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His surgery and recovery has been perfect! Meniscus root repair rehab will usually start 1-2 days after surgery. I walked around the gym with the crutches, and without the crutches. <> It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. Ive dealt with other knee doctors in prior injuries, but Dr. Burham and his team clearly stood out. Dr. Burnham was very helpful for my injury! Oct 24, 2020. I would have relied strictly on physical therapy. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Posterior horn medial meniscus root tears have been particularly noted to be a problem with a large number of patients developing arthritis rather quickly. 2601 E. Yandell Drive, Suite 232 Later that summer, the left knee began to bother meagain. There was absolutely no knee pain. Are you an athlete who participates in sports that involve running and jumping? Two important criteria exist to begin driving after meniscus surgery. 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. The blood supply to the meniscus in an adolescent or adult is very poor. If I could give more than 5 stars, I would. endobj And I feel my rode to recovery will be wonderful. If one has fairly normal cartilage of that side, the success rate is going to be better than those patients that have mild to moderate chondromalacia (arthritis) of the same compartment as the root repair. When I returned home around 1pm that day, I sat in my living room for a bit, emailing and texting people to let them know I was alive and well. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. Highly recommended! They explain things very well. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. Repetitive motions, overuse, and muscular imbalances ar twitter.com/i/web/status/1, Digging Deeper into the Data: Is Suture Bridge Repair + #PRP really the best technique for #rotatorcuffrepair? twitter.com/i/web/status/1, Wild Life of the Last #BlackJockey to Rule the #KentuckyDerby Do minor meniscus tears require surgery or can it repair itself? We are so grateful for you both! He provided a thorough explanation without wasting time. How long did you have to avoid driving after meniscus surgery? Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. 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. This is because the signs of arthritis are usually pain and swelling with activities. Yet, if you feel discomfort, you can take over-the-counter pain medication. Partial weightbearing status (<50%), unless otherwise ordered by MD. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. Tuesday: 8:00 am 5:00 pm If one does a meniscus root repair in that extruded position, the chance of a meniscus root repair working over the long term is very minimal. We will determine during your consultation whether general or regional anesthesia would be appropriate - either way, no pain will be experienced during the procedure itself. 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. They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. That night, I drove myself to the gym. They might have a follow up visit or two but its really physical therapy that suppose take over at that point in physical therapy just has you for two to three months and once theyre done with you same thing once youre back to walking and bending your knee all the way and straightening out your knee all the way. Both my children have seen Dr. Burnham with great results. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. Very professional! This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. A meniscus root tear occurs when one or both of these roots tear away from the bone. 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. The most important difference is that rehabilitation following a meniscal repair requires limiting early postoperative weight bearing and knee flexion beyond 90 degrees to . Recommend highly. For more information on meniscus root tears of the knee and meniscus root repair surgery, please contact the office of Benedict Nwachukwu, MD, orthopedic knee specialist serving Manhattan, New York City and the surrounding New York boroughs. He spent a great amount of time explaining everything to me in a way that I understood everything. I was adding 10 pounds a week for deadlifts but have now switched to pause deadlifts on Tuesday and add only 5 pounds a week to the heavy deadlift. Meniscal Ramp Lesions. United States. The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. Therefore, we strongly advocate using a button to fix the meniscus sutures or tape on the tibia to minimize the chance of loosening over time. In January of this year, I finally decided to go back to my doctor to get that MRI. Thank you. 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. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. Dr. Burnham was very thorough and took the time to explain what he thought my root problem may be, why, and how he suggested we proceed with my care. In some severe cases, they cant fully extend their knee out or bend their knee all the way. It helps to be strong, my PT remarked. So if youre sitting at home right now, and you just had your meniscus surgery a month or two ago, and youre thinking, gosh, why arent I much better already. One of the most common is in patients who may have some underlying arthritis and the arthritis is causing the pain or the arthritis has progressed further after the meniscus root repair. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. 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. The left knee was feeling great up until about a year and a half ago, when I started noticing some pain. At the beginning of April, I was dancing at a friends wedding when I suddenly heard and felt a loud pop in my left knee. This is one of the first video demonstrations of this. And this channel is dedicated to helping people stay healthy, active and mobile. HSS Sports Medicine Institute West Side Highlights from the StartingStrength Community. 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. These are totally different. This allows the meniscus to heal back to the bone. Drivers: The meniscus repair surgery to prevent osteoarthritis is expected to drive market development. What do you suggest if my MRI says that I have a horizontal tear in the body of the lateral meniscus is shown do I need surgery? I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Darin helped me understand that it was going to be a very slow recovery due to the nature of the surgery, and to be patient. Other non-medical modalities may help, such as using ice and elevating the leg. Many patients who do have a meniscus root tear note that they feel a pop in the back of the knee when they are doing squatting activities, such as cleaning floors, gardening, placing down carpet or plumbing. Phase I of Rehab: Surgery until 8 weeks. Progression of range of motion is more limited than for a standard meniscus root repair, usually limiting patients to 0-60 or 0-90 degrees range of motion for the first 4 weeks and then slowly increasing range of motion as tolerated. % Two weeks today I had meniscus root repair. To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. You'll begin a graduated rehabilitation protocol. Each patient was randomly selected to have knee meniscus surgery followed by rehab or to simply attend physical therapy without having surgery. I was worried for my future with my legs letting me walk but she put me at ease letting me know she will do everything in her power to fix me or send me to whatever specialist I need to see to make sure I have a good chance walking in my future, and they all truly fantastic doctors. I have been walking and training normally for the past four and a half months. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. 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. I can run, bike, & climb mountains. The why answer is that the meniscus root is an important stabilizer to the meniscus to ensure that it can function as effectively as possible as a shock absorber. 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. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. We have published and validated our results in the peer-reviewed literature, which was at the time the largest series of meniscus root repairs reported. Meniscal Repair. This results in premature arthritis and cartilage damage in the knee. The posterior roots are the most important as this is where a root tear occurs most commonly. I got a lift home, and returned to the gym later that evening for more coaching. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. Then, in January of 2018, while warming up in class one morning, a sharp, nauseating pain shot through my left knee, which made me start limping. Meniscus repair recovery While everyone's recovery is different, here's what you can typically expect with a repair surgery: You may be on crutches for four to six weeks. . In addition, because of studies from our biomechanical studies showing significant stress on the meniscus with deep flexion, as well as the fact that many meniscus root tears occur with deep flexion, we have patients avoid squatting, squatting and lifting and sitting cross-legged (which puts extra stress on a root repair) for a minimum of 4 months postoperatively to maximize the healing potential. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. What could you eat or do for a meniscus tear to heal faster after surgery? Each week my leg brace is put to a different degree so I learn to bend my knee again. If scar tissue is present, Dr. Nwachukwu will clean up the area so the knee is allowed to move through its entire range of motion. Two weeks. 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. Repair of the meniscal root significantly increased functional outcomes scores in 14 of 14 studies and the rate of conversion to TKA was considerably less than those observed following conservative treatment or partial meniscectomy. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 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. The exception is a patient that has contra-indications to surgery or already has too much cartilage wear and tear for the root repair to be beneficial. More diffuse pain over the inside of the knee which becomes progressive over time can be particular ominous because this may mean that the cartilage is wearing out fast or that one has an insufficiency fracture or spontaneous osteonecrosis of the knee, occurring due to the fact that the meniscus is such an important shock absorber. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. And Im a specialist physical therapist El Paso manual physical therapy. 5 stars! As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. Many meniscus tears can be treated successfully without surgery. But now I know more about the body, about rehab, and about what being stronger really means. Very thorough, knowledgeable and courteous. Does a extruded medial meniscus towards the posterior root need surgery?