Grade II meniscal tears are usually treated conservatively first, and many patients improve significantly with physiotherapy, muscle strengthening, weight management, and activity modification. Complete pain relief is possible, but there is no guarantee of being permanently pain-free because meniscal degeneration and flare-ups can recur. Most patients notice meaningful improvement within 6 to 12 weeks of consistent physiotherapy, while maximal improvement may take 3 to 6 months.
At 84 kg, weight reduction can substantially decrease knee joint loading. Even a 5-10% reduction in body weight can improve symptoms. Continue focusing on quadriceps, VMO, gluteal, hamstring, and core strengthening. Low-impact activities such as cycling, swimming, and walking on level surfaces are preferable.
Regarding high heels, occasional use after symptoms have settled may be possible, but frequent or prolonged use of high heels can increase knee joint stress and may trigger symptom recurrence. Lower heels and supportive footwear are generally recommended for long-term knee health.
Next Steps
Continue supervised physiotherapy for at least 8-12 weeks.
Follow a structured weight-loss program aiming initially for a 5-10% reduction in body weight.
Incorporate low-impact aerobic exercises such as cycling, swimming, or elliptical training.
Avoid deep squats, twisting movements, prolonged kneeling, and high-impact activities during recovery.
Reassess with the treating orthopaedic surgeon if symptoms persist after 3-6 months of appropriate rehabilitation, or if locking, catching, or instability develops.
Health Tips
Grade II meniscal tears represent intrasubstance degeneration and often do not require surgery. Recovery depends more on strengthening, weight management, and activity modification than on MRI findings alone. Be patient with rehabilitation, as symptom improvement is often gradual. If significant swelling, mechanical locking, or worsening pain occurs, seek orthopaedic review promptly.