We recently saw a healthy 45-year-old self-employed female who injured her right knee while at work. She works as a hairstylist which involved long periods of standing. She tried conservative management with ongoing pain and then was referred to an orthopedic surgeon. An MRI of the right knee was obtained demonstrating a meniscal tear and some arthritic changes. The orthopedic surgeon recommended arthroscopic surgery including a partial meniscectomy. The patient was hesitant to proceed with this and did her own research and she found articles on the potential benefits of Orthobiologic treatments such as PRP and stem cell therapies. She was seen in our office and underwent conference evaluation including an ultrasound evaluation of her knee. The ultrasound demonstrated evidence of a bulging of the medial meniscus without evidence of a tear as well as a tear of the posterior horn a lateral meniscus with some mild thinning of the articular cartilage in a small amount of fluid in the popliteal fossa.