Meniscus Injuries: Understanding the History, Diagnosis, and Treatment

When it comes to knee injuries, meniscus injuries are among the most common. The menisci are two C-shaped pieces of cartilage located on each side of the knee that provide cushion and stabilization through athletic movements. Dysfunctional movement patterns can result in too much strain being placed on these menisci. While both can be injured, it's more common for the medial meniscus to be affected. A meniscus injury does not automatically indicate the need for surgery. In fact, most cases can improve significantly with conservative care approaches.

History and Diagnosis

While diagnosing a meniscus injury, the patient's history plays a crucial role. If the patient hears a pop while the knee is bent, it is likely a sign of a sudden meniscus tear. Pain will often be present with squatting, going up or down stairs, or kneeling. At times, it's possible for a patient with a meniscus injury to feel their knee "lock" while performing these activities. The patient may also have discomfort when the doctor passively bends their knee into full flexion. Patients often experience tenderness along the medial and lateral tibiofemoral joint lines, which can be detected through palpation.

The Thessaly, McMurray, and Apley orthopedic tests aid in diagnosing meniscus injuries. Your doctor will be able to perform these tests accurately. However, it's important to note that while orthopedic tests can provide quality insight, they are not the end-all-be-all when it comes to correctly diagnosing an injury. The diagnosis depends on a combination of a patient's mechanism of injury, symptomatology, and movement patterns.

Tight adductors, an overpronated foot, or weak glutes can cause poor control and increased stress on the medial joint line. While these movement dysfunctions could lead to a meniscus injury, they could also play a role in different injuries with similar symptoms such as degenerative joint disease (DJD) of the medial tibiofemoral joint. For this reason, if all of the data that we have collected does not make our diagnosis clear, we can refer you for an ultrasound or an MRI of your knee to confirm our findings.

Treatment Options

Fortunately, many meniscus injuries can be managed without resorting to surgery. Conservative care approaches often yield positive outcomes. Function First Sports Chiropractic allows for a combination of the following treatment possibilities:

• Strengthening Exercises: A comprehensive rehabilitation program focusing on strengthening the glutes, hamstrings, and quadriceps can help stabilize the knee and promote healing. Strengthening these muscle groups aids in reducing stress on the meniscus and improves overall knee function. Proprioception exercises (knowing where your knee is in space) are also important.

• Joint Mobility: Adjustments to the low back, hips, knees, and ankles are essential to maintaining mobility and proper movement patterns. Incorporating mobility exercises and stretches can also pair well with the adjustment to improve flexibility and reduce strain on the meniscus.

• Soft Tissue Work: Addressing tight musculature around the knees and hips is crucial. We might approach this with myofascial release, cupping, or scraping. These can be beneficial in reducing muscle tension and enhancing blood flow to the injured area.

• Nutritional Support: Certain nutrients can promote joint health and aid in the recovery process. Once you visit the Tampa office, we can provide potential recommendations. Supplements such as glucosamine/chondroitin, essential fatty acids, and anti-inflammatory herbs in your diet could be beneficial.

Understanding the history, diagnosis, and treatment options for these injuries is crucial for effective management and recovery. Implementing a comprehensive approach that includes strengthening exercises, mobility work, nutritional support, soft tissue therapy, and biomechanical considerations can help you find relief and regain your knee function without undergoing surgery. Reach out to us at Function First Sports Chiropractic to determine the most appropriate treatment plan based on your specific condition and needs. We can guide you on your knee rehabilitation journey while assessing which movements are best for you! Allow us to get you back to doing what you love.