How to tell the difference between a meniscus tear and strain?

Author: Dr. King Kuhic Sr.  |  Last update: Sunday, October 19, 2025

A meniscus sprain can still be painful and bring about swelling and stiffness. However, a strain won't limit the range of motion as much as a tear and doesn't commonly result in the knee catching or locking.

How do I know if my meniscus is torn or strained?

The main sign of a torn or strained meniscus is knee pain, that may be accompanied by a feeling of stiffness, swelling and trouble walking or bending the leg. Call your doctor if you have symptoms of a torn meniscus, or if your knee pain inhibits your ability to walk without pain.

How can you tell the difference between a meniscus and ligament injury?

Ligament tears like the ACL tear are more often injuries suffered during sports. Meniscal injuries are more often a series of tiny tears that occur more gradually over time. Swelling and a sense of instability are also important clues. Swelling is almost always present after an ACL tear.

How do you test for a meniscus strain?

Standing twist test:
  1. Stand on your affected leg.
  2. Bend it slightly.
  3. Twist your body away from your leg.
  4. Twist your body toward the leg.
  5. Pain on torsion away from the leg may indicate a medial meniscus injury – the inside meniscus.
  6. Pain on torsion toward the leg may indicate a lateral meniscus injury – the outside meniscus.

Can I bend my knee with a torn meniscus?

Other meniscus tear symptoms include: Feeling like your knee might give out beneath you. Having knee pain or stiffness or a swollen knee. Being unable to fully bend or straighten your leg.

What are the Differences Between ACL And Meniscal Injuries? | Expert Physio Guide

Should you keep your leg straight or bent with a torn meniscus?

Self-management. Avoiding twisting activities may decrease the symptoms from a torn meniscus. Additionally, one should do quadriceps setting exercises with the knee straight or mini-squats, bending only to 15 degrees, to prevent giving way and keep the quadriceps muscle from atrophying.

How long does it take for meniscus strain to go away?

In an area with better blood flow, it may take 4 to 6 weeks to heal. Adequate rest is a key factor for meniscus healing, and it also mitigates further injury. After the initial recovery period, physical therapy may be necessary to build up supporting knee muscles that have atrophied.

What can be mistaken for a meniscus tear?

Common extra-articular pathologies that can mimic lateral meniscal tears include iliotibial band syndrome, proximal tibiofibular joint instability, snapping biceps femoris or popliteus tendons, and peroneal nerve compression syndrome or neuritis.

Should I wear a knee brace with a torn meniscus?

Normally, braces are used to stabilize a joint. Since menisci are not crucial for knee stability, you might not need a brace to help your injury heal. However, if there is damage to the surrounding ligaments as well, a brace may be necessary because ligaments are important for joint stability.

Where should I feel pain if I tore my meniscus?

Symptoms of a meniscus tear may be different for each person, but some of the most common symptoms are: Pain in the knee joint: usually on the inside (medial), outside (lateral) or back of the knee. Swelling. Catching or locking of the knee joint.

How do I know if I sprained my MCL or meniscus?

MCL tears commonly cause knee pain and tenderness along the inner side of the knee. Meniscus tears may produce a popping sensation, locking or catching of the knee, and difficulty straightening the leg.

Can you just strain a meniscus?

Injury or damage to the meniscus can result from abruptly twisting or rotating the knee; strain during squatting, bending or lifting heavy objects; and hard impacts from a tackle or other sports activity. Injuries can range from a meniscus strain to a partial or full meniscus tear.

How do you fix a strained meniscus?

Treatment
  1. Rest. Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee. ...
  2. Ice. Ice can reduce knee pain and swelling. ...
  3. Medication. Over-the-counter pain relievers also can help ease knee pain.

Why can't I straighten my knee but I can bend it?

There are 7 major causes that prevent your knee from straightening. These include meniscus tears, quadriceps tendon injury, patellar tendon injury, ACL injury, acute swelling, osteoarthritis, patellar dislocation, and muscle imbalance.

What are 3 signs of a meniscus tear in the knee?

A popping sensation. Swelling or stiffness. Pain, especially when twisting or rotating your knee. Difficulty straightening your knee fully.

What are the worst exercises to do with a torn meniscus?

More videos on YouTube
  1. Doing too much. During the initial stages of meniscus injury it's really important to lessen the load on the knee to enable it adequate time to recover. ...
  2. Twisting your knee. ...
  3. Running. ...
  4. Being Immobile. ...
  5. Breaststroke. ...
  6. Deep Squatting.

What is the best pain relief for a torn meniscus?

Nonsteroidal anti-inflammatory medications such as ibuprofen and naproxen can help to reduce inflammation and pain caused by a meniscus tear. Acetaminophen can also help to manage pain but does not reduce inflammation. Your doctor discusses over-the-counter or prescription options with you.

How to self-diagnose a meniscus tear?

Rotate your upper body as far as you can to the left and then also to the right. Perform this 3 times. Now bend your knee a little deeper (to 20 degrees) and perform the three rotations again. Pain or a sense of locking/catching with this motion could indicate a potential meniscus injury.

Can a meniscus sprain heal on its own?

In case of a minor injury or tear, your meniscus can heal on its own. All it needs is some rest and time. However, bigger or more severe injuries are less likely to heal without a medical prognosis. Your meniscus is a crucial part of the body, albeit it has a limited blood supply.

Should you stay off your feet with a torn meniscus?

Will Walking on a Torn Meniscus Make It Worse? In cases with acute tears, you may be able to walk around with only slight discomfort or minimal pain. However, if you're noticing increased pain or have a severe tear, you should avoid walking on it until some pain starts to dissipate.

What is the new treatment for a torn meniscus?

Introducing mesenchymal stem cells into torn cartilage may stimulate the patient's own cells' regenerative properties, helping to repair injury, relieve pain, and promote healthy new cell growth. Don't allow a torn meniscus to degenerate your knee stability and range of movement or develop into osteoarthritis.

Is heat or cold better for a torn meniscus?

Too much cold will keep your injury in the same state - slowing down the healing process. This can sometimes make chronic injuries linger even longer. Heat (Circulation Boost) should be used when you suffer from a chronic, tight or stiff meniscus injury and after you reduce swelling, pain and inflammation with cold.

Does a torn meniscus hurt all the time?

There is often sharp pain when you twist or squat. Symptoms may go away but can come back from overuse or when you do activities that involve twisting. The pain may come and go over a period of years if the tear isn't treated. Larger tears usually cause more pain and immediate swelling and stiffness.

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