ROCHESTER, Minn. — A meniscus tear — due to injury or wear and tear — is one of the most common knee injuries. The November issue of Mayo Clinic Health Letter provides an overview of this condition and treatment decisions, which can be more complex when osteoarthritis also is present in the affected knee.
Meniscus is the cartilage in the knee that is a cushion between the shinbone (tibia) and thighbone (femur). A meniscus tear can occur suddenly, for example, when an athlete abruptly stops running and changes directions. A tear may develop over time with joint wear that occurs naturally, or it can be related to degenerative arthritis.
Symptoms of a meniscus tear may include:
- Popping sensation when moving the knee
- Swelling or stiffness
- Difficulty straightening the knee
- Pain, especially when twisting or rotating the knee. (Tears due to regular joint wear may not cause pain.)
Knee pain or other symptoms should prompt a visit to the doctor. A history and physical exam may be enough to diagnose a tear. When osteoarthritis is suspected, X-rays or other imaging may be recommended. Patients and their doctors should be cautious about magnetic resonance imaging (MRI) results. These images are so sensitive that they detect abnormalities in the knees that don't cause pain and don't need treatment.
Nonoperative treatments — rest, ice and nonprescription pain relievers — are usually considered first. After the pain diminishes, physical therapy and exercise at home can help strengthen the muscles supporting the knee.