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Author Topic: 29 years old - surgery on torn meniscus from 10 years ago  (Read 442 times)

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Offline Bakez

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29 years old - surgery on torn meniscus from 10 years ago
« on: January 25, 2018, 09:36:58 PM »
Hi all

I am 29 years old and suffer knee pain from what I am pretty sure was a torn meniscus about 10 years ago. I am considering going in and getting surgery on it. I would just like to know what my options are really in terms of surgery. I don't have a diagnosis yet but I am 99% sure its a torn medial meniscus from years ago. I would just like to be armed with information for when I see the Dr/specialist.

I have had this for about 10 years, but the pain is getting annoying now. Sometimes I can go 2 weeks with thinking my knee is bulletproof and then other weeks its like hell.

I am not really sure what caused it although I can remember at some point this knee being swollen in my teenage years but there wasnt really any pain so I just walked it off for a few days, and then a little after that I can also remember being about 19 and this knee literally not being able to go past parallel for hours at a time.

Right now I have complete ROM and the knee locks only occasionally, and kind of feels a little bit unstable sometimes. So I am guessing that it healed a bit over the years but not completely.

I have symptoms of knee grinding and catching when I externally rotate my lower leg and flex my knee, but only at one point as I go past 90 degrees. Occasionally during a body weight squat it will lock and I have to stand up again to 'reset it' in order to go all the way down. On the first rep of each heavy squat my knee usually makes a loud cracking sound like cracking of knuckles and is then fine for all the other reps. Generally squatting makes my knee feel better but the next day its a bit sore and sometimes I have to take a week off it, and I cant really go heavy because I think my leg tries to compensate for the pain and every few months I get strains in this leg.

Anyway, would surgery really be an option for a tear that is 10 years old? I am guessing now it could be really bad degenerative since I still squat on it and used to swim breaststroke at a high level with this knee.
Coincidentally my dad walked around with a torn meniscus for about 20 years and said that his operation was the best thing he ever did and that his knee is now 95% perfect, but his was much more serious as he had 20 years of incomplete ROM due to it. I am thinking that because I have full ROM and have been continuing to do sports I have probably bashed it up quit a lot with all the grinding with the thousands of times my knee has gone past 90 degrees.

Any comments welcome

« Last Edit: January 25, 2018, 09:41:10 PM by Bakez »

Offline Vickster

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Re: 29 years old - surgery on torn meniscus from 10 years ago
« Reply #1 on: January 25, 2018, 09:46:33 PM »
It could be anything or nothing. No point hypothesising. Go see a knee specialist, get examined, get an MRI if needed and take it from there. Surgery at a young age on meniscus should be a very last resort if there's no consistent mechanical issues as it sounds like

Adapt your activities (stop squatting, try crawl/backstroke instead of breaststroke), do physio etc before getting cut. If the meniscus is degenerate, it'll need trimming which will potentially lead to earlier arthritis

Good luck
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 Bakez

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Re: 29 years old - surgery on torn meniscus from 10 years ago
« Reply #2 on: January 25, 2018, 10:15:51 PM »
It could be anything or nothing. No point hypothesising. Go see a knee specialist, get examined, get an MRI if needed and take it from there. Surgery at a young age on meniscus should be a very last resort if there's no consistent mechanical issues as it sounds like

Adapt your activities (stop squatting, try crawl/backstroke instead of breaststroke), do physio etc before getting cut. If the meniscus is degenerate, it'll need trimming which will potentially lead to earlier arthritis

Good luck
Is my age really that young for surgery? Can an MRI generally show if its degenerative or not?

I have tried a lot of things over the years

I originally started squatting to ensure my glutes were firing properly as I know they were weak, I've tried Yoga and strengthening my VMO which is a lot smaller on this leg than the other. All these things help but I have come to the conclusion that this leg is weaker because my body is compensating for the pain inside the knee, not the other way round.


Offline Vickster

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Re: 29 years old - surgery on torn meniscus from 10 years ago
« Reply #3 on: January 25, 2018, 10:24:22 PM »
My MRIs generally report degenerate meniscus...type and location of tear, fraying but no definitive tear etc. It depends on the skill and thoroughness of the radiologist reporting to some extent
MRI will also show other causes of pain, inflammation, cartilage damage etc

29 is young as you presumably want the knee to last another 50 years or so?

See a knee specialist, there are specific tests to determine a torn meniscus as well as imaging

These might provide further info
http://www.kneeguru.co.uk/KNEEnotes/specialist-commentaries/dr-raju-vaishya/2017/what-meniscus-preservation-and-why-does-it

http://www.kneeguru.co.uk/KNEEnotes/ebooks/ebook-knee-meniscus-injury

http://www.kneeguru.co.uk/KNEEnotes/ebooks/seven-symptoms-torn-knee-meniscus

http://www.kneeguru.co.uk/KNEEnotes/primers/meniscus

http://www.kneeguru.co.uk/KNEEnotes/articles/expert-views/2018/mri-scans-what-you-should-be-aware
« Last Edit: January 25, 2018, 10:35:19 PM 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