A meniscus root tear occurs when one or both of these roots tear away from the bone. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? How long did you have to avoid driving after meniscus surgery? Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. Normally, you should refrain from driving for at least 1 week after an arthroscopic knee operation, until the swelling reduces and the knee motion improves, but you should establish with your doctor when it is safe to start driving. Meniscus root repair is a surgery performed to repair a torn meniscus root. If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. Walk with crutches. Medial Patellofemoral Ligament (MPFL) Reconstruction . The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. Meniscal repair may be performed either by open surgery under direct vision or minimally invasively using an arthroscope that can be inserted into the knee through a very small key-hole incision to locate and repair the damaged meniscus. There are two ways to initiate a consultation with Dr. LaPrade: You can providecurrentX-rays and/or MRIs for a clinical case review with Dr. LaPrade. If one does have quite a bit of arthritis of the same compartment, which we would call Kellgren-Lawrence grades 3 or 4, in most circumstances, other than possibly in very young patients, a root repair would generally not be indicated. And now theyre kind of back to the way they were before the surgery. But youre also not alone. Dr. Burnham is amazing. (including injections and arthroscopic surgery), I heard Dr. La Prade was going to practice in the Twin Cities - where I live, & waited for him, based on his renown reputation. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. You will feel tired for several days. Why would I? It can create another problem later on youve got to listen to your knee youve got to listen to your body and make sure that you only go with what you can tolerate without making it worse without swelling pain or definitely not losing motion and you might consider staying in physical therapy longer than they want you to or finding something to help you out. Takes his time with you and doesn't hurry to rush out of the room if you have questions. Meniscus root repair is a surgery performed to repair a torn meniscus root. Definitely recommend. If not even worse. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. What is the Recovery Time for Meniscus Tear Surgery? - SportsMD The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Timeline: 1 week to 5 weeks after Surgery. So the focus of physical therapy after a knee meniscus surgery is getting your motion all the way back and then getting strong enough to stand and do some walking. If you break down what most healthcare provision professionals tell their patients, it could be an orthopedic surgeon, or even a physical therapist, its telling somebody whos just had a meniscus surgery, theyll say, well, 80% of healing is done in the first two to three months. And if youve already had your meniscus surgery, then you know what to do so that youre not getting more swelling, pain and not losing motion than that knee and youre staying out of the surgeons office, so you dont have to go back again for another knee surgery. A meniscus root repair involves reattaching the meniscus back to bone where it has been torn. But now I know more about the body, about rehab, and about what being stronger really means. However, we felt that with a 6-week period of being nonweightbearing important for all meniscus root tears, that the 2 simple suture technique was valid. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. You can schedule an office consultation with Dr. LaPrade. The technique of a meniscus root repair involves isolating the root, placing a minimum of 2 sutures in the remaining meniscal attachment, and trying to reposition it back to a more anatomic position. The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. Really cares for his patients! My wait time for office visits has always been less than 10 minutes. The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. Patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs can expect a variation of the following: Dr. Nwachukwu is extremely knowledgeable about his area of expertise. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. What Is a Meniscectomy? - Healthline At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. In particular, making sure the meniscus has a thorough release from scar tissue and making sure that ones sutures or UltraTape are placed into the best substance possible for the meniscus root repair, are important considerations to maximize the chance of healing of the revision root repair procedure. Dr. Benedict Nwachukwu, orthopedic knee surgeon has extensive experience in treating meniscus root tears and can help patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs. Patients are allowed to initiate weightbearing at 6 weeks, but should avoid any significant squatting, squatting and lifting, or sitting cross-legged for a minimum of 5-6 months. short distances based on their motion and Very reassuring, showed me X-rays and explained the healing process very clearly. Two weeks to the day, I got on my spin bike at the gym and did what I could do. A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. Did you have any meniscus surgery in the past and youre still dealing with pain, swelling and possibly even losing motion in your knee? It is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. In particular, it has been found that one of the most common reasons why younger patients need total knee replacements is because of a neglected or undiagnosed meniscus root tear leading to the development of osteoarthritis. PDF Posterior Meniscal Root Repairs Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. Does having a cortisone shot help a meniscus tear or is surgery the only option? Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Should a meniscus tear repair surgery be hurting 7 weeks post-operation? The most important aspect to assess when one is looking at a root repair is to ensure that ones cartilage surfaces are still fairly normal. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? From April 22 until May 1, my program changed again, slowly becoming more like my regular training. My pain was gone. 2700 Vikings Circle Dr. Burnham took time to explain the surgery & what to expect during recovery, answering all my questions (& there were many). Conservative treatment methods are typically reserved for patients who would not recover well with surgery (i.e. The second tip i need you to take home today is you need to listen to your knee because after youre on your own and youre youre supposed to be 80% better theres things that youll be able to do and go ahead and do those as long as they dont hurt or bother you or cause some effects later on that day or the next day then theyre generally going to be okay things for you to do you can probably do some walking but walking you know a few miles maybe not very comfortable for you that may set off the swelling that may hurt you more. My calf swelled up into my ankles. The Biggest Mistake People Make After Knee Meniscus Surgery How long recovery takes depends on the type of meniscus surgery and the severity of the injury, but expect two weeks down time, at minimum. I would recommend his service to any recreational athlete. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. And this channel is dedicated to helping people stay healthy, active and mobile. Meniscus Tear Surgery Recovery Time: When Can I Get Back to Work? Lateral meniscus root tears can lead to arthritis, but they also result in the ACL being a little looser and the clunk that comes with an ACL tear (pivot shift) being more unstable. Most patients will also have some numbness around the surgical incision, but this is not a true complication and is anticipated with any type of surgical incision. It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. This results in premature arthritis and cartilage damage in the knee. Tuesday: 8:00 am 5:00 pm Therefore, we then looked at surgical techniques and due to the fact that we had multiple second look arthroscopies after bone grafting for ACL reconstructions with meniscus root tears, that the 1-tunnel technique had more of a spot welding healing of the meniscus to bone whereas the 2-tunnel meniscus root repair technique had a much better healing surface of the meniscus to bone. Is this normal? So happy I found them! Many tears have better outcomes if they are treated early. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. Treatment Outcomes of Meniscal Root Tears: A Systematic Review Oftentimes healthcare providers will tell you go walk your knees operated on its good youre the we took out the chunk that was you know causing your need to lock up the meniscus we did a meniscectomy or we repaired the meniscus and its all sewn together now so you can go ahead and walk all you want and some people take that to heart and to go walk you know three miles a day or even 10-20 miles a week and their meniscus just doesnt heal enough and they get that swelling. When I went in arthroscopically and thoroughly released the meniscus, pulling it back into an anatomic position and revising the repair; all of these patients seemed to have much improved pain relief. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. I decided right then and there I would not get the MRI. Now my intent on this video is not to throw anybody under the bus surgeons are doing the best they can with what they know and saw our physical therapists in any health care providers that you may be seeing for your meniscus problem. 1 0 obj Dr Burnham is so personable. endobj My name is Dr. David Middaugh. Sutures are passed through the meniscus, and then pulled down into a bone tunnel located at the same site as the root attachment before it tore. Meniscus root tears are now being recognised as a significant cause of pain, disability, and rapid joint deterioration. But typically physical therapy goes two to three months you get 80% better and a lot of times people have the expectation setting themselves that they can get back to everything that theyre doing before and thats just not the case they can do a lot of things now that they couldnt before the surgery typically. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. And slowly, I started bending the knee more, and eventually took the box away from my bench. My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. One should not look at age as a factor for meniscus root repairs. Instead of wall slides, I opted for high box squats. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. Meniscus tears & repairs - Overview - Mayo Clinic Orthopedics & Sports Typically begins 3-5 days after surgery; Precautions Toe touch weight bearing with brace; Gradually unlock brace for 6 weeks; after 6 weeks no brace Torn Meniscus - Repair and Post Op Instructions Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. So if thats your feeling youve taken them and it hasnt really made a difference for you dont take them if you feel like to help you out please take them but dont just take the supplements in hopes of that replacing doing the right exercises and having the right expectations youve got to do them both together give us a like if you thought this video was helpful and please drop a comment if you have any questions and i hope that you get better real soon have a wonderful day guys. We currently use UltraTape to do this. Are you an athlete who participates in sports that involve running and jumping? The study included 351 patients with knee OA and meniscus tear. This can occur in up to 20% of patients, even in the best of circumstances. As of August 20, 2019, it will be six months post-op. I got rid of the box for squats the end of July. Definition/Description. After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. W;5$u4Yxa_V_bm}q8=^_qbY,H(+",X'{|oMs"&A;3.E s&L=Z`)!]$],b }zb& Y@dy.Lif1:4@"Fz"U2`/h0|6^T&}56+Q:Dn{d:rqW@3 7 U. My 14 year old son originally went in to see Dr. Burnham very scared (he hadn't had an injury before) and he was instantly made to feel at ease. I highly recommend him. Repetitive motions, overuse, and muscular imbalances ar twitter.com/i/web/status/1, Digging Deeper into the Data: Is Suture Bridge Repair + #PRP really the best technique for #rotatorcuffrepair? twitter.com/i/web/status/1, Wild Life of the Last #BlackJockey to Rule the #KentuckyDerby For these, please consult a doctor (virtually or in person). Other complications can include a blood clot, which is usually treated preemptively with some type of blood thinner, and irritation around the surgical button and/or surgical knot from the meniscus root tear. Meniscal Root Repair Alone or Combined with Different Procedures After Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . I could no longer deadlift from the floor, and was having trouble squatting below parallel. General anesthesia and a nerve block. Fortunately, this is usually done arthroscopically and with good results. I am so glad I did! Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. (B) Posterior root lesion of lateral meniscus. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. I am a coach, and I have two boys playing sports, the best thing I can say is that my sons will go see Dr. Burnham in the event they are injured, and I will always recommend him to my athletes. That night, I drove myself to the gym. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. xYIoH8(Jr@fI)/_U}|xW&JDIraqm I also started boxing sessions once a week with one of my coaches as I am not allowed to start back to BJJ until September. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. Yet, if you feel discomfort, you can take over-the-counter pain medication. Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. Many surgeons will tie the meniscus root repair with the knee bent, so that one can start motion right after surgery and not have to worry about the meniscus root repair being stretched out. Is this a tear? I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. One should assess the range of motion at that point in time that can be performed in a safe zone to make sure that the physical therapist does not flex them harder in this time frame. He has a great rapport with teenagers. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. It is shaped like a C and it serves to cushion and stabilize the knee. The technique of a meniscus root repair involves isolating the root, placing a minimum of 2 sutures in the remaining meniscal attachment, and trying to reposition it back to a more anatomic position. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. Heres the third practical tip if youre if you dont know where to go Ive got some exercises that i put on videos here for free on YouTube its linked in the description below theres one video in particular that i want you to take a look at its called top five glute exercises for knee problems go check out that video start doing those exercises youve got to exercise the heck out of your glutes if you got a meniscus injury if youve had a meniscus surgery in the past you need to get your glutes worked out.