About the author:

Howard J. Luks, MD

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision-making principles – all geared to improve your quality of life.

8 comments on “Partial Menisectomy: Common Cause Of Arthritis in Elite Athletes

    • HI Michael,
      I view their treatments with a very healthy bit of skepticism. There really are no well done studies to support that stem cells, PRP etc will heal a meniscus tear. That being said, we know the power of the placebo effect. That means that nearly 50% of people who try anything… thinking that it will work, will have a positive response. That is why most techniques need to be studied with randomized controlled trials – where you compare one treatment to a sham procedure or against a saline injection, etc. They have not done those studies. They will tell you that x number of people report they’re doing well… but they won’t tell you how many aren’t doing well.
      But there’s also the no harm (or low risk) principle. The risks of their procedures are low– except for your wallet. So, many people are willing to give it a try in an effort to avoid surgery. I can’t advocate for or against using it since I cannot provide specific treatment recommendations in this setting.
      Good luck on your decision making process.

  • I am a runner who has completed 8 marathons, the last one being in May 2016. I had a partial menisectomy in September 2016. Three weeks after surgery I began to start running again. I began by doing runs of a mile and gradually got up to 3 miles (one month period). After my tenth run, not immediately after or during, I began to feel pain on the inside of my knee. Throughout the times I ran, I did not experience any pain whatsoever. I returned back to my ortho and he explained to me that my knee was healed and the piece removed was so small that I shouldn’t have pain from the surgery. He suggested that I had a biomechanic issue. I then saw another PT and started doing strengthening exercises as well. In the one month (2 sessions per week), the pain never receded. I then began to see a chiro who specialized in class IV laser therapy. I’ve been going to him for the last month or so with a small amount of reduced pain. The inside of knee is very tender and I can pin point the area of pain when I flex my knee. One question I have is will a MRI detect a new tear or will it see the missing piece and say torn meniscus. Also I’ve recently heard about a 3T MRI. Do you have any information on this type of MRI.

    • A 1.5 T or 3T will detect new tears….
      But that is not the only cause of inner knee pain. This is not an unusual problem after meniscus surgery in a runner. Perhaps you should see a second opinion.

      • Thanks for responding. Is it unusual to have two meniscus surgeries on the same knee within a one year period?

  • MRI and x-rays show I have medial torn meniscus (playing tennis, pivoting). The surgeon also said I have beginning of osteoarthritis. I don’t know the degree of damage. Physical therapy was done for a month 3 x a week. The knee really hurt with pulling stretch bands. Now that therapy is over, surgeon would like to do arthroscopy but pain seems to be subsiding. I went dancing today and felt slight pain when I put weight on my left leg. Should I keep doing home exercises and postpone surgery????and give the knee more time or would this do more damage. Age:71 Thanks

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