How a Meniscus Tear Can Lead to Knee Damage

menisus tear knee damage - dr anupam khandelwal

Introduction

A meniscus tear is one of the most common knee injuries, especially among athletes, active adults, and even older individuals with degenerative changes. While many people ignore this injury or try to manage it with rest and painkillers, an untreated meniscus tear can gradually lead to severe knee damage, arthritis, and even the need for knee replacement surgery later in life.

In this blog, I, Dr. Anupam Khandelwal, a knee replacement and sports injury specialist in Indore, India, will explain how a meniscus tear affects your knee joint, the risks of delaying treatment, and the options available to protect your knee health. treatment, and the options available to protect your knee health.

What is the Meniscus?

The meniscus is a C-shaped cushion of cartilage in the knee that acts as a shock absorber between the thigh bone (femur) and shin bone (tibia). Each knee has two menisci – one on the inner side (medial meniscus) and one on the outer side (lateral meniscus).

Functions of the meniscus include:

  • Distributing body weight evenly across the knee joint

  • Protecting articular cartilage from wear and tear

  • Improving stability during walking, running, and bending

  • Absorbing impact and reducing stress on the bones

When the meniscus is torn, these vital functions are compromised, which puts the knee at risk of further degeneration.

Causes of Meniscus Tears

  • Sports injuries: Sudden twists or turns while playing football, basketball, or cricket

  • Accidents: Slips, falls, or road traffic injuries

  • Age-related wear and tear: Degenerative meniscus tears are common in people over 40

  • Obesity: Excess body weight puts more strain on the knee joint

  • Repetitive stress: Jobs or activities that involve frequent squatting or kneeling 

Symptoms of a Meniscus Tear

  • Sudden pain after injury or twisting movement

  • Swelling in the knee joint

  • A popping or clicking sound while moving the knee

  • Stiffness and reduced range of motion

  • Feeling of the knee “locking” or “giving way”

Many patients ignore these symptoms, hoping they will go away. However, ignoring a torn meniscus can worsen the condition.

How a Meniscus Tear Leads to Knee Damage

  1. Increased Load on Cartilage

When the meniscus loses its cushioning function, body weight is transmitted directly onto the articular cartilage. Over time, this accelerates cartilage wear and tear, leading to osteoarthritis.

2. Progressive Joint Instability

The meniscus helps stabilize the knee. A torn meniscus increases the risk of the knee slipping or locking, causing ligament injuries and further damage.

3. Inflammation and Swelling

Persistent inflammation damages the lining of the joint (synovium), resulting in chronic pain and stiffness.

4. Early Arthritis

Studies show that untreated meniscus tears can lead to knee osteoarthritis within 10–20 years (Englund et al., 2009, Arthritis & Rheumatism).

5. Need for Knee Replacement Surgery

In advanced cases, repeated damage caused by meniscus loss can lead to severe arthritis, making knee resurfacing or knee replacement surgery the only option for restoring mobility.

Diagnosis

  • Clinical examination by an orthopaedic surgeon

  • MRI scan to confirm the type, size, and location of tear

  • X-ray to check for associated arthritis

Treatment Options

  • Conservative Management (for small tears):

    • Rest, Ice, Compression, Elevation (RICE)

    • Physiotherapy and strengthening exercises

    • Pain-relieving medications

  • Arthroscopic Surgery:

    • Meniscus repair – suturing the torn meniscus

    • Partial meniscectomy – removing the damaged portion while preserving healthy tissue

  • Advanced Techniques in Indore:

    • Robotic-assisted arthroscopy for precision repair

    • Biological therapies like platelet-rich plasma (PRP) to promote healing

  • Knee Replacement (only if arthritis develops and damage is irreversible).

Prevention of Knee Damage After Meniscus Tear

  • Do not ignore persistent knee pain or swelling

  • Get early consultation and MRI if symptoms persist

  • Maintain healthy weight to reduce knee stress

  • Strengthen thigh and calf muscles with supervised exercises

  • Avoid squatting, twisting, or sudden jerky movements during recovery

Conclusion

A meniscus tear is not just a minor sports injury – if left untreated, it can silently damage your knee and progress to arthritis. Early diagnosis, timely treatment, and lifestyle changes can prevent long-term complications.

As an orthopaedic surgeon specializing in knee care, I strongly advise patients in Indore and across India not to delay consultation if they have persistent knee pain or swelling. Modern arthroscopic and robotic techniques allow us to treat meniscus tears effectively and preserve knee function for years to come.

Hindi Summary

घुटने की मेनिस्कस चोट को नज़रअंदाज़ करना खतरनाक हो सकता है। समय पर इलाज न होने पर यह धीरे-धीरे आर्थराइटिस और घुटने की स्थायी क्षति का कारण बन सकती है। डॉ. अनुपम खंडेलवाल, इंदौर में, आधुनिक तकनीकों से मेनिस्कस टियर का सटीक इलाज करते हैं और घुटने की सुरक्षा सुनिश्चित करते हैं।

African Summary

Kuchanika kwa meniscus ya goti bila matibabu sahihi kunaweza kusababisha kuharibika kwa goti na ugonjwa wa arthritis. Kutafuta ushauri wa daktari mapema huzuia uharibifu wa kudumu. Dr. Anupam Khandelwal huko Indore, India, hutumia mbinu za kisasa za upasuaji ili kurekebisha matatizo ya meniscus na kuhifadhi afya ya magoti.

FAQs (Patients also ask)

Small meniscus tears sometimes heal with rest, physiotherapy, and medicines. However, larger or complex tears usually do not heal without surgical repair. Consulting a knee specialist helps decide the best treatment