Understanding Meniscus Injuries

Understanding Meniscus Injuries in Football and Effective Recovery Strategies

Football poses a significant risk to knee health due to the intense forces generated during activities such as kicking the ball. The knee, being the central lever arm of the leg, is vulnerable to substantial forces transmitted from the trunk through the hip and from the ground through the foot and ankle.

Overview of Knee Meniscus:
The knee meniscus, a crucial fibrocartilage separating the femur and tibia, commonly known as ‘cartilage,’ plays a pivotal role in rotational stability and serves as a shock absorber during various movements like walking, running, and jumping. The medial (inside) and lateral (outside) menisci contribute to maintaining stability and absorbing forces on the knee.

How Meniscus Injuries Occur:
In younger individuals, traumatic incidents, such as twisting on a slightly flexed knee during football or sports, often lead to meniscus tears. In contrast, wear and tear in older adults may cause degeneration and arthritic changes, making the meniscus more prone to injury or tearing.

Identifying Meniscus Injury:
Symptoms of a meniscus tear include a painful twist on a weight-bearing knee, accompanied by clicking, popping, or locking sensations. Pain along the knee joint line, joint swelling, and discomfort while squatting are also common indicators. Clinical examination by a physical therapy specialist or sports doctor, along with an MRI scan, is crucial for accurate diagnosis.

Understanding Meniscal Blood Supply:
Limited blood supply to the meniscus influences healing. Tears on the outer meniscus may heal naturally, while inner meniscus tears often require surgery due to insufficient blood supply.

Recovery Strategies:
Immediate application of the ‘PRICE’ protocol (Protect, Rest, Ice, Compression, and Elevation) within the first 24–72 hours is recommended. Protection, potentially through crutches, and relative rest are essential. Regular ice application, compression using strapping, and elevation aid in reducing swelling and supporting the injured knee.

Avoiding Stress on the Meniscus:
During the initial stages of recovery, it is crucial to avoid activities and exercises that exert excessive stress on the meniscus. Some individuals may need to keep weight off the knee, with crutches recommended as necessary. Personalised guidance from one of our physical therapy specialist’s is essential for an effective recovery journey.

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