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Author Topic: Meniscus tears in both knees at 26...is surgery inevitable?  (Read 752 times)

Offline mayb626

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Meniscus tears in both knees at 26...is surgery inevitable?
« on: August 06, 2012, 05:09:28 PM »
Some background: I'm 26 and only began exercising two months ago. I'm petite and not overweight at all, but I finally decided to join the gym to tone up. I trained in gymnastics from age 3-10 but have no real athletic background.

I've always had knees that popped and clicked but they rarely got stuck (I can count on one hand how many times they've gotten locked or gave away since I was a child). I was told I had discoid shaped meniscus and as a result I'd never be able to really compete as a gymnast.

After joining the gym and starting with yoga and pilates and working my way up to power hours, spinning, and boot camp, my knees began clicking constantly after a kickboxing class. I had taken a spin class the previous night and I'm guessing somewhere between the two classes with shuffling my feet and standing I did something. Then, my left knee began to feel as though it wasn't quite in the right place. I took some days off, did the whole RICE thing, and went right back to the gym while taking care not to extend my knees too far or hurt them more.

My knees had begun to lock up and catch/get stuck even in simple yoga poses so I went to the OS who sent me for an MRI. Didn't think anything would be terribly wrong, but the MRI came back with the following:

LEFT KNEE (where I have the most pain): Discoid lateral meniscus with a complex tear...large horizontal compoenent extending anteriorly from the body to the anterior inferior articulating surface. Everything else was normal.

RIGHT KNEE: Complex tearing of the anterior horn and body of the medial meniscus with a flipped fragment posteriorly. Complex tear of the posterior horn medical meniscus as well.

Obviously, I will be seeking out second and third opinions for surgery. The OS wants to operate, one leg at a time. I am young, active, and a wife and mother of a young child and this scares me. I had plans of running the ING Miami half marathon for charity and obviously now I can't. The OS's nurse (the OS is so bad he couldn't call me or recommend anything himself!) told me I can push it off for up to a year depending on my pain and mobility. I still go to the gym 5-6 days a week but haven't run on the treadmill or otherwise in weeks because my knees give way. On Friday, after 45 minutes on the elliptical I walked off it and my left knee buckled. I feel my balance has been affected by my knees (in doing strength exercises where I once was very strong) as well. I've been taking it easy in the workout department but the knee issues don't go away.

Has anyone had experience with bilateral meniscus tears at such a young age? People have told me I can live with it for years but I don't want to compromise my newfound love of fitness. I would definitely be willing to go through with surgery if it means I can continue to work out unaffected. Any advice would be greatly appreciated, since I'm hearing no surgery from friends and yes surgery (obviously) from the doctor. In a way I would rather have surgery and not continue waiting with PT and whatnot. The OS did not recommend PT, as he felt it wouldn't "undo any damage" (nurse's words).

Offline LAS

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Re: Meniscus tears in both knees at 26...is surgery inevitable?
« Reply #1 on: August 07, 2012, 02:19:52 AM »
Hmmmmm tough situation to be in at your age.   I too have meniscus tears in both knees.  Although I am older than you, I was a little shocked that I even had one tear because I am not athletic, active in other ways but  not terribly overweight.   I had surgery on the left knee for a posterir horn tear which was significant.   I was in alot of pain.  It didn't lock but it hurt constantly and it got to the point that I got sick of that knee after a year and got the surgery done.   I continued to limp after the surgery and got synvisc with a 40-50% improvement.   I do feel like I waited too long to have the surgery and the tear got worse  cause the pain got worse.   As I said I am not athletic like some on this site so I wasn't cycling, running, jumping and all of that.   I was walking daily until I started limping and I stopped.   The other knee has a small tear and it catches a little so I got the  injection of cortisone which helped alot.  I am putting off surgery to the knee with the small tear cause it is not bothering me that much but when it does,  I will not wait long to get the surgery.  My feeling is that if you have significant tears they can get worse and even inujure surrounding structures (ligaments, etc.)  Now I don't want the other knee to be as bad so I will keep a close eye on it.  My OS told me  to stop the PT as it would not help the kind of tear I had on the left knee and he was right cause after 4 weeks of it there was no improvement at all.   I definitely would get two  more opinions especially because of the complexity of the tear and your age.  It seems like you  will need the sugery for that kind of tear and maybe your are making it worse by the kind of exercise you do.   Know the risks if you have  the surgery and risks if you don't.   Backing off the treadmill is a good idea.   You could fall and injure something else.   My left knee was giving out before I had the synvisc injection so I know how that feels and I keep saying to myself maybe if I had the surgery a year before, I would have more cartilege to work with.     I hope this helps you and let us know what you decide.     LAS

Offline Nettan

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Re: Meniscus tears in both knees at 26...is surgery inevitable?
« Reply #2 on: August 23, 2012, 09:07:40 AM »
Definately I would go surgery route if the problems is making your knee give out. You can end up with worse damages then you have if you fall.
But first of all get some fresh eyes on your knees and make at least a second opinion.
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.