The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
they look you have a meniscus injury odds are is probably gonna get better with therapy and time and you should play those odds if however the odds aren't your favor and you start having pain or you continue that pain you're not getting any better in a month let's go up we need to take care your meniscus
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having a meniscus injury on MRI is essentially you know in a 40 or 50 year old isn't very meaningful it's much more meaningful that if you suspect there's a meniscus that the patient hasn't been able to have sort of riding on their own they haven't been able to use physical therapy or time to their advantage to get their knee right and then those people will typically benefit a lot from a procedure
there was a paper that my buddy did he's at Wash U Rob Brophy he's a very accomplished researcher and he's great surgeon great doc and they did a study that was published in the New England Journal regarding physical therapy versus surgery for meniscus tears and the punchline was that there's no difference between physical therapy and surgery
it's more hey look it's reasonable to try reasonable to try both just to start with physical therapy and start conservatively but don't you know they're still out there are subsets of patients that will benefit from crossing