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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Residual Posterior Horn Degeneration, Bone Marrow Edema On MRI. Accelerate Healing?

I have had an MRI scan and the report said I had residual posterior horn degeneration and areas of marked tearing together with reactive bone marrow oedema. Everything else seemed to be ok. I have rested for over 8 weeks now and am not getting any better. I am a keen sportsman and would like to know how I can accelerate the healing? Thanks
Tue, 30 Apr 2013
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Orthopaedic Surgeon,  's  Response
Meniscus tears are a very common cause of knee pain. Tears of the meniscus can vary by location, type, size and the amount of pain they produce. The most common location for a meniscus tear in the knee is the posterior horn of the medial meniscus.People can suffer tears of the meniscus because of trauma, sports injuries or the meniscus can tear simply because it wore out.
Surgery for meniscus tears is not always necessary. Treatment options for meniscus tears include rest, physical therapy, activity modification and occasionally a surgery we refer to as an arthroscopy.
Preference is given to repair posterior horn tears, if possible to help preserve the meniscus and minimize the risk of developing arthritis.
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Orthopaedic Surgeon, Joint Replacement,  Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing. It looks like that you are talking about the MRI scan of your Knee joint with meniscal degeneration and reactive bone marrow oedema which could be secondary to trauma. I am not sure whether you have taken any physiotherapy for the knee ( Quadriceps strengthening exercises ) apart from rest which helps in improving your symptoms. There is no way that you can accelerate the healing in meniscal injury (the only way being rest to the knee joint which you have already taken for 8 weeks). So, in my opinion, you have to undergo "Arthroscopy" for your knee joint which serves as a diagnostic as well as therapeutic tool. Hope this helps
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Residual Posterior Horn Degeneration, Bone Marrow Edema On MRI. Accelerate Healing?

Meniscus tears are a very common cause of knee pain. Tears of the meniscus can vary by location, type, size and the amount of pain they produce. The most common location for a meniscus tear in the knee is the posterior horn of the medial meniscus.People can suffer tears of the meniscus because of trauma, sports injuries or the meniscus can tear simply because it wore out. Surgery for meniscus tears is not always necessary. Treatment options for meniscus tears include rest, physical therapy, activity modification and occasionally a surgery we refer to as an arthroscopy. Preference is given to repair posterior horn tears, if possible to help preserve the meniscus and minimize the risk of developing arthritis.