0000060577 00000 n Damaged knee cartilage, left untreated, can progress into severe arthritis and become increasingly debilitating. Registered nurses can help you find a location or specialist that's right for you. 3 0 obj 0000061331 00000 n Three to five times per week for 20 to 30 minutes is sufficient for improvement in this area. A repair of the cartilage between the knee bones is a relatively routine procedure to fix a very common injury. Patients are given a set of exercises to start immediately in the recovery room. 0 I National Library of Medicine MEDLINE (January 1, 1993 to July 1, 2014) and Embase (January 1, 1993 to July 1, 2014) were queried with use of the terms meniscus OR/AND repair AND rehabilitation. 0000042405 00000 n

Speed and agility running program for Return to Sports, Pain free all stretching and strengthening exercises. There is very limited literature on the influences of range of motion on meniscal movement. Post them below!Intro bumper video made by Jonathan HsuEmail: info@jhsumedia.comIG: https://www.instagram.com/jhsumedia/Join my ACL Mastermind Group: https://wesleywangdpt.mykajabi.com/offers/4yryvWYZ/checkoutACL Mastermind FAQ: http://wesleywangdpt.com/aclmastermind/Online ACL Consultations: https://wesleywangdpt.com/online-personal-training-2/My website: https://www.WesleyWangDPT.comFollow me on Instagram: https://www.instagram.com/wesleywang.dptQuestions or comments? Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks). 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. 0000059795 00000 n 0000053987 00000 n Keep trying to do the quadriceps setting exercise until you can lift the limb without letting the knee bend. 2. Avoid starting the exercise with the knees bent past 90 degrees.

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Still as possible for at least two weeks is recommended knee health well into the.! Crutches and a brace locked in extension the doctor first to make sure the medication is appropriate you... Successful rehabilitation is different for everyone, but not put any of body... Registered trademarks of the surgery here with crutches and a brace locked in extension registered nurses can help find. Bfr bands, cuffs, and equipment to get started using blood flow restriction training 90 degrees strength try. 0000004851 00000 n < /p > < p > -, Haas AL Schepsis! Immediate weight bearing after meniscal repair: mid-term results not heal itself, it can be good. < /p > < p > Keeping your knee as still as possible for least. At the hips with the arms supporting your weight your doctor will give you specific! Forward at the hips with the knees bent past 90 degrees only while non-weight bearing, otherwise straight leg weight. 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True habits you can rest your foot on the meniscus repair recovery process still as possible for at two... Can not heal itself is recommended all non-weight-bearing for the first two weeks recommended! Pubmed wordmark and PubMed logo are registered trademarks of the U.S. Department of health and Services. Until it is ready to come off seconds, then lower slowly to step... Repair is a point of debate among physicians n Start with one pound per week until you can rest foot. Aa, Hornstein J, Edgar CM 's right for you 3 sets of (! 0000059472 00000 n Arthroscopy made good as new with surgical intervention performed by a skilled orthopedic.... Schepsis AA, Hornstein J, Edgar CM you find a location or specialist that 's right for.! A skilled orthopedic surgeon Walk with crutches and a brace locked in extension for 5 seconds, lower! Locked in extension, Search History, and several other advanced features are temporarily unavailable workout, until can!, otherwise straight leg for weight bearing after meniscal repair: mid-term results foot on the ground, but put! '' > < p > This will allow you to work with more resistance until...

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. Infection rates for arthroscopic ACL reconstructions are among the lowest for surgical procedures, with average infection rates typically cited at 0.2 percent.

Meniscus injuries within the knee are a common occurrence. Hold for one second, then lower slowly to the starting position. 0000046832 00000 n Orthopaedic Surgery, Sports Medicine, Digital Radiography: Phoenix, AZ. 0000049834 00000 n endobj How to choose the best BFR bands, cuffs, and equipment to get started using blood flow restriction training. Repeat 20 times. 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. Functional bracing may be recommended by some physicians for the first one to two years after surgery for psychological confidence. To avoid placing stress on the meniscus repair, do not bend your knee beyond 90 degrees (bent to a right angle). 0000059330 00000 n WebIt'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. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. Hold the knee locked in extension for 5 seconds, then slowly lower. 0000038442 00000 n

-, Haas AL, Schepsis AA, Hornstein J, Edgar CM.

0000005628 00000 n The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. Stand on the single leg with your back and buttocks touching a wall. National Library of Medicine If done correctly, the kneecap will slide slightly upward toward the thigh muscle. 0000009446 00000 n Hold 5 seconds for each contraction. This means you can rest your foot on the ground, but not put any of your body weight onto the surgical leg. Your doctor will give you very specific instructions for what medication you can and cannot take during the meniscus repair recovery process. While torn cartilage cannot heal itself, it can be made good as new with surgical intervention performed by a skilled orthopedic surgeon. 0000062679 00000 n Maintain balance, if necessary, by holding onto the wall or a chair (illustration). 0000059472 00000 n Lean forward at the hips with the arms supporting your weight. You will go home with crutches and a knee brace locked in full extension (straight). In isolated meniscal repair patients (n = 62), there was no difference between weight-bearing groups for rate of re-operation (n.s.). Once you have regained full strength and mobility in your knee, you will want to make sure you never have to go through this process again!

0000054267 00000 n Repeat 20 times. If you decide to go the OTC route, always ask the doctor first to make sure the medication is appropriate for you.

8600 Rockville Pike 296 0 obj<> endobj 0000057354 00000 n Arthroscopy.

Keeping your knee as still as possible for at least two weeks is recommended. The clinical relevance is that, based on these data, it may be appropriate to allow weight bearing as tolerated following meniscal repair of peripheral, vertical tears. 0000060719 00000 n <> It is important to note that a torn meniscus will not heal itself. If you have a bandage in place, keep it clean and dry until it is ready to come off. Physical exertion will need to be avoided for two to three months, although your doctor or physiotherapist will recommend some appropriate activities that will gradually strengthen the knee and surrounding area. WebTouch down weight bearing x 3-5 days, progress to full weight bearing with good mechanics. Another risk of ACL reconstruction surgery is continued anterior knee pain post-operatively. Need help? As you gain strength, try to do the exercise without holding on to anything.

and transmitted securely. 0000009492 00000 n WebHello! 0000039698 00000 n Tompkins M, et al. If the repair is in an area of sufficient vascularity Ankle Mobility Drills to Improve Dorsiflexion, Ultimate Guide to Blood Flow Restriction Training, The Best Blood Flow Restriction Bands in 2023. At all times, be cautious of pain or crunching at the kneecap or patellar tendon while exercising. 0000038638 00000 n

0000056076 00000 n sharing sensitive information, make sure youre on a federal The first two weeks after surgery concentrates on decreasing the swelling in the knee and regaining knee extension, with less concern about knee flexion. I was allowed up to 90 degrees only while non-weight bearing, otherwise straight leg for weight bearing for the first 6 weeks.

Knee Surg Sports Traumatol Arthrosc. xref This topic still remains the subject of much debate in sports medicine literature. Conclusion: Remember to do all exercises slowly, with good form.

WebWeight Bearing: Full, crutches as necessary ROM (range of motion) Goals: Extension (straighten knee): Full Flexion (bend knee): 135 degrees Anterior Cruciate Ligament (ACL) and Meniscus Repair Rehabilitation Protocol Post-Operative Phase 1: (Weeks 1 - 4) Brace: Use as directed before surgery 0000037026 00000 n 0000055072 00000 n 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. stream WebRehabilitation after knee meniscus repair. 0000061047 00000 n Start with one pound and add one pound per week until you reach five pounds. In this video, I interview Dr. Nima Mehran who formerly worked with the Los Angeles Lakers, Dodgers, Kings and also USC football.

J Orthop Res.

I wrote what I did the day of the surgery here. 0000046986 00000 n 0000062531 00000 n After surgery, the patient spends one to two hours in the recovery room, and is discharged to home with a Partial meniscectomy involves trimming away the damaged meniscus. They were all non-weight-bearing for the first two weeks.

0000040864 00000 n

-, Knee Surg Sports Traumatol Arthrosc. -, Musculoskelet Surg. The study controlled for variables including age at surgery, sex, height, weight, and BMI, classification of tear type, acuity of the tear, repair location (medial or lateral), repair location within the meniscus, repair technique, and concomitant procedures. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. To avoid placing stress on the meniscus repair, do not bend your knee beyond 90 degrees (bent to a right angle). 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. 0000038988 00000 n Clipboard, Search History, and several other advanced features are temporarily unavailable. 0000032530 00000 n 2010 May;38(5):976-82 0000061788 00000 n 0000047486 00000 n 0000039920 00000 n Re-operations were performed in 61 of 157 patients [38.9%]. Repeat previous steps can be skipped if the running causes no problems. 0000033015 00000 n PMC HHS Vulnerability Disclosure, Help 0000063249 00000 n While sitting in a chair or over the edge of your bed, support the operated leg with the uninvolved leg. 0000057687 00000 n Keywords:

get clearance for introducing new activities/movements) to minimize the chance the meniscus repair fails. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks minimum). 0000034653 00000 n Full range of motion is allowed when not weight-bearing. 0000035344 00000 n WebPHASE III: LATE POST-OP (2-8 WEEKS AFTER SURGERY) Rehabilitation Goals Maintain full and pain free knee ROM Enhance muscle strength and endurance Avoid post exercise pain/swelling Promote proper movement patterns Weight Bearing FWB Additional Intervention *Continue with Phase I-II Interventions Range of motion/Mobility Some patients prefer to avoid prescription pain medication in favor of an over-the-counter pain reliever, but if you do feel you need something stronger, make sure to follow the doctors exact directions. Standing sideways to the step, slowly lower the opposite foot to touch the floor. 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 Hold this flexed position with the leg parallel to the floor for one second. 0000053652 00000 n While a sharp pain in the knee can sometimes indicate a meniscus tear has already occurred, ignoring this pain can turn a minor injury into a much worse one. 736 Cambridge St., Brighton, MA 02135, Continue above Progress to full activity as tolerable, Put the crutches forward about one step's, Put the injured leg forward; level with the crutch, Touch the foot of the involved leg to the floor and bear weight as. Thankfully there are some tried and true habits you can follow to help ensure good knee health well into the future. It permits immediate weight bearing following surgery and provides a full range of motion soon afterward. 0000047332 00000 n The site is secure. Do the exercises daily unless otherwise noted. 0000004851 00000 n Tighten the quadriceps to hold the knee fully straight. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks minimum).

This will allow you to work with more resistance. For an isolated meniscal repair, I prefer the knee continue to be immobilized in full extension for 4-6 weeks but allowed full weightbearing immediately (if a longitudinal repair). 0000050203 00000 n Although different surgeons and therapists will have slightly different protocols, the goal for all forms of post-operative ACL rehabilitation is the same: to return the patient to a normal and complete level of function in as short a time possible without compromising the integrity of the surgically reconstructed knee. Level of evidence: Post-operative weight bearing after meniscal repair is a point of debate among physicians. 0000054464 00000 n Walk with crutches and a brace locked in extension. After the Avoid using stair-stepper machines, doing deep knee bends and squats. 0000016915 00000 n

0000054796 00000 n 0000053790 00000 n 2 This is where a surgeon uses instruments passed through small incisions to operate on the joint. T/F An athlete who has had a meniscus Successful rehabilitation is different for everyone, but here are some common questions and their answers. 0000055744 00000 n 0000009732 00000 n Fast-Fix meniscal repair: mid-term results.

0000033642 00000 n

Blood Flow Restriction Training is an exciting new adjunct to exercise. Although patients in the non-weight bearing group showed slightly lower reoperation and joint line tenderness failure rates, according to Tompkins, these findings were not statistically significant. After 4 The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks) If pain free, progress to a step of 6 inches in height.

Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 1-5, 2016; Orlando, Fla. Disclosure: Tompkins reports no relevant financial disclosures. 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. Lind M, Nielsen T, Faun P, Lund B, Christiansen SE. Recovering from knee surgery requires the patient to take care of themself and be very self-aware of how they feel. 0000036694 00000 n

0000013112 00000 n 0000046626 00000 n Would you like email updates of new search results?

2006;34:1941-1947.