i need your experience as many middle aged patients the leading complain is knee osteoarthritis and no specific meniscal symptoms , actually i proceed in OAK management conservative or surgical, on the contrary some young adult came with knee pain and MRI shows Grade I degeneration also i start with conservative measures till the specific meniscal symptoms appear or the patient become free of complain.
conservative ???? Andreas B. Imhoff Mohamed Aboalata Mohamed Singer Yehia Basyoni
in my opinion if you don't have symptoms in OA problem i prefer conservative treatment with ialuronic acid or prp
The management is physiotherapy. A physiotherapist experienced working with these type of patients can make a very positive difference and help improve their quality of life. One important point/exercise is teaching the patient to avoid twisting, for example when turning to the right with the trunk the right foot should be in line with the shoulder. This will decrease the combination compression/rotation about the meniscal layers. Also, the type of tear; location, extent and stability has to be taken into consideration. A thorough examination of the hip, knee and ankle as well as footwear can help with development of an individualized program that could be very effective. Prior research has shown that P.T. can be effective with pt's with small tears.
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