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Horizontal Tear in Posterior Horn Medial Meniscus
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Duck357 posted:
I've been inactive for about 8 weeks while getting the subject diagnosis, and when I don't use the knee it's pain-free. Dr (orthopedic) said if it doesn't hurt, no need to "do" anything, so go back to normal activity and see what happens. Normal activity starts with stairs in my house, yoga lunge positions but no repetitive lunges, no deep squats. (And losing weight!!) I'm expecting pain, which I will treat with ice. Dr seemed to think I won't do more damage if I avoid twisting for a while while we work back into things. MRI (and x-rays) show moderate arthritis coming on. It doesn't sound like there's much that can be done to help the knee if it doesn't like my resumed activity. Should I seek a second opinion before I resume activity? Should I be wearing a brace?
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DUKE MEDICINE
Blake Boggess, DO responded:
The indications that you should have surgery for your meniscal tear would include locking of your knee and persistent pain. You do not have to have surgery right away and could wait. The arthritis could be treated with joint injections of a corticosteroid or a joint lubricant (hyaluronic fluid) such as Supartz or Synvisc. A neoprine knee brace has been shown to decrease pain but not heal a tear or stop the progression of osteoarthritis.
 
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PJC55 replied to Blake Boggess, DO's response:
Have had lateral meniscus of right knee removed. Wear knee brace and have had cortisone shots for pain. Any thing else


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