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Meniscus Injuries in Older Adults: Treatment Options and Recovery Tips

January 10, 2025

A retired Asian senior man feels knee joint pain (a Meniscus Injury) on the sofa while holding his knees.

The knee is a marvel of engineering, a hinge that allows us to bend and stretch as we walk, run, or climb stairs. At the heart of this joint lies the meniscus, a crescent-shaped piece of cartilage that cushions and stabilizes the knee.

However, like any finely tuned mechanism, it can wear out over time. This is particularly true for older adults who are more prone to meniscus injuries. These injuries can be unsettling but understanding them is the first step towards effective treatment and recovery.

Let us discuss meniscus injuries in older adults, their challenges, and unique treatment strategies.

Why Do Meniscus Injuries Occur

Meniscus tears are a common injury in sports such as soccer and tennis. The sudden twisting movements can lead to this injury. However, it is also true that individuals become more prone to developing them as they age.

Here are the common causes of meniscus injuries in older adults:

  • Age-Related Degeneration: The meniscus naturally weakens and thins over time, making it more susceptible to tears from everyday movements.
  • Osteoarthritis: Joint degeneration can strain the meniscus, leading to tears, especially with conditions like osteoarthritis that cause joint stiffness and wear.
  • Repetitive Stress: Frequent bending, twisting, or squatting over the years can weaken the meniscus, causing it to tear more easily.
  • Minor Trauma: Even simple activities like standing up from a chair or stepping awkwardly can cause tears in an already weakened meniscus.
  • Reduced Blood Flow: As blood supply decreases with age, the meniscus has less resilience and healing capacity, leading to easier injury.

You do not have to accept a lower quality of life due to getting older. It is highly empowering to learn about the knee meniscus and how to prevent a meniscus tear.

Symptoms of a Meniscus Tear

Meniscus injuries often announce themselves quietly, beginning with a subtle ache or swelling. In older adults, common symptoms include:

  • Gradual Knee Pain: Pain may develop slowly and worsen over time, particularly during activities like walking or climbing stairs.
  • Stiffness and Swelling: Swelling and stiffness are common but tend to increase gradually instead of immediately after the injury.
  • Limited Motion: Older adults may have trouble fully straightening or bending the knee, and the knee may feel “stuck” after periods of inactivity.
  • Mild Knee Instability: Some may feel a subtle sense of knee instability, though it is often less severe than in traumatic tears.

Meniscus injury treatment for older adults may differ from athletes due to age.

Knee Meniscus Injury Treatment for Older Adults

Treating meniscus injuries in older adults differs significantly from treating athletes due to the unique factors involved in aging versus athletic demands. Here we discuss the differences in approaching knee meniscus injury treatment in older adults:

1.    Treatment Goals

In older adults, the primary goal is often to manage pain, maintain mobility, and preserve joint function. In athletes, the focus is usually on fully restoring knee stability and strength for high-performance activities.

2.    Non-Surgical Vs. Surgical Options

Older adults are more often treated conservatively. There is an emphasis on non-surgical options like physical therapy, bracing, and pain management, especially if arthritis is present. Athletes, especially younger ones, are more likely to undergo surgery if needed, aiming for a faster and more complete recovery to return to their sport.

3.    Activity Modification

Treatment for older adults often includes modifying daily activities to reduce joint strain, such as focusing on low-impact exercises. On the other hand, athletes undergo sport-specific rehabilitation to safely rebuild the strength and flexibility required for their sport.

4.    Healing Time and Rehabilitation Intensity

Older adults may experience slower healing due to age-related factors, and their rehabilitation programs are often paced to avoid over-stressing joints. Athletes typically engage in more intensive rehab to accelerate recovery and ensure they regain peak performance levels.

Ultimately, the approach in older adults prioritizes joint health and comfort. For athletes, the goal is to return to peak physical capability.

How Older Adults Can Prevent Meniscus Injuries

Prevention is paramount when it comes to meniscus injuries. Older adults can take several steps to help prevent meniscus injuries and protect their knee health:

1.    Strengthen Supporting Muscles

Regular exercises targeting the muscles around the knee can help prevent a meniscus injury. Pay attention to the quadriceps, hamstrings, and calf muscles. These provide better joint stability and reduce strain on the knee meniscus.

2.    Maintain Flexibility

Gentle stretching exercises, particularly for the legs and lower body, help keep the knee joint flexible. With greater flexibility comes a reduced risk of sudden injuries.

3.    Focus on Low-Impact Activities

Choose low-impact exercises like walking, swimming, or cycling. These put less stress on the knee joint compared to high-impact activities like running or jumping.

4.    Wear Supportive Footwear

Shoes with good arch support and cushioning help improve knee alignment, reducing the chance of injury.

5.    Be Mindful of Movement

Avoid sudden twisting or pivoting movements that put extra stress on the knee. When turning, turn the whole body.

6.    Maintain Healthy Weight

Excess body weight stresses the knees. Therefore, try to maintain a healthy weight to protect the meniscus and prevent injuries.

By following these steps, older adults can better support their knee health and reduce the likelihood of meniscus injuries.

For older adults with this knee injury, professional guidance for meniscus injury treatment is critical. An orthopedic specialist ensures your treatment program is tailored to you and your unique needs. Your knees deserve the best care so you can maintain an active lifestyle.

Meniscus Injury Treatment in Maryland

The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division provides comprehensive care for individuals with meniscus tears. Our team of orthopedic professionals are orthopedic surgeons and physical therapists who work with you for a successful outcome. In our orthopedic offices, we provide personal attention and treat you with compassion.

 

We understand how this injury affects older adults and provide tips to help protect their knees. Find out why we are a top choice for knee meniscus injury treatment in Bethesda, Germantown, and Rockville.

 

To schedule a consultation for meniscus injury treatment, call us today at (301) 515-0900 or schedule an appointment online. Our friendly staff looks forward to helping you find relief from knee pain.

Filed Under: Meniscus Tears Tagged With: exercises, knee meniscus, Knee Meniscus Injury Treatment, knee pain, Meniscus Injury, Meniscus Injury Treatment, Meniscus Injury Treatment in Maryland, orthopedic, orthopedic surgeons, physical therapy

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.