Surgery vs. Non-Surgical Treatment for Meniscus Tears: What You Need to Know

A meniscus tear is one of the most common knee injuries, and treatment often depends on the type, location, and severity of the tear. While some people recover with rest, physical therapy, and bracing, others may need surgical repair. Understanding the differences between surgical and non-surgical approaches can help you make informed decisions about your care.

Non-Surgical Treatment for Meniscus Tears

For many patients, especially those with small or degenerative tears, conservative treatment is the first line of care.

Common non-surgical options include:

• RICE Method: Rest, ice, compression, and elevation to reduce pain and swelling.

• Knee Bracing: Provides stability and reduces strain on the meniscus during activity.

• Physical Therapy: Strengthening surrounding muscles improves knee support and restores mobility.

• Medications: Over-the-counter NSAIDs can help reduce pain and inflammation.

Best for: Small, stable tears, or patients who are less active and not experiencing severe mechanical symptoms like knee locking. Healing exercises for meniscus tear help improve stability and knee strength for recovery.

Surgical Treatment for Meniscus Tears

When symptoms persist despite conservative care, or the tear is large, surgery may be recommended.

Common surgical procedures include:

• Arthroscopic Repair: Suturing the torn meniscus back together. Best for younger patients and tears in the vascular zone.

• Partial Meniscectomy: Removing the damaged portion of the meniscus while preserving as much healthy tissue as possible.

• Meniscus Transplant: In rare cases, a donor meniscus is implanted, usually for younger patients with severe damage.

Best for: Patients with large tears, ongoing pain, mechanical symptoms, or those whose lifestyle requires a stable, fully functional knee.

Factors That Influence the Right Treatment

• Type of Tear: Complex or flap tears are less likely to heal without surgery.

• Age and Activity Level: Younger, more active individuals often benefit from repair, while older patients may do better with non-surgical management.

• Location of the Tear: Tears in the outer "red zone" have better blood supply and may heal without surgery.

Check out our article on surgical vs non-surgical treatment for additional information.

Recovery Expectations

• Non-Surgical: 6-12 weeks of structured rehab may restore function for smaller tears.

• Surgical: Recovery ranges from 3-6 months depending on whether the meniscus is repaired or partially removed. Rehab after meniscus surgery also influences the individual's recovery time.

When to Talk to Your Doctor

If you experience persistent pain, swelling, instability, or your knee locks, it's time to consult an orthopedic specialist. They can determine whether non-surgical or surgical treatment is the best path forward. Shop our selection of the best knee braces of meniscus tear pain relief.