Symptoms of a Meniscus Tear — and When to Seek Treatment
April 2, 2024
Meniscus tears are not one size fits all: Sometimes they cause no pain, other times they’re excruciating.
Once in a while they heal or adapt on their own, but more often than not they require physical therapy or surgery.
“Your meniscus is a fiber elastic cartilage that acts as a shock absorber for the knee,” says Ahmad Bazzi, M.D., a sports medicine physician at Henry Ford Health. “It also helps stabilize the knee joint. But when it tears — which can occur in young athletes after a pivot injury or in older people who have arthritis — it can be painful.”
Here, Dr. Bazzi shares symptoms of a meniscus tear and when to see a doctor.
What Does A Meniscus Tear Feel Like?
Depending upon the level of injury and type of tear, meniscus tears can either be asymptomatic or cause symptoms like:
- Locking. When the meniscus tears, a piece of it might move into the knee joint, causing mechanical issues like stiffness and locking of the knee joint.
- Catching or clicking. This often feels like a sudden ‘click’ in the knee joint, where it suddenly gives out while you’re walking or doing certain movements.
- Localized pain on the inner or outer part of the knee. In young athletes, a meniscus tear often causes an impaired range of motion and localized pain on the inner or outer part of the knee.
- Pain and swelling. In older people, a meniscus tear often causes swelling and an overall aching pain in the knee.
Treatment Options For Meniscus Tears
A meniscus tear can only heal on its own if the tear is on the outer part of the knee where it has better access to blood supply. If you’re experiencing pain a few days after injury and you have limited range of motion, instability and/or swelling in the knee, Dr. Bazzi recommends seeing a doctor to get an examination and, if needed, an MRI for diagnosis.
“It’s hard to tell what type of meniscus tear you have if you haven’t seen a doctor,” says Dr. Bazzi. “If you have a mechanically unstable tear and it goes untreated, it could lead to worsening range of motion and stiffness, or worsening arthritis. It’s important to get seen by a doctor to get an accurate diagnosis and the proper treatment. It may take one to three months for a full recovery.”
Here, Dr. Bazzi shares treatment options:
Surgery
If someone is having mechanical symptoms like locking or catching, surgery may be considered right away, especially if it’s an athlete younger than 40 years old. “Meniscus tear surgery has a shorter recovery compared to other knee surgeries,” says Dr. Bazzi. “Surgery could either consist of a meniscectomy, which is partial or complete removal of the meniscus, or sometimes just a meniscus repair.”
Hyaluronic acid or cortisone injections
Non-operative treatments are often recommended for older people who have degenerative tears due to arthritis. “This is because meniscus surgery doesn’t often relieve their pain since they have underlying arthritis, meaning they have cartilage loss in the meniscus,” says Dr. Bazzi.
Instead, a cortisone injection, which is an anti-inflammatory medication that can be injected into the knee, can reduce inflammation, swelling and pain caused by arthritis.
A hyaluronic acid injection may also be considered, which adds cushioning in the knee. “Hyaluronic acid is one of the substances that make up our cartilage, so this injection helps us mimic the lost cartilage,” says Dr. Bazzi. “It also has anti-inflammatory properties.”
Physical therapy
Physical therapy is another great option, especially for older people who need non-operative treatment options. It can help the knee adapt to the tear, reduce pain and encourage full range of motion. “Physical therapy for meniscus tears focuses on balance exercises and exercises to strengthen the muscles around the knee,” says Dr. Bazzi. “This helps to uphold the knee joint to achieve full range of motion and strength while being pain-free.”
To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.
Reviewed by Ahmad Bazzi, M.D., a sports medicine physician who sees patients at Henry Ford Medical Center – Fairlane.
'Trojan Legend' Ream in 37th Year Providing Care as TC Central's Athletic Trainer
By
Tom Spencer
Special for MHSAA.com
September 25, 2026
Traverse City Central’s athletic trainer Amy Ream is exemplary – if not becoming the exception.
“I've been doing it for the 37 years,” Ream said. “It's probably not the norm anymore – especially being at the same location.”
Ream graduated in 1987 from Central Michigan University with a bachelor’s degree in sports medicine. Her first job was with the Trojans, and it likely will be her last.
Ream also has earned a teaching certificate since joining the staff and added teaching sports medicine classes at Central and Traverse City West to her daily duties.
“It’s been very rewarding ... seeing somebody that has torn their ACL and then the next year, they're able to come back … or someone struggling with an ankle sprain and taking them a couple weeks versus a couple days and they come back,” Ream said. “That's part of the reason why we do it. Being around the kids, they bring all the energy and they’re a joy to be around.”
John Sonneman has been near the Trojans for the past 61 years as a teacher, coach, athletic director and administrator. Nowadays, he’s the very recognizable voice of the Trojans as the public address announcer for football, soccer and track.
Sonneman has seen Ream, whose services are contracted through Munson Medical Center, pretty much do it all since she came on board.
“Amy is a real gem – she's a real pro,” said Sonneman. “She handles herself so well with the students. If you need a ‘ball boy’ she's the ball person. If you need somebody in volleyball to run a line or something like that, she'll do it. She isn't just a trainer.”
The Central coaching staff agrees. Fourth-year Central soccer coach Gavin Richmond can’t imagine getting through a game without Ream on the sidelines. Ream serves all of Central’s home varsity and junior varsity soccer matches.
“Amy’s always happy, she's always smiling, and the kids all love her, and she's just an incredible human being,” Richmond pointed out. “It's a privilege to work alongside her. I really love it when she's out there on the sidelines with us. It gives me a kind of sense of comfort knowing that anybody that might get hurt is going to get looked after. She's just a true, true, true professional. She’s a Trojan legend.”
Ream has a very busy schedule, attending all Central home football contests, including for freshman and junior varsity. During the same season she’s at Central’s freshman, JV and varsity volleyball home matches.
Ream sees athletic training as one of the best work-life balance careers. “Most of the time you can still have a good work-life balance, which is really nice,” she said.
This winter she’ll support boys and girls wresting, basketball and ice hockey before taking on the Trojans’ lacrosse, baseball, softball and track programs in the spring.
“I don't normally see tennis or golf, but I am there if they need some help,” Ream acknowledged. “I am at the school during sixth hour. There are some kids that come in for treatment if they don't have sixth hour, for taping or whatever, so that they're ready to get out.”
Ream won’t single out a sport as her favorite. But she will admit leans toward football in the fall, hockey in the winter, and softball in the spring.
“Spring depends on the day, but my kids played softball, so its softball,” she admitted. “And, we’re definitely getting more into boys and girls lacrosse.”
Being an athletic trainer has provided Ream opportunities to work at Ford Field, Little Caesars Arena and Comerica Park. Central’s basketball team played an exhibition game at Little Caesars, and West and Central played an outdoor hockey game at Comerica. But the Trojans reaching the MHSAA Division 2 11-Player Football Final at Ford Field in 2021 stands out most.
It happened while COVID-19 restrictions were still in place, and Ream said the pandemic led to schools reducing their athletic training staffs around the state. The sports medicine class she teaches is aimed at recruitment.
“We're trying to recruit – we always already need athletic trainers,” Ream said. “After COVID, athletic trainers were let go and some of them went on to different careers.”
With COVID restrictions in place, Ream was at Ford Field as the Trojans fell to Warren De La Salle Collegiate. That marked the final game of a stellar playing career for Central’s Josh Burnham.
Burnham and Ream embraced after the tough loss during which Burnham had put the Trojans on the board midway through the fourth quarter with a five-yard touchdown run. He also had eight tackles. Burnham went on to play four years at Notre Dame, helping the Irish reach the college football playoffs. He’s using a fifth year of college eligibility to play this season for Indiana, the reigning national champ.
If Ream had a bucket list, getting back to Ford Field would most likely be on it. She has hopes 25-year coach Eric Schugars can lead the Trojans to a return trip. Central did qualify for the playoffs last year and are off to a 2-2 start this fall. The Trojans will look to improve their playoff chances when they host Midland Dow, also 2-2, Friday at Thirlby Field.
Ream has no immediate plans to retire, but the Trojans are nonetheless prepared for it to happen someday. Justin Thorington, the Trojans athletic director, is a 2003 graduate of Central and recalls vividly Ream being a big part of the school’s athletics during his time as a student.
“I love Amy, and I want her to stay as long as she wants to stay and not any longer than she feels like she needs to stay,” Thorington said. “If she told me ‘Hey, I'm hanging ’em up at the end of the year,’ of course we would be like ‘what are we going to do? How are we going to replace her?’ But we would just be so happy for her. I hope she stays another 10 years if she wants to.”
Tom Spencer is a longtime MHSAA-registered basketball and soccer official, and former softball and baseball official, and he also has coached in the northern Lower Peninsula area. He previously has written for the Saginaw News, Bay County Sports Page and Midland Daily News. He can be reached at [email protected] with story ideas for Manistee, Wexford, Missaukee, Roscommon, Ogemaw, Iosco, Alcona, Oscoda, Crawford, Kalkaska, Grand Traverse, Benzie, Leelanau, Antrim, Otsego, Montmorency, Alpena, Presque Isle, Cheboygan, Charlevoix and Emmet counties.
PHOTOS (Top) Traverse City Central trainer Amy Ream escorts an injured Traverse City West player off the field during Thursday’s game. (Middle) Ream prepares ice for Central’s James Crigier during a junior varsity game at West. (Below) Ream and Josh Burnham embrace after the latter’s final high school football game, at Ford Field. (Top photo by Jan-Michael Stump/Traverse City Record-Eagle. Middle photo by Tom Spencer. Football photo by TC Rick Photo.)