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Suggest Treatment Meniscal Tear In Knee

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Posted on Tue, 18 Nov 2014
Question: Hi Doctor, Yes, I have a total knee on the right...I am now 67 year old slightly overweight woman...and about 2 years ago, I had a meniscus repair on my left knee. I popped the meniscus totally. Anyway went to Vegas and had to stop every block as I had pain behind my kneecap on the inside front. I have it still. I am feeling that I may need a knee replacement on the left knee now. What do you think??
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
explained

Detailed Answer:
Hello and Welcome

I appreciate your concern.

Meniscal tears are very difficult to diagnose clinically and on x rays. They definitely require an MRI. Arthroscopic repair will again be indicated to save as much of the meniscus as possible.

Your doctor will suggest the treatment that he thinks will work best for you based on the zone of the tear , the pattern of the tear, and how big it is.

The outside one-third of the meniscus has rich blood supply. A tear in this zone may heal on its own. A longitudinal tear is an example.

Conversely, the inner two-thirds of the meniscus lacks a blood supply. Without nutrients from blood, tears in this zone cannot heal. Because the pieces cannot grow back together, tears in this zone are usually surgically trimmed away.

In the meantime , please take cap gabapentin 600 mg bd and tab diclofenac sodium 50 mg tds with esomeprazole cover for the pain, in consult with your doctor.

Let me know if you have any query

wishing you best of health

Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (3 hours later)
Well, I had a total rip of the meniscus...it popped like a rubber band. My doctor at that time said it was worse than they thought. At any rate thank you for your insight. I will contact my doctor for analysis.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (4 hours later)
Brief Answer:
you're welcome

Detailed Answer:
hello again,

I am glad , I was of some assistance.

Hope I have answered your query.
If you have any further questions I
will be happy to help If you do not have
any clarifications, you may close the
discussion and rate the answer

Wish you good health.

Thanks
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment Meniscal Tear In Knee

Brief Answer: explained Detailed Answer: Hello and Welcome I appreciate your concern. Meniscal tears are very difficult to diagnose clinically and on x rays. They definitely require an MRI. Arthroscopic repair will again be indicated to save as much of the meniscus as possible. Your doctor will suggest the treatment that he thinks will work best for you based on the zone of the tear , the pattern of the tear, and how big it is. The outside one-third of the meniscus has rich blood supply. A tear in this zone may heal on its own. A longitudinal tear is an example. Conversely, the inner two-thirds of the meniscus lacks a blood supply. Without nutrients from blood, tears in this zone cannot heal. Because the pieces cannot grow back together, tears in this zone are usually surgically trimmed away. In the meantime , please take cap gabapentin 600 mg bd and tab diclofenac sodium 50 mg tds with esomeprazole cover for the pain, in consult with your doctor. Let me know if you have any query wishing you best of health Thanks