Meniscus
Signs or Symptoms
Instability of the knee, locking of the knee, pain or ache on either the inside
or outside of the knee
Description
The two most common causes of injuries are due to traumatic sudden injury as is
seen in athletes and degenerative problems as seen in older patients who have
more brittle cartilage. The most common mechanism of a traumatic meniscus tear
occurs when the knee joint is bent flexed) and the knee is then twisted
Causes
The most common mechanism of a traumatic meniscus tear occurs when the knee
joint is bent flexed) and the knee is then twisted
Standard treatment
Immediately, ice and immobilization are done. Anti-inflammatories are given. If
severe, surgery is indicated.
AK Approach
The meniscus can be injured by either immediate direct trauma or by repeated
micro trauma. If the injury occurred from a single trauma, the examination is
directed immediately to the severity of the injury and is surgery indicated.
Otherwise, the examination is more general as to the total functioning of the
lower extremity. As the knee can be adversely affected by problems in the ankle
and foot or the pelvis above it, the examination begins by looking for factors
in these areas that would adversely affect knee stability. Locally, the stability
of the major ligaments of the knee are then tested for. The muscles that
support the knee are evaluated to find the ones that are malfunctioning. These
are corrected and then tested for the need of corrective exercises. The
attention is then shifted to the localized structures that are injured and
failing to support the knee joint properly. These can include specialized
treatments for ligaments, muscles, skin and joints. Finally, attention is
directed to corrective procedures that can help coordinate the muscles to help
prevent future injuries. Nutritional therapies aimed at increasing factors that
would speed healing and reduce any inflammation are considered.
Other lifestyle modifications are used to prevent or minimize exacerbating the
condition. A specific program for your needs is created.