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.
Next Steps
Do take knee precautions
Do continue physical therapy for 6 to 12 weeks.
Repeat MRI after completion of conservative management
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
Next Steps
visit an Orthopaedic Surgeon
Health Tips
avoid strenuous activities involving sudden pivoting and change of directions
**Opinion:**
Hello, your MRI report describes changes in the inner knee cartilage (medial meniscus), including a âramp lesionâ near its back attachment. The main knee ligaments are reported as intact.
With suitable physiotherapy, symptoms from some meniscus injuries improve over approximately **6â12 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.
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
Next Steps
If there is no symptomatic recovery after 6 weeks better to do diagnostic arthroscopy and proceed further
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).
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.
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.
Bone and Muscle
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