Meniscus Injuries: How Physiotherapy Can Help You Get Back on Your Feet

Experiencing knee pain and wondering if it might be a meniscus injury? At our physiotherapy clinic in Huddersfield and Denby Dale, we see a wide range of knee problems, from meniscus injuries to ligament strains and overuse conditions. Our patients include runners, athletes, weekend warriors, and everyday people who’ve simply put a strain on their knees through daily activities. As a chartered physiotherapist, I often meet individuals who are unsure about their symptoms and what to do next. This guide will help you understand meniscus injuries in simple terms and explain how physiotherapy can play a key role in your recovery, often helping you avoid surgery.

What Exactly Is a Meniscus Injury?

Your knee has two C-shaped pieces of cartilage called menisci (that’s plural for meniscus). These act like shock absorbers between your thigh bone and shin bone. Think of the meniscus like a rubber washer in a tap; when it’s damaged, the knee doesn’t move as smoothly and can cause pain or discomfort.

A meniscus injury means that one or both of these cartilage pieces have been torn or damaged. This can happen suddenly, like twisting your knee during sports, or gradually through wear and tear as we get older.

Types of Meniscus Injuries: What’s Happened to Your Knee?

Not all meniscus injuries are the same. Here are some common types you might hear about:

Acute traumatic tears: These happen suddenly during activities and include:

• Bucket handle tears — large tears that can cause the knee to lock.
• Flap tears — parts of the meniscus fold over and catch.
• Radial tears — tears that extend from the inside out.
• Complex tears — a combination of tear types.

Degenerative tears: More common in people over 40, these happen slowly due to wear and tear, such as:

• Horizontal cleavage tears — the meniscus splits over time.
• Frayed edges — the cartilage wears down.
• Root tears — tears where the meniscus attaches to the bone.
  The type and location of the tear influence how well it can heal and what treatment is best.

Can Meniscus Injuries Heal on Their Own?

A common question I get is: Will my meniscus injury heal naturally? The answer depends on:

Tears that heal well:
Small tears in the outer edge (called the “red zone”) have a better blood supply and may heal with physiotherapy alone.
Degenerative tears in older adults often improve with conservative treatment.

Tears that might need surgery:
Large, unstable tears or those in the inner areas (the “white zone”) have less chance of healing without surgery.

Even if the tear doesn’t fully heal, physiotherapy often helps make the knee pain-free and functional.

Do All Meniscus Injuries Require Surgery?

Not at all! Surgery is usually reserved for cases with:

• Knee locking or catching that interferes with movement and doesn’t improve with rehabilitation
• Large tears causing significant problems like the knee giving way
• Tears preventing normal knee function
• When physiotherapy hasn’t improved symptoms 

Most meniscus injuries can be managed successfully with physiotherapy, especially degenerative tears and small, stable injuries.

How to Tell If It’s a Meniscus Injury or Something Else?

Knowing the difference between meniscus injuries and other knee problems is important:

Meniscus injury signs:
Pain along the inner or outer edge of your knee (joint line), worse when twisting, squatting, or pivoting. You might notice clicking or catching. Swelling tends to develop gradually.

Ligament injuries (like ACL):
Usually causes sudden, severe pain and rapid swelling, often with a feeling that your knee is unstable or giving way.

If you’re unsure, a physiotherapist can help pinpoint the cause.

How Can Physiotherapy Help Meniscus Injuries?

Physiotherapy plays a vital role in reducing pain, improving knee function, and preventing surgery where possible.

Here’s what physio focuses on:

• Pain relief and swelling reduction: Using manual therapy and advice on load management
• Restoring movement: Gentle joint mobilisations and stretching to improve knee flexibility.
• Strengthening muscles: Strong quadriceps, hip, and calf muscles support and protect your knee.
• Improving stability and control: Balance and movement training reduce the risk of further injury.
• Guiding your return to activities: Tailored programmes to help you safely get back to work, sports, or hobbies.

When Should You See a Physiotherapist?

Book an appointment if you:

• Have knee pain that doesn’t improve after 1–2 weeks
• Experience clicking, locking, or catching in your knee
• Find walking, squatting, or climbing stairs painful
• Feel your knee is unstable or “giving way”
• Have had an MRI but don’t know what to do next

Early physiotherapy assessment can speed up your recovery and help avoid chronic problems.

Your Next Steps

Don’t let knee pain hold you back. If you think you might have a meniscus injury, early physiotherapy can make a huge difference in your recovery.

Book your assessment with our expert physiotherapy team in Huddersfield or Denby Dale today and take the first step towards a stronger, healthier knee.