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Meniscus tear and table tennis
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Stavros View Drop Down
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Points: 1540 		Post Options Post Options   Thanks (0) Thanks(0)   Quote Stavros Quote  Post ReplyReply Direct Link To This Post Topic: Meniscus tear and table tennis
    Posted: 02/20/2024 at 3:30am
Has anyone experienced a meniscus tear during his 50s ?
My doctor says I'm too old for surgery and suggests :

PRP and  hyaluronic acid injections 
chondroitin sulfate capsules 
physiotherapies

Do you have any ideas ?


Edited by Stavros - 02/20/2024 at 3:30am
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Slowhand View Drop Down
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Points: 159 		Post Options Post Options   Thanks (0) Thanks(0)   Quote Slowhand Quote  Post ReplyReply Direct Link To This Post Posted: 02/20/2024 at 12:52pm
Find a new doctor.


"...successful repair was obtained up to age 70 years, and the failure rate in the oldest reported patients among studies with patients over age 60 years was 20%. The authors stated that age, as an independent factor, should not be considered a contraindication for meniscus repair." [Meniscal repair in patients age 40 years and older: A systematic review of 11 studies and 148 patients. Everhart JS, Higgins JD, Poland SG, Abouljoud MM, Flanigan DC. https://doi.org/10.1016/j.knee.2018.09.009. Knee. 2018;25:1142–1150.]."
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hleett View Drop Down
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Points: 501 		Post Options Post Options   Thanks (0) Thanks(0)   Quote hleett Quote  Post ReplyReply Direct Link To This Post Posted: 02/20/2024 at 4:23pm
Originally posted by Stavros Stavros wrote:

Has anyone experienced a meniscus tear during his 50s ?
My doctor says I'm too old for surgery and suggests :

PRP and  hyaluronic acid injections 
chondroitin sulfate capsules 
physiotherapies

Do you have any ideas ?
Yes, I had Synvisc injection on my torned right knee meniscus when I was in my mid 50s. This is similar to hylaluronic acid injection but modified chemically to increase molecular weight. I did this instead of orthovisc because it is less a painful injection. It worked great for 6 months then I had to take another injection. I did it for 5 times and miraculously no more pain after that. I am now over 75 and my knees feel great. Nowadays my arms and shoulders are the problems.

I am considering PRP on my shoulders because Synvisc is not for shoulders.
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vanjr View Drop Down
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Points: 1368 		Post Options Post Options   Thanks (0) Thanks(0)   Quote vanjr Quote  Post ReplyReply Direct Link To This Post Posted: 02/21/2024 at 9:54am
Originally posted by Slowhand Slowhand wrote:

Find a new doctor.


"...successful repair was obtained up to age 70 years, and the failure rate in the oldest reported patients among studies with patients over age 60 years was 20%. The authors stated that age, as an independent factor, should not be considered a contraindication for meniscus repair." [Meniscal repair in patients age 40 years and older: A systematic review of 11 studies and 148 patients. Everhart JS, Higgins JD, Poland SG, Abouljoud MM, Flanigan DC. https://doi.org/10.1016/j.knee.2018.09.009. Knee. 2018;25:1142–1150.]."

While I agree with second opinions. Surgery decisions are rarely made based on one variable like age. Conservative treatments are almost always preferred to prevent or delay surgery. 
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