Hello @rbon1, welcome to Connect. I'd like to invite @ew100, @randyvaughan, @ellerbracke, and @ees1 to this discussion as they have all discussed dealing with meniscus tears and how they have dealt with them via different treatments. It sounds like you and your internist are on the same page. Has your internist suggested working with your PT to potentially alter your routine to get over the plateau or what the potential plateau may be in relation to?