A majority of patients with knee pain involve injury or degeneration to the meniscus, the cushioning material in the knees. Knee pain due to meniscus injury can be due to wear and tear: chronic loss of water and tissue degeneration which occurs over time; or be due to an acute injury: such as sport injuries, running etc, as well as acute accidents including work and motor vehicle accidents, and sports injuries.
While knee pain due to disease of the meniscus may be the most common, it is certainly not the only cause of chronic knee pain. Other causes include tendinits of the internal structures (anterior and posterior cruciate ligaments) and external structures (medial and lateral collateral ligaments).
The meniscus is made up of cartilage, one type of collagenous material in the body. They act to reduce stress on the knee joints and friction during activity. There are four meniscus in the knee. The superior and inferior meniscus attach to the femur and tibia bones, and are divided into medial (the inside of the knee) and lateral (outside of the knee) meniscus. The meniscus do not have blood vessels, and thereby do not heal well on their own.
Degeneration or loss of fluid within the meniscus is a normal part of aging. However, this may be accelerated by overuse due to increased activity in sports, increase standing and walking at work, and genetics play a role as well. A meniscal tear when the stressors applied to the knee, whether by repetitive or acute injury, result is an rupture of the normal surface.
Symptoms may include:
Conventional treatment for a meniscal tear involves physical therapy, rest and medications, and if all else fails, surgery. Surgery is done to “smooth” out the tear, but also removes part of the supporting tissue, which can lead to instability, loss of strength of the remaining meniscus, and accelerates degeneration.
Regenerative Therapies are utilized to reduce inflammation, and repair and regenerate the tear. This can not only heal the meniscal tear, but also decrease degeneration of the remaining meniscus. The most affective regenerative therapies are:
Please fill out our consultation form or give us a call to see what treatment options will be best for you.