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Meniscus Tears?
deadeyedick Offline
#1 Posted:
Joined: 03-13-2003
Posts: 17,072
After 40 years as a distance runner and enough miles to circle the globe twice (really) with no major health issues I recently added pickle ball (kinda like tennis) and now according to an MRI I have at least three tears to the meniscus in my right knee.

I had tried cortisone shots which did nothing before having the MRI and now have an appointment to see an orthopedic surgeon next week. I'm sure he will recommend surgery as thats what they get paid for. I have not stopped running but have cut back on the daily miles some since it is part of my lifestyle just like a daily fine cigar or two.

If any of you brothers have experiences with torn meniscus and either had surgery or used alternate methods to heal I would appreciate your thoughts.
TMCTLT Offline
#2 Posted:
Joined: 11-22-2007
Posts: 19,733

Damn Rick that sucks, no help here but wish you all the Best going forward with this.

Paul
cameroon Offline
#3 Posted:
Joined: 04-06-2014
Posts: 810
DrafterX Offline
#4 Posted:
Joined: 10-18-2005
Posts: 98,535
Nothing torn I don't think but I just got x-ray'd last week and discovered my knees were bone on bone.. got a couple shots but he said it was just a matter of time.. Sad

Sure hope they can fix you Rick.. Mellow
ZRX1200 Offline
#5 Posted:
Joined: 07-08-2007
Posts: 60,582
I've had meniscus strains (maybe micro tears) and it hurt like hell.

When I was salmon fishing it felt like I got hit by sniper fire in my knee, ortho said MRI, and the first part ^ is what he said to me. Only thing to do for me was limit activities and long standing periods. No surgery.

Good luck they suck.
Mr. Jones Offline
#6 Posted:
Joined: 06-12-2005
Posts: 19,419
I tore ( and I mean TORE, NO **** micro rips or partials with burrs) my meniscus
way back in late 84-85?
Before MRI's ( were invented) or were only used on regular patients with $$$ Super expensive health policies...I was a graduate student on a college health policy....

It was painful as hell, the doctor ordered like
THREE weeks of solid rest then very slow therapy.
He said you'll never run again, but you'll be able to
Walk and ride a bike, but if you try and run again?
Forget the previous two I mentioned...

My question to you?
WHY THE **** ARE YOU STILL RUNNING?
That's the stupidest thing you can do,
Ride bike, treadmill, walk...whatever...

BUT STOP RUNNING TILL IT HEALS OR THEY FIGURE OUT THE BEST TREATMENT FOR YOU.
Mr. Jones Offline
#7 Posted:
Joined: 06-12-2005
Posts: 19,419
I tore ( and I mean TORE, NO **** micro rips or partials with burrs) my meniscus
way back in late 84-85?
Before MRI's ( were invented) or were only used on regular patients with $$$ Super expensive health policies...I was a graduate student on a college health policy....

It was painful as hell, the doctor ordered like
THREE weeks of solid rest then very slow therapy.
He said you'll never run again, but you'll be able to
Walk and ride a bike, but if you try and run again?
Forget the previous two I mentioned...

My question to you?
WHY THE **** ARE YOU STILL RUNNING?
That's the stupidest thing you can do,
Ride bike, treadmill, walk...whatever...

BUT STOP RUNNING TILL IT HEALS OR THEY FIGURE OUT THE BEST TREATMENT FOR YOU.
Mr. Jones Offline
#8 Posted:
Joined: 06-12-2005
Posts: 19,419
***** = *****
Mr. Jones Offline
#9 Posted:
Joined: 06-12-2005
Posts: 19,419
Oh yea,
Try running in a jungle,
Carrying a wounded soldier in a pancho,
Those damn MORPHINE TUBES with needles
Cure anything when the **** hits the fan....
Problem is the C-130 ride home after the extraction.

Gotta love the "Graduate School Cover Status"
on paper... :) :) :)
delta1 Offline
#10 Posted:
Joined: 11-23-2011
Posts: 28,778
I have had my right knee replaced because the meniscus was worn and torn. It was caused by thirty years of running and tennis. I first developed chondromalacia in the knees after 6-7 years of running. Went to see the orthopedic doctors and they said I should quit running and tennis. Part of my problem was that my patellas are congenitally off track, they are rotated a few degrees towards the outside of the knees.

I used ice, heat and knee braces, including those with metal structures designed to reduce the load on the joint. They helped with tennis, but not with running. I eventually gave up running: it was too painful. Continued playing tennis until that became too painful. The pain kept me awake sometimes and I was taking large daily doses of tylenol, naproxen and ibuprofin. Not good for kidneys and liver.

Went to see the Kaiser docs, and they suggested I quit tennis as well as running, and take supplements, chondroitin and glucosamine. After two years, no improvement. Still played tennis, just not as often, and the pain kept up.

I went back to Kaiser orthopedics, and they recommended synvisc shots to lubricate the joints, every three months for a few years, then steroids/cortisone shots. If that regimen didn't help the pain, then arthroscopic surgery. The last resort would be knee replacement surgery. Then the pain escalated, mostly in the right knee, lesser pain in left. Couldn't walk long distances or play tennis without severe pain.

Decided to see a non-Kaiser ortho/knee specialist. He took MRIs and discovered both meniscuses were worn to less than half the usual thickness and had micro fractures throughout. No cartilage under the patella on the right knee and only a little on the left. He suggested immediate knee replacement for my right knee, and monitor my left knee. He gave me a cortisone shot in the right knee and it did relieve the pain for the two months before surgery.

After knee replacement, major improvement in pain and mobility. I am able to walk 6-7 miles at a time without pain, just fatigue.No tennis, except an occasional light game of doubles. No singles tennis, no running or any athletic activities involving running, jumping, sudden stopping and starting. Doctor suggested I take up golf, biking and swimming. Left knee is still OK, since I quit tennis. I ride a bicycle for 35-40 miles occasionally, without pain.

So the only pain relief for me was the cortisone shot. I was able to walk pain-free for two months of pre-surgery fitness. A friend of mine tried the synvisc (artificial cartilage like lubricant) and it didn't help him.

Good luck, DED.
RMAN4443 Offline
#11 Posted:
Joined: 09-29-2016
Posts: 7,683
DrafterX wrote:
Nothing torn I don't think but I just got x-ray'd last week and discovered my knees were bone on bone.. got a couple shots but he said it was just a matter of time.. Sad

Sure hope they can fix you Rick.. Mellow

I had same problem Drafter.........the shots did nothing for me. I had 1st knee replaced in 2008, and 2nd one done in 2012. While they we're doing 1st knee it was discovered I had torn ACL,MCL, and torn meniscus, so they fixed it all up while they were in there.
In 2008 I was 48 years old, and insurance does not like to cover knee replacements if your under 50, so they made me go through every procedure known to man, lol, before my Dr. finally let them know that I was bone on bone, and the only fix was total replacement. Apparently Insurance doesn't like to do it before age 50 because they wear out in about 15-20 years and they want to minimize chances of having to cover it twice.
My advice to anyone who asks is get it done......life is so much better when walking doesn't hurt like hell.
deadeyedick Offline
#12 Posted:
Joined: 03-13-2003
Posts: 17,072
I noticed no difference with the cortisone shots. My reg doc said the next step would be what he called "rooster juice" which is a lubricant maybe same as synvac? Once he saw the MRI he said that would be of little help. The next step according to him is the newer stem cell therapy but it is not covered by insurance at this point and is very expensive. The last resort is total knee replacement.

I continue to run because that is who I am but if the docs tell me that I will never heal unless I stop all impact activities then I will switch to other activities like bike riding which I have done for distance also over the years. Been awhile since I have done any century rides but still have the bikes hanging in the garage. Probably drown if I tried distance swimming.
Abrignac Offline
#13 Posted:
Joined: 02-24-2012
Posts: 17,263
Good luck Rick. I'm facing a similar decision. I've got basal arthritis in both thumbs. The cartilage in both thumbs are completely gone as I'm at the bone to bone state in both. I've got 3 options )1 suck it up, 2) take Meloxicam for the rest of my life which in of itself raises my risk of stroke on top of the blockage issue, or 3) have surgery on my thumbs to take tendons and create padding between the bones.
deadeyedick Offline
#14 Posted:
Joined: 03-13-2003
Posts: 17,072
I had forgotten that bassman had meniscus surgery. Need to hear that outcome.
RMAN4443 Offline
#15 Posted:
Joined: 09-29-2016
Posts: 7,683
deadeyedick wrote:
I noticed no difference with the cortisone shots. My reg doc said the next step would be what he called "rooster juice" which is a lubricant maybe same as synvac? Once he saw the MRI he said that would be of little help. The next step according to him is the newer stem cell therapy but it is not covered by insurance at this point and is very expensive. The last resort is total knee replacement.

I continue to run because that is who I am but if the docs tell me that I will never heal unless I stop all impact activities then I will switch to other activities like bike riding which I have done for distance also over the years. Been awhile since I have done any century rides but still have the bikes hanging in the garage. Probably drown if I tried distance swimming.

They used the SYNVISC? on me,a really thick substance like honey,but had very little positive effect on me......YMMV
DrafterX Offline
#16 Posted:
Joined: 10-18-2005
Posts: 98,535
If I'd known getting fat would do this to me I wouldn't have done it... Sad

Thanks Obama..!! Mad
Buckwheat Offline
#17 Posted:
Joined: 04-15-2004
Posts: 12,251
deadeyedick wrote:
After 40 years as a distance runner and enough miles to circle the globe twice (really) with no major health issues I recently added pickle ball (kinda like tennis) and now according to an MRI I have at least three tears to the meniscus in my right knee.

I had tried cortisone shots which did nothing before having the MRI and now have an appointment to see an orthopedic surgeon next week. I'm sure he will recommend surgery as thats what they get paid for. I have not stopped running but have cut back on the daily miles some since it is part of my lifestyle just like a daily fine cigar or two.

If any of you brothers have experiences with torn meniscus and either had surgery or used alternate methods to heal I would appreciate your thoughts.


Heal up quickly Rick. I've seen some people playing pickle ball where I play tennis. It does have the same quick stop and starts as tennis so I can see how this can happen. Get well soon. fog

ZRX1200 Offline
#18 Posted:
Joined: 07-08-2007
Posts: 60,582
Abrignac wrote:
Good luck Rick. I'm facing a similar decision. I've got basal arthritis in both thumbs. The cartilage in both thumbs are completely gone as I'm at the bone to bone state in both. I've got 3 options )1 suck it up, 2) take Meloxicam for the rest of my life which in of itself raises my risk of stroke on top of the blockage issue, or 3) have surgery on my thumbs to take tendons and create padding between the bones.


Or you could go split some wood......
tamapatom Offline
#19 Posted:
Joined: 03-19-2015
Posts: 7,381
He still runs to stay ahead of the SSG.


And who is this Meniscus dude anyway? Why do we care about his tears? He needs to get over it; the election is settled.
Hank_The_Tank Offline
#20 Posted:
Joined: 11-15-2016
Posts: 3,677
That sucks, sorry to hear that!
bassman45 Offline
#21 Posted:
Joined: 07-05-2009
Posts: 4,088
Hey Rick,I've had the left knee scoped twice and the right one once.I would do the arthroscopic surgery if they recommend it,in 5 weeks I was back to work full-time. One tip...Do the therapy!
JadeRose Offline
#22 Posted:
Joined: 05-15-2008
Posts: 19,525
I had Pickle Ball once but a round of Antibiotics cleared it right up.
Mr. Jones Offline
#23 Posted:
Joined: 06-12-2005
Posts: 19,419
#19 tamapatom

I stopped running long ago...
Because of my KNEE...

Now , I drive slow and walk slower...
Just to PIISS OFF THE SSG...
AND MAN DOES IT WORK.

THEY absolutely hate for me
To be....behind them...
They get all jumpy scared and stuff...
delta1 Offline
#24 Posted:
Joined: 11-23-2011
Posts: 28,778
bassman45 wrote:
Hey Rick,I've had the left knee scoped twice and the right one once.I would do the arthroscopic surgery if they recommend it,in 5 weeks I was back to work full-time. One tip...Do the therapy!


That is ESSENTIAL with any post-op recovery plan. It will hurt doing the therapy. If you don't, you may never recoup full use/extension/rotation/flexion in the joint.
stinger88 Offline
#25 Posted:
Joined: 05-29-2012
Posts: 6,574
I have had two surgeries on the right and one on the left knee for meniscus tears. I think the big question is how big the tear is. The right knee had a small tear, doc went in and cut out the tear and tried to smooth the cut so it wouldn't tear again. Not much luck on that, had to go back in a year later and do some more work. Right knee works fine now, still enough of the meniscus left to keep running. On the left, I must have torn it awhile before I had surgery. Doc said it looked like someone took some uncooked chicken and beat the crap out of it. I had the second operation on the right knee and the operation on the left knee done at the same time. I went out of the hospital on crutches but was upright. Off the crutches in a few days.

My knees aren't perfect but for a 46 year old they seem to be doing fine. Surgery is much better today than back when kids were getting it done in high school. There are no easily apparent scars on either leg.

David
deadeyedick Offline
#26 Posted:
Joined: 03-13-2003
Posts: 17,072
Sorry to hear of all you brothers who have had or have such problems. It seems the surgery is just to cut out the torn meniscus instead of suturing it back so it can heal? Guess I will find out next week when I see the surgeon.

If I understand the MRI report I have a large tear 9X14 MM on one side a small tear on the other and a 15 MM popliteal cyst with mild osteoarthritis. Been living with arthritis in lower back and many other parts of the body for the last 40 years but that has not stopped me from being active.

One article I read said that surgery should be the very last option and that cold pacs could promote blood flow and healing but they were selling those so I figure that advise was tainted.
deadeyedick Offline
#27 Posted:
Joined: 03-13-2003
Posts: 17,072
Burner your box is full.
Burner02 Offline
#28 Posted:
Joined: 12-21-2010
Posts: 12,876
Fixed
Whistlebritches Offline
#29 Posted:
Joined: 04-23-2006
Posts: 22,128
Rick two OS's on the right and one on the left.Someone said it already but let me say it again.......do the therapy.Do it there and do it at home.

Stop running and hit the pool........your knees will love you long time for this.

The downside to all the OS's is athritis.The upside is during the winter your knees predict weather better than that dude on channel 7..........and they're way prettier.Wink Wink
KingoftheCove Offline
#30 Posted:
Joined: 10-08-2011
Posts: 7,631
Avoid surgery if possible.
If all you have is tears, and no big floaters, and you're not experiencing mechanical issues (locking, etc) then it's simply swelling and pain.
No more tennis, no more running. There's many other ways to get some cardio work in. It will "heal" in due time.

I had my entire lateral meniscus removed in 1973.............that's what they did back in the stone ages when you tore it.
About 20 years ago, I was at Stanford having that knee looked at.......you can imagine the shape it's in by then, after 20+ years of various sports and follow up injuries, etc.
At the time I was still big into power lifting, judo, skiing, tennis, basketball, surfing, etc.

The doctor said quite simply...
No more running, no tennis, no basketball, no mogul skiing,........oh, and quit the power lifting and lose 40 lbs............and you MIGHT be able to avoid a knee replacement (I was 220+ at the time.)
I took his advice, and I'm glad I did! Although, I only lost 25 of the 40 pounds............still trying to get to 180.........got 15 more to go, but my knee has been really good these last 10 years or so......good being a relative term of course.
ZRX1200 Offline
#31 Posted:
Joined: 07-08-2007
Posts: 60,582
^ He obviously didn't tell you to quit playing kick ball. How many you got left under the back deck?
Palama Offline
#32 Posted:
Joined: 02-05-2013
Posts: 23,623
Had a partial meniscus tear in my left knee, laid off tennis and running for a few months while doing exercises that my orthro recommended. Basically strengthened the outside knee muscles. The rest and exercises seemed to work but I cut out the running and returned to tennis. No real problems after that but two shoulder surgeries later and arthritis now in my right shoulder so no more tennis. Getting old sucks!
shaun341 Offline
#33 Posted:
Joined: 08-02-2012
Posts: 8,826
I have been lucky enough not to have any major injuries DED so I couldn't say if surgery or rest is best here. Did want to say whatever you chose I am hoping it is a speedy and full recovery. My friend from high school was a star soccer player, scholarships and all that good stuff. When he was a junior in college he had a contract waiting for him from a team in europe (I believe it was the b group league, not familiar with soccer leagues) but tore his meniscus that season. He had surgery but never was the same player I guess because he didn't make it to any pro leagues after that. Now he is a physical trainer so athletics is still very much a possibility.
deadeyedick Offline
#34 Posted:
Joined: 03-13-2003
Posts: 17,072
Whistlebritches wrote:
Rick two OS's on the right and one on the left.Someone said it already but let me say it again.......do the therapy.Do it there and do it at home.

Stop running and hit the pool........your knees will love you long time for this.

The downside to all the OS's is athritis.The upside is during the winter your knees predict weather better than that dude on channel 7..........and they're way prettier.Wink Wink


As someone who has run 15 marathons, twice rim to rim in the Grand Canyon and twice up and down Pike's Peak I sure as hell ain't afraid of a little physical therapy. But as others have said getting old sure sucks big time!
deadeyedick Offline
#35 Posted:
Joined: 03-13-2003
Posts: 17,072
UPDATE:

Still running' ...... against the wind ..... against the wind .....

The surgeon says he can scope my knee whenever I decide I have had enough pain.
Burner02 Offline
#36 Posted:
Joined: 12-21-2010
Posts: 12,876
Ice is your friend.
Mr. Jones Offline
#37 Posted:
Joined: 06-12-2005
Posts: 19,419
Deadeydick,

I am not looking for an arguement or a battle
With you...
That said...you Will not like the following words:

I have two very close friends
WHO ARE BOTH A.D.D.I.C.T.E.D. TO RUNNING.
( We are all 60 yrs old)

YOU heard correctly...addicted...

It is just how they and you are wired in your
Noggins...one guy was TRACK and field in H.S.
The other was on the long distance RUNNING team
In H.S....( one of them has" winter light depression"
SYNDROME too) the other is a stick , practically a veegan...both fantastic people...

When they don't or can't run they get depressed and angry...
I am no expert at all but I'm sure you've heard of endorfens...in the brain...
RUNNING gives all of YOU PHYSICAL HIGHS...

One guy is totally fine and healthy, the veegan...
The other has his knew blown out and operated on
And has the light disorder...they both STILL RUN AND WILL NOT STOP EVEN WITH PAIN...

I THINK SOME sort of other activity will keep you in great shape BUT NONE OF YOU WILL GET THOSE ADDICTIVE ENDORFEN HIGHS....from anything but RUNNING.

I would love to see-read such WRITTEN research on your types....I just never googled it...
Perhaps??? there are SPORTS PSYCOLOGISTS Who have WRITTEN thesis's or doctoral studies on your exact problem...I have no idea.

My advice from the beginning was stop RUNNING
Till it heals or you get surgery....
Then get tons of PHYSICAL therapy and stretch everyday....then possibly work back into running slowly once totally healed....
Obviously RUNNING on an injury is not working.

Knee surgery is NO QIUCK FIX and the healing should not be rushed....figure on 8-12 months of ZERO running after "open surgery"...lapel surgery maybe less...

Good luck, sorry you have this problem.
I have lived with a totally torn meniscus for
27+ years, I KNOW THE REAL PAIN THAT comes from it....I WAS NEVER a constantly ingrained running person though...just two times a week was the most ever for 5 years at most...
deadeyedick Offline
#38 Posted:
Joined: 03-13-2003
Posts: 17,072
I appreciate the advice and your concern but you seem to have a few things incorrect in my case:

Meniscus do not grow back so will not heal. As you state you have been living with the problems for many years. Both my regular doctor and the surgeon confirmed this. The surgery would just cut off the torn tissue which can impinge on surrounding structures.

Running is not making the problems worse but the twisting and other forces associated with pickel ball are what caused it in all likelihood. Stopping running will not make the problem go away and it will only lessen the pain somewhat if at all.

I am not on a 40 year endorphin high. Due to major back issues, a motorcycle accident bone surgery and other injuries over the years I have had to stop running for weeks or months at a time and never experienced symptoms of depression, etc.

Although I did a stint as a vegan for a few months once, I am 6' 200 lbs and have never been particularly thin. I have always been an athlete all my life and running is only one of the many things I have always done to stay active.
stinger88 Offline
#39 Posted:
Joined: 05-29-2012
Posts: 6,574
You seemed to have a problem stepping over a short wall without tearing up your leg. I think you might have a problem. Lol.
deadeyedick Offline
#40 Posted:
Joined: 03-13-2003
Posts: 17,072
stinger88 wrote:
You seemed to have a problem stepping over a short wall without tearing up your leg. I think you might have a problem. Lol.


It was a loose stone ya basted! fog
bgz Offline
#41 Posted:
Joined: 07-29-2014
Posts: 13,023
Last time I saw you, you looked like you were in pretty good shape!

I Suspect I have a meniscus tear as well. I rekt my knee subbing for a buddy bowling one time. Didn't know I did it till the next day when it was all swollen (almost bowled a 300 that night!).

My brother is trying to get me to bowl, I'm like nah, can't.

He's like, but you golf all the time.

Golfing don't bother me though, it's squats that get me, and when you bowl, you basically do a 1 leg squat every shot (if you want to get low enough to roll the ball).

I just refuse to change my style that would most likely make me a sh1tty bowler.

I can still do pretty much anything that doesn't require squatting. I have no problem running either even with 2 dogs pulling on me.
delta1 Offline
#42 Posted:
Joined: 11-23-2011
Posts: 28,778
ummmm......................................................afraid to ask......................................................................................how do you crap?
frankj1 Offline
#43 Posted:
Joined: 02-08-2007
Posts: 44,215
delta1 wrote:
ummmm......................................................afraid to ask......................................................................................how do you crap?

well, Depends...
dstieger Offline
#44 Posted:
Joined: 06-22-2007
Posts: 10,889
frank's slide is nearly complete....couple of fart jokes. (or one tea bag crack) and the transformation is complete....welcome down to the cellar, Frank
deadeyedick Offline
#45 Posted:
Joined: 03-13-2003
Posts: 17,072
dstieger wrote:
frank's slide is nearly complete....couple of fart jokes. (or one tea bag crack) and the transformation is complete....welcome down to the cellar, Frank


Lowest common denominator gets 'em every time.
bgz Offline
#46 Posted:
Joined: 07-29-2014
Posts: 13,023
I just stiff leg, bend and fire. At first it was messy, now I'm shooting about 85 percent.
deadeyedick Offline
#47 Posted:
Joined: 03-13-2003
Posts: 17,072
Well, I finally pulled the trigger and had the scope surgery last week.

Started walking on it (limping) after 24 hours and walked a mile after 3 days. Had my 1st PT session yesterday and I expect to be back being active as soon as the stitches come out next week. Feels pretty good so far but I have to regain some lost range of motion in that knee.
DrafterX Offline
#48 Posted:
Joined: 10-18-2005
Posts: 98,535
Glad you're doing well... Had my first PT session today.. bitch hurt me.. but she's pretty cute so I'll go back... Mellow
drnos Offline
#49 Posted:
Joined: 10-29-2003
Posts: 2,787
You'll be glad you did it when you regain *most* of the flexibility you had before the tears

I had right knee meniscectomy 30 years ago. Was way better post-surg for years and years.

My orthopod told me "you're going to get arthritis in that knee, but don't blame me. You'd get arthritis anyway." He was right. I'll have TKR someday, but I can still hike, golf, drink beer and smoke cigars, so that can wait.
bgz Offline
#50 Posted:
Joined: 07-29-2014
Posts: 13,023
Awesome!!! I've actually been bowling since I last saw this thread. I wore a brace and walked away without any pain.

I don't plan on surgery at the moment, but I also don't plan on joining any leagues any time soon, but I'll definitely be following this to see how it all works out for you guys...

I have a feeling I'll probably have to do my knee at some point in the future.
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