FAQ: Meniscus injuries in the knee

Brooke Scheurer 06/05/25

A meniscus injury can feel like a real setback, whether it’s from a sports accident, a fall, or just the result of wear and tear over time. Let’s talk about what this injury really means, how an osteopath can help, and why rehab is crucial. 

Where Will I Feel Pain? Pain is usually felt on the inside or outside of the knee, depending on the location of the tear. You may also feel stiffness or discomfort throughout the knee joint, particularly when bending or twisting. 

What Movements Will Be Difficult? Bending, squatting, and twisting the knee are typically painful. Even walking or running, particularly on uneven surfaces, can be difficult. Some weight-bearing motions that involve knee rotation will cause discomfort. 

Will I Feel Pain in Other Areas? Due to compensation, you may feel discomfort in your hip, lower back, or calf muscles while avoiding using the injured knee. This is where your osteopath steps in.  

How Does It Happen? Meniscus injuries often result from sudden twisting or rotating motions, particularly in sports like soccer or basketball. They can also occur with simple actions, like standing up too quickly or bending down awkwardly.  

What Should I Do Immediately?

PEACE and LOVE: 

• Protection – Avoid putting weight on the knee. 
• Elevation – Elevate the knee to reduce swelling. 
• Avoid anti-inflammatory medications ( in the first 48 hours) if possible. 
• Compression – Use a compression bandage to help with swelling. 
• Education – Learn about the injury to aid recovery and prevent further damage. 

Then, move into LOVE: 

• Load – Gradually introduce gentle movement and weight-bearing as the knee heals. 
• Optimal loading – Strengthening exercises to help recovery.  
• Exercise – Begin mobility and strength exercises to restore function. 

Rest or Rehab? Rehabilitation is key to a full recovery. Strengthening the muscles around the knee—like the quads, hamstrings, and glutes—helps stabilise the joint. An osteopath can guide you with exercises and manual therapy to restore mobility and prevent reinjury. 

What Other Considerations Are There? Weaker glutes or hamstrings, poor posture, and imbalances can worsen meniscus injuries. Strengthening the whole lower body is crucial for preventing future issues. 

How Can an Osteopath Help? An osteopath can provide manual therapy to reduce pain and address muscle imbalances, while guiding you through a rehab plan tailored to your needs. 

What Are the Rehab Timeframes? Recovery can take 6-8 weeks for low grade tears but may extend to 3-6 months for more severe injuries or if surgery is needed. Following a rehab plan is essential for full recovery, which is why the right treatment from the start is vital.  

Final Thoughts – A meniscus injury may temporarily sideline you, but you can get back to business with the proper treatment and rehab. An osteopath can help manage pain, correct imbalances, and guide you through rehab to ensure a safe return to activity and prevent future injuries. Stay patient and trust the process!