Thanks for your video. Being super confused with T1, T2 and Orthopedic imagings. Found this video while searching for the meniscus tear and it saved me
I got dx with a degenerative torn meniscus in Oct 2019. Started a ketogenic diet after Thanksgiving and today my knee is 80% healed with only an occasional “click” every few days now. I am not overweight but by reducing insulin by eliminating sugar & refined carbs, wheat, legumes and grains, I feel incredible to boot!
@making the move by darren That post was 2 years ago! I went jogging yesterday & walked 18 holes of golf in 100 degree heat this weekend. That knee is 95% healed at least. No pain, ever.
bro i play football/soccer and i got injured a bit in my left knees when i was 15 my knee got twisted a bit but ive been playing football since scoring goals but my knee got weirder astime passed by btw no pain it that i can bend 95% and if i bend that 5 % too i kind of feel as if i broke somethin or knee got loosed but NO PAIN and i am now 17 few days back my knee started paining at the lateral side of menicus after i dived on my left knee in football....now i the doc says you probabaly have torned up your lateral meniscus..ill have an MRI after 5 days but bro im so scared i want to be a professional footballer and i dont want surgery mannn help me with some advice ,thanks
Good video. Now I am afraid to have another MRI. 10 yrs ago I could see tears. They wanted to get in there and remove stuff and I told them no. I am working on weight loss that should help.
I have had pain in both my knees for more than a year now. It started right after my baby was born and I added so much weight ( although am not sure the weight did this) anyway, all I know Is that my back started hurting soo much from all the positions I put my body in, for the baby. And everytime I held my baby, it would make my back pain worse. It became apparent to me that what I needed was to rest and not stress my back, but with a small baby it wasn't an option for me since I had no help. I tried to do some weight lifting to strengthen my back. Now my back seems okay although when I lift things it hurts again. But my knees have not been the same ever since. I had my MRI taken last week and I have an appointment next week to read them. I am afraid they will tell me they are normal, because I cannot bend my knees at all. It hurts so much. When I stand itz okay although it hurts too. And now the pain has spread to my ankle joints. Especially when I sleep. What could that be?
Ingabrie Lise, We'd need to examine you to diagnose your issue, but what you describe is suggestive of an issue originating in your back. The lumbar spinal nerves control everything below them. While we think of backs, hips, knees, and ankles as separate entities, they're actually sections of the same unit. Please see: www.regenexx.com/low-back-and-knee-pain/ and www.regenexx.com/back-causing-your-knee-pain/ and www.regenexx.com/backs-can-cause-knee-pain/
Because in this world there are all kind of stupid idiots. That is the only reason. This doctor couldn't explain himself better than he did. He has done it excellent. He got 1,000 thumbs up from me.
Dr. Centeno explained an image of knee MRI so well that my doctor couldn't or didn't take time to explain. Now I fully understood what is my MRI image's meaning. Thank you very much.
Hello sir, I twisted my knee 3 and half weeks ago from a sudden shift of the body while surfing. I did MRI and the diagnosis says i have a MCL tear but the Meniscus is undamaged. I went to a knee orthopedic surgeon, he looked at the MRI itself and said he thinks they made a mistake in the diagnose and I do have a medial Meniscus tear. He took the MRI disk to further consult with peers only to return with an answer that the Meniscus does looks intact. I went to another knee orthopedic specialist , he didn't look at the MRI, only at the diagnosis. He did a little bit checking of the knee and said it's only the MCL tear. Now here's the thing- I CAN'T straighten the knee. If I try to straight it with a chair like you showed I can only go like 170 degrees, not a full stretch . Now I'm doing physiotherapy for a week or so, but my physiotherapist said that if it was only MCL tear I should have been able to straighten the knee... it is possible that with only MCL tear I couldn't straighten the leg? could it be that all those doctors missed something? I would be very grateful if you could take a look at MRI, please let me know if it is ok Thank you very much
Ofir, Sorry, I can't take a look at your MRI as we don't have a doctor patient relationship. www.regenexx.com/knee-mcl-surgery-healing-without-surgeryl/ Not being able to straighten a leg with an MCL injury is common. The trick is to be examined by someone who can make a definitive diagnosis, treat without surgery!
Thanks for making this great video, really helped me identify my medial and lateral meniscus tears and even understand the sagittal and coronal views. Tried a few other videos, nowhere near as good as yours. Thanks again.
If it doesnt work than how come professional athletes will be hobbled by a meniscus tear and have a locking knee and then after repair they are able to do what they could before the injury?
All the studies I've read are referring to degenerative knee tears and the ineffectiveness of surgeries. But idk if the same is true for acute injuries
Hi Doctor...Great video with good explanation....I am 35 yrs old and I met with a bike accident a month ago...depressed fracture in proximal tibial plateau...along with partial root tear of posterior horn of medial meniscus.... How serious is this tear? Is that the part with low/no blood supply? The fracture is healing well (according to my doc), but is surgery needed for the partial root tear of the meniscus? My doc has suggested suture anchor surgey...Can the tear completely heal with time and few exercises? Please advise.
B Anto, Tears in the outer 1/3 of the posterior horn have the best chance of healing with time and physical therapy. There is no convincing evidence that Meniscus surgery helps, in fact more evidence that it creates future problems. Please see: www.regenexx.com/orthopedic-civil-war-begins/ and www.regenexx.com/should-i-have-meniscus-surgery/ and www.regenexx.com/meniscus-tears/
oh wow,you rock,i just got my m r i donr this morning,i never lay flat on my back,i had to for this m r i and 25 minutes later,my back was killing me,and my outer side of my leg was numb and tingling,is that normal,and thank you so much for sharing,this taught me alot,i dont even think i need what this doc is saying i need,is it possible that i have osteo aurtheritus ,my mom had it,and when i look at the same images that you are looking at on this women,i see cracks and lines in my bones,hers,i dont,is this normal? i am 49,almost 50 next month ;( thanks again,will be waiting for your reply,please reply ? ;)
+PATTY PERRY Low back issues, even asymptomatic ones are very commonly causative in knee issues. You could have Osteoarthritis, but getting your lower back examined by someone trained to diagnose these issues would be very important. Here is a link to 31 locations where the doctors are trained to do of this type of exam: www.regenexx.com/find-a-physician/
Hello sir, My MRI report shows that high signal intensity in T2 and PDFS Sequences involving the posterior horn of lateral meniscus in a combination of horizontal, longitudinal and radial type ....S/O- Complex tear. How do I treat this? Can it be repairable?
@@srikanthreddss9494 Hello sir, thank you for your reply. I did my patellar tendon operation 3 months ago. I had an ACL tear. Planning to reconstruct after 3 months. Now I can able to walk without any support and also not have any pain. Could you please share your email address. Please tell me your convenient time to contact you. I will send the MRI report to know the details about my knee.
Thank you doc. I've got my MRI taken 2 days ago, got the CD and have been researching ways how to read and interpret the images. I fully agree with being an empowered patient!
The part about middle age people with meniscus tears not being problematic worries me. I have been in pretty severe pain for 11 months and my Dr said i have three tears in my meniscus and that it was my problem and he wants to operate. I am 52 and now so now I am second guessing him.
Darth Vador, Most people your age have degenerative tears in their Meniscus. Importantly, an exam where the whole system is gone through is necessary to rule out common causes of knee pain involving the meniscus like this: www.regenexx.com/knee-locking-up/
Chandan Bhagat, Even traditionally difficult mensicus tears can be treated because we use very precise image guided injections. Please see: www.regenexx.com/can-you-treat-a-meniscus-tear-without-surgery/
I have to wait until tomorrow to hear from the radiologist but I can't wait so I try to make sense of the images myself heh. To me it looks like there's something wrong with my medial meniscus but I guess I'll get to know the truth tomorrow.
Totally agree about being an empowered patient also! With my disk hernia was the same situation. Sometimes I just had to try things out by myself and I got better
Very informative video. i have root tear along with medial meniscus tear . I am 19. The ortho said i dont need a surgery. Can i reach back to 100% mobility for sports and how long should it take?
Im baffled about the whole appearance of the meniscus from that mri image it’s absolutley incredible. It’s amazing how it’s a perfect triangle. I have a perfect triangle on one side and like a half triangle on the other side. At the ER I was diagnosed with a sprained knee when it didn’t heal the doctors said it’s most likely my meniscus. It’s been 8 months now I’m 28 and I’m expecting surgery soon still feeling a lot of pain from average movements. Thanks for showing me how to read my MRI results!!
I have a lateral tear in left knee. Had surgery 8 months ago and now it’s probably torn again. I’m waiting for the doctor results but I already know since it feels kinda the same as the first time.
How did it go? I just did an mri yesterday and I am going to get the results, i was in a motorcycle crash a month ago and im recovering from my foot, but my doctor said he needed to check my meniscus to see if something is wrong there, I feel pain in the right side of the knee and sometimes I cannot stand up very well because it feels weird
Bucket handle meniscus is actually a surgical emergency. And splits in the periphery of the meniscus do heal well after surgery . So meniscus surgery has scope of course.
Juanita Barnett, The problem is, meniscus surgery does nothing to help the knee heal, instead, it removes the torn sections of meniscus, leaving the knee unstable, and the cartilage unprotected. A better option is an injection of your own stem cells precisely into the tear. This brings the healing power of your stem cells to the tear, without creating the damage of surgery. Please see: www.regenexx.com/should-i-have-meniscus-surgery/
PLEASE, QUICK QUESTION: I have a left knee MRI that I am reading right now (was taken yesterday), from what I am learning with your video I think I have a meniscus injury (doesn't look like a tare, but rather whitish fibers).? My actual question is though "what is that bright white spot on the femur?" as I see I have the same thing in my MRI views, exactly on the same spot as the one you are showing (see minute 3:40, please). I googled a bit, could a be a bone cyst or tumor? HUGE THANKS!
The most problematic and difficult to treat is a flipped bucket handle meniscus tear. Please see: www.regenexx.com/can-you-treat-a-meniscus-tear-without-surgery/
I'm from Bangladesh, I had been a problem for some days.My MRI report said that 1.Degeneration of mucoid of ACL & Meniscal medial 2.para meniscal cyst. sir how can I get free from this problem without sergery..plz tell me.because I will join Bangladesh Air Force training 29 march,2020..I feel very pain in my knee
Well i have knee surgery every year since 1996. I have pvns that keeps growing back. I have both medial and lateral meniscus tears every now and there. They would shave them and fix with my scopes for pvns. They helped greatly. Had my yearly scope in may told dr had a tear. He told me after I did not. Well this only time after all other ones didn't seem right i felt like still had the tear. He wouldn't help me except do useless cortisone shot a week apart. Pretty sure a new resident did my surgery and he didn't check the work therefore not wanting to help me even though he has been doing my surgeries since 2000. Months later ordered mri it did show two complex tears and two incomplete fractures. Had he did my surgery and fixed them in may. I would have been ok but since that didn't happen i needed my back fusion redone in August that i just had in February. Two weeks before second one knee hurt so bad fell down stairs broke l2 vertebrae. Having knees replacement in three weeks. 59 now so its time. Plus hamstring tear surgery after that 12 months of non surgical treatment does not work. All my tears knees rotator cuff and hamstring only help me if surgically fixed. So i do not agree with not fixing them. I had to much damage to other parts of body due to not fixing this last time
Recently 15 days back i got my Acl surgery before one day i take mri Mri shows acl tear. Tear involving posterior horn lateral and medial menicus. Surgen during acl surgery nothing said on meniscus tear. Is that k my meniscus
Chris thank you for this I have a prob and I know you must be extremely busy but I injured my knee playing football 5 weeks ago the worst pain Iv ever had I still can't walk and it keeps collapsing on me ,I when the to casualty accident and emergency were I tried to explain how sever this was I'm 47 played all my life so had many breaks ect. But I felt a ripping sensation like wen you pull a tooth the gum rips fooled by pain so server I was sick ,all they did was X-ray gave me a knee brace and booked M r I wich I had Sunday so Iv waited five weeks with no contact and now they say it may be six weeks before I even see a consultant I bought a copy of the scan and I can see clearly damage to both minis us and inside left condial is showing a big circular patch I'm not certain but both minis us seem out of the joint my acl ,Isn't at the two o'clock position and I think it's damaged also my knee was black from bruising down to my ankle for three weeks it's still extreamly swollen all the way down to my ankle when I flex my knee wich I can't without holding it if I touch the inside front area were the bone is showing damage I is just the most sickening pain I'm in uk so nhs means very slow service ,can you look at my m r I if I post it on my Chanel or can any one who's read this maybe a student of yours and give me your oppion in the hope I can go to my doctor to be seen as I' can't even walk I need to work as self employed also my back and other knee are hurting I'm asuming from bad posture please any one who thinks they might be able to read my M R I. I can send it to you or I'm posting it on my Chanel thanks I understand if your two busy Chris thanks for your videos
omg this is my nightmare. i'm going on week 4 of doing it on my own and i am clearly badly injured. Got an MRI a couple of days ago and waiting for the results. The first 3 times I went to the doctor they said "well make another appointment if it doesn't start to get better" and basically no instuctions. I feel like I'm screwing it up even more with how i'm walking/this crappy brace/movement (trying on my own to ease stiffness - mixed results so far) It's really sad we have to come onto youtube for medical knowledge/care. Best of luck to you.
i had a knee xray done yes i need to loose some weight and im working on it, so they found knee degration now im waiting for my mri results from the doctor and i hate waiting tired of the pain shot didnt do much for it
Dear Doctor, I have got knee meniscus surgery in which my lateral meniscus has been trimmed. Kindly advice your research team to invent injectable method for growing trimmed meniscus, so that we can also enjoy the sport and avoid problem in old age.
Hi prabhakar singh, Please see: regenexx.com/blog/meniscus-surgery-alternatives-2/ We can usually still help: regenexx.com/blog/ironman-stem-cell-procedure/ and regenexx.com/telemedicine/
My left leg locked up 4 times now. I am unable to straighten it out when its stuck. They give me drugs to relax it and for pain. I have seen 4 different doctors. I had an MRI and I was told there is no tear. What other possibilities are there? I am in serious pain and now I am stuck between BWC doctors and I am forced to wait for them to decide what to do next. Any suggestions? My current surgeon says that the MRI is inconclusive and wants another but BWC will not allow it. Anyone's suggestions would be greatly appreciated
+Jason Bogan There could be an issue with your Popliteus Muscle. It's job is to pull the meniscus out of the way of the femur. If it doesn't succeed, the knee locks. This explains more: www.regenexx.com/knee-locking-up/
Great video. My mri report says “ grade 2 curvilinear signal seen in posterior horn of medial meniscus” . Consulted with a doc and they say it’s a tear but no one can tell me how bad or big it is, anyway to find out and what’s the prognosis for such tears? Appreciate any advice!
Hi and thanks for this informative lesson. I went cycling last week did around 10 miles and have had pain on the inside of my right knee ever since...(I am 50, have always been active and that knee can be achy on the inside after mountain/hill walks of around 5 hours but after this particular cycle it seemed to go to a new level where I am now stiff and limping a week down the line ) Given that you have said that there is no evidence to support that a meniscus tear causes pain in middle age - what else could be the reason -MCL? any advice welcome..
@Chris Centenocan you please explain, how can i know if i am looking at the right knee or the left knee?i got my MRI disk and it says Left knee and i needed to have it on my RIGHT knee.
Mr. Chris Centeno, Thanks for the Video, It is a great help. I am from india. I am having the same problem. If i do exercise or running after that only my knee pains. And when I checked it up, after analyzing MRI, Doctor said it's a "Horizontal tear in the posterior horn involving the posterior and you need surgery". But after seen your video, i don't think there is any problem with Meniscus. Could you please help me to verify it if I send you my MRI scan.
Sachin Kaushik, That is a very challenging type of tear, but one we've had success with: www.regenexx.com/can-you-treat-a-meniscus-tear-without-surgery/ We now have one of our doctors doing Regenexx Procedures in India. Please see: regenorthosport.in/
Dear Chris Centeno, Good day, thank you for your video. After motorcycle accident I can’t stand up on my right foot. When I try to stand up my knee is break left side And my knee can’t take my load Please give me tips
+SHAIKH MD NOMAN IBNA HAQUE , Important to start with an Xray and urgent medical care if there are broken bones. If there are none,, an MRI would be the next step, then an exam by someone qualified to diagnose these types of problems. www.regenexx.com/find-a-physician/
Dr. Centeno About a month ago I moved from our house and I did a ton of lifting for 3 days. My knee felt a bit weird and as weeks progressed the pain became more noticeable when trying to stand up or run. Now after a Month I cant bend my knee from a standing pt. more then 120 degrees without the abikity to support my weight. I got a MRI and urgent care said nothing is wrong. I have Orthopedics specialist scheduled on the 30th of this month at earliest. Im affraid it will get to the point where my other leg will get injured. Can I send you my MRI? You have permission to use it in any future videos.
will K., That's not surprising, as it's possible the issue is in your back, though the symptom is in your knee. There is a mechanism by which you can send the MRI. To the right of this blog, please submit the candidate form: www.regenexx.com/low-back-and-knee-pain/ and www.regenexx.com/backs-can-cause-knee-pain/
thank you sir. this is the best mri tutorial video i have a posterior horn tear of the lateral meniscus my knee locks up whenever i try to straighten it but after a sound the locking goes away do i need surgery? please reply
Debasish, To give specific medical advice I would need to examine you. However, generally, Meniscus surgery does not help and creates a lifetime of problems. Especially in someone so young! There are better options: Please see: www.regenexx.com/meniscus-tears/ www.regenexx.com/does-meniscus-repair-work/
Sir I had a complex tear of posterior horn and body of medial meniscus ...am 28 yr old...I need ur suggestion whether I need a surgery ...or any physiotherapy??
sandeep munnu given that most patients in their forties would have a meniscus tear on their MRI whether or not they've ever had a day of pain surgery is not recommended for your tear. You may try to find a local provider who can inject platelet rich plasma is that seems to be very helpful. also realize that multiple Studies have shown that surgery for meniscus tears for any indication are not helpful and are no better than a sham surgery or fake surgery.
Thank you very much sir its very informative video Two weeks ago i was playing football and all of a sudden while turning my knee gave out and i heard a popping sound and it caused me a lot of pain and i couldn't straighten my knee fully. I went to doc and he suggested me an MRI so i got one and here are the results. - Grade 2 meniscal signals in anterior horn of lateral meniscus and mild joint effusion - Grade 2 partial ACL tear in same knee Its been two weeks now and I've been taking meds prescribed by doctor, the pain is less now but i can't bend my knee fully and cannot do hyperextension, i am not giving pressure on that knee till. Kindly give me some advice as i want to start my football career again soon
sir I had. got tare on horizontal tear in the posterior horn .but their is no pain .even I am sports person ..so I need your surjection abt this so plz comment sir
Great video! I wish it covered complex meniscus tear as well, but I get the idea. How common is it for meniscus tear to come with a cyst in the back of a knee?
I had a complex tear of the post horn of the med men. The MRI showed 2 cysts...1 inside and 1 outside the meniscus. My initial consultation with a standard orth surg said not to worry about the cysts. They would disappear within a year...and they did. This was Jan 2017. 1 month ago i had a stem cell transplant done by a Regenexx provider to help with loss of cartilage and the meniscus tear. Hoping for the best! Good luck and don't worry too much about the cysts. It took almost 5 months for all my symptoms to go away which is when i started investigating Regneexx.
@@carlward9367 Hey Carl, With all the running I have done my stem cell knee has not given me 1 issue at all! Very happy ..but now the other knee is presenting orthpedic issues so waiting for MRI to see what the status is. lol
Dr Centeno, I had my knee stem cell transplant done a month ago and had a great experience! Watched the entire procedure including insertion of 7 needles and injection. Despite the careful and meticulous positioning by the dr, why doesn't the injection of a fluid into a knee cavity full of more fluid just result in the homogeneous mix of the stem cells and other grow factors all over the entire knee surface/space. What makes them attach to a certain spot and not say to the ACL or opposite meniscus? Thanks!
Thanks Dr! 2 questions..1. What makes them attach to the meniscus/ACL? Are you using some kind of protein marker? or something to make them grab onto each other. 2 For arthritis/cartilage on the femoral condyle is it just hope that the injection/needle is positioned properly and cells come out of the needle so slowly on injection that they don't move much around the knee cavity? The dr was quite adamant that i don't move my knee for 10min after injection. Is that how long it takes for the cells to "set"
@@BunnarithMeng I'm not Dr and not even an expert but everything i have ready suggests that the horns do not heal naturally very well. There is not enough blood flow to that part of the meniscus. Only the main body has enough blood floor to heal naturally.
Hi Dr. Chris, great video. I (male and 44 years old) had a meniscus tear in in my left knee i.e. posterior horn of medial meniscus of left knee a year ago. Though I had pain for a month last year at the time of injury. Since then, I am pain free, do a lot of leg strengthening exercise and play tennis every day, mostly singles. I have no locking or clicking problem. Sometimes I feel minor sensation on twisting motion. I am worried though that torn meniscus will damage my cartilage as meniscus tissue is harder than cartilage due to friction from torn Meniscus . Different doctors gave me conflicting opinion on whether I need a surgery. One said that we should treat the symptom not MRI finding, other said that I need surgery if I want to play tennis singles. Should I continue to play tennis with a torn meniscus or get surgery to fix meniscus tear? Will appreciate your opinion on the above.
John Power, Unfortunately can't advise you without an exam. What I can say is nonsurgical treatment is available which accomplishes solving the problem and protecting you from the damage of surgery, and, of leaving it untreated. www.regenexx.com/meniscus-tears/ www.regenexx.com/can-you-treat-a-meniscus-tear-without-surgery/
@@vinisheesingh6987 did not do the surgery. Did strengthening exercises regularly to improve muscle mass around the knee. I daily play singles tennis. Don’t have any issue. So I conclude if meniscus tear is not affecting your movement after the initial dissipation of the pain, don’t do the surgery. Slowly rehabilitate the initial injury and strengthen your muscle. Life goes back to normal.
Chris Centeno, M.D. yes ..my scan written report says it's a meniscus tear.but the doc after checking the scan says it's not a tear but the blood vessels .Also he checked my knees and then confirmed it's not a tear
Blessy Babu, We'd need to take a look. If you'd like us to weigh in on the MRI, Please submit Candidate form:www.regenexx.com/the-regenexx-procedures/knee-surgery-alternative/