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    tear of posterior horn, medial meniscus
    runnerclimber posted:
    I am a high altitude mountain guide, and ultra trail runner. I maintain a very consistent level of fitness, and strict diet. I had a partial meniscetomy 16 months ago. I have continued pain, and my knee will almost lock at times. I have to flex it several times until I hear a "pop" before the pain will subside. Squatting causes loud crepitus. My Dr. says more surgery is needed, but after much research, I am seeing that surgery might not be the way to go. Any advice would be greatly appreciated.
    Mary Ann Wilmarth, PT, DPT, OCS responded:
    Hello RunnerClimber,

    It sounds like you may be having some difficulties with the accessory motion in the knee. This can be caused by muscle and or various soft tissue imbalances. You could easily have some of these or developed some after your surgery. Sometimes minor biomechanical dysfunctions become magnified and given the nature and intensity of your work, this could happen more quickly for you than for someone who is not as active.

    I would recommend seeing a physical therapist first to see what is happening biomechanically with your lower quarter (hip and leg) in order to ensure that you have the least stress on your knee. Find a PT at:
    If necessary, then you should go back to see your orthopaedic surgeon.

    Good Luck.

    Dr. Wilmarth
    Dr. Mary Ann Wilmarth

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