23: Knee Pain, Clicking, and MRI Findings: Does Every Meniscus Tear Need Surgery?

Knee pain can stop even the most consistent runner in their tracks—but does knee pain automatically mean you need an MRI, an injection, or surgery?In this episode of Interdisciplinary Case Miles, we discuss a runner whose knee pain gradually started limiting his training. We cover meniscus injuries, why knee pain can develop even when your training hasn't changed, when imaging is helpful, and why surgery is often not the first step.We also discuss strength, mobility, biomechanics, trail running, downhill running, and other factors that can contribute to knee pain.If you've ever had a run cut short by knee pain or wondered what an MRI finding really means, this episode is for you.In This Episode00:00 Introduction and today's runner case01:45 A runner whose knee pain gradually stopped him from training04:30 What clinicians look for during a knee evaluation08:00 Meniscus pain, mechanical symptoms, and common misconceptions11:30 Degenerative versus traumatic meniscus tears15:00 When imaging helps and when it doesn't change treatment18:30 Trail running, downhill running, and rotational stress on the knee22:00 Strength, mobility, and movement patterns that matter26:00 Conservative treatment options for runners30:00 When surgery may be appropriate33:00 Key takeaways for runners dealing with knee painAbout Interdisciplinary Case MilesInterdisciplinary Case Miles brings together a running medicine physician, sports dietitian, and physical therapist to discuss real runner cases and the challenges runners face every day. Through an evidence-informed approach, we help runners better understand injuries, recovery, performance, and long-term health so they can keep doing what they love.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-running-injury-podcast-formerly-interdisciplinary-case-miles--6623567/support.If you enjoyed this episode, don’t forget to follow and subscribe so you never miss a case.Have a question or a case you'd like us to explore on the show? We’d love to hear from you. Reach out anytime at [email protected].