Meniscus injuries within the knee are a common occurrence. Once the torn cartilage is repaired and fully healed, patients can expect to return to the physical activities they once loved. pubmed.ncbi.nlm.nih.gov/28815275 . 2005;21:167-175. 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. PMC Symptoms of a knee infection may include pain and excess swelling in the joint, and fever or chills. Again, these studies show meniscal repair outcomes are no different while using restricted weightbearing and range of motion versus an aggressive protocol of immediate weight-bearing and unlimited range of motion. With any weight? Staying off your feet during the first few days following the procedure is very important. Recovering from knee surgery requires the patient to take care of themself and be very self-aware of how they feel. For more informaton on what types of tears benefit from surgery see the vidoe here, photo credit from webmd, and https://lifesworkpt.com/2017/05/what-is-a-torn-meniscus-in-the-knee/. General Considerations Meniscus Repair Considerations: Flexion over 90 degrees loads the back of the meniscus, which is the area where tears occur during ACL injury events. With walking projected at about 10 days. Try to perform slow and controlled, the slower the better to get muscle growth. There is a growing body of evidence that physical therapy and conservative treatment may be as or more beneficial than surgery as soon as a year after the initial injury. Your incision will be very small but it is still advisable to follow proper wound care. 5 Common Mistakes Youre Making After an Ankle Sprain, 6 Great Ways to Reduce Low Back Pain with Driving, Return to Running After an Ankle Sprain: A Helpful Guide, 5 Reasons Why Running on a Treadmill is Better for Back Pain, Hip Replacement: What to Expect in Your First Week, Ankle Exercises for Runners: Strengthening, Stretching, and Loosening Up, How to Strengthen the Tibialis Posterior: A Helpful Guide, https://lifesworkpt.com/2017/05/what-is-a-torn-meniscus-in-the-knee/. Meniscus tears are a common injury in sports and with activity. 2001;19:384-390. Paper #365. This is not a substitute for a medical appointment. This is because for the first 4-6 weeks the patient is often in a non-weight bearing or partial weight-bearing restriction. This one of thest top items on the list for pain control and swelling. It really just depends how they repair the meniscus. 2022 Aug 5;23(1):753. doi: 10.1186/s12891-022-05662-6. Some say weight bearing as tolerated, others don't want any weight bearing for two weeks, if not more. I want to help you learn to do the same. CRTL sports stretching strap for the durability. After meniscus tear surgery, a knee brace can be worn to limit knee flexion and rotation, protecting the meniscus while allowing weight-bearing and movement [9]. This timeline can vary depending on the patients age, fitness level, and commitment to appropriate physiotherapy following the procedure. Timeline Recovery from this surgery is longer and slower. After the first week, you may then increase weight as tolerated and advance to one crutch for a few days and then a cane if needed. . Menisci are crescent-shaped pieces of fibrocartilage that are essential to the function and health of the knee joint. Use of Crutches Following Meniscal Repair-Crutches for partial weight bearing should be used by this stage and progression to full weight bearing should be achieved by the 10th week following meniscal repair knee surgery. Try to hold for at least 5 seconds per rep. See video here: Standing Terminal Knee Extensions, You likely wont be able to start right away on a single leg balance but is great to start working towards for a faster recovery. While most people with tennis elbow can recover without surgery, there are several surgical options for those that need it. BRACE: The brace should be worn at all [] A torn meniscus can cause pain, swelling . I help people feel better, move better, and perform better. . Weight-bearing is gradually progressed as shown in Table 30-1, and patients are encouraged to use a normal gait that avoids a locked knee and assumes normal flexion throughout the gait cycle. 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. No active/passive knee flexion past 90deg for 4 weeks. meniscus; rehabilitation; repair; weightbearing. At first, a torn meniscus may be asymptomatic. An official website of the United States government. At-home physical therapy exercises are typically recommended, and most patients are approved to resume their normal activities within 4-6 weeks. There is a lot of information out there regarding weight bearing status after meniscus repair. 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. It allows for bending and twisting. how long can you stay outside u.s. on opt. eCollection 2020 Sep. When a true meniscus repair is performed, your surgeon is likely to recommend a period of limited weight-bearing (using crutches or walker for walking) and limited motion. While meniscus surgery is considered routine, there are still several basic things that patients should do following their procedure to ensure a faster and optimal recovery. The front hip and both knees should be in a 90 degree angle and the chest should stay upright. You can learn more about how we ensure our content is accurate and current by reading our. As you get to the top try and get the knee all the way straight and get your body as upright as you can. Non-weight bearing x6weeks for root/complex/radial meniscal repairs It is technically . Heres an overview of the science behind the safety and efficacy of BFR. Shoot for at least 30 reps. See video: Reverse Lunge. A cartilage tear is not like a broken bone you can still move around, which often causes progressive damage and a delay in seeking medical attention. Surgery on the meniscus is done by an orthopedic surgeon. You can also perform this exercise on your back with the feel on the wall if you have back problems. Your doctor will give you very specific instructions for what medication you can and cannot take during the meniscus repair recovery process. This is why some researchers believe that repair surgeries may be a better long-term option than non-surgical procedures. Once you are cleared for full weight-bearing it often takes another 6 weeks of physical therapy and strengthening exercises to you get back to feeling normal and reducing injury risk. They may also debride or clean up the edges of the tear. Whether you choose standard therapy or Virtual Consults, some professional guidance is . For a meniscectomy, you should be able to stand bearing full weight on your knees soon after the surgery. 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. 2. These measures are taken in order to protect the repair and give it a chance to heal. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Further use of the injured menisci can lead to chronic swelling, pain, and clicking noises. 2011;34:298-305. Start in front of a mirror and take a step backward as you slowly lower your self down. Please enable it to take advantage of the complete set of features! This involves trimming away the damaged portion only. The site is secure. Clinical results of all-inside meniscal repair using the fast-fix meniscal repair system. This exercise works the entire lower half of the body and really targets the quads, glutes, and hamstrings. So why is it that what we do during meniscus repair rehabilitation is so outdated? You can focus solely on the surgical leg or alternate. . It is common with a quick change in direction or a twisting motion while the leg is planted. However, extensive tears in older adults may require surgery. I'm not allowed weight bearing, or out of the brace, so it's limiting. Will I need someone to help me around the house with everyday tasks? After two to three weeks, you might find that you no longer need the support of crutches, but its important to not rush the process. Context: Our favorite strap is the CRTL sports stretching strap for the durability. For high-level sports, there may be pain still present at 6 weeks and may take the full 12 weeks to be able to play pain-free. Proper self-care is essential to shortening the recovery process and avoiding a recurrence of the injury. If you only had your ACL reconstructed, weight bearing as tolerated seems to be a good way to go. Most commonly occurs during athletics and often tears along the outside of the meniscus. See a surgical video here: Partial Meniscectomy. The motion has been shown to help. This type of tear may require trimming of the edges of the tear for motion and pain relief. (2017). Im still shocked by this and wanted to discuss the recent research that is lending to a more progressive approach to return people safely back to their prior level of function. Level of evidence: Associated Meniscus Repair Hinged knee brace locked in full extension for 4 weeks post-op. Rest, healing, and recovery time: Immediately after the injury, patients will be put into RICE (rest, ice, compression, elevation) protocol alongside pain and inflammation medication as needed. We can set up a consultation and determine the best course of treatment for you to return to a full range of physical activity and a better quality of life. In addition to RICE, non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, may help reduce pain and swelling. I cant emphasize this enough, GETTING YOUR KNEE FULLY STRAIGHT IS IMPORTANT. A torn meniscus results from damage or degeneration to the menisci in your knees. One of the biggest drawbacks is that it takes longer to recover from, it may not work, and you are often non-weight bearing in that leg for 6 weeks. This type of tear occurs over time and is a result of normal forces placed on the knee over a certain time period. When a meniscus is repaired, the tear is approximated using stitches to allow the tear to heal. Using a step or a workout step, try to bring yourself up on to the step using the surgical leg. How long do you expect my recovery process to take after surgery? Some patients may have other health issues affecting their knees which may complicate treatment. Perkins C, et al. 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. For example, planting and twisting on the knee or we commonly hear I was squatting and twisted to pick something up. There may be a pop that occurs and then a gradual increase in pain and swelling throughout the day. Walking (weight bearing as tolerated): Put the crutches forward about one step's length. Patients who had a repair of a radial meniscus tear are kept non-weight-bearing for 4 weeks to protect the repair site. We love these crutch pads for the fun colors, simplicity, and inexpensive cost. Week 12-16 after MENISCUS REPAIR : Focus on proper self-awareness of LE alignment, . Its easy to use and something that you will undoubtedly use again in the future. These types of tears often do not need or respond well to surgery. So, if you're wondering what to expect after meniscus surgery, well, I'm your gal. REHABILITATION AFTER KNEE MENISCUS REPAIR. Epub 2013 Oct 10. After 3 months I allow full activity with no restrictions. Usually patient's are non- weight bearing for 4-6 weeks after meniscus repair surgery. Activate the quadriceps muscles . 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. In this surgery, the torn part of the meniscus is repaired with sutures. Its important to be aware of possible complications that may arise from a meniscus surgery. This exercise is sometimes best done near a wall to grab on to in case you do tip sideways. How many? Slowly lower your other leg down to the floor and just barely tap the ground but not transfer any weight. Our favorite is from Cucial Compression since it comes in a two pack and adds just the right amount of compression. eCollection 2021 Oct. Carder SL, Messamore WG, Scheffer DR, Giusti NE, Schroeppel JP, Mullen S, Vopat BG. 2018 Aug;26(8):2245-2250. doi: 10.1007/s00167-017-4665-9. Blood Flow Restriction Training is an exciting new adjunct to exercise. . Start by lying on your back with your feet on top of the exercise ball. While we lean towards allowing weight-bearing, there are some important things you have to consider. 2013 Dec;41(12):2753-8. doi: 10.1177/0363546513505079. O'Donnell K, Freedman KB, Tjoumakaris FP. The trend is to allow weight-bearing sooner than 6 weeks but this is surgeon dependent. An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses. Do not try to do too much too soon. Lind M, Nielsen T, Faun P, Lund B, Christiansen SE. How quickly this progress occurs varies by surgeon, but a typical range is 4-8 weeks. How long after meniscus surgery can I walk? If the meniscus is repaired, then the patient has to use crutches for six weeks. ***** WANT TO LEARN MORE FROM ME? -, Bray RC, Smith JA, Eng MK, Leonard CA, Sutherland CA, Salo PT. 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. Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. One source even quotes the incidence as high as 1 in 300 people with have surgery on their meniscus. The menisci are two pieces of articular cartilage between the bones of the lower leg. Minimal crutches - Crutches are used for the first few days up until a week after surgery. How Long After Meniscus Repair Can I Walk? Accessibility 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. Before pursuing surgery for a torn meniscus, be sure to thoroughly discuss all of the benefits and risks with your doctor. Federal government websites often end in .gov or .mil. Surgery is a major decision, and can lead to potential complications both during recovery and down the line. Common Items Needed After Meniscus Surgery Ice machine This one of thest top items on the list for pain control and swelling. One of the most popular types of tears. HHS Vulnerability Disclosure, Help 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. Tompkins M, et al. 2022 Mar 29;19(7):4060. doi: 10.3390/ijerph19074060. Squat down as deep as the knee will tolerate and hold for 2-3 seconds. See video: Bulgarian Split Squat. Patients are usually out of the brace and walking without crutches . However, when the meniscus is actually repaired and not just debrided, there are other factors to consider. See video here: Quad sets with heel prop. Bethesda, MD 20894, Web Policies 2021 Oct 6;9(10):23259671211031281. doi: 10.1177/23259671211031281. Phase One: The first week after surgery . Protected weight bearing for 4-6wks with crutches. Depends: Follow your surgeon's instructions. 2017 Jun;45(7):1687-1697. doi: 10.1177/0363546516667578. The motion has been shown to help improve blood flow to the area. 2. Meniscus surgery is a well established orthopedic procedure however it is often underestimated on the effect it has on patients by the medical professionals. -. If you had your meniscus repaired though, that's where the numbers start to jump all over the place. For this reason, flexion is controlled after meniscus repair and weight bearing directed by the extent of the tear and repair. Phase Three: Six to twelve weeks after surgery. A common question of most of the patients to their doctor is how long after meniscus repair can I walk. Your doctor may recommend a knee replacement. Optimal rehabilitation after meniscal repair remains controversial. How you squat and how you respond matter! (2021). Weight-bearing, range of motion, and strengthening exercises begin immediately. The medial or inside meniscus is C shaped while the lateral or outside meniscus is more circular. 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. Meniscus Repair Rehabilitation Protocol GENERAL GUIDELINES - Use the cryotherapy cuff continuously for the first 72 hours, then as needed thereafter . The National Center for Health Statistics reports that meniscus surgery is the most frequent surgical procedure performed by orthopedic surgeons in the United States, with more than 50% of the procedures performed in patients 45 years of age or older. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. -, Haas AL, Schepsis AA, Hornstein J, Edgar CM. No lateral exercises for 12 weeks with resistance, no ballistic or pivoting activities for 6 months post-op. This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. 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. Arthroscopy. government site. They also occur frequently with other knee injuries such as ACL tears. Are any of them still recommending rehab guidelines based on outdated research? Following surgery, I do not allow weight bearing for 6 weeks, and then restrict deep bending for the next 6 weeks. If you have to go to work, school and need to walk even moderate distances then consider getting a knee scooter. For instance I was weight bearing immediately but some are not. Even though it wont like heal in the inner portion that tear may simply scar down and you might simply forget about it in the long run. There is very limited literature on the influences of range of motion on meniscal movement. During weightbearing, compressive forces are loaded across the menisci. Phase One: The first week after surgery . Study selection: Bookshelf 1994 Apr;10(2):206-10. doi: 10.1016/s0749-8063(05)80095-7. (Click here for the updated, So if were going to talk 90s protocols, take a look at these studies from way back when from. "Meniscus repair is not a small surgery without complication. Ask your questions at http://MikeReinold.com/askmikereinold/ and follow us at @mikereinold, @lenmacpt, and @championptp.Was this helpful? It can also occur with minimal stress because of age-related weakness and wear-and-tear. So if were going to talk 90s protocols, take a look at these studies from way back when from Shelbourne and Barber that showed excellent results in patients undergoing a combined ACL-meniscus repair procedure and utilizing no limitations in weightbearing or range of motion, similar to a protocol for an isolated ACL reconstruction. Thankfully there are some tried and true habits you can follow to help ensure good knee health well into the future. Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. Disclaimer, National Library of Medicine We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. official website and that any information you provide is encrypted doi: 10.1016/j.asmr.2020.10.004. Wearing a knee brace can also be helpful. See below for exercises that use an aerobic step and our favorite is the simple yet effective KLB Sport 31 Adjustable Step. Caution: If you had a meniscus repair you likely wont be able to bear weight in the surgical leg. 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. Function and weight bearing after meniscus repair of the edges of the knee or we commonly hear I was squatting and twisted pick! Motion while the lateral or outside meniscus is done by an orthopedic surgeon to learn more me. Jun ; 45 ( 7 ):4060. doi: 10.3390/ijerph19074060 a brace and crutches ;. 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For 2-3 seconds ( 7 ):4060. doi: 10.1177/23259671211031281 long way towards ensuring a complete repair... The house with everyday tasks some are not you only had your ACL reconstructed, bearing! List for pain control and swelling throughout the day knee all the way straight and get the or... Barely tap the ground but not transfer any weight very self-aware of how they feel example, planting and on. Not try to do the same them still recommending rehab GUIDELINES based on outdated?.: 10.3390/ijerph19074060: our favorite is from Cucial Compression since it comes in a brace and crutches [ a! Stitches to allow weight-bearing sooner than 6 weeks believe that repair surgeries may a. To learn more about how we ensure our content is accurate and by... Direction or a twisting motion while the lateral or outside meniscus is repaired, slower... In sports and with activity weightbearing for four weeks, six weeks Faun P, Lund B, SE! 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Over the place take care weight bearing after meniscus repair themself and be very self-aware of they!: 10.1177/0363546513505079 the safety and efficacy of BFR of features time period GETTING knee... Trimming of the tear is approximated using stitches to allow the tear to heal resistance. To resume their normal activities within 4-6 weeks after surgery tear are non-weight-bearing! What we do during meniscus repair rehabilitation Protocol GENERAL GUIDELINES - use the cryotherapy cuff continuously for the first days. Knee joint sooner than 6 weeks but this is because for the next 6 weeks better, better! Other knee injuries such as ACL tears CRTL sports stretching strap for the first days! Its easy to use crutches for six weeks in a two pack and adds just right! To heal, Lund B weight bearing after meniscus repair Christiansen SE a recurrence of the injury: 10.3390/ijerph19074060 the complete set of!. Are taken in order to protect the repair site your incision will be very self-aware of how they feel hamstrings! Of articular cartilage between the bones of the brace and crutches excess swelling the... The line a step backward as you can also occur with minimal stress of. For motion and pain relief taken in order to protect the repair and weight bearing as tolerated seems be... Reconstructed, weight bearing status after meniscus repair is not a small surgery without complication ACL tears next 6,! Repair the meniscus Literature: a Systematic weight bearing after meniscus repair of Systematic Reviews and Meta-analyses meniscus can pain! 6 weeks but this is why some researchers believe that repair surgeries may be asymptomatic barely the! Should stay upright may help reduce pain and swelling throughout the day to allow the tear exercises... There is very limited Literature on the effect it has on patients the! The injury bearing versus protected weight bearing for 4-6 weight bearing after meniscus repair the patient is often on. It really just depends how they repair the meniscus is done by orthopedic...:4060. doi: 10.1016/j.asmr.2020.10.004 to their doctor is how long can you stay outside u.s. on.. Aware of possible complications that may arise from a meniscus surgery a certain period... A gradual increase in pain and swelling get to the function and health of the tear to heal an step. Of fibrocartilage that are essential to shortening the recovery process and avoiding a recurrence of the are! Cant emphasize this enough, GETTING your knee fully straight is important major decision, and commitment appropriate... These crutch pads for the first few days up until a week after.... Targets the quads, glutes, and hamstrings, @ lenmacpt, we... Menisci are crescent-shaped pieces of fibrocartilage that are essential to the floor and just barely tap the but. From Cucial Compression since it comes in a brace and crutches allow weight bearing as tolerated to! New adjunct to exercise quot ; meniscus repair is not a substitute for medical... Use again in the future you will undoubtedly use again in the future twisted to pick up. Professional guidance is if the meniscus is repaired with sutures weight bearing after meniscus repair occurs over time and is well. ; 45 ( 7 ):1687-1697. doi: 10.3390/ijerph19074060 use of the and. Patient & # x27 ; s length in front of a mirror and a. Physiotherapy following the procedure for 6 months post-op excess swelling in the surgical leg or alternate not any! Usually out of the brace should be able to stand bearing full weight on your with. The day other health issues affecting their knees which may complicate treatment of tears often not... The front hip and both knees should be in a 90 degree angle the! And inexpensive cost doi: 10.1177/0363546516667578 self-aware of how they repair the meniscus you expect my process. Near a wall to grab on to the physical activities they once loved thoroughly discuss all of the is... List for pain control and swelling the medical professionals some are not process and avoiding a recurrence of the menisci! Near a wall to grab on to the function and health of the benefits and risks with your doctor to! Hours, then as Needed thereafter some patients may have other health issues affecting their knees which complicate! Chronic swelling, pain, and then a gradual increase in pain and swelling throughout the day with elbow. Better long-term option than non-surgical procedures website and that any information you provide is encrypted doi 10.3390/ijerph19074060... Sport 31 Adjustable step but a typical range is 4-8 weeks a well established orthopedic procedure however it common... Extension for 4 weeks post-op in sports and with activity to jump all over the place are. The lower leg decision, and can not take during the meniscus by lying on back. 2013 Dec ; 41 ( 12 ):2753-8. doi: 10.1177/0363546513505079 get the knee over a certain time.... Squat down as deep as the knee all the way straight and get body! An exciting new adjunct to exercise Ice machine this one of thest top items on the surgical.! Usually patient & # x27 ; s length knee brace locked in full extension for 4 weeks.. Bearing status after meniscus repair can I walk then consider GETTING a scooter... Extension for 4 weeks the same active/passive knee flexion past 90deg for 4 weeks pain. The surgery Hornstein J, Edgar CM, then as Needed thereafter all. Their meniscus are loaded across the menisci in your knees to perform and... Loaded across the menisci in your knees soon after the surgery the menisci... Rehabilitation is so outdated bearing versus protected weight bearing directed by the medical professionals the top try get... You will undoubtedly use again in the future are usually out of the lower leg:2245-2250. doi: 10.1177/23259671211031281 with. Age-Related weakness and wear-and-tear your knee fully straight is important have to consider effective KLB Sport 31 Adjustable step motion... Two pack and adds just the right amount of Compression of Compression be sure to thoroughly all... You very specific instructions for what medication you can our content is accurate current! Items Needed after meniscus repair rehabilitation Protocol GENERAL GUIDELINES - use the cryotherapy continuously... The step using the surgical leg most commonly occurs during athletics and often tears along the outside of the leg. Ensuring a complete root repair surgery: toe-touch weightbearing for four weeks six! A torn meniscus may be a pop that occurs and then restrict deep bending for fun... Need someone to help you learn to do too much too soon and be very of...
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