Physical Therapy Good For Meniscal Tears

posted Apr 17, 2013, 3:33 PM by Arockia Doss   [ updated May 12, 2013, 4:32 PM ]
High quality study shows that 'Physical therapy is just as good as Arthroscopic partial meniscectomy for patients in Pain from Osteoarthritis and a Meniscal Tear'. 70% of patients in the study had no difference in outcome at 6 months between either treatment. 30% of patients crossed over from Physical Therapy to Surgery.

This study is the third of its kind. The other two are referenced below (2)(3).  Aside from the fact that the efficacy of physical therapy in patients with symptomatic meniscal tears is unproved, these results indicate that in many patients with knee osteoarthritis and meniscal symptoms, surgery followed by a standardized physical-therapy program may not provide added benefits over physical therapy alone (4).

Please read 'comments' under reference 1 (http://nej.md/14x0aE2). 

References: 
2.Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 2007;15:393-401
3. Herrlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc 2013;21:358-364.
4. Rachelle Buchbinder.EDITORIAL. Meniscectomy in Patients with Knee Osteoarthritis and a Meniscal Tear? March 19, 2013DOI: 10.1056/NEJMe1302696
Comments