Another Worn Meniscus

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18/01/2011 at 21:23

Good Evening Fellow Knee Sufferers,

As promised this is short update on my progress since having my knee operations in December.

It has now been 6 weeks since my arthroscopy operations and today I had my last progress review with my consultant, John Hardy.  He was pleased with the speed of my recovery and the range of my knee motion considering the short period of time. 

Of course there is still a bit of pain and general aching from around the surgery entry areas on both knees, but the biggest change I have noticed is the cessation of pain around the tops of my knees that I was continuously suffering; the pain that prompted me to have a groan on this forum in the first place!  Good news!

Now I know you are all wondering whether I will be going out running again soon.  Well, no, not in the short term.  I can feel some weakness around the knees so I'm off to see the physio and I have renewed my gym membership; I need to work on my getting my core fitness back and strengthen my legs.  All being well maybe early summer?  Sounds good to me, I hate wet trainers!




19/01/2011 at 14:25

Hello Paul

It's great to hear that you are making a great recovery.  I really do feel for you.  I know how frustrating it feels.  But it really is best to take your time.  Otherwise you can really set yourself back so much.

I was lucky as I only had my left knee repaired.   I too,  suffered at first with the lack of stability in my knee.  I took running very, very slowly at first.  In fact, I used my gym membership a lot.  I found the using the stationary bike and the cross trainer really helped strengthen the knee.  And my  operation will be a year on the 6 April 2011.  To be honest with you I would not know that I ever had it done.  My knee feels great.  And yours will too.  Just give yourself time.  It really will be worth the wait.

Take care and keep us informed of how you are getting on.

Lindie Loo    pirate
19/01/2011 at 18:08

Great news Paul, thanks for the update.

 I had my MRI scan a week ago Monday, now awaiting the results...!


28/09/2011 at 06:24
How's the knee doing, Paul?

Just had medial meniscus repair on 14/9/11 and trying to get a feel for the road back, am thinking mid-Jan 12 at earliest but would rather know now if it's likely to be longer so I can mentally adjust my head to it.

All the best everyone else.
04/10/2011 at 16:07

Hi Saqib and fellow knee suffers,

Thanks for getting in touch and enquiring about how I am doing.

As you probably read in the earlier posts, I had arthroscopy operations on both my knees in December 2010.  The best advice I can give you from my experience on the recovery from this kind of work is not to over do it and rush back into running. 

Today my knees are a lot better in respect to the continuous pain that I had been suffering especially after any kind of exercise.  Am I ready to get back to any regular running?  Not really.  I have been attending a gym regularly for the past 10 months working on my core, weight training, and putting time on the static bike and cross trainer.  It has only been recently that I have noticed the strength starting to return in my knees/legs.  I plan to move onto the treadmill and slowly build up the distance in the next month or so.  Have I been out for a little trot around town to gauge progress?  Yes, and it confirms I need to take it easy.  I am currently thinking Spring 2012 as a likely period when I may return to regular running.

These are of course my experiences and I am sure different people will heal at different rates etc.  All the best on getting better, take it easy and I'm sure you will be back on the trail again soon.



04/10/2011 at 16:38
Thank you for that Paul,

Hope you find your way back to running soon. For my part, after reading your experience, I think I'll revise my ambition of running by mid-Jan and work out something more realistic. Was hoping to start training for the Chicago Marathon in June 2012...

Thanks again for sharing, it gives me hope of light at the end of the tunnel!
27/10/2011 at 09:04
Bit of an update on me for those that come to this in subsequent years as I found Paul's updates very useful:

Had my op on 14/9/11 at The Whittington Hospital in London where Arsenal's surgeon Panos Thomas is based. Had 6 wk post op appointment this week and they were happy with range of motion and said I should spend next 6 wks in the gym building hamstrings and quadriceps back up before testing out running and to use my knee as a guide how much it can take building up incrementally.

I was on crutches for as long as I felt it was needed (32 days) and a knee brace that didn't let me extend beyond 30 degrees or flex more than 90 degrees for a further 4 days (36 days in total).

Have next appointment on 17/1/12 will update again either then or before if I'm pain free and able to test it out on a short trot/run before then.
27/10/2011 at 13:13

Hi All,

I've got nowhere with my knee problem.  After about a year my GP put me through to a physio who couldn't work out what was wrong.  I then finally got to have an MRI scan which came back clean.  I then went to a specialist at the NHS who spent a minute looking at the knee, and saying it wasn't worth operating on.  A physio which didn't improve things with strengthening exercises.

The only diagnosis I've had is from a 2nd GP (and ex-runner) who told me it was the meniscus and to take ibuprofen.

I think I might have torn the meniscus back in 1998(!) when I was out hill walking.  That's the only specific sharp pain/incident I can remember occuring.

Since 2002 I've done no running, and I'm now tentatively going to the gym doing bike and cross-training machines, and have intermittent pain after these sessions.  Not really sure where to go next - other than back to the GP.

27/10/2011 at 13:21
Hey Speedy,

Try asking for an 'Arthrogram & MRI', basically a dye is injected into the knee while you're lying on bed under an imaging machine and they can see it going in to any tear that might exist but not necessarily show up on a regular MRI.

When I was referred to The Whittington, they looked at my MRI and said they saw no reason to operate, after 3 years of unresponsive physio I wasn't going to take it lying down so I persisted and they agreed to do a high contrast MRI and one look at it made them say 'you need an op'.

Try that and see where it gets you.
Edited: 27/10/2011 at 13:23
28/10/2011 at 22:24
Cheers for that - funny - I was at the Whittington.  I'll pursue that with my GP..failing that,  I see you can also get an MRI done privately.
29/10/2011 at 11:52
Hey Speedy,

The Whittington is a good orthopaedic dept, Arsenal's surgeon Panos Thomas is based there and it might be worth asking to be referred to his clinic in particular as medial meniscus is a very common football injury too, indeed mine was a footy injury.

I think the trick is to ask your GP to refer you for an arthrogram & MRI at The Whttington if possible rather than a general referral. It may be however that that is a decision that needs to be made at The Whittington, in which case you should be quite persistent when they try and refer you for physiotherapy that you've tried it for long periods privately and recently, even if you haven't, so that they escalate the case without wasting another 6 months that you know won't work.

All the best.
18/12/2012 at 12:33

Just thought I'd update:

Had MRI in July 12 as knee was still unstable, turns out tear was still there, not sure if repair did not take or whether it was torn again but after MRI, I went to Matthew Barnett Consultant at Northwick Park Hospital in Harrow who is also the knee specialist for the British Olympic Association whose medical unit is based at Northwick Park. Had another arthroscope surgery yesterday where he trimmed away about two-thirds of my medial meniscus.

I think my desire to preserve as much of my meniscus as I could was a bit futile because if it is not doing it's job and is just contributing to irritation and inflamation within the the knee without providing the support it is meant to then there is no point of it being there. If anything, the greater task is to develop quads (and to a slightly lesser extent hamstrings) of a champion so that the knees don't get such an unsupported pounding.

24 hours after surgery, I have no crutches and am full weight bearing on the knee, a lot further ahead than when I had meniscal repair last year. Am hoping to be back to full strength by March, will update here on how it goes.


18/12/2012 at 13:03

Good luck Saqib, it sounds like you have been through the mill a bit!  Hope it all works out for you this time!

18/12/2012 at 18:30

Cheers mate, appreciate it.


10/09/2015 at 18:08

Right so to recap:

Tore medial meniscus in Jul 06, a week on crutches then was fine to play football until twisting knee playing football in Oct 09 then unable to do much beyond cycling.

Sep 10 had meniscal repair which did not take, Dec 11 had menisectomy where they cut out about two thirds of the medial meniscus, this also had little positive effect.

Things stayed bad but began to get worse in late 2014 when my GP referred me to Mr Rahul Patel at UCL Hospital in Central London. He is a legend, really felt he engaged with me. He looked at my latest MRI scan and pretty quickly recommended a High Tibial Osteotomy to stop bone-on-bone contact on inside of knee. We agreed it was beneficial to have an arthroscopy beforehand so that he could make sure of that diagnosis and also evaluate me for a meniscal transplant.

Post-arthroscopy, he recommended a Unicompartmental (Partial) Knee Replacement and said wear on inside of knee ruled out the transplant. When I saw him again to discuss the op, he said he had been troubled by recommending the partial knee replacement to someone so young (I'm nearly 42) and said he'd discussed it with his colleague Sam Oussedik (also at UCLH) who said he'd had success in similar cases and felt I could be pain free with an Osteotomy and that it offered best chance of returning to active life as I made it clear that I wanted to return to 5-a-side footy and marathon running even if it brought forward partial/total knee replacement from 60/75 to 52/62 respectively.

So roll on 10 December 2015 and let's see...

20/09/2015 at 22:03

Sounds promising Saqib.   Good luck !

How have you been since December 11 ?

I had a medial menisectomy about 4 months ago ( I think approx 20% was cut out ).  Its improved some everyday issues ... the pain I had when getting into a car or into bed for example has now gone.  However, I still cant run any great distance on it.   Pretty much regardless of pace, after about 30-40 minutes of running it starts to hurt.  Its not a big pain , but I feel very reluctant to run through it  .. highly frustrating.    Shorter runs .. 5ks etc are fine and at at least as good a pace as before my problems.

Did you have similar experiences ?



21/09/2015 at 09:43

Hi Jamie,

20% out doesn't seem so bad, but each knee is it's own animal. My knee always felt unstable and after 5 mins of exercise, it would swell up and there was pain. After the menisectomy, I was told the knee was all sorted and that it was just rehab that would get me to full recovery, gave it time and then spent two years with no real improvement. In the meanwhile, my knees were bone on bone and wearing each other out faster. If I had gone sooner, I might have been able to get a meniscal transplant, but the wear and tear ruled that out. The Osteotomy will load the lateral side more and alleviate the bone on bone on the medial side. Let's see...

Most important thing for you is to do the rehab and grow quadriceps like Roberto Carlos (google a pic of him), the key to people like us for the rest of our lives is to have BIG quads, that's the be all and end all of alleviating knee issues. Also take Vitamin D3, not all the Ds combined, just D3. My surgeon said it was proven to regenerate bones and he recommended that for the rest of my life, said to take at least 1000ug a day, and that it was impossible to overdose on it.

Anything more, give me a shout.


21/09/2015 at 13:35

Thanks Saqib

I used to like  Carlos.   He only hit about 1 good free kick in every 100, but his strike in that Toulon Tournament some years ago was amazing.

What are your quad exercises of choice ?

21/09/2015 at 14:36

Not really got one, Leg Press makes mine grow but lunges with weights in your hand also work, I guess the Leg Press isolates it.

21/09/2015 at 19:31


hi 2 years ago I devellope a pain in the anterior part of my right knee after a long run(15 miles) at the time i receve so many dianostic a different every time i was seeing someone

extreme as to stop running because to old 58 at the time or a surgeon telling me that i can get the operation or wait as it might get better on his own

I did stop running for a wild and have done cycling and it has got better

now i am running again for more than year but infortunatly the pain is back again after some long run

i just have a pain no redness no swollen sometime big clic

I can t get RMI i was operated from an anewrism and the clip is metalic that was what they where using in the 90 th

any advice




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