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Meniscus - knee instability
Signs or Symptoms
Instability of the knee, locking of the knee, pain or ache on either the inside or outside of the knee
Description
The two most common causes of injuries are due to traumatic sudden injury as is seen in athletes and degenerative problems as seen in older patients who have more brittle cartilage. The most common mechanism of a traumatic meniscus tear occurs when the knee joint is bent flexed) and the knee is then twisted
Causes
The most common mechanism of a traumatic meniscus tear occurs when the knee joint is bent flexed) and the knee is then twisted
Standard Treatment
Immediately, ice and immobilization are done. Anti-inflammatories are given. If severe, surgery is indicated.
AK Approach
The meniscus can be injured by either immediate direct trauma or by repeated micro trauma. If the injury occurred from a single trauma, the examination is directed immediately to the severity of the injury and is surgery indicated.
Otherwise, the examination is more general as to the total functioning of the lower extremity. As the knee can be adversely affected by problems in the ankle and foot or the pelvis above it, the examination begins by looking for factors in these areas that would adversely affect knee stability. Locally, the stability of the major ligaments of the knee are then tested for.
The muscles that support the knee are evaluated to find the ones that are malfunctioning. These are corrected and then tested for the need of corrective exercises. The attention is then shifted to the localized structures that are injured and failing to support the knee joint properly. These can include specialized treatments for ligaments, muscles, skin and joints.
Finally, attention is directed to corrective procedures that can help coordinate the muscles to help prevent future injuries. Nutritional therapies aimed at increasing factors that would speed healing and reduce any inflammation are considered.
Other lifestyle modifications are used to prevent or minimize exacerbating the condition. A specific program for your needs is created.