Physical Therapy vs. Glucocorticoid Injection In Patients With Meniscal Tears & Knee Osteoarthritis .
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Physical therapy vs. glucocorticoid injection in patients with meniscal tears and knee osteoarthritis: a multi-center, randomized, controlled trial.
BMC Med . 2025 May 9;23(1):277.Two hundred eighty-seven patients with radiographically confirmed knee osteoarthritis and MRI-verified meniscal tears were randomized to receive either physical therapy (n=143) or intra-articular glucocorticoid injection (n=144). The primary outcome was the total WOMAC score at 12 months. Secondary outcomes included VAS pain score, SF-36 quality of life score, range of motion, proprioception tests, and adverse events. Outcomes were assessed at 2, 4, 6, and 12 months. Overall, the results of the study revealed significantly greater improvements in WOMAC scores, pain, quality of life, and proprioception in the physical therapy group. The study concludes that physical therapy was more effective than glucocorticoid injections in improving function and symptoms over one year in this population.
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