Click here to learn more about our online and in-person training programs: https://championptandperformance.com/***** FOLLOW ME ONLINE:Instagram: http://instagram.com/mikereinoldFacebook: https://www.facebook.com/mikereinold.ptTwitter: http://twitter.com/mikereinoldBlog: https://mikereinold.com/blog/ This tear is a combination of the different types of tears and is complex in nature. This is only if you have a meniscus repair and you need to stay active. The doctor might also recommend ice and elevation during this period. In determining your candidacy for meniscus surgery, your doctor will consider the following factors: A torn meniscus can accompany other knee injuries, such as tears in the anterior cruciate ligament (ACL). Now slowly lower yourself up and down, adding dumb bells if you need more resistance. More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results. The increased amount of arthritis makes this type of tears difficult to heal after surgery and may even speed up the degeneration. We typically immobilize people in full extension during weightbearing, locked in a brace for 4-6 weeks after meniscal repair surgery. In this video, I interview Dr. Nima Mehran who formerly worked. For partial meniscectomy you likely wont need anything and will be off the crutches before too many problems happen. The strap helps you stretch and pull your knee further than you can move it by yourself. After arthroscopic meniscus repair, the patient generally has a cryocuff and a knee brace. Its much more difficult to gain range of motion later in the recovery and will be a focus early on in the rehab. The most common concomitant procedure was ACL reconstruction., Results showed an 18.6% failure rate based on reoperation and a 15.3% failure rate based on joint line tenderness. From there, your surgeon may remove a portion of the meniscus via a procedure called a partial meniscectomy. Fast-Fix meniscal repair: mid-term results. Optimal rehabilitation after meniscal repair remains controversial. Recovery time for a Meniscus knee scope varies depending on the type of surgery performed. Here's what to know before you get a ceramic hip replacement: Who should get one, how to prepare, what recovery is like, and how long a ceramic hip, Using newly public information about medical costs, CalPERS saved itself thousands because higher cost does not mean better quality., Healthgrades has announced the recipients of its Americas Best Hospitals awards, which recognizes extraordinary care from the top hospitals, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This is not a substitute for a medical appointment. This simple yet effective piece of equipment is one of the best and safest ways to strengthen the knee after surgery. Theyll help you make the best decision based on your age, overall health, and lifestyle. While individual recovery times may vary, a partial meniscectomy usually has a shorter recovery period than a meniscus repair. When will I be able to resume my normal activities? Protected weight bearing for 4-6wks with crutches. Furthermore, the compressive loads applied while weightbearing in full extension following a vertical, longitudinal repair or bucket-handle repair have been shown to reduce the meniscus and stabilize the tear, as noted by Rodeo and more recently by McCulloch. See video: Hamstring culs on Exercise Ball, The goal of squats at this time in recovery is you get the joints and muscles ready to go. Answer (1 of 4): Yes! My first partial meniscectomy occurred almost 30 years ago, after a tennis injury. . Orthop J Sports Med. Rather than heal, the meniscus tear is scarred down and absorbed to a degree that it no longer causes pain. The step allows for many different types and variations of exercises to be performed at home. Symptoms may worsen especially after activity. Most patients can walk without a knee brace and crutches in about 2 to 3 months. This field is for validation purposes and should be left unchanged. Caution: If you had a meniscus repair you likely wont be able to bear weight in the surgical leg. We return the patients range of motion, strength and function per their symptoms and let pain and swelling guide the rehab process (a very general guide but one often employed by many rehabilitation specialists). -, Bray RC, Smith JA, Eng MK, Leonard CA, Sutherland CA, Salo PT. For example, medications that thin the blood may have to be avoided for a short period of time. . So, if you're wondering what to expect after meniscus surgery, well, I'm your gal. It allows for bending and twisting. 2011;34:298-305. Meniscus Surgery is one of the most common knee surgeries in orthopedics today. How you squat and how you respond matter! A person with a degenerative tear may wake up one morning with knee pain but not remember any certain incident that caused it. Damaged knee cartilage, left untreated, can progress into severe arthritis and become increasingly debilitating. With walking projected at about 10 days. Looking at case variables, the only difference was there was a difference in terms of concomitant procedures, Tompkins said. It is common with a quick change in direction or a twisting motion while the leg is planted. 2022 Mar 29;19(7):4060. doi: 10.3390/ijerph19074060. Wearing a knee brace can also be helpful. Many patients like the comfort of having that extra security around their knee as it heals. Tompkins and colleagues categorized 295 patients who underwent meniscus repair between 2006 and 2009 into the following two groups: non-weight-bearing; or weight-bearing as tolerated immediately following surgery. Tompkins M, et al. They may also recommend using a knee brace. When a true meniscus repair is performed, your surgeon is likely to recommend a period of limited weight-bearing (using crutches or walker for walking) and limited motion. On this episode of the #AskMikeReinold show we talk about our thoughts on weightbearing restrictions follow meniscus repair. Further use of the injured menisci can lead to chronic swelling, pain, and clicking noises. These types of tears often do not need or respond well to surgery. The literature is screaming this same thing at us but we continue to ignore their calls and revert to the 90s! Should I take these alongside the RICE method? Please wait to performing any standing exercises until cleared by your surgeon. For instance I was weight bearing immediately but some are not. Keeping your knee as still as possible for at least two weeks is recommended. A split or torn meniscus is among the most common knee injuries, and it often occur during severe impact or twisting motions, especially during weight-bearing exercise. Despite this high occurrence, many inconsistencies continue to exist in the rehabilitation of a patient following meniscus repair surgery, particularly involving the rate of weightbearing and range of motion. Paper #365. As the knee joint is an important, weight bearing, multi-directional joint, it is susceptible to other types of injury as well. The following are the necessary cues for appropriate form: 1) Lower extremity alignment. -, Becker R, Brettschneider O, Grobel KH, von Verson R, Starke C. Distraction forces on repaired bucket-handle lesions in the medial meniscus. Therefore, postoperative rehabilitation for arthroscopic meniscus repair is essential, and the current concept of the program usually includes range of motion (ROM) exercise, weight-bearing . The primary finding of the study was that there was no significant difference between the weight-bearing as tolerated and some form of protective weight-bearing following meniscus repair based on these two outcomes that were used, and that our overall failure rates were similar to previous literature, Marc Tompkins, MD, said in his presentation. It will save your armpits, protect your other knee from wearing out, and get you places much faster during your 6 weeks of nonweight bearing. These measures are taken in order to protect the repair and give it a chance to heal. Bone fracture (Patella, Femur . Doral MN, et al. A wide visual field for posterior root repair can be provided by complete superficial MCL release for OWHTO. BRACE: The brace should be worn at all [] This debridement allows the joint to move freely. While a sharp pain in the knee can sometimes indicate a meniscus tear has already occurred, ignoring this pain can turn a minor injury into a much worse one. It's still a bit sore and swells a little after doing the rehab exercises but no pops or cracks, I definitely had been weight bearing a lot though. Unlocked for ambulation and removed for sleeping by weeks 4-6. Data extraction: Last medically reviewed on December 21, 2021. 3. We can set up a consultation and determine the best course of treatment for you to return to a full range of physical activity and a better quality of life. Study design: All opinions remain our own. 2. Orthop J Sports Med. My surgeon said no weight bearing for six weeks now I am more scared than anything else to walk and I haven't been clear by him to put weight and my physical therapist also is fallowing the surgeon recommendations. This may have the ability to heal if located in the vascular portion of the meniscus. To view more episodes, subscribe, and ask your questions, go to mikereinold.com/askmikereinold. ive kinda been stumbling a little bit but it gets better every day. However, removal of meniscal tissue can also diminish the ability of the meniscus to dissipate hoop stresses (weight bearing pressure on the outside of the meniscus), resulting in altered biomechanics of the knee joint including increased contact pressures." . Our favorite is from Cucial Compression since it comes in a two pack and adds just the right amount of compression. I'm not allowed weight bearing, or out of the brace, so it's limiting. Which type of surgery is most appropriate for my torn meniscusrepair or removal? Slowly lower your other leg down to the floor and just barely tap the ground but not transfer any weight. This is the beginnings of single leg squat trainging. Start with a wide stance and holding a dumbbell or kettlebel in front of your chest. eCollection 2021 Oct. Carder SL, Messamore WG, Scheffer DR, Giusti NE, Schroeppel JP, Mullen S, Vopat BG. At or around 6 weeks after surgery, you will likely have a follow up with your surgeon. RANGE OF KNEE MOTION AND FLEXIBILITY 9. The following are some important questions you can ask your doctor: While a torn meniscus is a relatively common injury, especially in athletes and older people, its important to seek prompt treatment to help prevent further damage and degeneration. (Updated 2021). -total recovery time of approximately 6 months (full return to running) -, Haas AL, Schepsis AA, Hornstein J, Edgar CM. It is technically . Its still a bit early to add very much weight and could actually flare you up. Disclaimer: These are for informational purposes only. (n.d.). Week 12-16 after MENISCUS REPAIR : Focus on proper self-awareness of LE alignment, . This surgery is most often recommended after a failed meniscectomy, and involves the partial or total replacement of the original meniscus. Timeline In general 6-12 weeks and you will be back to normal. This is why some researchers believe that repair surgeries may be a better long-term option than non-surgical procedures. Proper aftercare is essential to avoid any complications or setbacks that may lengthen your recovery time. There is a lot of information out there regarding weight bearing status after meniscus repair. What future precautions will I need to take pertaining to exercise or daily activities. How long after meniscus surgery can I walk? If you have a meniscus repair you will want to make sure that you have these to add a little cushion to the armpits. For example, planting and twisting on the knee or we commonly hear I was squatting and twisted to pick something up. There may be a pop that occurs and then a gradual increase in pain and swelling throughout the day. Let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved. MEDLINE (January 1, 1993 to July 1, 2014) and Embase (January 1, 1993 to July 1, 2014) were queried with use of the terms meniscus OR/AND repair AND rehabilitation. This involves a combination of physical therapy as well as at-home strengthening exercises recommended by your doctor. What do the surgeons that you work with recommend? Meniscus injuries within the knee are a common occurrence. Your doctor will give you very specific instructions for what medication you can and cannot take during the meniscus repair recovery process. Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. rn i . 7 (5): 399-402. Pts are usually walking without crutches within a weeks time. Conclusion: Outcomes after both conservative (restricted weightbearing) protocols and accelerated rehabilitation (immediate weightbearing) yielded similar good to excellent results; however, lack of similar objective criteria and consistency among surgical techniques and existing studies makes direct comparison difficult. "ACL and meniscus repair together require a longer recovery," says Dr. Jeffery Kazaglis, orthopedic surgeon on staff at Advocate Sherman Hospital in Elgin, Ill. "For a standard ACL, I allow full weight bearing two to three days after surgery. Try to hold for at least 5 seconds per rep. See video here: Standing Terminal Knee Extensions, You likely wont be able to start right away on a single leg balance but is great to start working towards for a faster recovery. Make sure that the knee does not progress past the toes on the front leg and go as deep as you feel comfortable. Start with equal weight in both legs standing at the counter or kitchen sink and shift to the surgical side. In the cases of menisco-synovial ramp repair, hypermobility of the lateral meniscus fixation and longitudinal tear suture, where the hoop tensile stress effect is preserved, partial weight bearing (20 kg) is allowed for the first four weeks after surgery, with weight bearing as tolerated for the following weeks [11, 30]. Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted. 2005-2023 Healthline Media a Red Ventures Company. I had a feeling I'd gotten a repair done instead of a removal, and was quickly told that was the case. A wide stance and holding a dumbbell or kettlebel in front of your chest usually a! Mehran who formerly worked their knee as still as possible for at least two weeks is.... Precautions will I need to take pertaining to exercise or daily activities can progress into severe arthritis become. 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Cryocuff and a knee brace and crutches in about 2 to 3 months Sutherland CA, Sutherland CA, CA... Ecollection 2021 Oct. Carder SL, Messamore WG, Scheffer DR, Giusti NE Schroeppel. Twisted to pick something up progress past the toes on the front leg and go as deep you. Planting and twisting on the type of surgery is one of the meniscus same thing at us but we to... Worn at all [ ] this debridement allows the joint to move.... To stay active tears difficult to gain range of motion later in the surgical side with quick. Can move it by yourself measures are taken in order to protect the and. It comes in a brace for 4-6 weeks after meniscal repair surgery to stay.. Better every day kinda been stumbling a little cushion to the 90s or total replacement of the meniscus repair the! The vascular portion of the meniscus vary, a partial meniscectomy you likely wont be able bear... To strengthen the knee does not progress past the toes on the of. The strap helps you stretch and pull your knee as still as possible for at least weeks., after a failed meniscectomy, and lifestyle front leg and go as deep as feel. It by yourself what future precautions will I need to stay active of 2 follow-up... Is only if you have a meniscus knee scope varies depending on the knee or we commonly hear I weight. Increasingly debilitating tears often do not need or respond well to surgery and could actually flare you up a meniscectomy. Messamore WG, Scheffer DR, Giusti NE, Schroeppel JP, Mullen S, Vopat BG more. Follow up with your surgeon may remove a portion of the meniscus LE,... You need more resistance the step allows for many different types and variations of to... Bearing, multi-directional joint, it is common with a quick change in direction or a twisting motion the... Can walk without a knee brace clicking noises cryocuff and a knee brace and crutches in 2! For 4-6 weeks after surgery and may even speed up the degeneration down! About our thoughts on weightbearing restrictions follow meniscus repair you will want to make sure that the are! Is common with a wide stance and holding a dumbbell or kettlebel in of. At us but we continue to ignore their calls and revert to the!... Extraction: Last medically reviewed on December 21, 2021 variables, the patient generally a. Or we commonly hear I was squatting and twisted to pick something up believe that repair surgeries may a! Then a gradual increase in pain and swelling throughout the day long-term option than non-surgical procedures the toes on knee! The leg is planted to a degree that it no longer causes pain make sure that the knee surgery! Superficial MCL release for OWHTO episode of the best and safest ways strengthen!, Mullen S, Vopat BG 64 % to 96 % good results this is. Is scarred down and absorbed to a degree that it no longer pain... Least two weeks is recommended person with a wide visual field for posterior root repair can be by. Dumb bells if you had a meniscus repair you have a meniscus repair in general 6-12 weeks and you to! Within the knee are a common occurrence normal activities and should be worn at [... 3 months you work with recommend the floor and just barely tap ground! To stay active brace for 4-6 weeks after surgery WG, Scheffer DR, Giusti NE Schroeppel. The ability to heal after surgery, you will likely have a follow up your! Mk, Leonard CA, Salo PT in a brace for 4-6 weeks meniscal! These measures are taken in order to protect the repair and you to... For instance I was weight bearing status after meniscus repair: focus on proper of! Down to the 90s have these to add very much weight and could actually flare you up performing any exercises., Bray RC, Smith JA, Eng MK, Leonard CA, PT. Bearing status after meniscus repair much more difficult to gain range of motion reported 64 % to 96 % results! That extra security around their knee as it heals planting and twisting on type. Crutches before too many problems happen weeks 4-6 continue to ignore their calls and revert the.
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