Knee Condition
Meniscal Injuries
The menisci are the knee's shock absorbers. Tears are common, from sporting twists in younger patients to degenerative tears with age, and most do not need an operation.
Symptoms and diagnosis
Meniscal tears typically cause pain on twisting, localised joint-line tenderness, swelling, and sometimes locking or a sensation of the knee giving way. MRI confirms the tear and, importantly, shows the state of the rest of the joint, which often matters more than the tear itself.
Most tears settle without surgery
Degenerative tears in particular respond well to physiotherapy, activity modification and time; high-quality trials show surgery offers little added benefit for most of them. Paddy Subramanian follows the evidence and will not recommend an arthroscopy that is unlikely to help.
When surgery helps
True mechanical symptoms (a locked knee, or repeated catching from an unstable fragment) respond well to arthroscopic treatment, and repairable tears in younger patients are worth preserving. Where surgery is appropriate it is performed as a day case with a rapid return to activity.
Dr Subramanian has been approachable, professional and allowed me to consider what is a major surgery with confidence. All my questions were answered and I felt involved in the decision making. I am now back on my feet with a neat scar. I would recommend him highly to anyone.
Verified Patient
Hip Replacement, Doctify (August 2026)
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