Conservative Physiotherapy After 6 weeeks if pain persist than diagnostic arthroscopy needed

Ramp lesions are starting point of full blown meniscus tears, can be stopped at much earlier stage with surgery

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Almost 3 months with medicine and physiotherapy

Ramp lesions which are stable & not associated with ACL tear usually need a conservative trial for 6 to 12 weeks. If these lesions still remain symptomatic , then they need arthroscopic repair.

Ramp lesions do not heal They can become asymptotic for a while and then come back with vengeance in the form of accelerated arthritis of knee alongwith other manifestations Please consult an Orthopaedic Surgeon for further discussion of your ailment

3-4 weeks .avoid weight bearing for 3 weeks .then gradually start bearing weight

**Opinion:** Hello, your MRI report describes changes in the inner knee cartilage (medial meniscus), including a “ramp lesion” near its back attachment. The main knee ligaments are reported as intact. With suitable physiotherapy, symptoms from some meniscus injuries improve over approximately **6–12 weeks**, although recovery may take longer. Improvement in pain does not necessarily mean the tear has completely healed. Your recovery time depends on the stability of the lesion, symptoms and knee examination. **Next steps:** Please consult an orthopaedic specialist with the actual MRI images to assess whether physiotherapy alone is appropriate. Follow a supervised strengthening programme and temporarily avoid deep squats, twisting and impact activities. If your knee becomes locked or you cannot bear weight, seek urgent assessment. Persistent pain, repeated swelling or giving way also need review. Surgery is not automatically required.

3-4 week Medicine along with physiotherapy

Key question is whether the ramp lesion is stable or unstable. Small, stable lesion heal without surgery. recovery may take around 3- 6 months depending on the lesion. Unstable lesions need repair MRI cannot decide whether the lesion is stable or unstable. Diagnostic arthroscopy is gold standard

If you have instability in the affected knee then it is better to go for operative management rather than conservative management. Conservative management can take long duration for healing (approx 6 months or even more).