Possible Meniscus Injury

[Tonka]

Hi there

I feel a bit of a fraud as all injuries on this page seem to be far more serious. I injured my knee whilst running (with 30lb weight which I am used to) about 11 months ago. I didn't fall or twist my leg but did feel a slight 'pop' as I started - it is on the inside rear section of the right knee. There was medium pain (enough to annoy but not debilitate) but there was never any swelling. I assumed I had pulled a tendon and left it to heal. As happens, days turn into weeks that turn into months and the pain stays constant - never worse (or better). If I don't excercise the pain disappears completely after about 3-4 days - but comes back once I have been on a run (no pack!). I have left it on 2 occasions for 3-4 weeks and as soon as I start running I can feel it pull although the pain usually arrives the day after a run. If I push my finger into the join (where the meniscus is) it doesn't hurt that much - pain is more below the join. But if I perform a MacMurray test and twist the tib then it does hurt. The time I am completely pain free is when I first get up - pain starts only after I am up and about. I can extend my leg no problem - no locking or clicking
I have been to several physio's and an osteopath - they are split as to whether it is meniscus or tendon related. I know I need an MRI scan which I am organising now, but my questions are:
1) does this sound like a meniscus tear?
2) can a tendon related injury really go on for 10 months despite long rest periods (I am 45)
3) if it is meniscus, will I definitely need surgery or might it get better by itself (albeit in a long time)

Thanks for any help!

Tonka

[Heidi]

Hi
Yes it could be a meniscus injury although it is impossible to tell without an MRI and obviously if several health professionals are not sure between them then this is the only way forward.
A tendon injury could last that long. You have done the right ting to rest it, but have you then gone back in at the level you were working at before? And have you tried any rehabilitation exercises to stretch and strengthen the associated muscles?
If it is meniscus then the chance of surgery depends on the severity of the tear. A small tear (which I suspect yours would be) rarely needs surgery. Usually a good rehab programme will sort it.
Hope this helps!

[Tonka]

Thanks Heidi, that is very useful!