5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. Therefore, our surgical technique, using specific guides to avoid the eminences to ensure that one can place the guide exactly where one wants to have a cannula come out in the joint, using cannulas to allow for placement of passing sutures quickly and efficiently, having 2 separate cannulas with 2 separate tunnels for the meniscus repair, releasing the meniscus thoroughly to pull it back in the joint so it functions most effectively, and then having self-capture suture devices, which can place suture or tape into the meniscus substance, shuttle them down the tibia, and then tie them over a metal button on the tibia. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. I could no longer deadlift from the floor, and was having trouble squatting below parallel. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. And if youve never worked out your glutes if you went through physical therapy never really targeted your glutes ever you better start quick because chances are youve got a muscle imbalance thats caused extra pressures inside your knee thats led to that meniscus tear to begin with thats been the root problem and glute strength is what offsets that forces inside the knee so that your meniscus can heal all the way. Dr Jeremy Burnham has a great way of interacting with his patients. To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. These UltraTape or sutures can then ultimately be shuttled down the cannulas and then tied over a metal button on the front part of the tibia. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. If you break down what most healthcare provision professionals tell their patients, it could be an orthopedic surgeon, or even a physical therapist, its telling somebody whos just had a meniscus surgery, theyll say, well, 80% of healing is done in the first two to three months. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. Just its a big deal to take your time and let that cartilage heal at the rate that it heals you generally can go faster than what it heals, And the question that i get often is do i take any supplements glucosamine chondroitin those types of supplements and you know the answer to that is its not going to hurt we the research is kind of mixed on it sometimes it helps sometimes it doesnt help what we know is that it generally doesnt hurt it doesnt make it worse so youre not going to youre not going to make things worse if you decide to take those supplements are generally safe to take but some people report no difference. And they can get back to normal in about two or three months after having the surgery. Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. But theres still healing to be done and that 20% is really critical. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. I decided right then and there I would not get the MRI. A meniscal repair is a keyhole surgery technique for repairing a ripped meniscus.. I also found that there were patients being referred to me who had meniscus root repairs that were done well, but the meniscus was not pulled back in the joint and these patients continued to have pain. And this channel is dedicated to helping people stay healthy, active and mobile. Therefore, one should attempt a meniscus root repair whenever possible in most patients up to age 70. His extensive schooling, research, and commitment to his craft shined through at every turn as he evaluated my injury, presented all my options (clearly explaining non-surgical options and expected outcomes), and helped me plan my course of treatment and recovery. Patients often report hearing a pop at the time of injury. Posterior horn medial meniscus root tears have been particularly noted to be a problem with a large number of patients developing arthritis rather quickly. In addition, there is no low age for meniscus repairs, with some root repairs being done in patients as young as 6 or 7 years old. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. The following Tuesday, I saw my doctor. The protocol is divided into phases. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. What made my recovery so fast? You should also be able use your leg for driving after one to two weeks, as long as you're not taking opiate pain medication. I would recommend his service to any recreational athlete. If you're an athlete needing a doctor that understands; this is the guy. This technically challenging procedure should only be done by an orthopedic knee expert like Dr. Nwachukwu who has had extensive experience in performing the meniscal root tear repair correctly. For these, please consult a doctor (virtually or in person). It has now been demonstrated that the results of meniscectomies are almost the same as not treating the meniscus root tear at all with a large number of patients within 5 years proceeding to needing a total knee arthroplasty. Sit at home on the couch and watch T.V.? Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. endobj There goes my knee again.. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. Also, I had to make numerous visits to the Ochsner Clinic due to my injury and Dr. Burnham's team and the staff at Ochsner were always very professional and courteous. Robert LaPrade, MD, PhD I did a few jungle gym rows, and finished with planks. Figure 5:: Cortical fixation of transtibial meniscal root repair. Sometimes the meniscus damage occurs more gradually as part of degeneration. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. Lateral meniscus root tears can lead to arthritis, but they also result in the ACL being a little looser and the clunk that comes with an ACL tear (pivot shift) being more unstable. questions after your surgery, during business hours call 763-302-2231. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. If it is your right knee, it will be at least a week before you can drive, as it would be risky to have to hit the break too soon after surgery, and you would be a risk to yourself and everyone else on the road. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. I have now biked five to six days each week since my surgery. Conservative treatment methods are typically reserved for patients who would not recover well with surgery (i.e. The second step is to prepare a bony bed where the meniscus repair will be performed. Of patients treated with medial meniscal posterior root repair, 62.43% demonstrated complete healing on follow-up magnetic resonance imaging (MRI) or second-look arthroscopy. There was absolutely no knee pain. A torn meniscus can result in either sudden or gradual onset of pain. Wednesday: 8:00 am 5:00 pm Two days after my surgery, Diego took me to my first PT session. This can occur with turning, twisting, or pivoting activities or sports. And Im a specialist physical therapist El Paso manual physical therapy. But you need to still continue doing a few things to make sure that you get that remaining 20% healed so that you can truly get back to normal so let me give you some practical advice here three things that i want you to take away from this video number one set your expectations. Meniscus root repair is a surgery performed to repair a torn meniscus root. I could not bear weight on my right side though I tried repeatedly, but finally I went and got an MRI and one of the orthopedic surgeons that I worked with was shocked when he saw the MRI result. Yet, if you feel discomfort, you can take over-the-counter pain medication. I am currently on crutches for 6-8 weeks with no pressure on my leg at all. I was very pleased seeing Dr. Burnham, however I was not pleased to learn I was expected to pay an additional co- pay within the same week to receive the results of my MRI. That means that the remaining meniscus is smaller, but still taking the same pressure. In this technique, sutures are placed into the torn meniscus root and then shuttled down tunnels in the tibia to tie the repair into place. I limped from the wedding venue to the car, and then from the car to my house. I walked around the gym with the crutches, and without the crutches. In terms of how, the transtibial technique has been felt to be the most effective way to pull the meniscus root back to its normal attachment site. And if youve already had your meniscus surgery, then you know what to do so that youre not getting more swelling, pain and not losing motion than that knee and youre staying out of the surgeons office, so you dont have to go back again for another knee surgery. I am a coach, and I have two boys playing sports, the best thing I can say is that my sons will go see Dr. Burnham in the event they are injured, and I will always recommend him to my athletes. Two weeks today I had meniscus root repair. A meniscus root tear occurs when one or both of these roots tear away from the bone. But if we are stronger, we are harder to break, and we most certainly recover faster and better. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . This was devastating news after being a top triathlete (3rd in the world in my age group in 1989 & 1st nationally in my age group) and a big marathon runner. 1 doctor answer 2 doctors weighed in Dr. Jeffrey Sider answered Sports Medicine 41 years experience Depends: If surgery is on the left leg i let some patients drive the next day if they feel ok. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients It was tough, and it hurt like hell, but I took it slowly. #JimmyWinkfield is 1 of 5 men to win the prestigious twitter.com/i/web/status/1, What are #loosebodies in the #hip? And if we know anything about cartilage, if you want to look this up, it takes about six up to 12 months to fully heal depending on the severity of that injury on the meniscus on that cartilage. Dr. Burnham took time to explain the surgery & what to expect during recovery, answering all my questions (& there were many). I decided to continue with my usual four day split with two upper body days and two lower body days, although I did also incorporate a few extra upper body exercises as my lower body work was not that intense. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. I would highly recommend him. Meniscal root repair whether isolated or in combination with valgus HTO or ACL reconstruction, when indicated, was able to improve the clinical, functional and subjective results of the patients presented in this case series. I hope that you found hope now that if you got if you had a meniscus surgery in the past and youre dealing with these problems of swelling the pain the loss of motion please start doing this this taking this advice that i gave you start doing the exercises and get better it is possible to get that swelling down and to get your motion back and to recover and be normal. Did you have any meniscus surgery in the past and youre still dealing with pain, swelling and possibly even losing motion in your knee? repair to heal. The back attachment of the medial meniscus, called a posterior horn attachment, is the most common location for meniscus root tears to occur. He answered all my questions satisfactorily and his entire staff were polite and professional. Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. This happens way more often than I like to admit. Controlling inflammation and swelling is still a key in this Phase, as increased motion without proper use of cooling therapy may put your meniscus at risk for re-injury. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. Most of these types of injuries, that are symptomatic, require surgery. His surgery and recovery has been perfect! The study included 351 patients with knee OA and meniscus tear. In some severe cases, they cant fully extend their knee out or bend their knee all the way. I'm taking pain meds regularly to try and ease pain. My wait time for office visits has always been less than 10 minutes. There are many factors that go into this, including a patients weight, with overweight patients putting more stress on the meniscus root tear, ones alignment, where one being bowlegged with a medial meniscus root repair putting extra stress on the repair, and also the amount of underlying arthritis present prior to the root repair. When I said I was not on any medication, he said when I could bend my leg 90 degrees. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. So that means youre good to go after two to three months. Patients are allowed to initiate weightbearing at 6 weeks, but should avoid any significant squatting, squatting and lifting, or sitting cross-legged for a minimum of 5-6 months. (Please keep reading below for more information on this treatment.). 515 Ray C. Hunt Drive, Suite 1100, Charlottesville, VA 22903 Phone: 434-243-7778 Fax: 434-243-5075 Meniscal Root Repair Post-operative Rehabilitation Protocol. Non-anatomic root repairs do not restore normal joint biomechanics . He is amazing and a blessing to have in the medical industry. Many tears have better outcomes if they are treated early. The knee will be swollen for 2-3 months. A meniscus root tear can occur due to a traumatic event or degeneration. Begin passive range of motion exercises Start physical therapy or home exercise program 1-3 days after surgery Work on quad recruitment Brace/Crutch Use 25% weight bearing with crutches, brace 0-90 when ambulating and sleeping, can remove . First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. Swelling and stiffness. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). Contact Dr. Nwachukwus team today! The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. In addition, the design of the meniscus is such that the full pressure of weight bearing activities is transmitted through the root of the meniscus, meaning that it is constantly pulling and stretching the tear with every step. He listens and address every concern with appropriate solutions. But youve got to figure out a way to get your butt muscles stronger if youre looking for a more comprehensive plan for making your knee better and getting your glutes stronger we also have a program called the, https://www.epmanualphysicaltherapy.com/wp-content/uploads/2020/01/Logo-copy-1030x429.jpg, Shoulder Impingement: Everything You Need To Know To Get Healthy Again, Top 5 Shoulder Impingement Exercises To Help Get Healthy Again, Top 6 At Home Treatments To Begin To Naturally Heal Cervical Radiculopathy, Click Here To Schedule A Phone Call With An Expert, Click Here To Ask About Cost & Availability, Copyright 2022 - El Paso Manual Physical Therapy, How To Tell If Youve Got A Rotator Cuff Tear, Request A Virtual Visit With One Of Our Expert PTs, 28 day knee health and wellness boost program, 28-Day Knee Health & Wellness Boost Program, 28 Day Back Health & Wellness Boost Program. Meniscus root tears are a particularly troublesome type of meniscus tear, because a failure to treat them can often result in the rapid development of osteoarthritis. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. Few tears will become. They are also important to the stability and function of the knee, keeping the meniscus in place. If I could give more than 5 stars, I would. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 I wasnt taking any pain medication either, so I was alert. <> Meniscus root tears are now being recognised as a significant cause of pain, disability, and rapid joint deterioration. 4010 W. 65th St. An ACL tear commonly has a pop on the outside of the knee, whereas a patient who has meniscus root tear commonly feels a pop in the back of the knee. 28323545 Additionally, preparing 2 transtibial tunnels to secure the meniscal root to its attachment site further increases the In our hands, because we have performed many second look arthroscopies, we have found that the 2-tunnel technique allows for a broader surface area of the meniscus against the decorticated bone and seems to allow for a more solid and secure repair. On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. The posterior roots are the most important as this is where a root tear occurs most commonly. There can be many factors which can potentially cause pain after a meniscus root repair. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. The therapists were a little surprised to see me so soon after my surgery, but I really wanted to know how much range of motion I had post-surgery. The length of time until patients are able to return to driving varies . The incisions leave scars that usually fade in time. . xYIoH8(Jr@fI)/_U}|xW&JDIraqm If the patient has or has developed significant arthritis, which is usually designated at Kellgren-Lawrence grades 3 or 4, it is felt that a revision root repair may not be indicated. And Im a specialist physical therapist El Paso manual physical therapy. He has repaired both of my shoulders and he is awesome to the max. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. Usually, pain is minimal after this type of surgery. Knee popping after meniscus surgery can occur due to fluid accumulation, scar tissue, swelling and stretching of the tendon and ligaments, weakened leg muscles, changes in patellar tracking, underlying knee arthritis, unstable meniscus, and inflamed plica. If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. Thus, when one does sustain a lateral meniscus root tear with an ACL tear, consideration should be given to having a concurrent lateral meniscus root repair so the ACL graft does not stretch out. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. I am now adding 10 pounds a week to the bar for squats. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. We recognized that meniscus root tears were a problem over 10 years ago and set out to perform a comprehensive research program to help us figure out how to diagnose the problem, where to place the meniscus repair, and how best to fix the meniscus tear to allow for maximal healing capability. This is because a lack of meniscus attachment at the root causes extra stress to be placed on an ACL graft and it can also result in the patient having more instability, both with anterior tibial translation, and with twisting and turning activities during the pivot shift, when there is a concurrent lateral meniscus root tear. Steadman Clinic, 181 W Meadow Drive, Suite 400, Vail, CO 81657, USA (email: drlaprade . Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. I started Brazilian Jiu-Jitsu about four years ago. Video chat with a U.S. board-certified doctor 24/7 in a minute. I would like to thank Dr. Jeremy Burnham for his wonderful work and surgery on my left shoulder. I recommend him, as well as his staff, to anyone requiring such services. We currently use UltraTape to do this. I highly recommend him. The most common root repair technique is called a transtibial technique. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. Prior to Starting Strength, I would have simply gone to physical therapy, done my exercises like the therapist told me to do, and that would have been it. Definitely recommend. I felt very informed and well cared for. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Medial Patellofemoral Ligament (MPFL) Reconstruction . Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. Had a meniscus root repair yesterday and the surgery was successful. I hung on to this MRI referral for a good month or so, because the knee was starting to feel better, and I was still able to train and attend my BJJ classes. <>>> So the focus of physical therapy after a knee meniscus surgery is getting your motion all the way back and then getting strong enough to stand and do some walking. Really a national leader in sports medicine! (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus.

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