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.

Here begins your life without pain

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amparo zafra gómez

Response from the owner:Muchas gracias Amparo por tu valoración!
Saludos

Isabel Fernández Fernandez

Són fantàstics. Molt bé atesa!!!

Response from the owner:Gràcies Carme per la teva valoració. Estem encantats de haver-te atès
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Rebekka Vanhaverbeke

¡Estoy sumamente complacida con la forma en que tratan a los pacientes con dolor! Su dedicación al bienestar de los pacientes y su enfoque en aliviar su sufrimiento está en el centro de sus prioridades. ¡Les agradezco sinceramente!

Response from the owner:Gracias por las 5 estrellas Rebekka y por confiar en nuestros servicios . En MIVI Salud estamos para ayudar a nuestros pacientes de la mejor forma posible. Un saludo.

Tania Sanguesa

Quisiera agradecer al Dr. Nebreda, que siempre pone solución a todos mis dolores, que son muchos. También tengo que agradecer a los enfermeros, Oscar y Julia que aparte de grandes profesionales son también fantásticos en su trato personal.
Y como no en recepción, que son fantásticas. Muchísimas gracias a todo el equipo.

Response from the owner:Muchas gracias Tania por tu reseña tan positiva sobre el Dr. Nebreda así como de todo nuestro equipo! Estaremos encantados de brindarte el mejor cuidado posible siempre que nos necesites

Fco Javier Guardia

Excelentes profesionales.
Ambiente agradable, entre ellos y con los pacientes.
Apoyando siempre para q podamos soportar y superar las lesiones.

Maria dolores Gonzalez

Muy buena atenció.

Response from the owner:Gracias maría Dolores por tu confianza en MIVI Salud. Un saludo

Elisenda Fabregat castello

Tractament fantastic amb dr duca i natoli

Tinoki Del Ocaso

Los mejores de Fuengirola (y provincia). Gracias por todo.

Response from the owner:Gracias por tu buena valoracion Tinoki!
Saludos

Teresa Cebollero

Buenas tardes, quiero agradecer al Dr. Francisco Duca el tratamiento que me ha realizado. Hasta el momento no he vuelto a tener dolor, y puedo caminar correctamente incluso a paso rápido.
Saludos. Teresa Cebollero Barbera.