going to the doctor tomorrow what to expect? 10 points?

well i tore my meniscus not too long ago and had an mri to conform it. i had therapy sheets for home but my knee pain got worse. so i went back a few weeks ago. now for the past few weeks i have been in physical therapy and again, my pain has been getting worse, even when i dont do therapy. i have done therapy, ultra sounds, ice, rest, ibuprofen, everything. what are the left options? what do you think he willl say? and is there anything important for me to say or remember? thanks and please answer i will give 10 points to best

r.i.c.e rest Resting is important immediately after injury for two reasons. First, rest is vital to protect the injured muscle, tendon, ligament or other tissue from further injury. Second, your body needs to rest so it has the energy it needs to heal itself most effectively. Ice: Use ice bags, cold packs to provide cold to the injured area. Cold can provide short-term pain relief. It also limits swelling by reducing blood flow to the injured area. Keep in mind, though, that you should never leave ice on an injury for more than 15-20 minutes at a time. Longer exposure can damage your skin. The best rule is to apply cold compresses for 15 minutes And then leave them off for at least 20 minutes. Compression: Compression limits swelling, which slows down healing. Some people notice pain relief from compression as well. An easy way to compress the area of the injury is to wrap an ACE bandage over it. If you feel throbbing, or if the wrap just feels too tight, remove the bandage And re-wrap the area so the bandage is a little looser. Elevation: Elevating an injury reduces swelling. It's most effective when the injured area is raised above the level of the heart. For example, if you injure an ankle, try lying on your bed with your foot propped on one or two pillows. After a day or two of R.I.C.E., many sprains, strains or other injuries will begin to heal. But if your pain or swelling does not decrease after 48 hours, make an appointment to see your primary care physician or go to the emergency room, depending upon the severity of your symptoms. Once the healing process has begun, very light massage may improve the function of forming scar tissue, cut healing time and reduce the possibility of injury recurrence. Gentle stretching can be begun once all swelling has subsided. Try to work the entire range of motion of the injured joint or muscle, but be extremely careful not to force a stretch, or you risk re-injury to the area. Keep in mind that a stretch should never cause pain. Heat may be helpful once the injury moves out of the acute phase and swelling and bleeding has stopped. Moist heat will increase blood supply to the damaged area and promote healing. Finally, after the injury has healed, strengthening exercises can be begun. Start with easy weights and use good form

Love 2 cheer, the major question here is the knee locking or lacking any range of motion? If the answer is yes then the orthopedist will most likely recommend surgery. If it is not doing that the recommendation would not to do surgery. The reason for this is in the anatomy of the knee. The knee is made up of 2 bones, the thigh bone is the femur and the shin bone is the tibia. At the end of the femur are 2 large knuckles. These rounded pieces of bone allow the tibia to be able to roll under the femur. Between these 2 bones are a set of very slippery spacers. The top layer is the meniscus. These are circle like wedges that are connected to the bone at the middle and on the outer aspects by ligaments. The outside of these are made like a wedge so that they are tall at that aspect and flat as they go towards the middle. They increase the depth of the joint and help to keep the knuckles rolling. Underneath that is the cartilage. This material is extremely slippery. If a piece of meniscus is torn it exposes the cartilage. Now in most cases the piece that is torn will return to the original position and not cause a problem. If the torn piece folds over it will cause the knee to lock. This is the only reason for surgery. The reason is that you want to keep your meniscus. Once you take a piece of it out there is no regrowth. The constant pressure of the femur down upon the cartilage will erode it and then it will be come a situation of bone on bone. While this is going to be some years away it will become very painful during this process. I would further recommend that you avoid running and jumping activities as they will further place pressure on the meniscus causing it to deteriorate. So stay with the physical therapy and make the leg as strong as you can. One way to do this is to do the exercises with the uninjured leg first. By this do the exercise asked using the uninjured leg. Do 3 sets of 15 reps with a 1 minute rest between sets. Upon completion then do the injured leg. Do that leg the same way but with a much lighter weight. The reason for doing it this way is to take advantage of a reflex. The reflex transfers strength from the stronger muscle group to the weaker. So doing the injured leg first doesn't allow for this transfer to take place. This will help you recover quicker. Hope this helps.

I think he might talk about surgery, or want to continue more therapy. I had this same problem but with tendinitis and my brother had your exact problem. He will say that if it doesn't get better, the options might be to have surgery, rest it, or go into more MRI's and therapy. You have to remember to say what you have done and haven't done exactly. Tell him the truth- if you haven't been Doing therapy, tell him that. it is always important to tell the truth because if you lie, he might want to go into an option that isn't necessary.

If you had so many issues with your knee, he is likely to send you to another therapist. Worst case scenario-surgery.

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