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Author Topic: Complex tears in the discoid lateral miniscus - advice needed  (Read 842 times)

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Offline procterrrrr

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Hey all, i'm looking for advice from anyone who has suffered with this knee problem before.

I've had a lot of pain in my right knee, MRI showed complex tears on the incomplete discoid lateral meniscus and I am booked in to see a specialist in a week tomoz.

I have 3 tears, surface to surface tears on the anterior and posterior horns and possibly a horizontal component.

Am I doomed ? is my cycling obsession doomed ? has anyone else had to same issues and did you need surgery ? if so how long did it take to recover. Im 40yrs old so not a spring chicken.

Any help/advice is greatly welcome. Going out of my mind with worry

Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #1 on: April 20, 2017, 10:19:00 AM »
Not sure what country you are in? Are you seeing a surgeon who specialises in meniscus and potentially does transplants (there are a handful in most countries if any).  Although, you age may preclude you from transplant unless paying OOP (very expensive) and depending on the state of the joiint surfaces.

If you are symptomatic, especially locking, buckling etc, it's likely a surgeon will suggest keyhole surgery to trim, unlikely to be repairable (due to your age and complexity) only removable
Unfortunately, this will leave you without the shock absorber and thus (more) arthritis is highly likely sooner or later. You need to get the leg muscles from hip to foot really strong to help support the knee. Find a good Physio to help you.  Find one who specialises in cycling too if possible (be a private one).  You might want to look into braces to help when cycling, again ask the physio

There are good meniscus primer and video in the learning hub (link too right)

In terms of recovery time, depends what is done, everyone is different, but generally 3-6 months to feeling better, albeit the knee will probably never feel completely normal after surgery. Need to be highly dedicated to rehab and Physio

Good luck :)
« Last Edit: April 20, 2017, 10:31:29 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #2 on: April 20, 2017, 10:30:30 AM »
Hey thanks for the reply, i'm in the UK. I am due to see a consultant at BUPA Leeds next week, I believe its to see if anything can be done without surgery if not then i'll be referred to the knee specialist for some surgery.

I've read a lot and am sure surgery is the only way but i'll try anything, I am a keen mountain biker(not fallen on this knee) and cant bare not riding.

My knee doesn't lock but going up and down stairs hurts a lot, putting too much pressure on it hurts,  getting out of bed is an issue and the reason I went to the doctors.

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #3 on: April 20, 2017, 10:32:06 AM »
Being a mountain biker its ironic that its my knees shock absorber that's broken :( can you still ride without the cartilage ?

Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #4 on: April 20, 2017, 10:50:26 AM »
Yes, you'll be able to cycle. I'm a road cyclist, with a mashed lateral meniscus (partially removed 7 odd years ago, full of tears now, plus arthritis).  But you may not be painfree and the impact could well accelerate arthritis...the lateral meniscus is more problematic unfortunately

Biking much better than running.  Ask the physio for advice on bracing, technique etc.  You might find twisting to unclip an issue / sore, but should be able to if the pedal tension is low

These guys look a good place to start http://www.physiofitleeds.co.uk/physio_biomechanical_cycling.php
Be ?100 well spent (doubt Bupa would cover)

Ask which physio would be the best to see (pre and post surgery), but it looks like this lady is the cycling specialist

http://www.physiofitleeds.co.uk/biog_jenny.php
« Last Edit: April 20, 2017, 10:53:04 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #5 on: April 20, 2017, 11:00:00 AM »
I lived in Cookridge for 25yrs, a mile from that place! I could go there and go see my mum afterwards.

So happy I found this forum, I thank you for your knowledge. I did think my biking days were over, I already feel positive again. I've ridden with pain for awhile, that doesn't bother me as long as I ride :)

Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #6 on: April 20, 2017, 11:03:33 AM »
See what the specialist says (is he a sports Dr, any knowledge on cycling?)

If you do need surgery, get advice from that Dr, or the physio as to who is the best knee surgeon locally (most are Bupa covered if they have a private practice)

Just take it easy in the meantime.  If you do have surgery, follow the physio's advice on rehab and especially returning to cycling, you may need to use an exercise bike or turbo for a month or two
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #7 on: April 20, 2017, 11:11:28 AM »
She is called Rachel Scurfield, lead doctor at a rugby club. Msc is sport and exercise medicine

Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #8 on: April 20, 2017, 11:27:53 AM »
Sounds good.  Hope she can tell you what's what :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #9 on: April 20, 2017, 11:36:12 AM »
In the meantime I will be using a compression pad and ice pack, shame I never used an icepack before, they are great on aches  :D

Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #10 on: April 20, 2017, 12:49:15 PM »
Ice for 15 mins at a time, couple of times a day. Always put a cloth between pack and skin to avoid ice burns :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #11 on: April 21, 2017, 10:38:06 AM »
One thing I don't understand from all the reading I have done is that people with lesser problematic knee issues have more pain, less use of knee etc

I can still ride, the day after I got my results I rode 40 + miles on my MTB. Sure I popped some inbuprofen and had pain and was walking gingerly for a few days but my knee doesn't pop or lock. Worst problem is getting out of bed and pain going up and down stairs.

I am a lot more noticeable about my knee now, I always have a hot bath after a ride with salts and the next day I ache a lot which I could not understand. Apparently hot baths are not good for this knee issue  :'(

Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #12 on: April 21, 2017, 10:46:00 AM »
We're all different, we all feel pain in different ways, we're all affected in different ways :)

Your post riding pain sounds worse than mine, my left knee is a mess but I can cycle decent distances without any great issues afterwards...other joints more of an issue

Why are baths not good for meniscus tears?  Heat can be great for ailing joints as the blood flow promotes healing and lowering of inflammation (as can ice when used as directed)...and ice followed by heat

Don't believe everything you read, take medical advice from trained professionals familiar with your own case
« Last Edit: April 21, 2017, 10:47:33 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline procterrrrr

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #13 on: April 21, 2017, 11:05:12 AM »
From things I have read

Good stuff

Protection
Rest
Ice
Compression
Elevation

Bad (cant remember the 4th one)

Heat
Alcohol
Massage



Offline Vickster

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Re: Complex tears in the discoid lateral miniscus - advice needed
« Reply #14 on: April 21, 2017, 11:09:39 AM »
Other than alcohol, never heard of heat or properly done sports massage being bad.  Source?  My physio who is excellent is a massive proponent of heat for pain/stiffness as is her equally excellent colleague whom I've seen.  These are extremely experienced sports physios, one of whom works with Olympians and other athletes

Yes, PRICE is standard after injury, Ice is said to be less use with chronic or older issues, use straight after injury, or if there is lots of swelling.  Heat soothes chronic issues too

Discuss your own case with the specialist when you see her, and the physio subsequently.  And the surgeon if you go that route (although they are often less interested / expert in the rehab side of things, that's where the physio comes in)
« Last Edit: April 21, 2017, 11:13:06 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up