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Bilateral Meniscus Tears: Four Months without Improvement

6/27/2025, 7:40:23 PMMale25-34

Greetings, Doctor, I hope this message finds you well. My name is Xojiakbar, and I am 16 years old. Please forgive any errors in my English as it is not my first language. Currently, I am experiencing significant swelling in both knees, making it painful to apply pressure. Activities like running and jumping have become nearly impossible. My MRI results indicate a tear in the posterior horn of the medial meniscus in my right knee, while my left knee shows a meniscus tear along with a Baker's cyst. For the past four months, I have been receiving treatment, including hospital stays and various conservative measures. Unfortunately, these interventions have only provided temporary relief. I would greatly appreciate any advice you could share on what steps I should take next. Thank you for your assistance.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

6/27/2025, 7:40:40 PM

OpenHealth AI

I understand that dealing with bilateral meniscus tears and the associated swelling and pain can be incredibly challenging, especially as a young athlete like yourself. It’s important to address your symptoms and seek ways to improve your mobility and quality of life.

Key Points:

  1. You have persistent swelling and pain in both knees due to meniscus tears and a Baker's cyst.
  2. Previous conservative treatments have not provided lasting relief.

Explanation:

Meniscus tears can result in pain, swelling, and restricted movement. A Baker's cyst, which often accompanies these tears, can further complicate recovery and cause discomfort. Given that you've tried various treatments without significant improvement, it is understandable to seek additional options.

Next Steps:

  1. Consult a Specialist:

    • If you haven't already, consider consulting an orthopedic specialist who focuses on sports medicine. They can provide a more detailed assessment of your knees and may suggest advanced treatments or interventions.
  2. Explore Physical Therapy:

    • Engage in physical therapy if you haven’t already done so. A physical therapist can design a customized rehabilitation program to strengthen the muscles around your knees, improve flexibility, and reduce pain.
  3. Manage Swelling:

    • Continue to apply ice to your knees for 15-20 minutes several times a day to help reduce swelling. Elevating your legs can also aid in minimizing inflammation.
    • Compression wraps can provide support and help control swelling temporarily.
  4. Activity Modification:

    • While it's frustrating to limit activities you enjoy, avoid high-impact sports like running and jumping until your symptoms improve. Instead, consider low-impact activities such as swimming or cycling that do not strain your knees.
  5. Pain Management:

    • Over-the-counter pain relievers (like ibuprofen or acetaminophen) can help manage pain and inflammation. Ensure to follow dosing guidelines and check with a healthcare provider if you have any health concerns or medications you're currently taking.
  6. Monitor Symptoms:

    • Keep a daily diary of your pain levels, swelling, and any activities that worsen or improve your symptoms. This information can be very helpful for your healthcare provider in evaluating your condition and treatment plan.

Final Note:

With persistent challenges like you’re experiencing, it’s crucial to stay proactive and engaged in your care. Remember, advancements and personalized treatments are available, and you're not alone in this journey. Keep communicating openly with your healthcare team about any concerns you have, and take small steps toward recovery each day.

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