48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur

Daily, 9:00am to 8:00pm

011-2615 1500

Meniscus and cartilage injury of the knee, KL

The meniscus is the shock absorber of the knee. It tears in two quite different ways, and telling which one you have is what decides the treatment, because most tears do not need an operation.

  • Mosttears do not need an operation
  • Freephysiotherapy assessment
  • Examinationoften answers it without an MRI
  • Locked kneeseen promptly, not booked

What a meniscus tear feels like

The meniscus is the shock absorber of the knee. When it tears, the symptoms tend to be specific rather than a general ache.

  • Pain along the inner or outer joint line rather than across the whole knee
  • Swelling that develops over hours rather than immediately
  • Catching, clicking, or a sense that the knee is not to be trusted
  • Pain on squatting, twisting, or getting out of a car
  • Locking: the knee sticking and refusing to straighten

A knee that locks and will not straighten, that gives way repeatedly, or that swelled immediately after an injury should be assessed promptly rather than left.

The two kinds of meniscus tear

Telling which one you have is what decides the treatment. It is the single most useful distinction on this page.

Traumatic

  • Happens to a healthy meniscus under sudden load
  • Typically a twist on a planted foot
  • The injuries of sport, commonest in younger knees
  • A large tear, or a locked knee, is where surgery is genuinely considered

Degenerative

  • Happens to a meniscus already weakened with age
  • Often with little or no injury behind it: a squat, and something gives
  • Usually accompanies early osteoarthritis and is treated as part of it
  • Structured exercise performs about as well as arthroscopic surgery for most people

The question an MRI does not answer

Examination tests the joint line and puts the meniscus under load in specific ways, which is often enough to make the diagnosis. MRI shows the tear directly and is used where the finding would change what is done, not as a matter of routine.

The important question is rarely whether a tear is present. In middle-aged and older knees, tears are common and often silent. The question is whether this tear explains these symptoms, and that is answered by examining the person rather than by scanning them.

How it is treated

Most degenerative tears are managed without surgery, and the evidence for that has grown steadily.

  1. Activity modification, early on

    Then progressive loading rather than prolonged rest, which weakens the muscles that protect the joint.

  2. Physiotherapy

    To restore quadriceps strength and knee control. This is the treatment rather than the thing you do afterwards.

  3. Pain relief as needed

    Anti-inflammatory medication, used to make the loading possible rather than to replace it.

  4. Injection therapy

    Where there is associated osteoarthritis, which in an older knee there usually is.

  5. Surgical opinion, if warranted

    For a locked knee, a large traumatic tear, or symptoms that simply do not settle.

What else the clinic does about knees

Who you are dealing with

Your doctor
Every doctor here is named on this site with their training, and one of them is a Family Medicine Specialist on the National Specialist Register. You are seen by a doctor rather than assessed at a counter.
Your records
Held in the clinic's own encrypted system rather than on paper in a drawer, so the doctor seeing you has the rest of your history in front of them.
Your follow-up
Questions afterwards and repeat prescriptions go to the doctor who saw you, directly on WhatsApp rather than through a front desk.
Your time
Walk in any day until 8pm. The clinic has served Kepong Baru since 1981 and most of what is on this page is done in one visit.

Come in, or ask first

Walk in any time we are open (daily, 9:00am to 8:00pm), or send a message and ask whatever you need to ask before you do.

From our patients

What people say about coming here

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Common questions

Does a meniscus tear heal on its own?
The outer third has a blood supply and can heal. The inner portion largely cannot, which is why treatment aims at function and symptoms rather than at closing the tear.
Do I need an MRI?
Not always. Examination often answers the question, and an MRI is worth doing when the result would change the plan.
Do I need surgery for a meniscus tear?
Usually not. A locked knee or a large traumatic tear in a younger person is different, and that is assessed on its own terms.
What is the difference between this and osteoarthritis?
A meniscus tear is damage to one structure; osteoarthritis is wear across the joint surface. They frequently occur together, and in older knees a degenerative tear is usually best understood as part of the osteoarthritis.
When should I be seen urgently?
A knee that locks and will not straighten, that gives way repeatedly, or that swelled immediately after an injury, should be assessed promptly rather than left.

Get the knee looked at in Kepong, any day until 8pm

48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.

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