What is the first-line treatment approach for meniscal injuries?

The first-line treatment approach for meniscal injuries typically involves conservative management, which includes the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and physiotherapy. This approach is favored because many meniscal tears can heal on their own or may not require surgical intervention, especially if the injury is not associated with knee instability or significant mechanical symptoms.

Physiotherapy plays a crucial role in strengthening the muscles around the knee joint and improving its function, which can help alleviate pain and restore range of motion. NSAIDs are used to manage pain and reduce inflammation that may occur as a result of the injury. This conservative strategy also allows time for the body to heal naturally and can delay or prevent the need for surgery.

In contrast, immediate surgical repair is usually reserved for specific cases, such as tears that result in locking of the knee or when conservative measures fail to improve symptoms over time. Rest with immobilization of the knee is not generally recommended as prolonged immobilization can lead to stiffness and functional loss. Similarly, corticosteroid injections may provide temporary relief for inflammatory symptoms but do not address the underlying issue of the meniscal injury itself. Consequently, conservative management is recognized as the initial strategy in treating many meniscal injuries.