Physical Therapy Nest

Diagnosis of Meniscal Tear

A meniscal tear is usually diagnosed through:

• Medical history review (how the injury occurred, type of activity).

• Physical exam with specific tests (such as McMurray’s or Thessaly test) to reproduce symptoms.

• Imaging:

  • MRI is the gold standard for confirming meniscus damage.

  • X-rays may be ordered to rule out fractures or arthritis.

Treatment for Meniscal Tear

Most meniscal tears can be treated without surgery, especially in older adults or with small, stable tears. Physical therapy is highly effective for improving function and reducing pain. Treatment may include:

• Manual therapy to restore joint motion and reduce stiffness

• Strengthening exercises for quadriceps, hamstrings, and hip stabilizers

• Balance and proprioception training to improve knee control

• Stretching routines for surrounding muscles to reduce stress on the knee

• Pain management techniques such as ice, heat, or electrical stimulation

• Education on activity modification and safe return to sport or work
  In cases where the tear is severe or the knee locks, surgery may be recommended, followed by structured physical therapy.

Symptoms of Meniscal Tear

Typical symptoms of a meniscal tear include:

• Pain along the joint line of the knee

• Swelling or stiffness after activity

• Catching, popping, or locking sensation inside the knee

• Difficulty fully straightening or bending the knee

• Instability or the feeling the knee might “give out”

• Gradual loss of motion if left untreated

Prevention of Meniscal Tear

To lower the risk of meniscal tears or reinjury:

• Warm up and stretch before sports or workouts

• Strengthen quadriceps, hamstrings, and hip muscles for joint stability

• Avoid sudden twisting or pivoting without proper conditioning

• Wear supportive footwear to maintain proper alignment

• Progress training gradually instead of overloading the knee

• Address minor knee pain early before it worsens into a tear