
driving within a week, and light sports activity
within four to six weeks. The more extensive and less common meniscus repair
surgery has a longer recovery. People would usually be on
crutches for two weeks or so and in a brace for up to six weeks. And it may be six months or longer before they’re back to
cutting and pivoting sports. [MUSIC] Articular cartilage
is the smooth, white, shiny layer on the surface
of the bone that occurs, that’s found on both
sides of a joint. It’s the tissue that prevents
the surface of the joint from wearing away. It’s a very, very durable,
special kind of tissue that can last for 100 years,
a patient’s lifetime. But unfortunately,
once it gets injured, it has a really limited
capacity to heal. [MUSIC] Most patients have difficulty
returning to sports with a torn meniscus. That would really be limited by
the symptoms that the patient is experiencing. And you’d need to have
advice from your physician it was actually safe to
try to return to sports. If you require surgery, then it depends on
which surgery you have. If it’s a partial meniscectomy,
a trim job, then generally patients can
return to sports in six weeks or so after that surgery. The more extensive surgery,
meniscus repair, where we actually sew the meniscus back
together again, it could be six months or even longer in some
cases before patients are able to return to the high level of
cutting and pivoting sports. [MUSIC] It is possible for a meniscus
to get torn a second time. After partial meniscectomy, it
happens perhaps 5% of the time. It’s more common in a patient
who’s undergone a meniscus repair. And after repair, the chance
of a re-tear is closer to 25%. [MUSIC] If surgery is deemed necessary, the appropriate surgical
procedure is based on the size, the location, and
the type of meniscus tear. In younger patients who
sustain a traumatic injury, we try very hard to sew that
tissue back together again. Unfortunately, meniscus tissue
has a very limited capacity to heal. So it’s not common,
particularly in older patients, to be able to sew a meniscus
back together again. Because usually in the older
patients the tear is more complex and there are more
fragments present. And in that case it’s
much more appropriate to simply remove the torn
part of the meniscus and leave behind as much normal
meniscus tissue as possible. [MUSIC]

43 thoughts on “Meniscus Injuries | Q&A with Dr. Andrew Cosgarea

  1. Hi doc I had a partial meniscetomy for a bucket handle tear and my surgeon. Said the surgery was a success and for my post op. He checked my knee strength and he was very impressed he said my knee was very strong and he said that. That I may or MAY not developed arthritis. So in this video are you saying that I won't get arthritis ?

  2. hello, I just found out after two years after my initial injury that I have a horizontal tear in my meniscus, in those two years I continued my sport but, I’ve stopped my cheerleading now. my doctor is making me wait two months before finding out if I have to get surgery or my treatment plan. Could the meniscus have worn down or my injury have gotten worse? I have pretty severe pain after standing on my knee at work for 5 hours or more. Thank you 🙂

  3. hi. can I ask a question? if the patient have an ACL injury it is possible to have a miniscus injury if the ACL injury is not having an surgery for a long time?

  4. DRY FAST YOU DUMB FUCKS! It healed me. Your body has all the tools you need to heal. Period. Do the research, try dry fasting 2-3 days a week for a month then come back and tell me to fuck off. Do it then talk, otherwise shut your pie hole. You're welcome.

  5. I have a very straightforward question. I have been diagnosed with degenerative meniscus, level 2, with no contact with the lower or upper surface of the meniscus. The doctor said i should not operate it. But…if i don't, this means that it will continue deteriorating, even if i do not practice sports? And..the big question is….does 2nd level degenerative meniscus heal itself? And of so…how long does it take? Please, answer…some doctors say it can hear, some say ot doesn't, especialy the degerative type of damage….and i do not know what to belive anymore….Thank you so much in advance and please don t judge my poor english, i am not a native english speaker.

  6. Please suggest me. Should i reqire operation..?
    My MRI report point is..👇

    1. There is T2WI hyperintensity and irregularity of ACL suggestive of grade ll injury with stretching of PCL.

    2. LCL- grade l injury. MCL are normal in appearance.

    3. There is grade l injury of posterior horn of medial miniscus:grade lll injury of anterior horn of leteral miniscus.

    4. Non diplaced fracture of tibial spine noted. Small contusions seen in leteral condyles of femur and tibia. the visualised joints appear normal.

    5. Joint alignment is maintained.

    6. Joint effusion noted.

  7. Please suggest me. Should i reqire surgery..?
    My MRI report point is..👇

    1. There is T2WI hyperintensity and irregularity of ACL suggestive of grade ll injury with stretching of PCL.

    2. LCL- grade l injury. MCL are normal in appearance.

    3. There is grade l injury of posterior horn of medial miniscus:grade lll injury of anterior horn of leteral miniscus.

    4. Non diplaced fracture of tibial spine noted. Small contusions seen in leteral condyles of femur and tibia. the visualised joints appear normal.

    5. Joint alignment is maintained.

    6. Joint effusion noted.

  8. Problem is if the meniscus doesn't give you symptoms or pain you can live with it, if it hurts to walk then you better off having the scope surgery to smoothe it out.

  9. So recently I was told that I might have a tear in my meiscus. I went to my trainer after school and she told me that she does believe that it is s meniscus tear. She is setting me up an appointment with a doctor. It doesn’t hurt that bad other then when I Ben my knee and it feels like there’s something popping in and out of place when I bend my knee. It hurts then and when I stay with my leg straight for a long time. If it is serious how long does recovery take? Would I be able to play football during this time?

  10. My son's had pain in his right knee for over 5 years. The past 3 have been worse and have sent him into pain management that he hates. One knee surgeon ran an MRI that didn't show a tear. Did another one with dye to check for arthritis. That one didn't show anything either. He had a motorcycle accident 4 years ago which is what we thought caused the additional pain. Ended up with a broken collar bone and a fractured pelvis.

    After the MRI's showed nothing, the doctor sent him for nerve conduction testing (also negative), and then to a hip doctor who did more tests and an MRI… still nothing.

    The original knee doctor is no longer doing surgeries, so we did a follow up with yet another knee surgeon. He's diagnosed him with Complex Regional Pain Syndrome. From what I've read on that, it's not what he has. He's had the knee pain for far too long and no other issues (sweating, swelling, burning pain, etc). He's getting a bone scan in another week or two that the most recent surgeon says can confirm if it's actually CRPS.

    I don't believe it is, but I'm at a complete loss as to what's causing this or how to find anyone to figure it out. I don't even know where to go to ask at this point. I personally had a torn meniscus that didn't show up on my MRI, but the surgeon was willing to operate due to the symptoms I had from a past work injury. From my experience, I thought my son had torn his too since he had similar symptoms. But my surgeon wasn't willing to operate on him from the symptoms alone like he did with mine.

    Are there any other tests to be done? Are there other causes for pain like this? My son is going to be 33 next month and has a worse quality of life at this point than I do, and my knee is bone-on-bone at this point!My son's had pain in his right knee for over 5 years. The past 3 have been worse and have sent him into pain management that he hates. One knee surgeon ran an MRI that didn't show a tear. Did another one with dye to check for arthritis. That one didn't show anything either. He had a motorcycle accident 4 years ago which is what we thought caused the additional pain. Ended up with a broken collar bone and a fractured pelvis.
    After the MRI's showed nothing, the doctor sent him for nerve conduction testing (also negative), and then to a hip doctor who did more tests and an MRI… still nothing.

    The original knee doctor is no longer doing surgeries, so we did a follow up with yet another knee surgeon. He's diagnosed him with Complex Regional Pain Syndrome. From what I've read on that, it's not what he has. He's had the knee pain for far too long and no other issues (sweating, swelling, burning pain, etc). He's getting a bone scan in another week or two that the most recent surgeon says can confirm if it's actually CRPS.

    I don't believe it is, but I'm at a complete loss as to what's causing this or how to find anyone to figure it out. I don't even know where to go to ask at this point. I personally had a torn meniscus that didn't show up on my MRI, but the surgeon was willing to operate due to the symptoms I had from a past work injury. From my experience, I thought my son had torn his too since he had similar symptoms. But my surgeon wasn't willing to operate on him from the symptoms alone like he did with mine.

    Are there any other tests to be done? Are there other causes for pain like this? My son is going to be 33 next month and has a worse quality of life at this point than I do, and my knee is bone-on-bone at this point!

  11. Hello Dr. I have torn medial miniscus which was detected in MRI of right knee ayear back . I have been advised arthoscopy which haven't done but doing yoga. The pain is better and I wear a knee brace. Do u advice arthoscopy? As drs do not gaurntee that pain will go away

  12. Is the IT BAND (illio tibial band) being a tight tendon have a contribution to knee not healing from pulling of tendon tightness? Being why swelling isn't going away permanently?

  13. Ive had keyjole surgery and Ive had a sore knee for 6 weeks now. Ive regrets abput this operatio and wander will i ever get a day where im not hsving a tight nand around my knee. Its worse now than what it was before and im disyressed about it im praying maybe in time. But 6 weeks is i feel a long time and no let up from it

  14. I thank you for the Q&A. I was given the results of my MRI today and was told I have multiple tears in my meniscus and would need surgery to repair them. I didn't know exactly what questions to ask the doctor so your information was very helpful!

  15. It's been 3 years since my surgery of my medial meniscus and.. Idk why i think i cant be normal anymore cause sometimes when i am too tired the pain will back again, is it my fault because i didnt do exercise much after surgery? I am even still unable to do squat or run anymore. Depressing.

  16. Hey soo question.. I tore my meniscus ACL and some other ligs uhhh is it possible to return to my previous speed and or possibly be faster??????????

  17. Can you have a torn meniscus even if you cand fullt straighten and bend your knee and also there is no swelling, but only localised pain?

  18. Sir i am having a small phereparal minuscius tear in my right knee sir what about ur Suggestions sir

  19. My righr mri report is , grade 3 signal in body and posterior horn of medial meniscus possibly postop changes…. What is meaning… Pls give suggession what to do now

  20. I have been suffering from mendal meniscus tear and my treatment is going on with mendicine ( two month is completed) and it was difficulty to up and down stairs it's paining

  21. I tore my meniscus 4 years ago playing soccer and never had surgery. Here’s my experience with this stupid injury. I can run, walk, do normal activities, and live life with no discomfort what’s so ever.. like a normal knee. But if i play soccer, or any sport, on any pivoting move my knee will buckle (from minimal, to severe buckle, which will hurt depending how bad the buckle was.) knowing this I have several angles and moves I can’t do because my knee isn’t fully stabilized hence: causing the knee to buckle. Normally when it buckles it will hurt a little, to really bad. If it’s a small buckle, I can keep playing knowing I’ll have small inflammation later but not too serious. But if the buckle is bad it will hurt a lot and I will have to stop playing immediately, then I’ll have to rest 4-5 days for the inflammation and pain to go away. To combat this I now always wear 2 knee braces. The 1st is a slim brace and he 2nd is a big brace with metal supports that I wear over the slim one. Keeping the knee tight. This has allowed me to play soccer again. Mind you even with 2 braces I still hurt it minimally here and there but it’s hell of a lot better than without them.

  22. Having my scope surgery on June 12th…lateral meniscus tear(outside of my left knee). Some of the signs i have and rotations and movements i experience mite help some ppl out so here it goes. Side to side movement..example when i have my left leg at 90 degree angle and move or rotate my leg/knee left its a sharp stabbing pain. Getting out the car since i had to rotate move my leg to do so produce the same pain. Bending my knee sitting in chairs do so too. Sitting down and straigthen my leg out and moving it sideways produce the same pain. Sitting down having my foot planted and simply moving my knee side to side produce the pain. Lifting my leg alot of pressure and the same pain. Hell at first it was hard for me to walk. Sleeping is the hardest part imo feel like i want to rip my leg off shit hurt so bad. Laying down is the worse..its produce the same pain 5 times worse. Shit..is horrible and my tear is a normal size tear shit aint even big!! I HURT MYSELF BEGINNING OF THIS YEAR ..so i wasnt a overnight thing..i had xrays..mri..a corizone shot or whatever..i did everything in 5-6 months and the pain the same. Point is depending if the tear at the part of the meniscus that doesnt heal you fucked over time its only going to get bigger. So nothing going to heal it. My surgery on the 12th of June.

  23. Hello. I just cancelled a meniscus arthroscopy at a hospital because they insisted on inserting a breathing tube in my throat to administer anesthesia in addition to the intravenous and local anesthesia. My orthopedic doctor didn't think it was necessary at all, but the anesthesiologist insisted upon it. It seemed like too much anesthesia to me. I didn't want the pain, sore throat and nausea afterwards, so I walked. I inquired of others about their meniscus surgery and no one else had this thrust upon them except for one person who needed to use his own cpap machine for sleep apnea. What do you think about this?

  24. I have been in pain for three years after a injury to my knee they said it was a deep bruise when after a x-ray and at 11 i just listened to my doctor but now at 14 almost 15 I’m fed up with this pain and when to a orthopedic specialist and they said after examining it after my x-ray coming back normal and im now scheduled for a mri to confirm it

  25. Does HA (Hyalourinc Acid/Gel) treatment and PRP help for "High grade mucoid degeneration in the posterior horn of medial meniscus" ?

  26. For years already; I’ve been struggling with knee pain and osteoarthritis. Furthermore, I developed partial labral tears in both hips. ..before 37 years of age . Taking this knee discomfort medication “Yοyοkοn Vxy” (Google it)for just two weeks along with fish oil capsules and I am not simply feeling greater, I am PAIN FREE IN A FITNESS CENTER KICKING ASS. Just in 14 days! .

  27. I can’t imagine how efficient is this extraordinary knee pain remedy “Yοyοkοn Vxy” (Google it). In only a matter of One week, I observe improvements and pain medications usually are useless for my knee pain. It is astounding how this guide provide results so swiftly and also efficient. I would endorse this guide. .

  28. A doctor serious on helping others would answer atleast a few of the questions posted. Shame on JH for simply posting some infor without any heed to public need for answers . yes everything "depends"…….. No suggestions on use of Chondrotin sulfate , MSM turmeric , hyaluronic acid , Collagen combos with ultrasonic massage.

  29. I am having a grade-3 tear in the medial meniscus

    I feel pinching type of pain while climbing stairs or walking for longer

    is surgery is needed for getting back to sports?

    I used to do Olympic weightlifting like snatch & clean & jerk

  30. "oblique tearin body and posterior horn of medial meniscus with suspicious small flipped fragment in the inferomedial gutter" the MRI shows this what is the appropriate treatment? also can braces help?which type?

  31. I tore my meniscus when I went running with my dog and I even sprained my calf at the same time and I have tendonitis and LT Band Syndrom. I haven’t been able to walk on my leg for 3 weeks now even after an MRI and medication, and bracing.

Leave a Reply

Your email address will not be published. Required fields are marked *