Ongoing Knee Pain Is Common After Meniscal Surgery

Ongoing Knee Pain Is Common After Meniscal Surgery

Most meniscal surgeries (95%) are partial meniscectomies where part of the meniscus is actually removed, not just repaired. Therefore, the remaining meniscus is now smaller and does not perform as well. The Meniscus is a ring-shaped piece of cartilage whose purpose is to act as a shock absorber for the knee. When a piece is removed it can’t function as well as it is meant to. Thus, when equal forces are placed onto a smaller piece of cartilage, more wear and tear and increased risk for in jury takes place.

Most recent studies have shown meniscal surgery to be no better than physical therapy or Cham surgery. This includes to recent studies from the New England Journal of Medicine, as well as a study from an orthopedic surgical journal. (1,2,3).

2 reasons why people have increased risk for pain after meniscal surgery are:

1. The meniscus can re-tear. Remember the remaining meniscus is smaller but having to work harder since pressure is on the meniscus have not changed.
2. The knee now has a significant increase in developing arthritis since part of the meniscus was removed. A study looking at knees 18 months after surgery showed 60% of knees treated with surgery had developed arthritis compared to 33% and patient’s only receiving physical therapy. (4)

What are your treatment options?

First, do not have another meniscal surgery. This will only worsen the problem. Second consider Ortho-biologic treatment such as PRP or stem cells which have been shown to be very effective in multiple trials. (5,6).

The bottom line is do not have meniscus surgery. This will only weaken your knee and lead to a significant increase in developing arthritis later in life. Come see us at Regenexx Pittsburgh for state of the art ortho-biologic treatments with PRP and Stem Cells so you can get back to high level function.

(1) Katz JN, Brophy RH, Chaisson CE, et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis N Engl J Med. 2013;368(18):1675–1684. doi:10.1056/NEJMoa1301408
(2) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Järvinen TL; Finnish Degenerative Meniscal Lesion Study (FIDELITY) Group. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med. 2013 Dec 26;369(26):2515-24. doi: 10.1056/NEJMoa1305189.
(3) Beaufils P, Pujol N. Management of traumatic meniscal tear and degenerative meniscal lesions. Save the meniscus. Orthop Traumatol Surg Res. 2017;103(8S):S237-S244.DOI: 10.1016/j.otsr.2017.08.003
(4) Collins JE, Losina E1,2, Marx RG3, Guermazi A, MeTeOR Investigator Group. Early MRI-based Changes in Patients with Meniscal Tear and Osteoarthritis. Arthritis Care Res (Hoboken). 2019 Apr 1. doi: 10.1002/acr.23891
(5) Filardo G, Kon E, Buda R, Timoncini A, Di Martino A, Cenacchi A, Fornasari PM, Giannini S, Marcacci M. Platelet-rich plasma intra-articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2011 Apr;19(4):528-35. doi: 10.1007/s00167-010-1238-6.
(6) Southworth TM, Naveen NB, Tauro TM, Leong NL, Cole BJ. The Use of Platelet-Rich Plasma in Symptomatic Knee Osteoarthritis. J Knee Surg. 2019 Jan;32(1):37-45. doi: 10.1055/s-0038-1675170

About The Author
Dr. Marc Adelsheimer

Dr. Marc Adelsheimer

Dr. Marc Adelsheimer

Dr. Marc Adelsheimer

Related Posts

Bone-on-Bone Pain and Maintaining your Knees

What is Bone-on-bone pain? Loss of cartilage can result in Bone-on-bone pain or osteoarthritis. This is the most common form of arthritis, and approximately 46% of people will develop it in their lives. Regenexx PRP or Bone Marrow Concentrate has been found to decrease symptoms and increase function in patients that suffer from bone on bone arthritis.

Read More »

Step-By-Step PRP Procedure for a Meniscus Tear

Why would you want to use PRP for your shoulder pain? A Peer-Reviewed Randomized Controlled Trial shows PRP has better long term effectiveness than Corticosteroids for shoulder pain. Investigate Regenexx Pittsburgh’s PRP procedures.

Read More »

Follow Us

Recent Posts

Are You a Regenexx Candidate?

About Regenexx Pittsburgh COVID-19 Protection Zone

At Regenexx Pittsburgh, we are foremost committed to the health and safety of our patients. Our team adheres strictly to COVID-19 protection protocols and ALL staff wear masks and are COVID-19 vaccinated.

Advanced IOF Certifications

Certified at the highest level for Ankle / Foot, Wrist / Hand, Hip, Knee, Shoulder, and Spine Intradiscal

Specialized Certifications

Top available certifications in Diagnostic Ultrasound, Bone Marrow and Adipose Aspirate, and Nucleated Cell Counting

Educational Certifications

Our doctors have earned both General Instructor as well as Spine Instructor certifications.

Download Our Free Non-Surgical Regenerative Orthopedics Ebook

Knee

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Knee Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Meniscus Tears
  • Patellofemoral
  • Syndrome/Chondomalacia
  • ACL Tears + PCL, LCL & MCL Tears & Sprains
  • Patellar Tendonitis
  • Pes anersine bursitis
  • Baker’s cyst
  • Instability
  • Hamstrings Tendinopathy & Biceps Femoris Insertional Tendinopathy

Lower Spine

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Spine Treatments >

Commonly Treated Conditions:

  • Lumbar Facet Injury
  • Degenerative Disc Disease
  • Herniated or Bulging Disc
  • Radiculopathy (pinched nerve)
  • SI Joint Syndrome
  • Many More Disc and Low Back Issues

Foot & Ankle

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Foot & Ankle Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Ankle Instability
  • Plantar fasciitis
  • Peroneal tendon tear or split
  • Ligament sprain or tear
  • Sub-talar arthritis or instability
  • Tarsal tunnel syndrome
  • Bunions

Cervical Spine

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Spine Treatments >

Commonly Treated Conditions:

  • Cervical Instability
  • Cervical Facet Injury
  • Neck, Back or Rib Instability
  • Many More Disc and Cervical Issues Causing Pain

Hip

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Hip Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Osteonecrosis
  • Bursitis
  • Tendinopathy
  • Labral / Labrum Tear

Shoulder

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Shoulder Treatments >

Commonly Treated Conditions:

  • Rotator cuff tears
  • Arthritis of the shoulder joint
  • Thoracic outlet syndrome
  • Labral tears or degeneration
  • Rotator cuff tendonitis & tendonosis
  • AC Joint Separation
  • Recurrent shoulder dislocations

Elbow

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Elbow Treatments >

Commonly Treated Conditions:

  • Arthritis
  • Instability
  • Tennis Elbow or Golfer’s Elbow
  • Nerve entrapment (ulnar nerve)

Hand & Wrist

Regenexx® Procedures are non-surgical injection treatments that are intended to help reduce pain and improve function for those who are suffering from pain due to common injuries, arthritis, and overuse conditions. View Details About Hand & Wrist Treatments >

Commonly Treated Conditions:

  • Hand Arthritis
  • Basal Joint Arthritis or CMC / Carpometacarpal
  • Arthritis
  • Instability
  • TFCC Tear
  • Carpal Tunnel SyndromeTrigger Finger