PRP For Meniscus Tear London. Do You Need Surgery?
Most meniscus tears in adults over 35 are degenerative. They develop gradually as the cartilage ages, and good-quality trials show that keyhole surgery to trim them works no better than physiotherapy for most people. PRP is a reasonable option when pain continues despite rehabilitation. A tear that locks the knee, or a fresh tear from a twisting injury in a younger person, is different and usually needs a surgeon.
Key points
A 2013 trial in the New England Journal of Medicine found that keyhole surgery to trim a degenerative meniscus tear was no better than sham surgery at 12 months. A 2018 trial in JAMA of 321 patients found physiotherapy as effective as surgery at 24 months.
A 2024 systematic review of 10 studies and 686 patients found that PRP for degenerative meniscus tears without surgery improved pain and function by 3 months, with benefit lasting at least a year. The authors called for more high-quality trials.
A 2025 meta-analysis of 18 randomised trials and 1,143 patients found PRP reduced pain and cut treatment failure when used with meniscal repair surgery.
Private meniscus surgery in London is quoted at £4,300 to £4,600 as a fixed fee. PRP at The London PRP Clinic by The Wellness is from £595 per treatment, performed under ultrasound guidance by a GMC-registered doctor.
Told you have a meniscus tear? Message our doctors on WhatsApp or email team@thewellnesslondon.com.
What the meniscus is
Each knee has 2 menisci, C-shaped pads of cartilage that sit between the thigh bone and the shin bone. They spread load across the joint and help keep it stable. The inner one, the medial meniscus, is torn more often.
Degenerative tears
These build up slowly with age and are very common in people over 40, including many who have no pain at all. A tear on an MRI scan is not always the cause of knee pain. Early arthritis, a tendon problem or pain from the hip can sit alongside it, which is why examination matters as much as the scan.
Traumatic tears
These happen suddenly, usually from twisting on a bent knee during sport. They are more common in younger people and may happen alongside a ligament injury such as an anterior cruciate ligament tear.
Signs your tear needs a surgeon
See a knee surgeon promptly if your knee locks and cannot fully straighten, as this can mean a displaced fragment of meniscus is caught in the joint. The same applies if the knee gave way with a pop at the time of injury and swelled within hours, or if you are younger and tore the meniscus in a clear sporting injury. Some of these tears can be repaired, and repair has the best chance soon after injury.
We will tell you if your knee needs a surgeon and refer you directly.
What the evidence shows
Keyhole surgery for degenerative tears
The Finnish trial published by Sihvonen and colleagues in 2013 in the New England Journal of Medicine randomised 146 people aged 35 to 65 with a degenerative medial meniscus tear to keyhole surgery or a sham operation. At 12 months there was no meaningful difference between them. The ESCAPE trial, published in JAMA in 2018, randomised 321 people aged 45 to 70 and found a structured physiotherapy programme as effective as surgery at 24 months. In 2017, a BMJ Rapid Recommendation made a strong recommendation against keyhole surgery for degenerative knee disease, including meniscus tears. Our full review is in keyhole knee surgery for arthritis.
PRP without surgery
A 2024 systematic review in the Journal of Orthopaedics by Elphingstone and colleagues looked at PRP for degenerative meniscus tears treated without an operation. Across 10 studies and 686 patients, most showed improved pain and function by 3 months that lasted at least a year. Where imaging was repeated, between 30 and 70 percent of treated tears were stable and between 40 and 60 percent showed signs of healing. Studies that tracked later surgery found PRP-treated patients were less likely to need it. The authors were clear that techniques vary and higher-quality trials are needed. We would describe the evidence as favourable but early.
PRP with surgery
A 2025 meta-analysis in the Orthopaedic Journal of Sports Medicine by Liang and colleagues combined 18 randomised trials with 1,143 patients. In 16 of them, PRP was given alongside meniscal repair surgery. PRP reduced knee pain, improved function on several validated scores and cut the odds of treatment failure by around 74 percent, with no increase in complications.
Want to know if your knee needs surgery or not? Ask our doctors on WhatsApp.
Who PRP suits and who it does not
PRP is a reasonable choice if
You have a degenerative meniscus tear that does not lock the knee. Pain has continued despite at least 6 to 12 weeks of structured strengthening. You want to avoid surgery that trials show is unlikely to help, and you are prepared to continue rehabilitation, because PRP works alongside exercise rather than replacing it.
Another route is usually better if
Your knee locks, which needs a surgeon. You have a fresh traumatic tear that may be repairable. Your pain is mainly from moderate or severe arthritis, where the options are different and are set out in too young for a knee replacement and PRP vs hyaluronic acid.
What happens at The London PRP Clinic by The Wellness
Assessment
You are assessed by a doctor who examines the knee, hip and the way you move. MRI is the most accurate scan for the meniscus. If you do not already have one, we arrange it at the London centre best equipped for that question. Ultrasound adds detail on the tendons and fluid around the knee.
Treatment
Blood is drawn from your arm and prepared to a consistent, validated protocol, then injected into the knee under ultrasound guidance. The appointment takes 45 to 60 minutes and you walk out afterwards.
Afterwards
The knee may ache for 2 to 3 days. Avoid anti-inflammatory painkillers for around 2 weeks unless your doctor advises otherwise. Improvement usually builds over 6 to 12 weeks with a graded strengthening programme, and we review progress at set points. How we practise is set out in our clinical standards.
What it costs
A London knee surgeon's published fixed fees are £4,300 for a partial meniscectomy and £4,600 for meniscal repair, and that is for surgery the trials show often adds little for degenerative tears. Specialist central London clinics charge from around £780 per ultrasound-guided PRP injection.
At The London PRP Clinic by The Wellness, there are 3 ways to begin.
The diagnostic package, from £695, covers assessment, imaging and blood tests, and gives you a clear answer on whether your knee needs a surgeon.
Joint PRP is from £595 to £995 per treatment.
A course of 1 to 3 treatments with rehabilitation is what most meniscus plans involve, with the exact figure confirmed in writing before you commit. More detail is in joint PRP cost in London.
Ask what your knee plan would cost. Message us on WhatsApp.
Why people choose The London PRP Clinic by The Wellness
Every treatment is performed by a GMC-registered doctor, and no clinician treats a patient here until they have completed 100 supervised treatments. Every joint injection is ultrasound guided. We do not perform surgery, so our advice on whether you need it carries no commercial pull in either direction. We also train other doctors in ultrasound-guided joint PRP through our Academy.
We see patients at 10 Portman Square in Marylebone and the Light Centre in Belgravia. Across our work we report an 87 percent patient success rate and more than 187 five-star reviews. How to judge any doctor for this treatment is in the best PRP doctor in London, and every treatment we offer is in PRP treatment London.
Book your free suitability review. Message us on WhatsApp, email team@thewellnesslondon.com, or call +44 20 3951 3429.
Frequently asked questions about PRP for meniscus tears
Can a meniscus tear heal without surgery?
Many degenerative tears settle without surgery. Trials show physiotherapy is as effective as keyhole surgery for most people with degenerative tears, and a 2024 review found signs of healing in 40 to 60 percent of tears treated with PRP.
Does PRP work for a meniscus tear?
The evidence is favourable but early. A 2024 systematic review of 10 studies found PRP improved pain and function for at least a year in degenerative tears, and a 2025 meta-analysis of 18 trials found PRP reduced failure when used with meniscal repair surgery.
When does a meniscus tear need surgery?
When the knee locks and cannot straighten, or when a younger person has a fresh tear from a clear injury that may be repairable. These need a knee surgeon promptly.
Is keyhole surgery worth it for a degenerative meniscus tear?
For most people, no. A 2013 sham-controlled trial and a 2018 trial of 321 patients found no advantage over sham surgery or physiotherapy, and a 2017 BMJ recommendation advises against it.
How much does PRP for a meniscus tear cost in London?
Specialist central London clinics charge from around £780 per ultrasound-guided injection. At The London PRP Clinic by The Wellness, joint PRP is from £595 to £995 per treatment.
How long does PRP take to work for a meniscus tear?
Improvement usually builds over 6 to 12 weeks alongside strengthening, and studies measure the main benefit at 3 to 12 months.
This article is for information and does not replace personal medical advice. All treatments at The London PRP Clinic by The Wellness are performed by GMC-registered doctors. Reviewed by the medical team at The London PRP Clinic by The Wellness. Last updated September 2026.