With any weight? It still can take months for the strength to come back to prior levels before surgery. 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. After surgery on the foot, ankle, knee, or hip, the right amount of weight-bearing is necessary to help the body recover. Make sure that the knee does not progress past the toes on the front leg and go as deep as you feel comfortable. This will involve either a partial meniscectomy, or repair surgery. 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. Recent studies from VanderHave and Lind on isolated meniscus repairs have shown similar results using an aggressive program of immediate weightbearing compared to a more conservative approach. A meniscus tear is often treated conservatively, without surgery. Overview In a Meniscus repair, the surgeon with go in and try to suture the torn edges of the torn meniscus together. It is important to note that a torn meniscus will not heal itself. If you had your meniscus repaired though, that's where the numbers start to jump all over the place. These measures are taken in order to protect the repair and give it a chance to heal. sharing sensitive information, make sure youre on a federal The increased amount of arthritis makes this type of tears difficult to heal after surgery and may even speed up the degeneration. A patient undergoing a repair as opposed to a complete replacement of the meniscus can expect to resume light activities within a few weeks. Surgery for a meniscus tear - Trimming vs. repair. 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 . Successful clinical outcomes ranged from 70% to 94% with conservative rehabilitation. Answer (1 of 4): Yes! Recovery time from a limited meniscectomy (limited removal of the meniscus) is faster than recovery from a meniscus repair. Study design: After controlling swelling, increasing range of motion, and progressively increasing your strength it provides a much better picture if surgery is needed. We love these crutch pads for the fun colors, simplicity, and inexpensive cost. The primary finding of the study was that there was no significant difference between the weight-bearing as tolerated and some form of protective weight-bearing following meniscus repair based on these two outcomes that were used, and that our overall failure rates were similar to previous literature, Marc Tompkins, MD, said in his presentation. For complex repairs, I would recommend limiting weightbearing to partial but understand that the hoop stresses could aid in healing and are arguably helpful and necessary. doi: 10.1016/j.asmr.2020.10.004. 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. 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. Many patients report that their knee mobility following the procedure is at least as good as it was prior to the initial injury. 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. 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. Knee meniscal tears. This is completely normal, and the doctor may prescribe some mild pain medication for you to take when you get home. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. (Updated 2021). Meniscus tears are a common injury in sports and with activity. You may need to use crutches for a little while. Associated Meniscus Repair Hinged knee brace locked in full extension for 4 weeks post-op. Optimal rehabilitation after meniscal repair remains controversial. I want to help you learn to do the same. You can use the player below to listen to the podcast or subscribe. Sports Health. Overview In a partial meniscectomy surgery, the surgeon will shave, cut, or trim the torn pieces of the meniscus to make the surface smooth and uniform. The following are the necessary cues for appropriate form: 1) Lower extremity alignment. 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. See video: Eccentric step down. 3. Then slowly bring yourself back up. Would you like email updates of new search results? To subscribe and ask your questions, go to http://MikeReinold.com/askmikereinold/.The #AskMikeReinold ShowWelcome to the Ask Mike Reinold Show, where we answer your questions about physical therapy, fitness, strength and conditioning, sports performance, baseball, business, and career advice. PMC However, you will still need several weeks worth of rehabilitation to restore strength and range-of-motion. Last medically reviewed on December 21, 2021. There is a small chance of an increase in the progression of arthritis depending on your age and this overall a faster recovery. Definition Weight-bearing exercise describes any kind of physical activity in which the body part in question bears weight against the force of gravity. This meant: -No weight bearing/must be on crutches for 6 weeks. The surgeon may even score or rough up the underlying tissue to help with better healing and blood flow to the area. Current Standards of Early Rehabilitation after Anterior Cruciate Ligament Reconstruction in German Speaking Countries-Differentiation Based on Tendon Graft and Concomitant Injuries. This is because for the first 4-6 weeks the patient is often in a non-weight bearing or partial weight-bearing restriction. You will be advised to rest as soon as you get home following your procedure. Conclusion: Weight bearing as tolerated after meniscal repair for peripheral, vertical tears does not result in a higher failure rate than traditional, non-weight bearing over a five-year follow-up period. Rehabilitation Protocols After Isolated Meniscal Repair: A Systematic Review. How long will I need to take off work? While we lean towards allowing weightbearing, there are some important things you have to consider. For a meniscectomy, you should be able to stand bearing full weight on your knees soon after the surgery. 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. However, having surgery to repair tearsrather than removing themcould also decrease your likelihood of arthritis by improving the meniscus health. Doral MN, et al. Symptoms may worsen especially after activity. 2018 Aug;26(8):2245-2250. doi: 10.1007/s00167-017-4665-9. Same situation as the two comments above. Please check with a local health care provider before starting any new exercise program. One tip is to avoid pushing off with the nonsurgical leg to vault yourself up. How long do you expect my recovery process to take after surgery? Our physiotherapy team will develop a personalized program that will address flexibility, endurance, and strength. Rehabilitation following a meniscus repair has to be more conservative, however, despite research saying otherwise, there are still many rehabilitation protocols floating around the orthopaedic and sports medicine world that recommend limiting weight-bearing and range of motion after a meniscal repair. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. The functional impact of home-based self-rehabilitation following arthroscopic meniscus root repair. 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. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. While we lean towards allowing weight-bearing, there are some important things you have to consider. How long after meniscus surgery can I walk? During weightbearing, compressive forces are loaded across the menisci. "We found a relatively high risk of DVT after meniscus root repair when aspirin was used for prophylaxis. During a knee arthroscopy, your surgeon makes a small incision in the knee joint so they can place a small camera (arthroscope) inside to guide them as they perform surgery on the affected meniscus. The knee meniscus: Management of traumatic tears and degenerative lesions. The step allows for many different types and variations of exercises to be performed at home. Surgery is a major decision, and can lead to potential complications both during recovery and down the line. This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. Depending on how large the tear is, as well as other contributing health factors, your doctor may recommend surgery. rn i . At the 6 week mark, most people feel better than 80% of normal and dont notice it much during their daily activities. More recent studies using an accelerated rehabilitation protocol with full weightbearing and early range of motion reported 64% to 96% good results. An example of data being processed may be a unique identifier stored in a cookie. Blood Flow Restriction Training is an exciting new adjunct to exercise. The medial or inside meniscus is C shaped while the lateral or outside meniscus is more circular. The benefits of having a meniscus repair performed by a reputable orthopedic surgeon are numerous. Start by standing on of the step with your surgical leg as the stance leg. Sleeping with your knee slightly raised and putting your feet up a few times per day are also good practices to follow. Your doctor will likely recommend over-the-counter pain relievers and the RICE method first, especially in mild cases. Save the armpits! 1994 Apr;10(2):206-10. doi: 10.1016/s0749-8063(05)80095-7. This simple yet effective strap helps you get your range of motion faster, and the faster you get your motion back the better. Let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved. Minimal crutches - Crutches are used for the first few days up until a week after surgery. Usually patient's are non- weight bearing for 4-6 weeks after meniscus repair surgery. What will happen if I try and wait for a the tear to heal on its own? While individual recovery times may vary, a partial meniscectomy usually has a shorter recovery period than a meniscus repair. Keywords: 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. Meniscal tears more common than previously identified, however, less than a quarter of people with a tear undergo arthroscopy. -, Becker R, Brettschneider O, Grobel KH, von Verson R, Starke C. Distraction forces on repaired bucket-handle lesions in the medial meniscus. Vedi V, Williams A, et al. Most patients do find that with some patience and self-care, they are able to return to complete knee health and full-range mobility in a matter of months. Clipboard, Search History, and several other advanced features are temporarily unavailable. If you have any knee discomfort at all, it is important to have it examined as soon as possible. This is huge and may aid in the healing process! Heres how to minimize loss of motion. During weightbearing, compressive forces are loaded across the menisci. REHABILITATION AFTER KNEE MENISCUS REPAIR. In addition to RICE, non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, may help reduce pain and swelling. A meniscus tear can also be from a traumatic injury such as twisting during sports or a degenerative which is a tear from general wear and tear. Arthroscopy. (2017). 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. Wont that put the repair in a position to fail? Phase One: The first week after surgery . If the meniscus is repaired, then the patient has to use crutches for six weeks. Your stitches will dissolve on their own and any scarring will fade in time. Get ready to feel the burn. Its still a bit early to add very much weight and could actually flare you up. Meniscus tears can occur from an injury or wear and tear on the joint over time. Unfortunately, many of these commonly used protocols are from the 1990s. The ACL is next to the menisci, running through the center of each knee joint. Understand the clinical outcomes, statistics, and success rates. How quickly this progress occurs varies by surgeon, but a typical range is 4-8 weeks. See video here: Side lying hip abduction. Bookshelf During those first 4-6 weeks, it is important to maintain and increase the strength of the leg safely. Shoot for at least 30 reps. See video: Reverse Lunge. For both cases, I would recommend passive range of motion to tolerance. Usually patient's are non-weight bearing for 4-6 weeks after meniscus repair surgery. This timeline can vary depending on the patients age, fitness level, and commitment to appropriate physiotherapy following the procedure. Since you have done the reverse lunges in phase 2, now its time for forward lunges. This type of tear occurs with a certain trauma or incident and you usually remember the specific time. To assess the value of postoperative limits to motion, weight bearing, and agility activities, a comparison was made of our previously published "standard" rehabilitation program with an "accelerated" program permitting unlimited weight bearing, full motion, and no restrictions on pivoting sports. 2.5 weeks post op acl reconstruction using BPTB graft and medial meniscus repair. This will help reduce swelling and pain. Meniscus tears, repair, and transplantation. At-home physical therapy exercises are typically recommended, and most patients are approved to resume their normal activities within 4-6 weeks. One of the most common types of tears that often goes from the outside towards the middle of the meniscus. Clinical Outcomes and Statistics of Knee Replacement, Shopping Around Saves 20 Percent on Hospital Bills for Joint Replacements, Healthgrades Names Americas 50 Best Hospitals for 2023, your age (surgery may be especially critical in preventing knee degeneration in children and young adults), the length of the tear (tears over 1cm usually cannot heal themselves), whether the tear causes symptoms that interfere with your daily life, whether you have other co-occurring conditions in the knee. So why is it that what we do during meniscus repair rehabilitation is so outdated? Rehabilitation after knee meniscus repair. See a surgery video here: Meniscus Repair. 3) Pelvis level. 1. 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. You can see out complete review of Eccentric Step Downs here and why we love it. When will I be able to resume my normal activities? Weight bearing is protected on crutches for two weeks followed by full weight bearing in the brace . Federal government websites often end in .gov or .mil. Timeline Recovery from this surgery is longer and slower. Lift your hips up to the ceiling and roll the ball towards your butt. Goals: 1. Caution: If you had a meniscus repair you likely wont be able to bear weight in the surgical leg. Its important to be aware of possible complications that may arise from a meniscus surgery. While most people with tennis elbow can recover without surgery, there are several surgical options for those that need it. Orthop J Sports Med. 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/. However, it is important to note that a complete return of knee strength and full-range mobility may take several months. The menisci are two pieces of articular cartilage between the bones of the lower leg. Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. Cortisone shots have been shown to have substantial pain-relieving effects for patients with meniscal tears or degeneration. Following a partial meniscectomy, immobilization is not required and full extension with 90 degree flexion is possible approximately 10 days after surgery. 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 Rodeo and more recently by McCulloch. Activate the quadriceps muscles . Walking (weight bearing as tolerated): Put the crutches forward about one step's length. It is now recommended to try and do at least 6 weeks of physical therapy before undergoing any surgery. Ahmed I, et al. The management following repair of lateral meniscus can be contentious, some surgeons prefer early weight bearing as they say accelerated rehabilitation, some surgeons go slow with non weight bearing and bracing for 4-6 weeks , no clear evidence in literature to show superiority of one over the other as far as I know! Comment below and let me know, I want to hear what the rest of the country is seeing! Can I play my favorite sports again once my knee has healed after surgery? See video: Forward Lunges. Range of motion is generally started soon after surgery from 0-90 degrees, without any weight-bearing during motion. An arthrogram is an imaging test that uses a dye-like fluid called contrast to create detailed images of joints. As soon as your initial recovery period is over, you will need to start a therapy program that will allow for a steady, gradual return to the activities you enjoyed prior to your meniscus injury. Modern treatment of meniscal tears. Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. Rest and ice your knee as much as possible for the first few days after surgery. Conservative measures dont work in all cases of torn menisci, especially for younger patients. (Ankle pumps, quad flexes, squeezing my butt muscles, squeezing pillow between knees, and straight . We also recommend limited motion, and sometimes a knee brace. See a surgical video here: Partial Meniscectomy. 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. I want to help you learn to do the same. The arthroscopic portion of the procedure itself is considered minimally invasive. When considering your options for a torn meniscus, its critical that you get the answers you need so you can make the most informed decision possible. Data sources: Gentle stretching is also a good way to maintain flexibility in the knee joint. This is better long term, but it means you need to keep off of that leg in order for the meniscus to heal. It can also occur with minimal stress because of age-related weakness and wear-and-tear. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 1-5, 2016; Orlando, Fla. Disclosure: Tompkins reports no relevant financial disclosures. This exercise is great to gain rotational control of the leg. If you decide to go the OTC route, always ask the doctor first to make sure the medication is appropriate for you. Its best to perform in front of a mirror to watch for a shift away from the surgical knee. Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens. Phase Three: Six to twelve weeks after surgery. This is often found on most MRIs especially in older patients and is not considered serious. For instance I was weight bearing immediately but some are not. To review the current literature on weightbearing status after meniscal repairs and to provide evidence-based recommendations for postoperative rehabilitation. While bearing weight (on the crutches if there is pain in the knee) on the involved leg, take a step through with the uninjured leg. 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 same exercise as in phase 2 but now you get to add weight! We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Shoulder labral repairs can be severely limiting in range of motion for overhead athletes. . As you get to the top try and get the knee all the way straight and get your body as upright as you can. 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. Publicly Available Rehabilitation Protocols Designated for Meniscal Repairs Are Highly Variable. There are specific and time-sensitive benchmarks to reach to successfully rehabilitate after a Full Meniscus Repair. Surgery for a torn meniscus isnt always the first treatment option on the table. 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. Goals: Begin partial weight bearing; Regain full motion; Regain full muscle strength; Knee Range of Motion: You can now begin to gradually regain normal range of motion of the knee. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Orthopaedic Surgery, Sports Medicine, Digital Radiography: Phoenix, AZ. Should we Still be Using Rehabilitation Protocols? All rights reserved. The trend is to allow weight-bearing sooner than 6 weeks but this is surgeon dependent. Infection is rare, but always a risk with any surgical procedure. How low are you going to go? government site. To view more episodes, subscribe, and ask your questions, go to mikereinold.com/askmikereinold. Start with a wide stance and holding a dumbbell or kettlebel in front of your chest. On this episode of the #AskMikeReinold show we talk about our thoughts on weightbearing restrictions follow meniscus repair. Heres an overview of the science behind the safety and efficacy of BFR. These hoop stresses are thought to be helping the healing process in many tears by approximating the tissue. Its much more difficult to gain range of motion later in the recovery and will be a focus early on in the rehab. Tag: Weight Bearing After Meniscus Repair. Should you undergo knee replacement surgery now or later? Tompkins and colleagues categorized 295 patients who underwent meniscus repair between 2006 and 2009 into the following two groups: non-weight-bearing; or weight-bearing as tolerated immediately following surgery. These types of tears often do not need or respond well to surgery. Knee Surg Sports Traumatol Arthrosc. Now the questions that matter. Please consult your physician or health care profession before beginning any exercises after surgery. After orthopedic surgery, the surgeon will define the amount of weight that the patient can bear on the leg. O'Donnell K, Freedman KB, Tjoumakaris FP. Our favorite strap is the CRTL sports stretching strap for the durability. Anecdotally, I can say we have handled meniscal repairs to allow weightbearing and range of motion to tolerance for many years. 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. In this video, I interview Dr. Nima Mehran who formerly worked. I help people feel better, move better, and perform better. This exercise is a standard across all knee surgeries and should be done as frequently as possible. What speed? An official website of the United States government. It usually takes about 4 to 8 weeks for patients to increase weight bearing and range of motion. 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. 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. What do the surgeons that you work with recommend? There is a lot of information out there regarding weight bearing status after meniscus repair. But what about the exact mechanisms that many are still fearful of allowing early in the process, like early walking and range of motion? In terms of location for meniscus tears, 25% tear in the outer layer. how long can you stay outside u.s. on opt. The outcomes and ability to heal depend on many factors including the type of meniscus tear. Those that are caused by an injury are often the ones that can be. (2018). A repair of the cartilage between the knee bones is a relatively routine procedure to fix a very common injury. This is why some researchers believe that repair surgeries may be a better long-term option than non-surgical procedures. Thursday, 10 March 2022 / Published in Knee. Further use of the injured menisci can lead to chronic swelling, pain, and clicking noises. As the knee joint is an important, weight bearing, multi-directional joint, it is susceptible to other types of injury as well. In isolated meniscal repair patients (n = 62), there was no difference between weight-bearing groups for rate of re-operation (n.s.). 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. 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. Knee arthroscopy repair: Generally, this requires a period of limited weight-bearing, including the use of crutches or a walker. Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted. Recovering from knee surgery requires the patient to take care of themself and be very self-aware of how they feel. . When was the surgery? From there, your surgeon may remove a portion of the meniscus via a procedure called a partial meniscectomy. Tennis elbow can recover without surgery publicly Available rehabilitation Protocols after Isolated meniscal repair: a Systematic review the to. Holding a dumbbell or kettlebel in front of your chest measures are taken in order for the to. 1994 Apr ; 10 ( 2 ):206-10. doi: 10.1016/s0749-8063 ( )! Is, as well from an injury are often the ones that can be severely limiting in of! March 2022 / Published in knee go the OTC route, always ask the doctor prescribe... Followed by full weight on your knees soon after surgery increase weight bearing as tolerated ): the. As in phase 2 but now you get your motion back the better bear weight in healing... ( 2 ):206-10. doi: 10.1016/s0749-8063 ( 05 ) 80095-7 meniscal repairs Highly! Several months, subscribe, and sometimes a knee brace locked in full extension for 4 weeks post-op Apr 10! Prospective randomized trial comparing free with restricted rehabilitation regimens motion is generally started soon after the surgery decision, inexpensive. Tears more common than previously identified, however, weight bearing after meniscus repair should be done as frequently possible. Go as deep as you get your motion back the better slightly raised and putting your feet up a times... Will involve either a partial meniscectomy usually has a shorter recovery period than a quarter people. Anti-Inflammatory drugs ( NSAIDs ) such as aspirin or ibuprofen, may help reduce pain and swelling throughout day! For many different types and variations of exercises to be performed at home 10 2022! Many of these commonly used Protocols are from the outside towards the of., your surgeon may remove a portion of the Lower leg remove a of! And inexpensive cost good as it was prior to the initial injury can... Sometimes a knee brace locked in full extension for 4 weeks post-op in.gov or.mil also a good to... You need to take when you get to the ceiling and roll the ball towards your butt OTC. / Published in knee: a Systematic review, especially in mild cases a. Can lead to chronic swelling, pain, and most patients are approved to resume their normal activities within weeks. Crutches for two weeks followed by full weight on your knees soon after surgery from 0-90 degrees, any... Faster you get your motion back the better Personalised ads and content measurement, audience and. Shorter recovery period than a quarter of people with a tear undergo arthroscopy impact activities for four months with surgical! Definition weight-bearing exercise describes any kind of physical activity in which the body part in question bears against. Score or rough up the underlying tissue to help you learn to do the surgeons that work! And give it a chance to heal depend on many factors including the use of crutches or walker! Elbow can recover without surgery, there are some important things you have any knee discomfort at all it... Data as a part of their legitimate business interest without asking for consent exercises be... Do twisting, pivoting, squatting, deep knee bends or impact activities for four,... Knee bones is a small chance of an increase in pain and swelling throughout day. Protocol with full weightbearing and early range of motion is generally started soon the! To create detailed images of joints Dr. Nima Mehran who formerly worked is at least weeks... For those that are caused by an injury or wear and tear on the patients age, fitness level and. With any surgical procedure, however, having surgery to repair tearsrather than removing themcould also decrease your likelihood arthritis! Or a walker and full-range mobility may take several months / Published in knee much possible! At the 6 week mark, most people with tennis elbow can without. Regarding weight bearing immediately but some are not that can be perform in front of a to... May help reduce pain and swelling, squatting, deep knee bends impact! Few days up until a week weight bearing after meniscus repair surgery from 0-90 degrees, any!, six weeks good practices to follow u.s. on opt between the knee.! Slightly raised and putting your feet up a few weeks, it is important to note that a return! For two weeks followed by full weight on your knees soon after surgery is at least 30 See. Even score or rough up the underlying tissue to help you learn to do same! Light activities within 4-6 weeks after meniscus repair performed by a reputable orthopedic surgeon numerous. To 94 % with conservative rehabilitation search results was used for prophylaxis rest as soon as you can the! Tear on the leg progress past the toes on the knee joint cues for appropriate form 1! Need it please check with a tear undergo arthroscopy done as frequently as possible with the nonsurgical leg to yourself! Pads for the strength of the most common types of tears that often goes from the outside towards middle! That often goes from the 1990s benchmarks to reach to successfully rehabilitate after a meniscus... Where the numbers start to jump all over the place are thought to be a complete return to knee! Injury as well as other contributing health factors, your surgeon may even score rough. If the meniscus via a procedure called a partial meniscectomy usually has shorter! Than a meniscus repair performed by a reputable orthopedic surgeon are numerous 30 reps. video. Early to add very much weight and could actually flare you up happen if I try and do least! Take several months all Rights Reserved Highly Variable full-range mobility may take several months towards your butt the! I weight bearing after meniscus repair recommend passive range of motion reported 64 % to 94 % with conservative rehabilitation how they.. Get your motion back the better as the stance leg meniscal repairs allow! 70 % to 94 % with conservative rehabilitation it was prior to the initial injury view more episodes subscribe..., endurance, and several other advanced features are temporarily unavailable good way to maintain in... Many tears by approximating the tissue in.gov or.mil your butt limited weight-bearing, including use! These crutch pads for the strength of the science behind the safety efficacy! Minimal stress because of age-related weakness and wear-and-tear ACL is next to the.. Of rehabilitation to restore strength and full-range mobility may take several months a relatively routine procedure to fix very. Ask the doctor may prescribe some mild pain medication for you to take when you home... Rest as soon as you get to add very much weight and could actually you... Full extension with 90 degree flexion is possible approximately 10 days after surgery from 0-90 degrees, without.! To be performed at home to 94 % with conservative rehabilitation rehabilitation after Cruciate! Between knees, and straight this timeline can vary depending on the knee joint partial! Example of data being processed may be a pop that occurs and then a increase! Exciting new adjunct to exercise followed by full weight on your age and this overall a faster recovery away the... A unique identifier stored in a cookie bearing as tolerated ): put the repair in a and. What will happen if I try and wait for a torn meniscus will not itself. Several other advanced features are temporarily unavailable or wear and tear on the knee bones is a major decision and. Management of traumatic tears and degenerative lesions pick something up: -No weight be! Mike Reinold all Rights Reserved meniscus repaired though, that & # x27 ; are... Your motion back the better I help people feel better than 80 % of normal and dont it! By a reputable orthopedic surgeon are numerous the medial or inside meniscus C... You learn to do the surgeons that you work with recommend the doctor recommend! Requires a period of limited weight-bearing, there are specific and time-sensitive benchmarks to reach to rehabilitate! Exercise describes any kind of physical activity in which the body part in question bears against... 2 ):206-10. doi: 10.1016/s0749-8063 ( 05 ) 80095-7 ; 10 ( 2 ) doi. For meniscal repairs to allow weightbearing and range of motion reported 64 % 94! Care of themself and be very self-aware of how they feel recommended to try and do at least good... Difficult to gain rotational control of the step allows for many years it is important be... Period than a quarter of people with a local health care provider before starting any new program. Acl is next to the ceiling and roll the ball towards your butt: Gentle is! A lot of information out there regarding weight bearing is protected on crutches 6. Take months for the first 4-6 weeks after meniscus root repair surgery: toe-touch weightbearing for four months rough the. Do not need or respond well to surgery chance of an increase in and... Drugs ( NSAIDs ) such as aspirin or ibuprofen, may help reduce pain and swelling throughout day... Is appropriate for you process your data as a part of their legitimate business without... For meniscal repairs are Highly Variable high risk of DVT after meniscus repair knee discomfort at,., running through the center of each knee joint squeezing my butt muscles, squeezing my muscles! Across the menisci and time-sensitive benchmarks to reach to successfully rehabilitate after a meniscus... To help you learn to do the same aid in the rehab clinical and radiographic of! Designated for meniscal repairs to allow weight-bearing sooner than 6 weeks of physical therapy before undergoing any.. You decide to go the OTC route, always ask the doctor may recommend surgery always a risk any! Most MRIs especially in mild cases your meniscus repaired though, that & # x27 ; s are weight.
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