Osteoarthritis

A Randomized Trial of Physical Therapy for Meniscal Tear and Knee Pain

N Engl J MedPublished Randomised controlled trial

Authors' conclusion

For patients with degenerative meniscal tear and knee pain, the addition of physical therapy or text messages to encourage adherence to home exercises was not superior in reducing pain to a home-exercise program alone.

Study context

Population
Participants 45 to 85 years of age with knee pain, OA, and meniscal tearmean age 59.2±7.8 years
Participants
879 participants
Comparison
Home exercise alone vs home exercise plus text messages, plus sham PT, or plus standard PT
Primary endpoint
Change in KOOS pain subscore (0 to 100, higher scores more pain), adjusted for trial site, baseline KOOS pain subscore, and radiographic grade
Follow-up
3 months
Methodological detailsfour-group, sham-controlled
  • Four-group
  • Sham-controlled

Primary result

As reported in the abstract

3-month change in KOOS pain subscore
Difference, points (98.3% CI)
Home exercisevs Home exercise + text messages
−0.1(−3.8 to 3.7)
Home exercisevs Home exercise + text messages + standard PT
2.5(−1.3 to 6.2)
Home exercise + text messagesvs Home exercise + text messages + standard PT
2.5(−1.4 to 6.5)

Safety

Adverse events

Generally nonserious and evenly distributed overall across groups

Original publication

A Randomized Trial of Physical Therapy for Meniscal Tear and Knee Pain. N Engl J Med. Published 30 October 2025. doi:10.1056/nejmoa2503385

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