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 Episode

00:00 Introduction and today's runner case

01:45 A runner whose knee pain gradually stopped him from training

04:30 What clinicians look for during a knee evaluation

08:00 Meniscus pain, mechanical symptoms, and common misconceptions

11:30 Degenerative versus traumatic meniscus tears

15:00 When imaging helps and when it doesn't change treatment

18:30 Trail running, downhill running, and rotational stress on the knee

22:00 Strength, mobility, and movement patterns that matter