What is the best treatment for a torn meniscus? Is it surgery? A typical treatment of meniscal tears is surgery. You need your meniscus to cushion your knee. Once the meniscus is taken out, as in a partial meniscectomy, then the pressure on the articular cartilage goes up dramatically. If you want to get aggressive arthritis in the future then get an arthroscopy and have the meniscus removed. A much better treatment option is to leave the meniscus in, monitor your exercise regime, and get Prolotherapy. Prolotherapy to the inside of the knee to the meniscus tear is by far is the best treatment option in our opinion.