Meniscus injuries are more common than many realise, yet they are often underestimated in terms of seriousness. The meniscus is a vital piece of cartilage in the knee that acts as a cushion and stabiliser between the thigh bone and shin bone, helping the knee to absorb shocks and move smoothly. This article aims to inform you about the risks and complications that can arise if a meniscus tear is left untreated. Even if your symptoms seem minor now, it’s important to understand the potential long-term consequences of ignoring this injury.

How Untreated Meniscus Tears Can Progress: From Mild Symptoms to Chronic Issues

When a meniscus tear goes untreated, its symptoms often worsen gradually. You might notice occasional pain, mild swelling, or a sensation of the knee catching or locking. Over time, these symptoms can become more persistent with increased pain, frequent swelling, and a reduced range of movement. Even if the initial discomfort feels manageable or comes and goes, the damage inside your knee can steadily worsen. Early diagnosis is essential to halt this progression and avoid chronic knee problems down the line.

Potential Joint Damage and Long-Term Complications

Leaving a meniscus tear untreated can cause significant damage within the knee joint. The cartilage around the meniscus can suffer further wear and tear, leading to chronic inflammation and instability. This can accelerate joint degeneration and increase the risk of developing osteoarthritis at an earlier age—a painful condition that can seriously limit mobility. Research shows that “lateral meniscus root tears and complex and radial tears are associated with lateral meniscus extrusion” (Brody et al., 2006). Meniscus extrusion, where the cartilage is pushed out of position, can further destabilise the knee and worsen injury. As this damage progresses, everyday activities like walking, climbing stairs or standing for long periods may become increasingly difficult.

Who is Most at Risk? Factors That Increase Susceptibility to Further Knee Problems

Certain factors increase the chances of a meniscus tear worsening if left untreated. Age naturally affects knee health, with older adults more vulnerable to cartilage degeneration. Those who are physically active—especially involving twisting movements or heavy weight-bearing—may place more strain on the knee. Carrying excess body weight also adds pressure, while a history of previous knee injuries can reduce the joint’s resilience. Moreover, if you have had an anterior cruciate ligament (ACL) injury, it is important to know that “the prevalence of lateral meniscus root tears is greater than that of medial meniscus root tears in patients with an ACL tear” (Brody et al., 2006). Being aware of these risk factors helps you understand when to be especially vigilant about knee health.

When Should You Seek Professional Help? Practical Advice for Monitoring Knee Health

It’s important to keep a close eye on your knee if you suspect a meniscus tear or have been diagnosed with one. Warning signs that warrant professional attention include recurring pain, swelling, episodes of locking, or a feeling that the knee is unstable or giving way. Even if symptoms seem mild or manageable, new or worsening discomfort should never be ignored. Experts like Professor Paul Lee, who specialises in orthopaedics and cartilage care, and the team at MSK Doctors provide thorough assessments and tailored advice on the best treatment options. Timely professional guidance can make a real difference in protecting your knee’s long-term health.

Leaving a meniscus tear untreated carries serious risks, including joint damage, chronic pain, and loss of mobility. Early assessment and appropriate care are crucial to prevent these complications and preserve knee function. Remember, for personalised medical advice, always consult a qualified healthcare professional.

References

• Brody, J. M., Lin, H. M., Hulstyn, M. J., & Tung, G. A. (2006). Lateral meniscus root tear and meniscus extrusion with anterior cruciate ligament tear. Radiology, 239(3), 805–810. https://doi.org/10.1148/radiol.2393050559