Medialis meniscus tear

Nov 18, 2011

  • Edina asked The Guru for the following Physiotherapy Advice:

    I am an ex-professional badminton player with 2 bad knees :(Injuries and surgeries in hystorical order:

    1, 2003 Sept -left knee ACl + medialis meniscus

    2, 2010 Dec, left knee medialis meniscus tear (so between 2004 & 2010 I kept playing on a high level)

    3, 2011 Aug -left knee medialis meniscus tear

    4, 2011 Nov- right knee ACL

    I had the last surgery last week and start the NHS physio next Wednesday. Seems in the right knee meniscus is ok, "just" needed to sort out the ligament. My biggest worry is the left knee. i have not played and did to do anything which twisted my knee since Dec, 2010 and still I needed 2 surgeries. After the August one I can feel the mensicus is not good. (knee is lose, not stabil, cracking, etc) I was wondering why is my mensicus tearing when other than cycling was no big impact on it? My sport orrthopedic surgeon says once the right one is sorted the left wil get better but another surgeon said something which made more sense: since my initial surgery back in 2003 my muscles prbobably not functioning as they should (I mean for example the quadriceps is working too much, harmstring is less than it should,or something like that, So the balance is not good therefore these surgeries can sort out the tears but don't cure the initial problem) I was wondering if it would be a good idea to see you 2-3x a month (adding this to my once a week NHS physio). I really want to get better and no more surgeries and I want to sort out both my knees. I just e-mailed a query on your website if you have availabiliy but I was wondering what you think why my left knee's medialis mensicus keep tearing and no surgery can fix it for long term?

    Thanks

  • The Six Physio Guru responded:

    Hi Edina

    WOW! That's alot of stuff....

    Do you know how much medial mensicuc you've got left. During the surgery they can trim and trim, but after a point there is nothing left to trim, so just wondering what the surgeon's expectations were...

    I'd beyond the hamstring/quads and start looking at the rotatory control - the thing the ACL is meant to limit. Your gluts are hugely important, but massively over looked. If you wobble when you stand on your left leg, then this wobble translates to a rotatory movement when walking, focussed around the knee. Your meniscus will start to suffer......

    The Guru

    Six Physio

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