Beyond the Pop: Telltale Signs of a Meniscus Tear

Meniscus tears are occasionally associated with a loud “pop,” but not all tears are the same. Most tears are smaller and happen on the outer edge of the meniscus. These tears don’t pop but do not usually heal without surgical intervention.

However, big and small tears alike can cause soreness, swelling, and disability when left untreated. We asked our expert, Dr. Thomas Kane III, to share the telltale signs of a meniscus tear and what can be done about it.

Swelling that appears gradually

Unlike other injuries, swelling develops slowly—often 24 to 48 hours after the tear—and is typically persistent, especially after activity.

Stiffness and limited range of motion

After a meniscus injury, you may struggle to bend or straighten your knee fully. The joint can feel locked or resistant, especially in the morning or after prolonged sitting. 

Locking or catching sensation

A torn piece of cartilage can interfere with normal knee motion, causing a locking or catching feeling. You might feel the joint “stick” during movement or suddenly free up with a click. This mechanical symptom often indicates a large tear and may require surgical repair.

Knee giving way or feeling unstable

Some patients describe their knee as “giving way” or feeling weak when walking or turning. This instability occurs when the torn meniscus disrupts joint alignment and muscle coordination. Seeking prompt treatment is key when your joints feel unstable, as this can lead to additional injuries.

Persistent aches

Ongoing dull pain, even when resting, can point to chronic meniscus damage. Left untreated, the joint irritation can worsen over time, leading to more inflammation and further tearing of the meniscus. Addressing inflammation early can prevent pain from becoming a long-term issue.

What to do if you suspect a meniscus tear

Not all meniscus tears need surgical treatment, imaging techniques make it easy for medical providers to prescribe the right treatment to prevent chronic pain, stiffness, and poor mobility. Some meniscus tears can be treated with rest, physical therapy, and anti-inflammatories. If surgery is necessary, modern techniques allow tears to be repaired or resected with tiny instruments and minimal incisions using arthroscopic surgery, usually with rapid recovery.

If you’re unsure what your symptoms mean, get peace of mind by contacting us to schedule an appointment with our office in Honolulu, Hawaii.