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    63 yo female have complex morphology tear posterior horn medial

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Posted on Tue, 31 Jul 2018 in Bones, Muscles and Joints
Question: 63 yo female have complex morphology tear posterior horn medial meniscus. after 10 physical therapy sessions still have pain in area, especially after working (mostly standing, walking) avoiding stairs, squatting, kneeling should i continue therapy or consider any type of surgery
doctor
Answered by Dr. Aashish Raghu 1 hour later
Brief Answer:
Physiotherapy vs Total knee replacement

Detailed Answer:
Hi there

Thanks for the query

I have read your query and understood your problem.

Usually meniscus tear at your age need not required any specific therapy for meniscus repair.

You can continue physiotherapy.

If the pain is unbearable you can consider total knee replacement.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr.Aashish Raghu
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu 19 minutes later
once torn, is the meniscus likely to continue to tear? eventually to a point that some kind of surgery is the only outcome? Is arthoscopic surgery a means to repair or stop the progress of further tearing?
doctor
Answered by Dr. Aashish Raghu 4 minutes later
Brief Answer:
Arthroscopic repair may be useful only if no arthritis in the knee

Detailed Answer:
Arthroscopy would be meaningless if you have arthritis in your knee as well.

Meniscus may not heal spontaneously due to the lower blood supply so unless it is repaired surgically it may heal.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu 32 minutes later
there is arthritis in the knee. unknown if tear is in red zone or white zone. did you mean to say that it may not heal spontaneously due to the lower blood supply, unless it is repaired surgically it may NOT? heal.
doctor
Answered by Dr. Aashish Raghu 7 minutes later
Brief Answer:
Answer

Detailed Answer:
Red zone tears heal so meniscal repair helps.

Other zone tears don't heal so removal of the torn portion is done.

In knee arthritis, knee replacement usually helps.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5197 Questions

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