Azdak wrote: »
From what I can read, you appear to have more than one tear of the meniscus, sprains in the ligaments in the inside and outside ligaments of the knee and multiple areas of damage to the surface cartilage lining of the knee.
The first part describes ligament thickening and edema that is consistent with a sprained ligament. The second indicates that there are 2 tears in your medial meniscus. It also suggests there is some degenerative changes in areas of the cartilage (“grade 2c signal”). This may or may not be significant.
The third paragraph describes damage to the cartilage lining the end of the femur and the top of the tibia (Chondral defects and fibrillation with associated edema (swelling)). The fourth paragraph describes what they think might be a Baker’s cyst, which a number of people have in their knees.
I am reluctant to put that into any kind of perspective (ie how serious is it?) because these types of reports describe every small little thing in a lot of detail and so it can often sound much more serious than it is.
The good thing is that major ligaments (posterior and anterior cruciate) and tendons (patellar) appear to be undamaged.
I do feel confident is saying that this appears to be a little more serious than a simple meniscus tear. Your long-term outlook may still be excellent, but this is probably going to take more time to fully rehab than a simple tear.
I hope this helps you to understand the big picture and get an idea of what questions to ask your doctor. I am not trying in any way to diagnose your injury—just trying to explain the terms so that you have a more thorough understanding to hopefully make your conversations with your doctors more meaningful.
alisonkuan wrote: »
Should I request to extract water out from knee or let it naturally recover ?
My doctor recommend Synvisc injection can this last any side effect ? Or doctor just continue with physiotherapy. Can defects cartilage heal by itself ?
spiriteagle99 wrote: »
Synvisc won't repair the tears. It injects some liquid between the knee bones and is usually used when there is bone on bone arthritis to delay the need for a knee replacement. I've never heard of it being used on a torn meniscus, but I suppose the idea is that it would lubricate the joint so you wouldn't feel the tear.
My husband had two meniscus tears, each requiring surgery about 10 years apart. In his case, he couldn't walk without extreme pain. After the surgery, he was able to walk normally within a week and was back hiking in about 6 weeks.
He had synvisc injections in his other knee, which was bone on bone and would get very swollen when backpacking. The first treatment lasted about two years, the second injection helped for less than 6 months. He had a knee replacement after that.
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