Very reassuring, showed me X-rays and explained the healing process very clearly. 181 West Meadow Drive Suite 400 Vail, CO 81657. Do minor meniscus tears require surgery or can it repair itself? To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. 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. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. Being aware of the location of the meniscal attachments at the time of ACL and PCL surgeries is essential to minimize the chance of an iatrogenic root tear. For this reason, much research has gone in to meniscus root repairs over the last several years. I continued to lower the box for squats, and started to add weight. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. When I woke up I was in significant pain but the nurses had it under control by the time I left. If you had a knee surgery if youve been seen physical therapy or any other health care professionals and theyre telling you youll be fine in three months back to normal youll be dancing youll be exercising youll be playing with the grandkids again just smile and remember this video. Dr. Benedict Nwachukwu, orthopedic knee surgeon has extensive experience in treating meniscus root tears and can help patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs. I consulted with SSC and DPT Darin Deaton prior to my surgery and then afterwards, when I discovered it had been a meniscus root repair. Surgical repair can successfully allow the meniscus to heal. Dr. Burnham took his time and answered all my questions with explanations. Strength is one of the most important aspects of our lives. I have successfully repaired meniscus root tears in patients that were 70 and 71 years old respectively and they are some of my happiest patients. I'm taking pain meds regularly to try and ease pain. What to do if I have a radial meniscus tear, what's the chance of it fully healing with surgery? Thank you. while avoiding unnecessary surgery, injections, and medications. After about five minutes, the wheels were spinning. But theres still healing to be done and that 20% is really critical. 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. 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. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. My repair will be later this week on my right leg. But if we are stronger, we are harder to break, and we most certainly recover faster and better. I got a lift home, and returned to the gym later that evening for more coaching. 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. I felt very informed and well cared for. I am so glad I did! My daughter recovered fully from a total knee reconstruction and now she able to return to sports. They can occur in younger patients as a result of high energy trauma, but are more common in patients between 45 and 60 as a result of degeneration of the meniscus with age. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. It was glorious. The study included 351 patients with knee OA and meniscus tear. 4. Meniscus Repair. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. A torn meniscus can result in either sudden or gradual onset of pain. I plan to squat 135 pounds for three sets of five on this day and am scheduled to deadlift 200 pounds on August 23. My wait time for office visits has always been less than 10 minutes. The second tip i need you to take home today is you need to listen to your knee because after youre on your own and youre youre supposed to be 80% better theres things that youll be able to do and go ahead and do those as long as they dont hurt or bother you or cause some effects later on that day or the next day then theyre generally going to be okay things for you to do you can probably do some walking but walking you know a few miles maybe not very comfortable for you that may set off the swelling that may hurt you more. Meniscal Repair. Sometimes the meniscus damage occurs more gradually as part of degeneration. 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. It is our goal to provide the highest level of care and service to our patients. After creating two transtibial tunnels, passing sutures through the detached root of the meniscus and down the tibial tunnels, the sutures are tensioned to reduce the root of the meniscus to anatomic position. Weight bearing as tolerated after 6 weeks. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Meniscal repair may be performed either by open surgery under direct vision or minimally invasively using an arthroscope that can be inserted into the knee through a very small key-hole incision to locate and repair the damaged meniscus. Dr. Burnham was very personable and explained my situation in great detail. 5 stars! Thanks to his staff for being so helpful. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. Never disregard or delay professional medical advice in person because of anything on HealthTap. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. Driving after meniscus surgery How soon can you drive after Arthroscopic Knee Surgery? Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. I would recommend his service to any recreational athlete. The RICE (rest, ice, compression, elevation) principle can be useful in the first several days after a meniscus tear to help reduce inflammation, swelling, and pain. This technique allows for the meniscus to be pulled down into a broad surface area, maximizing its chance for biologic healing. I have been very pleased with him at each visit..It's been almost 2 years since my meniscus root tear surgery and I have to say my knee feels great. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you b. BJJ was also becoming more and more of an issue, and the warm-ups were now next to impossible. Your knee will be swollen. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). If not treated, part of the meniscus may come loose and slip into the joint. Please try again. The average pain levels after a meniscus root repair fit between a basic knee arthroscopy (minimal pain) and an ACL reconstruction (more severe pain). #12. The pain during my recovery has actually only been minimal, requiring no pain meds. Strength. A meniscus root tear occurs when one or both of these roots tear away from the bone. In some cases, its important that you take away from this video today that it takes six to 12 months to heal from a meniscus surgery. One patient was noted to have an insufficiency fracture and spontaneous osteonecrosis of the knee (SONK) as part of the root tear and came in in a wheelchair and she has had6 years of successful return to activities after her meniscus root repair, including hiking and cycling. Therefore, a lateral meniscus root repair can be an essential portion of a surgery to address the secondary restrains for a concurrent ACL reconstruction procedure. Takes his time with you and doesn't hurry to rush out of the room if you have questions. Rehabilitation begins within a week of surgery. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. The recovery time for meniscus surgery depends on the type of surgery you had. 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. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. I rate him 5stars. I wasnt taking any pain medication either, so I was alert. I was told by one of the orthopedic surgeons that I worked with that I would never run again and would be lucky if I could ever hike again. I definitely know that I would not have been able to do all that I can do now, if I had not gone into the surgery strong. Dr Burnham is so personable. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. If the patient is not comfortable walking without an aid, then they are usually provided with axillary crutches. EDINA- CROSSTOWN OFFICE I highly recommend him. Everyone I was in contact with, from support staff to Dr. Burnham, was kind, friendly, competent, and generous with time and information. These two steps are considered to be the two main preparation steps, where the release of adhesions to be able to allow the meniscus to be pulled back in the joint and also decortication of bone to prepare a bony bed to repair the meniscus back to the tibia. Browse archives. Realize that, as discussed above, the torn part of your meniscus was removed. From April 22 until May 1, my program changed again, slowly becoming more like my regular training. I kept training, modifying my squatting as needed until I could get back to proper depth. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. Therefore, we found that non-anatomic meniscus root tear repairs were not successful. A meniscus root tear usually will not heal on its own. After sutures are placed arthroscopically into the meniscal attachment, a small diameter tunnel, usually 5 millimeters in size, is reamed to the meniscal root attachment site, the sutures are pulled down the tunnel, and tied over a button on the anterior cortex of the tibia. My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. Therefore, we then looked at surgical techniques and due to the fact that we had multiple second look arthroscopies after bone grafting for ACL reconstructions with meniscus root tears, that the 1-tunnel technique had more of a spot welding healing of the meniscus to bone whereas the 2-tunnel meniscus root repair technique had a much better healing surface of the meniscus to bone. Created for people with ongoing healthcare needs but benefits everyone. A sports medicine specialist will examine your knee and any relevant imaging to determine which treatment you should start with first. I really like and appreciate the time and effort he commits to research. So go check out that video on how to exercise your glutes theres five exercises in there that you can start doing them i would do them every day i do them a couple times a day even more if you can i would do what you can tolerate without it being too much soreness and your glute muscles and they should all generally be okay on your knee theres some where you got to kneel you can adjust it you can not do that exercise if you want. Thank you, Dr. LaPrade, for treating me with the care, focus, and expertise as if I was an Olympic athlete!- From your 63 year old very appreciative patent ~. 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. This technique is fast and effective. 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. Meniscus root repair is a surgery performed to repair a torn meniscus root. When I went in arthroscopically and thoroughly released the meniscus, pulling it back into an anatomic position and revising the repair; all of these patients seemed to have much improved pain relief. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Their sense of compassion and understanding is more than we have ever experienced. This can occur with turning, twisting, or pivoting activities or sports. It is vital that meniscus repair patients do not squat for at least four months after the repair. Next, we performed biomechanical studies to show the effects of varying sizes of radial meniscus root tears, validating that a meniscus root tear within a centimeter of its attachment site functions as a meniscus root tear and can be treated the same. When a tear of the meniscal root, or even a tear near the root, occurs, the meniscus can no longer convert axial loading forces into hoop stresses. There are 2 main variants of the transtibial root repair technique. Normally, you should refrain from driving for at least 1 week after an arthroscopic knee operation, until the swelling reduces and the knee motion improves, but you should establish with your doctor when it is safe to start driving. Heres the third practical tip if youre if you dont know where to go Ive got some exercises that i put on videos here for free on YouTube its linked in the description below theres one video in particular that i want you to take a look at its called top five glute exercises for knee problems go check out that video start doing those exercises youve got to exercise the heck out of your glutes if you got a meniscus injury if youve had a meniscus surgery in the past you need to get your glutes worked out. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. We are so grateful and thankful. Ive already talked about this but I cant drive the point home enough if youve gone to the doctor. Highly recommended! Diego has an automatic and it was my left knee that was incapaciated, not my right, so the next day, I hobbled into his car and practiced driving around the block. Stated to me , in detail, what to expect and how long my recovery will take. I could no longer deadlift from the floor, and was having trouble squatting below parallel. Dr. Burnham was very thorough with his examination and diagnosis. Once my doctor started the procedure, it was obvious that this would not be a simple surgery. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. Really a national leader in sports medicine! In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. They walked me through the process from beginning to end. It can create another problem later on youve got to listen to your knee youve got to listen to your body and make sure that you only go with what you can tolerate without making it worse without swelling pain or definitely not losing motion and you might consider staying in physical therapy longer than they want you to or finding something to help you out.
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