Meniscus pain

What is

The menisci are pieces of cartilage that help the cushioning of loads between the bones that are part of the knee joint. In each knee we have two menisci, the medial one that is located in the internal part and the lateral one that is located in the external part of the joint. Each one is formed by three parts, which can be injured separately or as a whole. At the moment that an injury occurs it can produce a picture that produces pain, inflammation and effusion of the joint and limitation for the mobility.

Causes

  • Sudden movements when playing sports.
  • Osteoarthritis: degeneration of the knee “wear and tear” due to age or hereditary factors.

Type

Injuries in young patients and athletes

It is usually produced by a movement of abrupt turn an extensive lesion of the meniscus takes place and generally it comes accompanied of lesions the ligaments (anterior cruciate ligament or internal lateral ligament). In them the meniscus is injured in an important way and it is usually accompanied of blockades of the articulation.

Injuries in older patients with osteoarthritis

They are breaks of small size that generate edges that irritate the cartilage and produce great sensation of pain. It is generally caused by wear and tear of the joint.

Symptoms

The most common is pain, swelling and joint effusion when they occur, which usually come and go. We usually notice it in everyday movements such as going up and down stairs or we can even feel how the knee locks or gets stuck.

Approach protocol

Diagnosis and assessment

A correct medical evaluation will be necessary by means of a good anamnesis, physical examination and, if necessary, support of imaging tests, focusing especially on detecting which are the factors that have led this pad to become inflamed. We will observe if they are factors purely related to the activities that the patient performs or if there is any anatomical alteration that favors it. The multidisciplinary approach is essential for a comprehensive, personalized and focused on achieving a prolonged relief of pain depending on the phase in which it is so it is possible that we have the intervention of professionals in biomechanics, podiatry and physiotherapy.

Complementary tests

X-ray and/or MRI.

Treatment

The treatment of this pathology will depend to a great extent on the patient’s condition, age and symptoms and the condition of the meniscus. We will try in the first instance to avoid surgery whenever possible and when the lesion size and location of the treatment allows it.

  • Interventional medical treatments:
    • Treatments such as regenerative medicine:
      • Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
      • Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
      • Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
    • Treatments with hyaluronic acid: as well as regenerative medicine, it reduces pain and favors meniscus recovery.
  • Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

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Our customers say

Antonio Delgado
Response from the owner:Muchas gracias por tu valoración tan positiva Antonio!
Saludos
Raquel Cogolludo
Excelente el dr. Sarriá de la Unidad del dolor.
Eva
La atención por parte de todo el equipo fue maravillosa, el doctor es estupendo y les estoy muy agradecida
Response from the owner:Gracias Eva! Encantados de poder atenderte en MIVI Salud. Un saludo
Jonkel
Response from the owner:Gracias por su reseña y confiar en MIVI Salud.
Esperamos seguir siendo su primera opción a la hora de cuidarse, siempre que lo necesite. Saludos
Bruce Grindley
Recientemente me sometí a un procedimiento para aliviar un dolor considerable en mi espalda, después de caerme por un tramo de escaleras y dañarme la columna en tres lugares. Este procedimiento lo realizó el Dr. Santiago con la asistencia de Patricia Rodríguez Mederos de Mivi Salud Tenerife, en un quirófano del Hospital Quirón de Adeje, Tenerife, lo que me resultó mucho más cómodo que tener que subir a Sta Cruz. .

Desde que llegué fui muy bien atendido, primero por Atanay quien me preparó para el procedimiento y por Erika quien asistió al Dr. Santiago y Patricia en el quirófano. Me ofrecieron un gotero para ponerme en el brazo, con un sedante para mantenerme relajado, ya que el procedimiento se iba a realizar con anestesia local, en lugar de ponerme a dormir.

Sin embargo, rechacé el sedante porque las sonrisas de bienvenida y las garantías de todos los involucrados me tranquilizaron y no tenía ninguna preocupación. Realmente hace una gran diferencia ser tratado por estas personas tan profesionales, que me mantuvieron tranquila y relajada durante todo el tiempo que estuve allí.

Realmente no puedo elogiarlos lo suficiente y la buena noticia es que lo que hicieron fue muy exitoso y mi dolor de espalda se ha reducido considerablemente.

I recently underwent a procedure to relieve substantial pain in my back, after falling down a flight of stairs and damaging my spine in three places. This procedure was carried out by Dr Santiago with the assistance of Patricia Rodriguez Mederos of Mivi Salud Tenerife, in an operating room in the Quiron Hospital in Adeje, Tenerife, which was much more convenient for me, rather than having to go up to Sta Cruz.

From the moment I arrived, I was very well taken care of, firstly by Atanay, who prepared me for the procedure and by Erika who assisted Dr Santiago and Patricia in the operating room. I was offered a drip to be put in my arm, with a sedative to keep me relaxed, as the procedure was to be done using a local anaesthetic, rather than putting me to sleep.

However, I declined to have the sedative because the welcoming smiles and assurances from all concerned put me perfectly at ease, and I had no concerns whatsoever. It really makes a huge difference when being treated by these very professional people, who kept me calm and relaxed throughout the whole time I was there.

I really cannot praise them enough, and the good news is that what they did was very successful, and my back pain has been greatly reduced.
Response from the owner:Thank you Bruce for the 5 stars and for trusting our services and Dr. Santiago and his team. At MIVI Salud, we're here to help our patients in the best way possible. Best regards.
Torreblanca Amat
Response from the owner:Gracias por las 5 estrellas y por confiar en MIVI Salud
Saludos!
Eva Torres Bertran
Super contenta. Llegué con una hernia de 2 años sin tratamiento por la pública y en un mes me han quitado el dolor y me han evitado ir a quirófano.
El doctor se preocupó por mi estado y recuperación. Muy profesional y muy atento!
Response from the owner:Muchas gracias Eva! En MIVI Salud nos esforzamos por brindar una atención médica de calidad y cercana a nuestros pacientes. Valoramos tu confianza en nosotros y apreciamos tus amables palabras sobre la experiencia con el Dr.
Saludos
PatriLuz PatriLuz
Super amables y profesionales!!
Response from the owner:Gracias Patri, encantados de poder atenderte! Un saludo
Tinoki Del Ocaso
Los mejores de Fuengirola (y provincia). Gracias por todo.
Response from the owner:Gracias por tu buena valoracion Tinoki!
Saludos
David MP
Después de un accidente de bicicleta, he sufrido dolores de espalda durante meses.
Gracias al Dr. DUCA y su equipo estoy a punto de decir adiós al dolor y reincorporarme al trabajo.
Lo recomendaré sin ninguna duda.

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