What is the best way to recover from meniscus injury and ligament tear with conservative treatment?

Written by Wang Fei
Orthopedics
Updated on January 20, 2025
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For a meniscus injury and ligament tear in the knee joint, if the condition is not very severe, we can manage it with conservative treatment. This means using immobilization, physical therapy, heat application, and anti-inflammatory pain relief.

If the knee has been immobilized for a period, say two months, it will obviously become somewhat stiff. In this case, if rehabilitation is to be performed, the first step should be to seek guidance at a formal rehabilitation medical institution. If a therapist is available to assist with training, that would be the ideal best case scenario. If no therapist is available, care must be taken during activities not to excessively tear the healed ligaments or meniscus. During the rehabilitation process, when performing bending and flexing exercises, it's crucial to be mindful of the extent of movement.

Additionally, it's important to consistently strengthen the quadriceps muscles.

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament injuries heal by themselves?

Whether ligament injury can be healed depends on the severity of the injury. Generally, there are four types of ligament injuries. The mildest is a sprain, which is when some fibers of the ligament are torn. The second type is a partial tear of the ligament, the third type is a complete tear of the ligament, and the fourth type is a combined injury, which includes damage to other structures in addition to the ligament injury. If the ligament injury is just a sprain, it can generally heal within two to three weeks with immobilization. However, partial ligament tears that are more severe may require surgical intervention. If the partial ligament injury is not severe and does not affect stability, it can also heal with about three to six weeks of immobilization. However, complete ligament tears or combined injuries often require surgery for suturing or reconstruction in order to heal.

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Written by Wang Jing
Pediatric Orthopedics
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Are calcium tablets useful for ligament injuries?

Calcium supplements do not have a significant effect on the repair of ligament injuries. There are established principles for dealing with ligament injuries. Generally, for minor injuries, reducing movement and stabilizing the affected limb are recommended to allow the ligaments to heal on their own. In cases of severe ligament injuries, such as significant or complete tears that affect joint stability, surgical repair or reconstruction may be necessary. Of course, in the most severe cases, ligament injuries can be accompanied by fractures or other concurrent injuries. While healing fractures require calcium, and during these times the calcium from calcium supplements can serve as a source for fracture repair, typically the calcium intake from a daily diet is sufficient to meet the needs during fracture healing. Therefore, taking calcium supplements for ligament injuries does not have a significant effect.

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Written by Wang Jing
Pediatric Orthopedics
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What are the symptoms of ligament injury?

Ligament injuries may exhibit different symptoms depending on whether they are acute or chronic. Acute ligament injuries generally occur within one to three days after the injury. At this time, the main symptoms are caused by blood drawn from the injured ligament, leading to swelling, bruising, pain, and corresponding joint movement disorders at the injured site. Severe ligament injuries can even cause avulsion fractures. Chronic ligament injuries usually result from acute injuries that have not been properly treated. At this point, the main issues are joint instability and pain in the joint caused by long-term damage to the cartilage.

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Written by Guan Yu Hua
Orthopedic Surgery
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Symptoms of knee ligament injury

The ligaments in the knee joint are quite complex, often resulting from trauma, strain injuries, or lateral impacts. Symptoms such as reluctance to move the knee, pain, and worsened pain after movement usually necessitate a hospital examination. Lateral stress tests examine the medial and lateral collateral ligaments, drawer tests check the anterior and posterior cruciate ligaments, and pivot shift tests or squat walking tests assess the meniscus. If necessary, an MRI is performed for diagnosis. Early detection and treatment are crucial. If trauma is frequent, or instability after injury occurs, one should seek hospital examination. Ligament damage often heals slowly, typically taking around a month to fully recover.

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Written by Wang Jing
Pediatric Orthopedics
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Can ankle ligament injuries heal by themselves?

Ankle ligament sprains vary in prognosis depending on the severity of the injury. This type of ligament damage generally falls into several categories: the first type is partial fiber damage to the ligament, the second type is partial rupture of the ligament, the third type is complete rupture of the ligament, and the fourth type includes additional injuries. For partial fiber damage and partial ruptures of the ligament, immobilization is often used, and generally after six to eight weeks, the ligament can repair itself. However, if there is a complete rupture of the ligament or additional injuries are involved, surgery is often required for healing.