What is the evidence for meniscus tears and exercise?

• A. There is moderate evidence to support the use of hip and knee based exercise in patients with meniscus tears
• B. There is strong evidence against exercise for meniscus tears
• C. There is no evidence regarding exercise for meniscus tears
• D. Only rest is recommended for meniscus tears

Answer: (A)

Structured hip and knee based exercise is supported by moderate-quality evidence as part of non-operative management for meniscal tears. This type of program targets not only the knee itself but the mechanics that influence knee load, such as hip strength and neuromuscular control. Strengthening the quadriceps and hip abductors improves knee stability, gait, and function, and can reduce pain without surgery. Because many meniscal injuries respond to rehabilitation focusing on restoring range of motion, reducing swelling, and improving muscle balance, exercise offers a safe, cost-effective option that can delay or avoid operative treatment in many cases. Rest alone is not favored, and there is evidence supporting movement and progressive loading rather than prolonged immobilization.