General fitness, health and nutrition · Public discussion

exercises for torn meniscus?

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General fitness, health and nutrition
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27 May 2006
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30 May 2006
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  1. I am not a runner but it looks like this is the best place to post this
    question:

    I have had knee pain for a few months. Mostly when going up and down
    the stairs and standing up from a sitting position. X-rays show no
    problems with my knee structure.

    I have not had an MRI yet. The doctor feels it is most likely a torn
    meniscus and isn't bad enough yet to warrant an MRI. He also feels
    that whatever it is the treatment at them moment is probably the same.
    He suggests some gentle exercises.

    I am a 60 year old female with chronic severe back pain which means any
    exercises I do have to be easy on my back. I already have a bunch of
    back exercises I do daily including knee to chest and hamstring
    stretches.

    I was wondering if anyone had any that they found particularly helpful
    for knee pain?

    I do swim 40 minutes daily - freestyle only. I also walk about two
    miles a day although I've had to take this a little slower than usual -
    and I was already pretty slow.

    Thanks

    Jane

  2. <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    I have had knee pain for a few months. Mostly when going up and down
    the stairs and standing up from a sitting position. X-rays show no
    problems with my knee structure.

    I have not had an MRI yet. The doctor feels it is most likely a torn
    meniscus and isn't bad enough yet to warrant an MRI.

    I would insist on the MIR immediately. If it's a torn meniscus then it
    needs attention and that is arthroscopy surgery and no exercise or PT
    will help it heal. While the MRI is not always perfect it can rule
    things out or find an exact problem. To not use the MRI is poor
    medicine. It's about the best diagnostic tool his has. I hope is not
    just trying to keep his HMO costs down at your expense.

    Quoted message said:

    He also feels
    that whatever it is the treatment at them moment is probably the same.

    I know your translating his thoughts but if you are recapping his
    medical opinions I don't want him in my rolodex.

    Quoted message said:

    He suggests some gentle exercises.

    I'd suggest a second opinion if he doesn't order the MRI. Good luck!

    -DF

  3. Sorry but I beg to differ. I have done extensive research on the Web.
    I use a site called Healthwise which is a site used by the health care
    company I work for (the second largest in the country). Their site
    states:

    "Small tears located at the outer edge of the meniscus often heal with
    rest and a rehabilitation program."

    Given the severity of my back problem any type of surgery would be a
    nightmare - certainly much worse than having to live with minor knee
    pain. My doctor knows that and is acting accordingly.

  4. <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Sorry but I beg to differ. I have done extensive research on the Web.
    I use a site called Healthwise which is a site used by the health care
    company I work for (the second largest in the country). Their site
    states:

    "Small tears located at the outer edge of the meniscus often heal with
    rest and a rehabilitation program."

    And until an MRI is taken or Arthroscopy is used you are at the mercy of
    a wild ass guess. Who says it's a small tear and not small piece
    dislodged, or a slightly larger tear that will not heal(I have my doubts
    about healing but that is another issue for another time) which can be
    removed with minor arthtroscopic outpatient work.

    Quoted message said:

    Given the severity of my back problem any type of surgery would be a
    nightmare - certainly much worse than having to live with minor knee
    pain. My doctor knows that and is acting accordingly.

    Sounds more like your fear/distrust.etc of the fix has led the doctor
    down the path you are taking. He is doing what you want. I don't think
    an MRI will hurt so at least take that step. Remember this is a running
    forum and tend to take more aggressive action when we can't run. And to
    not have all the diagnostics in hand to help with a diagnosis just
    delays any potential soulution.

    -DF

  5. "Doug Freese" <[email hidden]> wrote in news:tngeg.1524$%h.187@news-
    wrt-01.rdc-nyc.rr.com:

    Quoted message said:

    Sounds more like your fear/distrust.etc of the fix has led the doctor
    down the path you are taking. He is doing what you want. I don't think
    an MRI will hurt so at least take that step. Remember this is a running
    forum and tend to take more aggressive action when we can't run. And to
    not have all the diagnostics in hand to help with a diagnosis just
    delays any potential soulution.


    I gotta agree. My doc diagnosed a possible torn meniscus, and his FIRST
    step was to send me for an MRI. The ortho agreed that I had a very slight
    tear.

    In my case, the ortho worried the cure might leave me worse off than the
    level of symptom I was having, so he opted to wait, and suggested I work
    on strengthening the knee while continuing to run (with a warning not to
    overtrain). If it continued to be a problem, then he'd go in.

    It actually got "better" over time, though another later MRI showed the
    slight tear was still present, but no worse.

    The point is this: I did exactly what you're doing, but I had proof of
    what the problem was (not just a guess, something my regular doc didn't
    think was sufficient), and a benchmark against which we could measure any
    future issues.

  6. the OP made mention of a point that made the rest of his statement
    valid when he said "outer". runners would be better off defining the
    location of the tear as for was Doug said is also true. the area is
    classicaly characterized as having 2 zones, red & white. The meniscus
    is avascular (except the outer or periphery) where it joins to the
    knee. 80% of it's a white zone (no blood), 20% has slight blood flow.
    develop a tear in the white zone and it will never heal. go w/o
    treatment and that's a great way to develop arthritis. even if your
    tear is in the red zone it may well never heal if you're 40+. but it's
    very small it may.

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