The menisci are rings of cartilage located on top of the shin bone (tibia) inside of the knee. Acute injury to the menisci most often causes pain and swelling. Displaced tears may lead to mechanical symptoms such as clicking, locking or buckling.
Acute treatment of meniscal injuries includes relative rest and icing to reduce swelling. Medications such as non-steroidal anti-inflammatories (NSAIDs) may be utilized to treat inflammation and pain. Often, physical therapy is prescribed and may lead to a significant reduction or resolution of symptoms. In certain cases, US guided corticosteroid injections may help to relieve inflammation in the knee. PRP therapy is also a consideration to help promote healing of the meniscal injury. With more severe injuries or in cases of failure with conservative treatments, an arthroscopic procedure to repair the meniscus may be performed.