Meniscus Repair: What You Need to Know About Recovery, Medications, and Risks
When you tear your meniscus, a C-shaped piece of cartilage in the knee that acts as a shock absorber between the thigh and shin bones. Also known as a knee cartilage tear, it can cause pain, swelling, and locking of the joint. Meniscus repair is a surgical fix, but the real challenge begins after the incision closes. Not everyone needs surgery—some tears heal with rest and physical therapy. But if your tear is in the outer edge where blood flow is better, repair is often the goal over removal. That’s because keeping the meniscus helps prevent early arthritis down the road.
What happens after surgery? It’s not just about avoiding weight on the knee. You’ll need to manage post-surgery pain, the discomfort that follows knee procedures, often treated with NSAIDs or prescription meds without interfering with healing. Many people reach for ibuprofen or naproxen, but those anti-inflammatory meds can slow tissue repair if used too long. Timing matters. Your doctor might suggest acetaminophen instead early on, then ease into NSAIDs later. And if you’re on blood thinners or have kidney issues, even over-the-counter options can be risky. Then there’s physical therapy, a structured program to restore strength, mobility, and function after injury or surgery. Skipping it? That’s how people end up with weak quads, limping, or another tear. Good rehab isn’t just exercises—it’s learning how to walk again without favoring the knee, how to squat without pain, and when to push harder.
Recovery timelines vary. Some get back to light activity in 4 to 6 weeks. Full return to sports? That can take 3 to 6 months. And it’s not just about the knee. Your overall health plays a role. If you’re overweight, diabetic, or smoke, healing slows down. Medications like steroids or certain diabetes drugs can interfere with tissue repair. Even something as simple as coffee timing—like with thyroid meds—can affect how your body absorbs pain or anti-inflammatory drugs. You’re not just healing a torn cartilage. You’re managing a whole system.
Below, you’ll find real-world advice from people who’ve been through this. From what pain relief actually works without risking healing, to how to pick the right physical therapist, to the sneaky drug interactions that can sabotage your progress. These aren’t generic tips. They’re the details most guides leave out—because they assume you already know. You don’t. Let’s fix that.