hi
I was having some knee pain and instability about 10 years ago. at the time, I was increasing my mountainbiking a lot. the instability was mild, and I'd been dealing with it for a long time. for example, if in a frog stance, if I rocked one way or the other, it felt like it was just gonna give out. pretty sure that was from dislocating it at work back in the early 90s. it popped right back into place, so I just went on and said nothing. but it popped out a few more times much easier, after that. creepy but whatever.
anyway, it was the pain keeping me up at night that sent me to see an ortho. highly recommended doc, at the time. I think he's out of that biz, though. last I heard, he's into some alternative treatment methods that I've heard are hitormiss.
so I had the meniscal surgery. did PT with their in-house team. pain wasn't going away. I asked the PT and she said, "oh, your IT band is probably tight and pulling your kneecap out of place. here's a foam roller." and walla, the pain went away.
so, did it help? yes. it definitely solved the stability issue. it was NOT the cure for the pain.
remember: the MRI order is a loaded question. 'look for possible meniscal tear'. well, whadiya know...
also, once you start down that path, be careful you don't get addicted to regular 'clean-outs'. a buddy of mine did that. bone on bone. gym rat, too, so lots of power lifts and whatnot. had his knees replaced before 50.
I know a great PT guy. supposedly, you no longer need a scrip to see a PT. he's awesome, but he's a one-man show. no billing dept. pay for service, and he'll give you the codes to for you to file for reimbursement with your ins company.
as far as surgeons go, I can rec Joshua Fox. he rebuilt my other leg after I shattered my tibial plateau. 16 screws and a plate. cool guy, very honest, I thought.
good luck.
ps. lay off the pistols. split squats worked great for me without the extreme pressure on the joint surface that the pistols seemed to produce. jmho.