Suggest treatment for meniscus injury resulting in arthritis
?? Meniscus injury resulting in arthritis, will progress
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. I would like to take this opportunity to try and educate you on the knee injury you could have sustained and how it progresses into the arthritis your doctors have been treating you for.
The meniscus is a cushion like cartilage in your knee joint which allows for the weight of the upper body to be carried without friction between the thigh bone and the bone of the leg. When this cartilage is injured or damaged, slowly but surely the bones on both sides are effected.
If the cartilage is damaged or reduced in any manner, this causes the weight of the body from actions like jumping, walking, etc; to be carried and felt at the knee joint; resulting in the bone ends to rub against each other (due to the absent or reducing cartilage that acts like a cushion).
This eventually progresses with time, and when these bone ends continue to feel the friction result in achondroplasia, which then results in arthritis.
Now that you know this, you should know:
+The gel injections suggested were most probably hyaluronic acid which acts like the cushion (but is temporary); and prevents friction, and thus prevents the development or progression of arthritis
+The arthritis might be minimal now, but in time, it will progress
+Steroids given are the treat the arthritis
So in conclusion, I am sure you understand that if you take the gel injections, you can temporarily (as long as the effect of the gel injection lasts) prevent the progression of arthritis until the next injection is due.
I hope I have explained things in a manner best understood by you. Please do not hesitate to write to me for any further clarifications, I am always here to help.
Will an MRI show a sprain or only a tear?
If it is an MCL tear, can it be corrected through arthroscopic or other surgery?
Given the side effects of the gel injections, I don't want to proceed with this until I can determine what the problem is--whether it is a sprain, tear or arthritis.
I would appreciate your opinion.
Thank you. XXXXXX
MRI can show swelling associated with a sprain, and a tear
Hello once again ma'am.
An MRI show some amount of swelling which can be associated with a sprain, and also a tear.
If it is a simple arthroscopy, it is only for diagnosis, but if the surgery chosen is arthroscopic reconstruction. But before surgery is considered, there are many conservative methods that can help resolve the issue in most cases.
In that case, I would suggest an arthroscopy as it provides great insight on the exact status and diagnosis, which can then direct a diagnosis.
I hope this helps. Please feel free to write to me for any further clarifications, I am always here to help.
Yes, I concur, it would be the next best step
Hello once again and sorry for the delay.
I have not been keeping well, which is why I couldn't log in to respond to your query in a timely manner, my sincere apologies.
Yes, an MRI is a non-invasive method (as compared to the arthroscopy) and so you can go ahead with the MRI, but certain information will come only from an arthroscopy, but yes, an MRI shoild be our next step.
Sorry once again, and please do not hesitate to write back to me, I am always here to help.
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