Do All Meniscus Tears Need Surgery?
Research by Horga, et al (1) suggests the answer is no! Using the latest (and most powerful) MRI scanners Horga’s team found abnormalies in 97% of the non-painful knees. Thirty percent (30%) had meniscus tears, cartilage and bone marrow lesions at the knee cap area (patellofemoral). About 1/3 of the knees had severe cartilage lesions. Tendon damage was detected in about 1 in 5 patients.
Remember, these were patients who had NO knee pain. Hence if so many patients have big problems on their knee MRI’s and have no pain, why are we so many people getting knee meniscus surgery for tears?
One answer is that they have not tried alternative therapies like Shockwave Therapy.
Extracorporeal Shock Wave Therapy (ESWT) stimulates newblood vessel growth.
ESWT faster return to competition and athletic activity.
ESWT is a safe and effective non-invasive outpatient procedure.
(1) Horga LM, Hirschmann AC, Henckel J, Fotiadou A, Di Laura A, Torlasco C, D’Silva A, Sharma S, Moon JC, Hart AJ. Prevalence of abnormal findings in 230 knees of asymptomatic adults using 3.0 T MRI. Skeletal Radiol. 2020 Feb 14. doi: 10.1007/s00256-020-03394-z.