Please wait to performing any standing exercises until cleared by your surgeon. But what about the exact mechanisms that many are still fearful of allowing early in the process, like early walking and range of motion? If the eccentric step down is our favorite exercise then this is a close second one. There are specific and time-sensitive benchmarks to reach to successfully rehabilitate after a Full Meniscus Repair. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Depending on the extent of your meniscus tear, your surgeon may recommend removing or repairing part of the meniscus via a knee arthroscopy. Common Items Needed After Meniscus Surgery Ice machine This one of thest top items on the list for pain control and swelling. How long is non weight bearing after meniscus repair? You can see out complete review of Eccentric Step Downs here and why we love it. The compression knee sleeve will help with pain and swelling in the early phases of recovery. Data sources: Phase Three: Six to twelve weeks after surgery. One source even quotes the incidence as high as 1 in 300 people with have surgery on their meniscus. The surgeon may even score or rough up the underlying tissue to help with better healing and blood flow to the area. Disclaimer: The information provided in this post is for educational purposes only. More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results. 2. So, if immobilized in extension, why do we limit weightbearing? 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. A patient undergoing a repair as opposed to a complete replacement of the meniscus can expect to resume light activities within a few weeks. The Injury: What came first, the Brazilian Jiu Jitsu or my awesome dancing at a wedding? Damaged knee cartilage, left untreated, can progress into severe arthritis and become increasingly debilitating. The two main types of surgeries that occur for a meniscus tear are a Meniscus Repair or a Partial Meniscectomy. Understand the clinical outcomes, statistics, and success rates. Created for people with ongoing healthcare needs but benefits everyone . I help people feel better, move better, and perform better. Recovering from knee surgery requires the patient to take care of themself and be very self-aware of how they feel. This is completely normal, and the doctor may prescribe some mild pain medication for you to take when you get home. Activate the quadriceps muscles. Effect of Meniscal Treatment on Functional Outcomes 6 Months After Anterior Cruciate Ligament Reconstruction. These tensile forces create 'hoop stresses', which expand the menisci in extension. I had a feeling I'd gotten a repair done instead of a removal, and was quickly told that was the case. Our detailed examination process, all our treatment progressions, and detailed information on nonoperative and postoperative treatment of ACL, patellofemoral, meniscus, articular cartilage, osteoarthritis injuries, and so much more. So, the best answer will be, it's completely dependent on their body muscles and their daily routine . What Does An Mri Look Like After A Meniscus Root Repair. A torn meniscus results from damage or degeneration to the menisci in your knees. Knee Surg Sports Traumatol Arthrosc. Do not try to do too much too soon. Arthroscopy. 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 non-weight-bearing protocol, according to results presented here. 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. Patients are usually out of the brace and walking without crutches . 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. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside meniscal repairs. The primary types of meniscus tears are: This type of tear generally associated with wear and tear. Should we Still be Using Rehabilitation Protocols? REHABILITATION AFTER KNEE MENISCUS REPAIR . Vedi V, Williams A, et al. One of the most popular types of tears. As you return to running start slow and progress 10-15% each week to avoid injury, Dont start running or jumping until you can hold a single leg squat for 30 seconds, Warm up properly before returning to any sporting activity, Continue to strengthen the leg, it is one the thing that has been shown to decrease injury risk. What will happen if I try and wait for a the tear to heal on its own? Early Weightbearing After Meniscus Repair, 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. See video: Eccentric step down. Orthopedic Reconstructive Surgery 19 years experience. Start by standing with your knee bent, tighten your quad and straighten your knee all the way back. 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. Bone fracture (Patella, Femur . The following are the necessary cues for appropriate form: 1) Lower extremity alignment. 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. 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. - If meniscus repair is necessary, recovery is likely to be longer and more involved. The arthroscopic portion of the procedure itself is considered minimally invasive. This debridement allows the joint to move freely. While you may be able to resume most of your routine daily activities within a few weeks, it will likely take several months before you can resume more intense physical activities such as sports or running. 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. Last medically reviewed on December 21, 2021. 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. Tompkins M, et al. 9. This is a great exercise to do early in rehab tp the strengthen the hip. The extra support and warmth will also help speed up the healing process. (2017). Are any of them still recommending rehab guidelines based on outdated research? For an isolated meniscal repair, I prefer the knee continue to be immobilized in full extension for 4-6 weeks but allowed full weightbearing immediately (if a longitudinal repair). Meniscus injuries within the knee are a common occurrence. This exercise is a standard across all knee surgeries and should be done as frequently as possible. The knees experience a great deal of pressure and are particularly prone to damage. 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. If conservative treatments fail, or if the tear is particularly severe, your doctor may recommend surgery as the best option for returning to your full activity level. Perkins C, et al. How long after meniscus surgery can I walk? One involves repairing the meniscus, or sewing it back together. Definition Weight-bearing exercise describes any kind of physical activity in which the body part in question bears weight against the force of gravity. 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. Timeline In general 6-12 weeks and you will be back to normal. This is huge and may aid in the healing process! Some of the top orthopedic surgeons in the world that I have worked with currently handle a meniscal repair the same as an ACL reconstruction with a meniscal repair . Disclaimer: This post is for informational purposes only. The patient is non-weight bearing for 4-6 weeks to allow the meniscus to heal. I don't remember how or when I tore my meniscus. Manage Settings Should I have meniscus surgery at my age? This is why some researchers believe that repair surgeries may be a better long-term option than non-surgical procedures. In terms of location for meniscus tears, 25% tear in the outer layer. Am J Sports Med. Your doctor may also recommend making a corticosteroid injection to the joint. This site needs JavaScript to work properly. Shoot for at least 30 reps. See video: Reverse Lunge. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. If you have any knee discomfort at all, it is important to have it examined as soon as possible. A wide visual field for posterior root repair can be provided by complete superficial MCL release for OWHTO. Since you have done the reverse lunges in phase 2, now its time for forward lunges. (n.d.). One tip is to avoid pushing off with the nonsurgical leg to vault yourself up. -, Chiang CW, Chang CH, Cheng CY, et al. Current Standards of Early Rehabilitation after Anterior Cruciate Ligament Reconstruction in German Speaking Countries-Differentiation Based on Tendon Graft and Concomitant Injuries. A repair of the cartilage between the knee bones is a relatively routine procedure to fix a very common injury. The same exercise as in phase 2 but now you get to add weight! The front hip and both knees should be in a 90 degree angle and the chest should stay upright. Rather than heal, the meniscus tear is scarred down and absorbed to a degree that it no longer causes pain. Advertisement. How long will I need to take off work? Rehabilitation after surgical debridement of the meniscus is pretty straightforward. What do the surgeons that you work with recommend? Thompson 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. 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