Hello,
Thanks for posting your query.

I have gone through your query in detail. The answers to your queries are as follows -

1.Your menisci injury is four years old and in this condition partial menisectomy is the only surgical treatment.

2.Yes, without repair of menisci injury, there are chances that you can get the arthritis early. You should be able to do much better by treating this injury.The meniscus acts as a shock absorber, removing part of it would lead to more stress on the articular cartilage and bones. While there is no way to predict if you will develop later arthritis or how quickly.

3.Pain in the Achilles and heel region is a common clinical presentation particularly in individuals involved in repetitive weight bearing activity such as excessive walking, jumping or running sports.

4.Treatment options for medial hamstring snapping are as follows:-
Unfortunately, this is such a rare condition that a definitive treatment course has not been determined. In some patients, it has been found that simply releasing the gracilis and semitendinosus tendons at their attachment along the pes anserine bursa, followed by scar tissue release of the tendons proximally, is very successful at relieving the snapping symptoms. In others, a surgical excision of the snapping hamstring tendon(s) with an open hamstring harvester has also been performed.

One can leave it alone if there is no pain, redness, inflammation associated with it.So surgical treatment is considered only if the associated symptoms occur.
So I suggest consult this with your orthopaedic surgeon.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.

Wishing you good health...
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon

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Hello,
Thanks for posting your query again.

1. Snapping of hamstring tendon might occur due to torn medial meniscus. So it is quite possible that you may get benifieted by trimming medial meniscus.

2. Even in the best of circumstances of tendon releasing surgery, recurrent snapping can occasionally occur because it is becoming increasingly recognized that the hamstring tendons can regenerate.Thus, the results of a surgical release, or harvesting, of the medial hamstring tendons does always not prove to be as successful as the treatment of lateral snapping hamstrings.

3.Yes with good physiotherapy and exercise, you can get improvement in pain symptoms of achillies tendon, heel and calf muscles.

I hope this answers your query.
If you have any questions I will be happy to answer.
Please close the query if you have no other questions.

Wishing you speedy recovery...

Warm regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.

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