Dr. Suman Saurabh
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I recently bumped my knee playing paintball against a piece of metal. It was sore as if from an impact or bruise. I had an MRI done just to be safe, it claims to be torn but I am a bit suspicious since it feels fine except for still having a feeling of being bruised and sore.
Kindly help.
Hello,
Welcome to icliniq.com.
I am sorry to know about your problem. I hope I can help you. I have read your MRI report (attachment removed to protect the patient's identity). Yes, it does show a tear in the medial meniscus which is the cushion of your knees. But if you do not have any problem with it, you can leave it like that. You can apply an ice pack over the knee to reduce swelling and can take over counter pain killer.
My advice:
Consult your specialist doctor, talk to them, and take medications with their consent.
Thank you.
Treatment plan
Patient's Query
Hello doctor,
Yes, I am familiar with the meniscus. I have torn my right knee meniscus before, and had a repair surgery for it; since then have made a full recovery. But this left knee feels like I have just bumped my knee. I have swelling but it does not feel the same. Is it possible that the inflammation can make the scan appear as if I have a tear when I may not? Or perhaps the tear is so minor that it does not require surgery? Because I feel no interruption when moving around. Attached are the photos, and the place I am pointing at with my finger is the location where my knee is slightly sore. Note that the injury was due to me playing paintball I was running and with a bent knee, made front contact with a flat / lightly rounded and smooth piece of metal with maybe 20 lbs of force. Note that I was wearing two layers of pants with one of them being pretty padded when I made contact.
Hello,
Welcome back to icliniq.com.
1. Yes it is possible that in recent traumatic events, MRI may not show the actual picture because everything is inflamed.
2. Minor tear does not require surgery. You are right, but the decision about the surgery depends upon the symptoms and site of the tear of the meniscus.
3. I have seen those pictures (attachments removed to protect thre patient's identity) and I would suggest you follow the advice which I have already prescribed.
Thank you.
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Orthopedician and Traumatology
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