Torn meniscus

"...complex logitudinal vertical tear on the posterior horn of the medial meniscus"

Not great results from the MRI of my knee, but it could be worse.

So, what am I doing about it?

I've started a new supplement (perhaps too little, too late) to help maintain/retain the health of the existing joints.

• Jocko Joint Warfare

But that's not going to help the tear.  So I talked to my doctor and did a little of my own research and figured out I probably have the following options:

• Platelet-Rich Plasma Injections
• Peer reviewed article: Efficacy of Platelet-Rich Plasma Injections
• NIH Article: Feasibility study of PRP on knee arthritis
• Arthroscopic Meniscus Repair
• Stem-cell therapy
• NIH Article: Review of regenerating meniscus with stem cells

Stem cells

I decided not to do stem cells.  There were a few reasons.  Where I could get the procedure done by a reputable doctor is difficult to figure out.  The international ones I know about in Guatemala and Costa Rica and they are relatively expensive.  There are also potential risks of tumors and cancer.

Arthroscopic surgery

Surgery is very rarely repairing the existing tissues.  It is usually the removal of the torn tissues which increases the speed at which you acquire osteoarthritis.  As a result, this is a fallback position.

Platelet-Rich Plasma Injections

This leaves PRP which has some good evidence for efficacy with very little risk.  It is also more available through existing sports medicine practices, although insurance won't cover it at this time.