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Medial meniscus Grade III Tear
My husband has been suffering with severe knee pain for the past two months. MRI report reveals 3 points :
1) Osteoarthritis
2) Marrow Edema
3) Medial meniscus Grade III TEAR
Kindly advise the nature of treatment required for it. Also kindly advise if operation is necessary or it can be treated with medication and physiotherapy.
Answers (4)
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Typical picture of a degenerative knee. First thing is that treating an MRI shall not suffice, we need to clinically evaluate the patient for exact diagnosis.
A standing AP xray would have been of more help than the MR scan. Would recommend treating osteoarthritis conservatively using medications, offloader brace, lifestyle modification and weight reduction.
Arthroscopic evaluation would be of significant help only in case of a severly painful acute knee in a locked state due to meniscus tear.
Try conservative therapy first as mentioned already. Xrays would be imperative in assessing grade of arthritis.
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Your symptoms suggest intrarticular soft issue pathology.
Try for 2-3 weeks:
1. Regular knee quadriceps exercises ( static and knee bending).
2. Ice pack application will help
3.Medications like Cartigen DN and Enzomac forte will help.
Next Steps
Start walking, if there are symptoms of locking, pain etc, then go for Arthroscopic meniscectomy.
Health Tips
Arthroscopy is safe and minimally invasive way of dealing with Meniscus tear.
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Dr. Siddharth Sharma
Orthopedist
19 yrs exp
Jaipur
This age is in grey zone for making decision. As the symptoms are not only due this recent tear but osteoarthritis do contribute for this pain.
So in my opinion diagnostic Arthroscopy is the best option in this scenario
Next Steps
Arthroscopy
Health Tips
be prepare for TKR
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Dr. Gautam JK Tawari
Sports Medicine Surgeon
22 yrs exp
Mumbai
he needs to see an arthroscopy orthopaedic surgeon. needs a good examination will most likely need surgery.
Health Tips
u can see me if u wish
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.