driving after meniscus root repair

Continuing to train, moving it as much as I could, bearing weight as much as I could tolerate, not sitting around, and NOT just doing PT exercises 1-2x times a week. General anesthesia and a nerve block. I wont ever go anywhere else. This mechanism of injury and the description of a pop is the classic description of one who has a meniscus root tear occur. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Should a meniscus tear repair surgery be hurting 7 weeks post-operation? Meniscal Repair. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . Does having a cortisone shot help a meniscus tear or is surgery the only option? And the good news is that it can be helped without another surgery. . This results in premature arthritis and cartilage damage in the knee. United States. 5 stars! The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. Meniscus root tears are a particularly troublesome type of meniscus tear, because a failure to treat them can often result in the rapid development of osteoarthritis. Thank you. Sometimes the meniscus damage occurs more gradually as part of degeneration. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . 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. And its a lot slower for the remaining, you know, six to nine months after the first two or three months. Then I trained. Just its a big deal to take your time and let that cartilage heal at the rate that it heals you generally can go faster than what it heals, And the question that i get often is do i take any supplements glucosamine chondroitin those types of supplements and you know the answer to that is its not going to hurt we the research is kind of mixed on it sometimes it helps sometimes it doesnt help what we know is that it generally doesnt hurt it doesnt make it worse so youre not going to youre not going to make things worse if you decide to take those supplements are generally safe to take but some people report no difference. This is done to protect the repair and let the body heal it. I'm able to run and exercise without pain. I press and bench with no modifications. In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. My surgery was at 8:30am Wednesday, February 20. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. But now I know more about the body, about rehab, and about what being stronger really means. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients The exception is a patient that has contra-indications to surgery or already has too much cartilage wear and tear for the root repair to be beneficial. Fig 1 (A) Meniscus 4 A-II device. 1-2 Days After Surgery: Hospitalization for meniscus surgery is typically short. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Sit at home on the couch and watch T.V.? Thus, these patients can often have early onset arthritis, the development of bony edema, insufficiency fractures, and the failure of concurrent cruciate ligament reconstruction grafts. He is amazing and a blessing to have in the medical industry. Therefore, the patient should be worked up in a timely fashion when they do have a posterior horn medial meniscus root tear to determine if they are a candidate for a posterior horn medial meniscus transtibial root repair. In radiologic terms, this is called a bony ossicle. The technique for a repair for a bony avulsion, called a type 5 meniscus root tear, is similar to the other techniques other than it should have the bone piece shaved down and cleaned off such that it can be pulled back into the area where it had been avulsed from. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. while avoiding unnecessary surgery, injections, and medications. Thanks to his staff for being so helpful. The following Tuesday, I saw my doctor. Now, the focus when you go into a surgeons office, theyre looking at your MRI, theyre looking at your meniscus on the MRI, theyre telling you the tear in the way that its torn and how theyre going to repair it. The mini First-Pass device allows placement of either a suture or an UltraTape through the substance of the meniscus, capturing the end of the stitch as it is placed through the meniscus and then it can be pulled out of the joint. My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. They are connected to your tibia by meniscal roots. He spent a great amount of time explaining everything to me in a way that I understood everything. Also, I had to make numerous visits to the Ochsner Clinic due to my injury and Dr. Burnham's team and the staff at Ochsner were always very professional and courteous. But youre also not alone. Nothing. 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. You can schedule an office consultation with Dr. LaPrade. The most important difference is that rehabilitation following a meniscal repair requires limiting early postoperative weight bearing and knee flexion beyond 90 degrees to . 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. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. I would recommend his services to anyone. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. I have two good arms, and a good leg. Great shoulder doc. Please subscribe to this channel and turn on your notifications so that you dont miss a single video with great tips and advice that we put out every single week. Types of root tears: If you had a knee surgery if youve been seen physical therapy or any other health care professionals and theyre telling you youll be fine in three months back to normal youll be dancing youll be exercising youll be playing with the grandkids again just smile and remember this video. I sat down and put together a training program with exercises I could do, and trained four days a week as normal. In the end he offered the best treatment for me.This is the first time in months that I have felt myself. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. drive the next day if they feel ok. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. The most important thing as one gets older is the quality of the cartilage present. I walked around the gym with the crutches, and without the crutches. Specializes in Orthopedic Reconstructive Surgery. As a result, two weeks after surgery I was able to start driving my car, which is a manual. Created for people with ongoing healthcare needs but benefits everyone. <>>> Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. Very professional! The High Tech Shirt Problem in the Squat Rusty Holcomb, Observations on Training by an Old Guy Phil Ringman. Very reassuring, showed me X-rays and explained the healing process very clearly. . amount of, supply and beyond the age of 15 has limited healing without surgery. What was going to help my knee? We have published on several of these, noting that a PCL tunnel which is placed too close to the joint can detach the posterior horn of the medial meniscus and lead to the development of arthritis of the medial compartment. This is probably due to many factors, including the chronicity of the tear, the quality of the tissue, if the meniscus was released from scar tissue and pulled back in the joint, ones age, ones weight, and ones alignment. Robert LaPrade, MD, PhD The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. #JimmyWinkfield is 1 of 5 men to win the prestigious twitter.com/i/web/status/1, What are #loosebodies in the #hip? 515 Ray C. Hunt Drive, Suite 1100, Charlottesville, VA 22903 Phone: 434-243-7778 Fax: 434-243-5075 Meniscal Root Repair Post-operative Rehabilitation Protocol. Highly recommended! Partial weightbearing status (<50%), unless otherwise ordered by MD. This allows the meniscus to heal back to the bone. Patients are allowed to walk 4-6 weeks after surgery. Meniscus root repair rehab will usually start 1-2 days after surgery. endobj This technique is fast and effective. Does a extruded medial meniscus towards the posterior root need surgery? 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. I went to Dr. Burnham for issues I was having with my shoulders. The therapists were a little surprised to see me so soon after my surgery, but I really wanted to know how much range of motion I had post-surgery. If it is your right knee, it will be at least a week before you can drive, as it would be risky to have to hit the break too soon after surgery, and you would be a risk to yourself and everyone else on the road. Eventually, as I get into the mid 100s again, I will start adding five pounds a week. This is because the signs of arthritis are usually pain and swelling with activities. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. In addition, if the medial meniscus is involved, active And most likely, a meniscus tear.. The . I was adding 10 pounds a week for deadlifts but have now switched to pause deadlifts on Tuesday and add only 5 pounds a week to the heavy deadlift. Medication may be needed for 2-3 weeks. The most common root repair technique is called a transtibial technique. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. In our hands, because we have performed many second look arthroscopies, we have found that the 2-tunnel technique allows for a broader surface area of the meniscus against the decorticated bone and seems to allow for a more solid and secure repair. In particular, these younger patients have to look at a meniscus root repair as soon as possible to ensure that they dont develop arthritis. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! So you need to just have that expectation right now if youre going to go get a surgery, or if youve already had one, if its been more than six months, or youre in that you know, past six months, six to 12 months range or longer since your meniscus surgery, then its okay as long as you dont have another tear or some other massive injury to it, you can probably get that swelling under control, regain your motion back as long as it hasnt been too long. Regular assessment of gait to avoid compensatory patterns. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. A meniscus root repair involves reattaching the meniscus back to bone where it has been torn.