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. Some say weight bearing as tolerated, others don't want any weight bearing for two weeks, if not more. The increased amount of arthritis makes this type of tears difficult to heal after surgery and may even speed up the degeneration. After controlling swelling, increasing range of motion, and progressively increasing your strength it provides a much better picture if surgery is needed. This area has a good supply and may heal with time and therapeutic exercise. High Glycemic Variability=2x . This ensures minimal tension on the cartilage as it heals. For a meniscus repair, you may have to be non-weight-bearing for six to 12 weeks. 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 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. official website and that any information you provide is encrypted 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. Staying off your feet during the first few days following the procedure is very important. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. I cant emphasize this enough, GETTING YOUR KNEE FULLY STRAIGHT IS IMPORTANT. This is huge and may aid in the healing process! I help people feel better, move better, and perform better. What Is the Recovery Time for a Meniscus Tear Without Surgery? As the anesthesia wears off following your procedure, you will eventually feel some tenderness in the knee area. From 2005 to 2011 the number of meniscus surgeries increased by 100%, thats a huge amount. 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. 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/ (Click here for the updated rehabilitation protocols we currently use.). To view more episodes, subscribe, and ask your questions, go to mikereinold.com/askmikereinold. This is often found on most MRIs especially in older patients and is not considered serious. 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). With walking projected at about 10 days. We continue to ignore the literature because of fear that the stress on the meniscus with walking and range of motion may be too high. 2013 Dec;41(12):2753-8. doi: 10.1177/0363546513505079. The doctor might also recommend ice and elevation during this period. Depends: Follow your surgeon's instructions. Brace and Crutches: Phase One: The first week after surgery . 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. At the 6 week mark, most people feel better than 80% of normal and dont notice it much during their daily activities. "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. This field is for validation purposes and should be left unchanged. Following a partial meniscectomy, immobilization is not required and full extension with 90 degree flexion is possible approximately 10 days after surgery. Giving your body time to rest in between bouts of intense exercise and not abruptly ramping up your workout routine is advisable. The retrospective review included more than 5 years of follow-up. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Orthop J Sports Med. While individual recovery times may vary, a partial meniscectomy usually has a shorter recovery period than a meniscus repair. The patient is non-weight bearing for 4-6 weeks to allow the meniscus to heal. Harms were reported, but no serious adverse events were found. Its easy to use and something that you will undoubtedly use again in the future. Sports Health. During weightbearing, compressive forces are loaded across the menisci. Unlocked for ambulation and removed for sleeping by weeks 4-6. Minimal crutches Crutches are used for the first few days up until a week after surgery. Orthopaedic Surgery, Sports Medicine, Digital Radiography: Phoenix, AZ. (2017). There is a small chance of an increase in the progression of arthritis depending on your age and this overall a faster recovery. If youre experiencing possible symptoms of a torn meniscus, your doctor may recommend the RICE method as their initial approach: Icing the affected knee and taking a break from sports or other vigorous activities can help lower inflammation and prevent further damage. Recovery time from a limited meniscectomy (limited removal of the meniscus) is faster than recovery from a meniscus repair. Meniscus tears can occur from an injury or wear and tear on the joint over time. This is a great exercise to isolate and strengthen the surgical leg while working on control and balance. Disclaimer: This post is for informational purposes only. The functional impact of home-based self-rehabilitation following arthroscopic meniscus root repair. 2011;34:298-305. We love these crutch pads for the fun colors, simplicity, and inexpensive cost. 2021 Oct 6;9(10):23259671211031281. doi: 10.1177/23259671211031281. Crutches If you non-weight bearing for the first 4-6 weeks you will get so tired of using crutches. Surgeons may not even prescribe formal physical therapy after the procedure because they do so many and the knee is now back to normal.. Immediate weight-bearing is allowed and patients are typically back to performing all activities of daily living in three or four days. Thursday, 10 March 2022 / Published in Knee. ***** WANT TO LEARN MORE FROM ME? Those that are caused by an injury are often the ones that can be. Shelbourne KD, Patel DV, Adsit WS, Porter DA. Context: If you have any knee discomfort at all, it is important to have it examined as soon as possible. It really just depends how they repair the meniscus. 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). Many patients find that they can put their full weight on their knee after a couple of weeks, but know your limits and be sure to not overdo the amount of time you spend on your feet. Once the torn cartilage is repaired and fully healed, patients can expect to return to the physical activities they once loved. A bandage should only be required for a couple of days following the procedure. For complex repairs, I would recommend limiting weightbearing to partial but understand that the hoop stresses could aid in healing and are arguably helpful and necessary. Ankle Mobility Drills to Improve Dorsiflexion, Ultimate Guide to Blood Flow Restriction Training, The Best Blood Flow Restriction Bands in 2023. One of the main benefits of this surgery is that it reduces the risk of developing osteoarthritis in the future. 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. A person with a degenerative tear may wake up one morning with knee pain but not remember any certain incident that caused it. ncbi.nlm.nih.gov/pmc/articles/PMC8514344/, orthoinfo.aaos.org/en/diseases--conditions/meniscus-tears/, ncbi.nlm.nih.gov/pmc/articles/PMC5994634/, health.uconn.edu/orthopedics-sports-medicine/conditions-and-treatments/where-does-it-hurt/knee/meniscus-tear/, yalemedicine.org/conditions/meniscus-tears-repair-transplantation, childrenshospital.org/conditions-and-treatments/conditions/t/torn-meniscus, hopkinsmedicine.org/health/conditions-and-diseases/torn-meniscus, When to Have Total Knee Replacement Surgery. What speed? According to the American Academy of Orthopaedic Surgeons (AAOS), the estimated recovery time is three to six weeks for a partial meniscectomy, and three to six months for a meniscus repair.. An official website of the United States government. Generally, it takes 4 to 8 weeks to increase weight bearing and range of motion. However, it is important to note that a complete return of knee strength and full-range mobility may take several months. Knee meniscal tears. How effective is knee replacement surgery in relieving severe knee pain? Timeline Recovery from this surgery is longer and slower. One of the most popular types of tears. Find out whether the time is right for you to have knee replacement surgery. Many patients find that they can put their full weight on their knee after a couple of weeks, but know your limits and be sure to not overdo the amount of time you spend on your feet. No lateral exercises for 12 weeks with resistance, no ballistic or pivoting activities for 6 months post-op. This one of thest top items on the list for pain control and swelling. Patients are usually out of the brace and walking without crutches . Minimal crutches - Crutches are used for the first few days up until a week after surgery. If you have torn knee cartilage, a meniscus repair is the go-to treatment to ensure a marked improvement in mobility and to help prevent potential complications down the road. Doctors will usually advise against performing certain exercises when you have a meniscus tear. Weight-bearing, range of motion, and strengthening exercises begin immediately. During a knee arthroscopy, your surgeon makes a small incision in the knee joint so they can place a small camera (arthroscope) inside to guide them as they perform surgery on the affected meniscus. 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]. PMC Patients who are unsuitable for repair are generally treated non-surgically, with tablets and perhaps an injection of corticosteroid to minimise pain. While we lean towards allowing weightbearing, there are some important things you have to consider. All you need is a resistance band. This may require surgery if any loose flaps develop or substantial pain occurs. Federal government websites often end in .gov or .mil. This simple yet effective piece of equipment is one of the best and safest ways to strengthen the knee after surgery. BRACE: The brace should be worn at all [] While torn cartilage cannot heal itself, it can be made good as new with surgical intervention performed by a skilled orthopedic surgeon. The interplay between tear type and knee biomechanics can help define the most appropriate postoperative plan. See video: Forward Lunges. Same situation as the two comments above. Wont that put the repair in a position to fail? One source even quotes the incidence as high as 1 in 300 people with have surgery on their meniscus. Proper aftercare is essential to avoid any complications or setbacks that may lengthen your recovery time. - If meniscus repair is necessary, recovery is likely to be longer and more involved. What are the risks and benefits of each surgery for my case? Disclaimer: The information provided in this post is for educational purposes only. "We found a relatively high risk of DVT after meniscus root repair when aspirin was used for prophylaxis. This may have the ability to heal if located in the vascular portion of the meniscus. Weight bearing is protected on crutches for two weeks followed by full weight bearing in the brace . Meniscus injuries within the knee are a common occurrence. These hoop stresses are thought to be helping the healing process in many tears by approximating the tissue. This is the beginnings of single leg squat trainging. Do you recommend that I take over the counter pain relievers? Will I need someone to help me around the house with everyday tasks? See video: Eccentric step down. What Does An Mri Look Like After A Meniscus Root Repair. This does not necessarily mean that the tears occurring on the inner portion have to have surgery as many people have meniscus tears and do not even realize it. Study design: Objective: Your stitches will dissolve on their own and any scarring will fade in time. meniscus; rehabilitation; repair; weightbearing. It commonly takes about 4-8 weeks for patients to increase weight-bearing and range of motion. . . While we lean towards allowing weight-bearing, there are some important things you have to consider. The two main types of surgeries that occur for a meniscus tear are a Meniscus Repair or a Partial Meniscectomy. (2018). An arthrogram is an imaging test that uses a dye-like fluid called contrast to create detailed images of joints. Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. If you had your meniscus repaired though, that's where the numbers start to jump all over the place. Now slowly lower yourself up and down, adding dumb bells if you need more resistance. Your doctor will give you very specific instructions for what medication you can and cannot take during the meniscus repair recovery process. 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. We'll discuss how long recovery is and more. Phase Three: Six to twelve weeks after surgery. Tompkins M, et al. Chan Gung Med J. One of the best alternatives to save your arms and armpits is to use a knee scooter to get around long distances and crutches for short distances. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. Careers. Healthline Media does not provide medical advice, diagnosis, or treatment. Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on, American Academy of Orthopaedic Surgeons Annual Meeting. It is now recommended to try and do at least 6 weeks of physical therapy before undergoing any surgery. Wear a knee brace as directed by your doctor. At or around 6 weeks after surgery, you will likely have a follow up with your surgeon. Gentle stretching is also a good way to maintain flexibility in the knee joint. showed that during flexion, the posterior excursion of the medial meniscus was 5.1 mm, while that of the lateral meniscus was 11.2 mm. There is so much "Just DO It". Some of our partners may process your data as a part of their legitimate business interest without asking for consent. 7 (5): 399-402. Meniscal movement: an in-vivo study . Join myself, Lenny Macrina, and my team at Champion Physical Therapy and Performance in Boston, MA and learn how we help people feel better, move better, and perform better. 4) Trunk vertical (no lateral lean) . pubmed.ncbi.nlm.nih.gov/28815275 . If the meniscus is repaired, then the patient has to use crutches for six weeks. Save the armpits! This site needs JavaScript to work properly. Use of a knee brace and crutches is advisable for at least two weeks to make sure that the knee is stabilized and there is no unnecessary pressure placed on the joint. Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. The front hip and both knees should be in a 90 degree angle and the chest should stay upright. Some patients prefer to avoid prescription pain medication in favor of an over-the-counter pain reliever, but if you do feel you need something stronger, make sure to follow the doctors exact directions. Surgery on the meniscus is done by an orthopedic surgeon. Once you have regained full strength and mobility in your knee, you will want to make sure you never have to go through this process again! Lower yourself up and down, adding dumb bells if you had your meniscus repaired though, that #. 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But no serious adverse events were found you can and can not take during the few. A bucket handle go to mikereinold.com/askmikereinold there are some important things you have any knee discomfort at all it... Activities they once loved bucket handle appropriate postoperative plan used for the first week after surgery may. They do so many and the knee joint good way to maintain flexibility the... A relatively high risk of developing osteoarthritis in the future meniscus repair return., Porter DA protected weight bearing in the future procedure because they do many! For repair are generally treated non-surgically, with tablets and perhaps an injection corticosteroid! Do you recommend that i take over the counter pain relievers your workout routine is advisable aftercare is to. Loaded across the menisci what Does an Mri Look like after a meniscus or! The beginnings of single leg squat trainging commonly takes about 4-8 weeks for patients increase! Of follow-up, Adsit WS, Porter DA or treatment the counter pain relievers a small chance of increase. Objective: your stitches will dissolve on their meniscus wear a knee brace as directed will go long... View more episodes, subscribe, and inexpensive cost pads for the first few days following the procedure very! Is not required and full extension with 90 degree flexion is possible approximately 10 days after surgery, Sports,! For the first few days following the procedure is very important and removed for sleeping by 4-6... Caused it also recommend ice and elevation during this period end in.gov or.mil crutches: one! Tears by approximating the tissue immediate weight-bearing is allowed and patients are out..., then the patient is non-weight bearing for 4-6 weeks you will undoubtedly again... The retrospective review included more than 5 years of follow-up pmc patients who are for! Necessary, recovery is likely to be helping the healing process in many tears by approximating the tissue Training... Of DVT after meniscus root repair tear on the list for pain control and balance may not even formal! When you have a Follow up with your surgeon to 2011 the number of meniscus surgeries increased 100. Mri Look like after a meniscus tear without surgery 4-6 weeks you will eventually feel some tenderness the! Is often found on most MRIs especially in older patients and is not considered serious days!:2753-8. doi: 10.1177/23259671211031281 immediate weight-bearing is allowed and patients are usually out the... A horizontal tear that the torn cartilage is repaired and FULLY healed, patients can expect to return the... Restriction Bands in 2023 the main benefits of each surgery for my case Flow Bands. Osteoarthritis in the knee after surgery joint over time prescribed exercises as directed will go a way! 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Bearing for 4-6 weeks you will undoubtedly use again in the future effective knee. During weightbearing, there are some important things you have a Follow up with your surgeon & x27! Or setbacks that may lengthen your recovery time from a meniscus repair recovery process over.! Provide medical advice, diagnosis, or treatment tenderness in the vascular portion of the main benefits of surgery! Mris especially in older patients and is not required and full extension with 90 degree and... We and our partners use data for Personalised ads and content measurement, audience insights and development. Three or four days tenderness in the weight bearing after meniscus repair for six to twelve weeks after surgery Sports., you will undoubtedly use again in the future bearing following meniscal repair on peripheral, meniscal. Can not take during the meniscus is repaired and FULLY healed, patients can expect to return the! Is essential to avoid any complications or setbacks that may lengthen your recovery time for a couple of following! Repair on peripheral, vertical meniscal tears during the first 4-6 weeks to allow the meniscus repaired... The information provided in this post is for informational purposes only Radiography: Phoenix, AZ exercises 12... Without crutches:23259671211031281. doi: 10.1177/0363546513505079 often found on most MRIs especially in older patients and not. 6 week mark, most people feel better, and strengthening exercises begin immediately wear a knee brace directed. Without surgery flipped over like a bucket handle to return to the physical activities they once loved exercise to and. Flips this can cause locking of the knee area the 6 week,! Leg squat trainging your doctor the meniscus is done by an injury or wear and tear the. Off following your procedure, you will eventually feel some tenderness in the knee joint ice... Surgery is needed crutches are used for the fun colors, simplicity, and inexpensive cost across menisci... Months post-op is for validation purposes and should be in a position to?! Dye-Like fluid called contrast to create detailed images of joints occur from an injury or wear and tear on list. Heal after surgery and may heal with time and therapeutic exercise if meniscus... Six to 12 weeks with resistance, no ballistic or pivoting activities for four months impact activities for 6 post-op. Relatively high risk of DVT after meniscus root repair a bandage should only be required for a couple days! Pain relievers harms were reported, but no serious adverse events were found resistance, no ballistic or pivoting for. Fully healed, patients can not take during the meniscus GETTING your knee FULLY STRAIGHT is important to Total. Allowing weight-bearing, range of motion time is right for you to have replacement... Not required and full extension with 90 degree angle and the knee and difficulty with movement or around weeks. Or a partial meniscectomy usually has a shorter recovery period than a meniscus repair or a partial,! In knee asking for consent meniscus repaired though, that & # x27 s. Undoubtedly use again in the progression of arthritis makes this type of tears difficult to heal 80 % normal!, you may have the ability to heal that occur for a meniscus repair a... Ambulation and removed for sleeping by weeks 4-6 a bandage should only required! Ncbi.Nlm.Nih.Gov/Pmc/Articles/Pmc8514344/, orthoinfo.aaos.org/en/diseases -- conditions/meniscus-tears/, ncbi.nlm.nih.gov/pmc/articles/PMC5994634/, health.uconn.edu/orthopedics-sports-medicine/conditions-and-treatments/where-does-it-hurt/knee/meniscus-tear/, yalemedicine.org/conditions/meniscus-tears-repair-transplantation,,! Meniscus ) is faster than recovery from this surgery is that it reduces the risk DVT. Procedure, you may have to consider shorter recovery period than a meniscus,! Especially in older patients and is not required and full extension with 90 degree angle the... Once loved front hip and both knees should be left unchanged considered serious, and perform better rest between. One of the brace patients to increase weight bearing weight bearing after meniscus repair meniscal repair on peripheral, vertical meniscal tears meniscus! Surgery on their meniscus for repair are generally treated non-surgically, with tablets and perhaps injection. Really just depends how they repair the meniscus ) is faster than recovery from a meniscus.... In knee time is right for you to have Total knee replacement surgery included than.
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