They may also debride or clean up the edges of the tear. In the cases of menisco-synovial ramp repair, hypermobility of the lateral meniscus fixation and longitudinal tear suture, where the hoop tensile stress effect is preserved, partial weight bearing (20 kg) is allowed for the first four weeks after surgery, with weight bearing as tolerated for the following weeks [11, 30]. 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. How quickly this progress occurs varies by surgeon, but a typical range is 4-8 weeks. - Touch-down weight-bearing for 6 weeks with 2 crutches - 0 - 1 week: Brace locked in full extension for ambulation and sleeping - 1 - 6 weeks: Unlocked 0-90 deg for ambulation, lock in . 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). The first weeks you will use this many times a day. 2006;34:1941-1947. What do the surgeons that you work with recommend? Healthline Media does not provide medical advice, diagnosis, or treatment. After controlling swelling, increasing range of motion, and progressively increasing your strength it provides a much better picture if surgery is needed. The number one recommendation is to properly warm up before intense physical activity. Total recovery time can vary from 3 to 6 months, depending on the overall health of the patient and their commitment to proper follow-up care. Successful clinical outcomes ranged from 70% to 94% with conservative rehabilitation. 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. PRP Injections: How Long Do the Benefits Last? government site. Early Weightbearing After Meniscus Repair, 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. Researchers defined failure as the presence of joint line tenderness on the same-side meniscus or reoperation on the same meniscus. All opinions remain our own. So, if immobilized in extension, why do we limit weightbearing? You will be advised to rest as soon as you get home following your procedure. 2008;24:1342-1348. Memmel C, Krutsch W, Szymski D, Pfeifer C, Henssler L, Frankewycz B, Angele P, Alt V, Koch M. Int J Environ Res Public Health. This exercise is great to gain rotational control of the leg. Squat down as deep as the knee will tolerate and hold for 2-3 seconds. All you need is a resistance band. Following your prescribed exercises as directed will go a long way towards ensuring a complete return to healthy knee function. Knee Surg Sports Traumatol Arthrosc. Its much more difficult to gain range of motion later in the recovery and will be a focus early on in the rehab. Proper aftercare is essential to avoid any complications or setbacks that may lengthen your recovery time. A split or torn meniscus is among the most common knee injuries, and it often occur during severe impact or twisting motions, especially during weight-bearing exercise. Please consult your physician or health care profession before beginning any exercises after surgery. The .gov means its official. Modern treatment of meniscal tears. The motion has been shown to help. Can I work outside US on OPT? Will I need someone to help me around the house with everyday tasks? 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. Other Types of Knee Injuries or Disorders. 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. These hoop stresses are thought to be helping the healing process in many tears by approximating the tissue. Start by lying on your back with your feet on top of the exercise ball. Perkins C, et al. Find out whether the time is right for you to have knee replacement surgery. Federal government websites often end in .gov or .mil. The increased amount of arthritis makes this type of tears difficult to heal after surgery and may even speed up the degeneration. This tear is a combination of the different types of tears and is complex in nature. However, removal of meniscal tissue can also diminish the ability of the meniscus to dissipate hoop stresses (weight bearing pressure on the outside of the meniscus), resulting in altered biomechanics of the knee joint including increased contact pressures." . The strap helps you stretch and pull your knee further than you can move it by yourself. Thankfully, the surgery required to fix torn knee cartilage (also known as meniscus) can be done through a very small incision that leaves minimal scarring that will fade over time. Pts are usually walking without crutches within a weeks time. There is a lot of information out there regarding weight bearing status after meniscus repair. You should also take any pain relieving medications as prescribed. The doctor might also recommend ice and elevation during this period. Meniscus tears. 2017 Jun;45(7):1687-1697. doi: 10.1177/0363546516667578. We return the patients range of motion, strength and function per their symptoms and let pain and swelling guide the rehab process (a very general guide but one often employed by many rehabilitation specialists). Recovery time from a limited meniscectomy (limited removal of the meniscus) is faster than recovery from a meniscus repair. At first, a torn meniscus may be asymptomatic. How long will I need to take off work? Its important to get the knee all the way straight and try to hold for at least 5 seconds to help the nerves and muscles return to normal. As you return to running start slow and progress 10-15% each week to avoid injury, Dont start running or jumping until you can hold a single leg squat for 30 seconds, Warm up properly before returning to any sporting activity, Continue to strengthen the leg, it is one the thing that has been shown to decrease injury risk. The front hip and both knees should be in a 90 degree angle and the chest should stay upright. This is a great exercise to do early in rehab tp the strengthen the hip. Doctors will usually advise against performing certain exercises when you have a meniscus tear. These tensile forces create hoop stresses, which expand the menisci in extension. Ankle Mobility Drills to Improve Dorsiflexion, PLEASE click here to leave us a review in iTunes, Shoulder Labral Repairs in Overhead Athletes, Getting Back to Overhead Exercises in the Gym. See video: Eccentric step down. The horizontal tear is a tear that simply goes through the middle of the meniscus. Range of motion is generally started soon after surgery from 0-90 degrees, without any weight-bearing during motion. We and our partners use cookies to Store and/or access information on a device. Those that are caused by an injury are often the ones that can be. 75% of the tears occur in the inner portion of the meniscus which will likely not heal due to the poor blood supply and healing limitation. 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. (Click here for the updated rehabilitation protocols we currently use.). This simple yet effective strap helps you get your range of motion faster, and the faster you get your motion back the better. 2021 Jan 30;3(2):e411-e419. Many patients report that their knee mobility following the procedure is at least as good as it was prior to the initial injury. See below for exercises that use an aerobic step and our favorite is the simple yet effective KLB Sport 31 Adjustable Step. Tag: Weight Bearing After Meniscus Repair. Things like new joint line pain along the site of the repair, new swelling or a change in pain patterns, and even clicking (although most people have this) are all signs that I may want to further assess and modify my progression. How will surgery increase or decrease such risks? Although, many patients can walk without a knee brace and crutches in about 2-3 months. Our favorite is from Cucial Compression since it comes in a two pack and adds just the right amount of compression. There is a small chance of an increase in the progression of arthritis depending on your age and this overall a faster recovery. 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. Manage Settings What future precautions will I need to take pertaining to exercise or daily activities. How quickly this progress occurs varies by surgeon, but a typical range is 4-8 weeks. 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. Staying off your feet during the first few days following the procedure is very important. 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.. Caution: If you had a meniscus repair you likely wont be able to bear weight in the surgical leg. The outcomes and ability to heal depend on many factors including the type of meniscus tear. Anecdotally, I can say we have handled meniscal repairs to allow weightbearing and range of motion to tolerance for many years. Our detailed examination process, all our treatment progressions, and detailed information on nonoperative and postoperative treatment of ACL, patellofemoral, meniscus, articular cartilage, osteoarthritis injuries, and so much more. But what about the exact mechanisms that many are still fearful of allowing early in the process, like early walking and range of motion? 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. For how long? When was the surgery? See video here: Short Arc Quad, This exercise is perfect to work on knee extension but in a weight bearing position. However, if your knee pain and swelling continues to interfere with your daily activities, or if your tear is over 1 cm, you may consider discussing surgery with your doctor. The following are the necessary cues for appropriate form: 1) Lower extremity alignment. - If meniscus repair is necessary, recovery is likely to be longer and more involved. These hoop stresses are thought to be helping the healing process in many tears by approximating the tissue. The compression knee sleeve will help with pain and swelling in the early phases of recovery. While we lean towards allowing weight-bearing, there are some important things you have to consider. At the 6 week mark, most people feel better than 80% of normal and dont notice it much during their daily activities. 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. Make sure that the knee does not progress past the toes on the front leg and go as deep as you feel comfortable. Created for people with ongoing healthcare needs but benefits everyone . Tighten the quad muscles to lift the lower leg straight. Overview In a Meniscus repair, the surgeon with go in and try to suture the torn edges of the torn meniscus together. Should we Still be Using Rehabilitation Protocols? It is technically . See video: Hamstring culs on Exercise Ball, The goal of squats at this time in recovery is you get the joints and muscles ready to go. Make sure to keep the leg inline or behind you when performing. Return to Sport After Biceps Tenodesis 35-100%. How long after meniscus surgery can I walk? Is right for you to have knee replacement surgery surgeons that you work recommend... May also debride or clean up the weight bearing after meniscus repair have to consider the doctor might also recommend and... The leg inline or behind you when performing horizontal tear is a combination of leg. Through the middle of weight bearing after meniscus repair torn edges of the different types of tears difficult gain... 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