Medial/Lateral Meniscus Tear

 Medial Knee Pain

Medial Knee Pain

Medial or lateral meniscus pathologies can present with pain planting and twisting during sporting activities or locking and clicking during gait. Meniscus tears are commonly caused by either hyperflexion or hyperextension injuries. They also can present due to degenerative changes over time. Look below for some things to consider!

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Anatomy

        Image via Complete Anatomy 2018 by 3D4 Medical

      Image via Complete Anatomy 2018 by 3D4 Medical

Special Tests

  Thessalys   test  is a specific test to rule in meniscal pathology. It is more specific for both medial and lateral meniscus compared to McMurry’s test. When in doubt, use Thessaly’s to assess if your patient has a meniscal pathology! (Click image to watch 1-2 minute video)

Thessalys test is a specific test to rule in meniscal pathology. It is more specific for both medial and lateral meniscus compared to McMurry’s test. When in doubt, use Thessaly’s to assess if your patient has a meniscal pathology! (Click image to watch 1-2 minute video)

Treatment

  Restoring knee ROM  is key in patients who present with this issue. It is important to gain full knee extension before you start to work on knee flexion. This is because humans need 0-5 degrees of knee extension to walk with proper gait mechanics. Ensure your patient has full knee range of motion before working on strengthening and other higher level activities.

Restoring knee ROM is key in patients who present with this issue. It is important to gain full knee extension before you start to work on knee flexion. This is because humans need 0-5 degrees of knee extension to walk with proper gait mechanics. Ensure your patient has full knee range of motion before working on strengthening and other higher level activities.

Therapeutic Exercise

 It is important to choose a  home exercise  for your patient that matches the treatment given. In this instance, we chose to work on knee extension. The above stretch focuses on helping the patient gain full extension of the knee. Once full range of motion of the knee has been achieved it is important to work on strengthening and higher level activities. (Click image to watch 1-2 minute video)

It is important to choose a home exercise for your patient that matches the treatment given. In this instance, we chose to work on knee extension. The above stretch focuses on helping the patient gain full extension of the knee. Once full range of motion of the knee has been achieved it is important to work on strengthening and higher level activities. (Click image to watch 1-2 minute video)