Surgery for Degenerative Meniscus Tears in the Knee
Many beliefs that were once beyond reproach are being challenged these days. One of them is the idea that degenerative meniscus tears deserve surgery (called a meniscectomy).
After multiple controlled clinical trials (here and here) have found no significant difference between “placebo surgery” vs. “real surgery” and based on the knowledge that once a partial meniscectomy is performed, people experience accelerated structural progression of their osteoarthritis, it seems very unwise to undergo surgery before trying conservative therapy. Dr. Kevin has been trained in, and now teaches other PT’s and chiropractors how to use manual therapy and rehabilitation for degenerative meniscus tears.
A clinical practice guideline for degenerative arthritis and meniscus tears recently recommended: