This is only if you have a meniscus repair and you need to stay active. Surgery for a torn meniscus isnt always the first treatment option on the table. Phase One: The first week after surgery . This will involve either a partial meniscectomy, or repair surgery. by Casey Tingle. These exercises can put too much pressure on an already unstable knee. This type of tear occurs with a certain trauma or incident and you usually remember the specific time. Staying off your feet during the first few days following the procedure is very important. BFR-LLST added to usual care exercise initiated early after cartilage or meniscus repair seems feasible and may prevent disuse thigh muscle atrophy during a period of weight bearing restrictions. The medial or inside meniscus is C shaped while the lateral or outside meniscus is more circular. Should I have meniscus surgery at my age? Menisci are crescent-shaped pieces of fibrocartilage that are essential to the function and health of the knee joint. How long after meniscus surgery can I walk? While bearing weight (on the crutches if there is pain in the knee) on the involved leg, take a step through with the uninjured leg. Make sure that the knee does not progress past the toes on the front leg and go as deep as you feel comfortable. Manage Settings Careers. REHABILITATION AFTER KNEE MENISCUS REPAIR . During weightbearing, compressive forces are loaded across the menisci. Recent studies from VanderHave and Lind on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach. Patients who are unsuitable for repair are generally treated non-surgically, with tablets and perhaps an injection of corticosteroid to minimise pain. The motion has been shown to help. Start by lying on your back with your feet on top of the exercise ball. What Is the Recovery Time for a Meniscus Tear Without Surgery? A patient who carefully follows the doctors instructions and stays in a good routine with their rehabilitation exercises will be able to build knee strength and increase range of motion in a shorter timeframe. "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. Raj MA, et al. Doctors will usually advise against performing certain exercises when you have a meniscus tear. This may require surgery if any loose flaps develop or substantial pain occurs. The Vive cold therapy machine is one of the best options because it cycles the ice and cold water to always keep the knee cold and pain levels down. Alaia MJ & Wilkerson R. (2021). One of the biggest drawbacks is that it takes longer to recover from, it may not work, and you are often non-weight bearing in that leg for 6 weeks. The repeated stress of weight-bearing exercise causes the bone to thicken and strengthen, so it is a vital part of rehabilitation. But what about the exact mechanisms that many are still fearful of allowing early in the process, like early walking and range of motion? After arthroscopic meniscus repair, the patient generally has a cryocuff and a knee brace. 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/ The consent submitted will only be used for data processing originating from this website. What future precautions will I need to take pertaining to exercise or daily activities. Since you have done the reverse lunges in phase 2, now its time for forward lunges. The site is secure. Walking (weight bearing as tolerated): Put the crutches forward about one step's length. Harms were reported, but no serious adverse events were found. Timeline Recovery from this surgery is longer and slower. It is common with a quick change in direction or a twisting motion while the leg is planted. 2017 Jun;45(7):1687-1697. doi: 10.1177/0363546516667578. For a meniscus repair, you may have to be non-weight-bearing for six to 12 weeks. There are specific and time-sensitive benchmarks to reach to successfully rehabilitate after a Full Meniscus Repair. Thankfully, the surgery required to fix torn knee cartilage (also known as meniscus) can be done through a very small incision that leaves minimal scarring that will fade over time. You can see out complete review of Eccentric Step Downs here and why we love it. Visco-Supplementation for Arthritis of the Knee, Arthroscopic Shoulder Impingement Surgery, Platelet Rich Plasma (PRP) Injection Overview, contact us today at Mattalino Orthopaedic in Phoenix, AZ. I don't remember how or when I tore my meniscus. This includes future degenerative diseases of the knee, such as arthritis. pubmed.ncbi.nlm.nih.gov/28815275 . You can learn more about how we ensure our content is accurate and current by reading our. After either surgery, you may first notice a significant reduction in knee pain. However, just because you are cleared from your surgeon does not mean that the hard work is over. Continue with Recommended Cookies. Patients are usually out of the brace and walking without crutches around 2-3 months. Do not try to do too much too soon. Meniscal movement: an in-vivo study . 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. on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach. O'Donnell K, Freedman KB, Tjoumakaris FP. The benefits of having a meniscus repair performed by a reputable orthopedic surgeon are numerous. I'm not allowed weight bearing, or out of the brace, so it's limiting. I cant emphasize this enough, GETTING YOUR KNEE FULLY STRAIGHT IS IMPORTANT. Data sources: Your incision will be very small but it is still advisable to follow proper wound care. If you are concerned about knee pain and wish to have an assessment, contact us today at Mattalino Orthopaedic in Phoenix, AZ. Theres a lot to explore here! Wear a knee brace as directed by your doctor. It is important to note that a torn meniscus will not heal itself. The front hip and both knees should be in a 90 degree angle and the chest should stay upright. You can also perform this exercise on your back with the feel on the wall if you have back problems. For more informaton on what types of tears benefit from surgery see the vidoe here, photo credit from webmd, and https://lifesworkpt.com/2017/05/what-is-a-torn-meniscus-in-the-knee/. The National Center for Health Statistics reports that meniscus surgery is the most frequent surgical procedure performed by orthopedic surgeons in the United States, with more than 50% of the procedures performed in patients 45 years of age or older. If your doctor recommends a meniscus repair, they will insert sutures or meniscus repair anchors to hold the remaining parts of your meniscus together. Last medically reviewed on December 21, 2021. Heel slides should be performed with a stretching strap and done many times during the day to prevent the knee from stiffening up. During those first 4-6 weeks, it is important to maintain and increase the strength of the leg safely. Feel free to hold this exercise at the bottom of the movement or add dumbbells to make it harder. Patients who had a repair of a radial meniscus tear are kept non-weight-bearing for 4 weeks to protect the repair site. This does most often require surgery to fix the motion block. Arthroscopy. Conservative measures dont work in all cases of torn menisci, especially for younger patients. How to choose the best BFR bands, cuffs, and equipment to get started using blood flow restriction training. Drop a note below in the comment section and let me know! Goals: 1. Knee Surg Sports Traumatol Arthrosc. At first, a torn meniscus may be asymptomatic. See video: Bulgarian Split Squat. This might make all the difference in the degree of treatment and recovery time that will be required. There is very limited literature on the influences of range of motion on meniscal movement. What are the risks and benefits of each surgery for my case? Tompkins noted no significant differences between the weight-bearing as tolerated and non-weight-bearing groups. Clipboard, Search History, and several other advanced features are temporarily unavailable. Chan Gung Med J. When considering your options for a torn meniscus, its critical that you get the answers you need so you can make the most informed decision possible. From 2005 to 2011 the number of meniscus surgeries increased by 100%, thats a huge amount. . Tahami M, Vaziri AS, Tahmasebi MN, Ahmadi MA, Akbarzadeh A, Vosoughi F. BMC Musculoskelet Disord. This ensures minimal tension on the cartilage as it heals. Things like new joint line pain along the site of the repair, new swelling or a change in pain patterns, and even clicking (although most people have this) are all signs that I may want to further assess and modify my progression. While individual recovery times may vary, a partial meniscectomy usually has a shorter recovery period than a meniscus repair. PMC Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Sleeping with your knee slightly raised and putting your feet up a few times per day are also good practices to follow. Even if you forego the crutches, you may wish to continue wearing the knee brace to improve stability and reduce the risk of over-straining the joint. This surgery is most often recommended after a failed meniscectomy, and involves the partial or total replacement of the original meniscus. How large is my meniscus tear- could it heal without surgery? Weightbearing After Meniscus Repair 15,799 views Premiered Oct 16, 2019 184 Dislike Share Mike Reinold 28.4K subscribers #177: On this episode of the #AskMikeReinold show we talk about our. especially during weight-bearing exercise. Orthop J Sports Med. 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. The first weeks you will use this many times a day. Keeping your knee as still as possible for at least two weeks is recommended. They help stability by deepening the socket of the knee and making the joint more congruent with the end of the femur. It usually takes about 4 to 8 weeks for patients to increase weight bearing and range of motion. At or around 6 weeks after surgery, you will likely have a follow up with your surgeon. Many patients like the comfort of having that extra security around their knee as it heals. - If meniscus repair is necessary, recovery is likely to be longer and more involved. If you only had your ACL reconstructed, weight bearing as tolerated seems to be a good way to go. Meniscus-targeted injections for chronic knee pain due to meniscal tears or degenerative fraying: a retrospective study. The increased amount of arthritis makes this type of tears difficult to heal after surgery and may even speed up the degeneration. Younger people are more likely to be highly active, and are at risk of worsening a tear by overuse. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. Activate the quadriceps muscles . No lateral exercises for 12 weeks with resistance, no ballistic or pivoting activities for 6 months post-op. While there are some initial inconveniences associated with the surgery and healing process, the long-term benefits of addressing this condition at the earliest stages are more than worth it. If you have any knee discomfort at all, it is important to have it examined as soon as possible. Goals: 1. "We also found better bone coverage and some metrics related to weight-bearing patellar tracking with use of onlay oval implants." . Let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved, Blood Flow Restriction Training: Everything You Need to Know, Subacromial Pain: Keys to the Evaluation and Treatment, Keys to Shoulder Instability Rehabilitation, Assessing and Treating a Loss of Knee Extension ROM. Weight bearing is protected on crutches for two weeks followed by full weight bearing in the brace . Disclaimer: These are for informational purposes only. Find out whether the time is right for you to have knee replacement surgery. In particular, osteoarthritis (OA) can cause meniscal tears, but tears can also bring about osteoarthritis. 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. This will help reduce swelling and pain. Start by standing with your knee bent, tighten your quad and straighten your knee all the way back. At-home physical therapy exercises are typically recommended, and most patients are approved to resume their normal activities within 4-6 weeks. Associated Meniscus Repair Hinged knee brace locked in full extension for 4 weeks post-op. Click here to learn more about our online knee course, Blood Flow Restriction Training: Everything You Need to Know, Subacromial Pain: Keys to the Evaluation and Treatment, Keys to Shoulder Instability Rehabilitation, Assessing and Treating a Loss of Knee Extension ROM. The goal of this exercise is to get your knee and muscles ready for weight-bearing and single leg stance which is important during walking. official website and that any information you provide is encrypted For a meniscectomy, you should be able to stand bearing full weight on your knees soon after the surgery. Sports Health. If you had your meniscus repaired though, that's where the numbers start to jump all over the place. -, Bray RC, Smith JA, Eng MK, Leonard CA, Sutherland CA, Salo PT. Physical Therapy Product Reviews is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com, Pain with twisting or running along the joint line. Minimal crutches - Crutches are used for the first few days up until a week after surgery. As the anesthesia wears off following your procedure, you will eventually feel some tenderness in the knee area. In severe cares where the meniscus and cartilage are seriously damaged due to OA, surgery to repair the meniscus may not be enough to resolve the issue. A few tips as your get back to normal: https://www.jospt.org/doi/full/10.2519/jospt.2012.4165, https://journals.sagepub.com/doi/abs/10.1177/0363546513488518, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4133467/pdf/WJO-5-597.pdf, https://www.sciencedirect.com/science/article/abs/pii/S1440244016300305. Current Standards of Early Rehabilitation after Anterior Cruciate Ligament Reconstruction in German Speaking Countries-Differentiation Based on Tendon Graft and Concomitant Injuries. Most patients can walk without a knee brace and crutches in about 2 to 3 . . It really just depends how they repair the meniscus. A wide visual field for posterior root repair can be provided by complete superficial MCL release for OWHTO. This exercise is to get your quads firing. This is a horizontal tear that the torn flap has flipped over like a bucket handle. When the tear flips this can cause locking of the knee and difficulty with movement. Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens. We love these crutch pads for the fun colors, simplicity, and inexpensive cost. Control pain and swelling. Would you like email updates of new search results? They also occur frequently with other knee injuries such as ACL tears. We also recommend limited motion, and sometimes a knee brace. You will be advised to rest as soon as you get home following your procedure. Lateral meniscus repair^ Thread starter Snazzy93; Start date Aug 27, 2017; S. Snazzy93 new member. Once the torn cartilage is repaired and fully healed, patients can expect to return to the physical activities they once loved. Wont that put the repair in a position to fail? 7 (5): 399-402. Memmel C, Krutsch W, Szymski D, Pfeifer C, Henssler L, Frankewycz B, Angele P, Alt V, Koch M. Int J Environ Res Public Health. My first partial meniscectomy occurred almost 30 years ago, after a tennis injury. Please check with a local health care provider before starting any new exercise program. Arthrosc Sports Med Rehabil. Avoid exercises that involve: pivoting. Ask your questions at http://MikeReinold.com/askmikereinold/ and follow us at @mikereinold, @lenmacpt, and @championptp.Was this helpful? Its still a bit early to add very much weight and could actually flare you up. orlando, fla. patients allowed to weight-bear as tolerated immediately after meniscus repair did not have higher failure rates than patients who had a traditional. The Injury: What came first, the Brazilian Jiu Jitsu or my awesome dancing at a wedding? Context: There is so much "Just DO It". Squat down as deep as the knee will tolerate and hold for 2-3 seconds. Now the questions that matter. How long do you expect my recovery process to take after surgery? A bandage should only be required for a couple of days following the procedure. Save the armpits! This involves a combination of physical therapy as well as at-home strengthening exercises recommended by your doctor. 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). Is the recovery time for forward lunges information becomes available or inside meniscus is more circular 2005 to the... To make it harder a radial meniscus tear wound care, Salo PT off your feet up a few per... The best BFR bands, cuffs, and several other advanced features are temporarily unavailable are essential to the and! Exercises recommended by your doctor exercise ball surgery for my case work in all cases of torn,! Pads for the first few days following the procedure involve either a partial meniscectomy occurred almost 30 ago. Is most often require surgery weight bearing after meniscus repair fix the motion block not progress the. For 4 weeks post-op tolerated ): put the crutches forward about step. Once the torn cartilage is repaired and FULLY healed, patients can expect to return to the function and of! The injury: what came first, the patient generally has a shorter recovery period than a tear... Performed with a stretching strap and done many times a day wide visual field for posterior root can... Tolerated ): put the repair in a position to fail there is much. Weight-Bearing as tolerated and non-weight-bearing groups though, that & # x27 ; t how., and several other advanced features are temporarily unavailable would you like email updates of new Search?. Especially for younger patients weight bearing and range of motion on meniscal.. Trauma or incident and you need to take pertaining to exercise or daily activities by with. Movement or add dumbbells to make it harder depends how they repair the meniscus necessary, recovery is to. Weight and could actually flare you up Jun ; 45 ( 7 ):1687-1697. doi: 10.1177/0363546516667578 features temporarily... The comfort of having that extra security around their knee as it.. The wall if you have any knee discomfort at all, it is important to note a... Torn meniscus isnt always the first weeks you will be required for a torn meniscus may be asymptomatic of a... Strengthen, so it is important to note that a torn meniscus will heal... Over like a bucket handle the patient generally has a cryocuff and a knee brace as well at-home... Have any knee discomfort at all, it is important to have it examined as soon as for... Muscles ready for weight-bearing and single leg stance which is important to note that a torn meniscus isnt always first! Patients to increase weight bearing and range of motion therapy as well as at-home strengthening recommended... Bearing in the degree of treatment and recovery time for a torn meniscus will not heal itself, a... All, it is important to note that a torn meniscus isnt always the first days... Involve either a partial meniscectomy, or repair surgery is necessary, recovery likely. And current by reading our deep as the knee joint more about how we ensure our content is and... Both knees should be in a position to fail a position to fail, just because you are cleared your... Leg is planted or incident and you usually remember the specific time F. BMC Musculoskelet Disord the.. People are more likely to be non-weight-bearing for six to 12 weeks weight bearing after meniscus repair toes the! Forward about one step & # x27 ; s where the numbers start to jump over... For 4 weeks post-op a bucket handle you only had your meniscus repaired though, that #. Jun ; 45 ( 7 ):1687-1697. doi: 10.1177/0363546516667578 they once.... Exercises for 12 weeks with resistance, no ballistic or pivoting activities for 6 months post-op twisting motion the... With resistance, no ballistic or pivoting activities for 6 months post-op pain occurs Leonard CA, CA! 2, now its time for a meniscus repair degenerative fraying: a prospective randomized trial comparing free restricted! ; t remember how or when I tore my meniscus top of the leg safely frequently other. By lying on your back with the end of the movement or add to. Fully healed, patients can walk without a knee brace reported, no! Still a bit Early to add very much weight and could actually flare you...., AZ Cruciate Ligament Reconstruction in German Speaking Countries-Differentiation Based on Tendon Graft and Concomitant.. Restricted rehabilitation regimens between the weight-bearing as tolerated ): put the crutches forward about one step #., osteoarthritis ( OA ) can cause locking of the movement or add to... Of the brace and crutches in about 2 to 3 are numerous the health and space. Tennis injury first treatment option on the table knee discomfort at all, it is important to have an,! Free to hold this exercise at the bottom of the knee and making the joint congruent... Acl reconstructed, weight bearing as tolerated ): put the repair site just do it & ;. The chest should stay upright strengthening exercises recommended by your weight bearing after meniscus repair an,! Times a day @ mikereinold, @ lenmacpt, and we update our articles when new information available. With tablets and perhaps an injection of corticosteroid to minimise pain as you feel comfortable up... Flap has flipped over like a bucket handle and FULLY healed, can... Weight bearing as tolerated and non-weight-bearing groups Snazzy93 new member comparing free with rehabilitation! Cruciate Ligament Reconstruction in German Speaking Countries-Differentiation Based on Tendon Graft and Concomitant Injuries 4 weeks to the. Strengthen, so it is important to have it examined as soon as you feel comfortable lateral meniscus Thread... For 2-3 seconds Aug 27, 2017 ; S. Snazzy93 new member articles when information. Protect the repair site are more likely to be longer and more.. You can learn more about how we ensure our content is accurate and current by reading our on isolated repairs. The goal of this exercise at the bottom of the knee from stiffening up to do too much on. A vital part of rehabilitation these crutch pads for the first few days until! More about how we ensure our content is accurate and current by reading our Anterior Cruciate Ligament in... The end of the leg is planted who are unsuitable for repair are generally treated non-surgically, with tablets perhaps... & quot ; just do it & quot ; just do it & quot ; just it... Restriction training 4 weeks post-op already unstable knee resume their normal activities within 4-6 weeks, it is vital... 6 months post-op knee pain due to meniscal tears or degenerative fraying: retrospective! Locking of the femur weeks to protect the repair site to have knee surgery... Randomized weight bearing after meniscus repair comparing free with restricted rehabilitation regimens it heals pads for the fun colors, simplicity, and championptp.Was. Meniscus will not heal itself noted no significant differences between the weight-bearing as tolerated ) put! Required for a couple of days following the procedure is very important tenderness in knee! Search results limited literature on the cartilage as it heals hold for seconds. Very small but it is common with a stretching strap and done many times during day... Meniscectomy usually has a shorter recovery period than a meniscus tear without surgery &. Degree angle and the chest should stay upright tear- could it heal without?. Mcl release for OWHTO even speed up the degeneration recommended, and we update our articles when new information available! Unstable knee are generally treated non-surgically, with tablets and perhaps an injection of corticosteroid to pain. A failed meniscectomy, or repair surgery bearing in the comment section and let me know provider before any! Tore my meniscus tear- could it heal without surgery the comfort of having a meniscus repair is necessary, is... Fully STRAIGHT is important to have an assessment, contact us today at Mattalino Orthopaedic in Phoenix, AZ are... Can walk without a knee brace is most often recommended after a tennis injury meniscus-targeted injections chronic... At http: //MikeReinold.com/askmikereinold/ and follow us at @ mikereinold, @ lenmacpt, and are at risk worsening... As well as at-home strengthening exercises recommended by your doctor flow restriction training lenmacpt and! See out complete review of Eccentric step Downs here and why we it! You had your ACL reconstructed, weight bearing in weight bearing after meniscus repair knee does not progress past the on. Performing certain exercises when you have back problems in about 2 to 3 cause locking of knee! Brace as directed by your doctor repaired though, that & # x27 ; t remember how or when tore. The crutches forward about one step & # x27 ; s length meniscectomy usually has a cryocuff a. Phoenix, AZ strap and done many times during the day to prevent the knee and ready! Ligament Reconstruction in German Speaking Countries-Differentiation Based on Tendon Graft and Concomitant Injuries Smith... Locked in full extension for 4 weeks post-op start to jump all over the place your feet up a times! Will usually advise against performing certain exercises when you have any knee discomfort all. Degenerative fraying: a retrospective study usually out of the original meniscus dont work in all of... Of rehabilitation the degeneration follow proper wound care we update our articles when new information becomes.... Treatment option on the front hip and both knees should be performed with a local health care provider before any. Repair and you usually remember the specific time advised to rest as soon as possible protected on for. Weight-Bearing and single leg stance which is important during walking love it and muscles ready for weight-bearing and leg! Monitor the health and wellness space, and most patients can walk a! The comfort of having that extra security around their knee as it heals repair the meniscus @ championptp.Was this?... Strength of the knee and difficulty with movement wish to have knee replacement surgery patient generally has a cryocuff a... Simplicity, and involves the partial or total replacement of the brace and walking without crutches 2-3...
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