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Discoid Meniscus Physiotherapy
Discoid lateral meniscus
A discoid meniscus is an abnormally shaped meniscus (cartilage that
cushions the bones of the knee) that is present in roughly 1% to 3% of people born in
the United States (about the same rate in Singapore as well estimated).
The condition is the result of abnormal formation of
the meniscus during development in the womb.
While some people may be
unaware of their discoid meniscus and never experience symptoms related
to it, they live at a higher risk of injury than those born with a
normal meniscus. A discoid meniscus is commonly detected in childhood or
adolescence, and often requires surgical intervention.
Our senior physiotherapists provide physiotherapy treatments
- prior to and following surgery
conditions not requiring surgery (conservative management)
What is Discoid Meniscus?
Our knees contain 2 cushions between our thigh bone (femur) and shin
bone (tibia), made of cartilage called meniscus. Normal meniscus is
crescent-shaped and it's main role is to provide stability to the knee
joint and absorb forces when we stand and move. Both menisci are
attached to the shin bone (tibia) by the meniscofemoral ligament.
For this specific condition, discoid meniscus is present at birth.
It occurs when the cartilage
does not properly develop, resulting in a thicker disc- or oval-shaped
meniscus. The defect most often occurs in the meniscus on the outer
(lateral) part of the knee joint.
Approximately 20% of individuals
diagnosed with a discoid meniscus have it in both knees.
There are 3 types of discoid menisci. The classifications are:
- Incomplete Discoid Meniscus. The shape of the meniscus is a bit wider and thicker than a normal meniscus.
- Complete Discoid Meniscus. The shape of the meniscus is significantly wider than a normal meniscus, covering the shin bone (tibia).
- Wrisberg-Ligament Meniscus. The normally present meniscofemoral ligament is absent.
Their abnormal shape and thickness make discoid menisci more prone to
injury and tearing; the reason for this is because the meniscus tissue is often not capable of healing
itself due to its limited blood supply, which is required for tissue
Meniscal injuries most commonly occur in activities that require
sudden stopping, pivoting, and "cutting," such as in sports. Pain may
also be present, sometimes without a specific injury to, or a tear in,
the discoid meniscus
In some cases, arthroscopic surgery may be required to reshape the abnormal meniscus to make it as normal as possible.
How Does Discoid Meniscus Feel like?
With a discoid meniscus or torn discoid meniscus, you may experience:
- Pain in your knee, most often on the outer (lateral) side of the leg
- Sharp pain with running, jumping, cutting, or deep squatting
- Swelling in the knee
- Tenderness on the outer side, or less commonly on the inner side, of the knee
- Catching or locking of the knee while walking or squatting
- Loss of knee motion, particularly getting "stuck," while fully bending or straightening the knee
- Loss of strength in the quadriceps (thigh) muscle
- Discomfort with daily activities, like walking up and down stairs
How Is It Diagnosed?
Diagnosis of a discoid meniscus begins with a thorough medical
history and physical examination.
Our senior physiotherapists will assess
different measures of the knee area, such as
perform several tests specific to the knee joint, and may ask you to
briefly demonstrate the activities or positions that cause your pain,
- stepping up or down stairs
If we suspects there may be an injury inside the
knee joint, such as a discoid meniscus, we will likely
recommend a referral to an orthopedic physician for diagnostic imaging,
An MRI, which looks at bones,
muscles, and cartilage, is the best imaging source to identify a discoid
meniscus and a tear in the meniscus.
how our senior physiotherapists can help
When you have been diagnosed with a discoid meniscus, our senior physiotherapists will work with you to develop a plan to help achieve your
specific goals. If surgery is needed, we will work
with you after surgery.
To do so, we will select
treatment strategies in any or all of the following areas:
Range of Motion
An injury or
surgery to the knee joint causes the joint to be irritated, often
resulting in swelling and knee joint stiffness, resulting in loss of normal motion.
While it is important to regain your normal knee motion, it is also
important to allow your injury to heal, without placing excessive stress
on the healing joint.
We will assess your motion,
design gentle exercises to help you regain normal range of motion, and
establish a plan that will balance joint protection with motion
teach you exercises to strengthen the muscles around the knee, so that
each muscle is able to properly perform its job, and stresses are eased,
so the knee joint is properly protected.
Our senior physiotherapists are trained in
manual (hands-on) therapy. If needed, we will
gently move your knee cap (patella) or patellar tendon and surrounding
muscles to improve their motion, flexibility, and strength. These
techniques can target areas that are difficult to treat on your own.
Many pain-relief physiotherapy strategies may be
implemented; the most beneficial with knee pain is to apply cold therapy to the
area, and decrease or eliminate specific activities for a certain length
of time. We will help to identify specific
movements or activities that continue to aggravate your knee joint, and
will design an individual treatment plan for you, beginning with a
period of rest, and gradually adding a return to certain activities as
at training athletes to function at their best. We
will assess your movements, and teach you to adjust them to relieve any
extra stress in your knee.
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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(or check your pains / injuries)
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