Wednesday: 8:00 am 5:00 pm In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. The pain during my recovery has actually only been minimal, requiring no pain meds. Two days after my surgery, Diego took me to my first PT session. Driving after meniscus root repair depends on which knee it is. 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. Nothing. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. The meniscus is a very important piece of cartilage in the knee. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. I was hit by a car on my bicycle near Horsetooth Reservoir in CO. 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 Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. Many meniscus tears can be treated successfully without surgery. Ill def refer friends and family! As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. - Privacy Policy - Louisiana Retina, Dr. Jeremy Burnham, MD - Sports Medicine, Orthopedic Surgeon, Knee Doctor, Jeremy Burnham, MD - Sports Medicine & Orthopedic Surgeon, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"rgb(23, 23, 22)"},"f2bba":{"val":"rgba(22, 23, 22, 0.5)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"trewq":{"val":"rgba(22, 23, 22, 0.7)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"poiuy":{"val":"rgba(22, 23, 22, 0.35)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"f83d7":{"val":"rgba(22, 23, 22, 0.4)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"frty6":{"val":"rgba(22, 23, 22, 0.2)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"flktr":{"val":"rgba(22, 23, 22, 0.8)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}}},"gradients":[]},"original":{"colors":{"f3080":{"val":"rgb(23, 23, 22)","hsl":{"h":60,"s":0.02,"l":0.09}},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.5}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.7}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.35}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.4}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.2}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.8}}},"gradients":[]}}]}__CONFIG_colors_palette__, Cartilage Damage: Symptoms, Causes, & Treatment, Elbow Rehabilitation and Postoperative Protocols. Begin passive range of motion exercises Start physical therapy or home exercise program 1-3 days after surgery Work on quad recruitment Brace/Crutch Use 25% weight bearing with crutches, brace 0-90 when ambulating and sleeping, can remove . Amazing Doctor and wonderful staff!! (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. They explain things very well. endobj Unfortunately, as we have developed more scientific evidence for this, including several studies in my lab, we found that the lateral meniscus root is extremely important to both prevent the development of osteoarthritis over time and also to protect a concurrent ACL reconstruction graft. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. Definitely a Bakers Cyst, my doctor said when I saw him. Historically, these root tears are often treated with benign neglect and either ignored or trimmed out. And this channel is dedicated to helping people stay healthy, active and mobile. An ACL tear most commonly occurs from a turning, twisting, or deceleration mechanism in a noncontact mode. 2700 Vikings Circle The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. The back attachment of the medial meniscus, called a posterior horn attachment, is the most common location for meniscus root tears to occur. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. We are so grateful for you both! 1 doctor answer 2 doctors weighed in Dr. Jeffrey Sider answered Sports Medicine 41 years experience Depends: If surgery is on the left leg i let some patients drive the next day if they feel ok. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. I have no issues taking the stairs, just a little knee discomfort here and there. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). PDF Coronal extrusion of the lateral meniscus does not increase after PDF Posterior Meniscal Root Repairs The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . The why answer is that the meniscus root is an important stabilizer to the meniscus to ensure that it can function as effectively as possible as a shock absorber. 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. Thus, when one does sustain a lateral meniscus root tear with an ACL tear, consideration should be given to having a concurrent lateral meniscus root repair so the ACL graft does not stretch out. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. How Long Is Recovery After a Meniscus Repair? Then, in January of 2018, while warming up in class one morning, a sharp, nauseating pain shot through my left knee, which made me start limping. 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. endobj These radial root tears are equivalent to a meniscus root tear. I could not bear weight on my right side though I tried repeatedly, but finally I went and got an MRI and one of the orthopedic surgeons that I worked with was shocked when he saw the MRI result. That night, I drove myself to the gym. There are two menisci in the knee, medial and lateral. I finally decided to make an appointment with a knee specialist. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. Healing kind of goes fast the beginning and then it tapers off. This hoop stress is resisted by fibers that run circumferentially through the meniscus. With an injury like this you want the best, and Dr. Burnham is the best. He provided a thorough explanation without wasting time. 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. If I had not spent the last several years of my life squatting, benching, pressing and deadlifting, I would not have had the strength to continue to be as active as I was after my surgery, and I most certainly would not have known how to rehab my knee on my own. But youre also not alone. Medial Meniscus Posterior Root Repair Using a Transtibial Technique Meniscal Root Tears - Dr. Chris Jones Colorado Springs, CO Yet, if you feel discomfort, you can take over-the-counter pain medication. 1 0 obj If there is tissue there, it usually means that the meniscus root repair has healed down to bone. I decided right then and there I would not get the MRI. PDF Knee meniscus root repair - tcomn.com What Is a Meniscectomy? - Healthline You'll likely regain your previous muscle strength in the leg by. Each patient was randomly selected to have knee meniscus surgery followed by rehab or to simply attend physical therapy without having surgery. So go check out that video on how to exercise your glutes theres five exercises in there that you can start doing them i would do them every day i do them a couple times a day even more if you can i would do what you can tolerate without it being too much soreness and your glute muscles and they should all generally be okay on your knee theres some where you got to kneel you can adjust it you can not do that exercise if you want. Meniscal Root Repair | Knee Specialist | Minnesota How Long Will My Knee Hurt After Meniscus Surgery 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. 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. Takes his time with you and doesn't hurry to rush out of the room if you have questions. Dr. Burnham was very helpful for my injury! First, one needs to ensure that the meniscus root is repairable and that there is not too much arthritis on that affected portion of the joint such that a meniscus root repair would not be recommended. The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. We recognized that meniscus root tears were a problem over 10 years ago and set out to perform a comprehensive research program to help us figure out how to diagnose the problem, where to place the meniscus repair, and how best to fix the meniscus tear to allow for maximal healing capability. In addition, if the medial meniscus is involved, active 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. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. drive the next day if they feel ok. He is walking without a limb and is on schedule with his progress. 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. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. It hurt like hell. In general, patients have to develop good quadriceps strength to allow for maximum absorption with activities prior to returning back to any significant hiking, jogging or running activities. Most patients with meniscal root tears will ultimately need surgical fixation of the root. This allows the meniscus to heal back to the bone. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . I'm taking pain meds regularly to try and ease pain. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. 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. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. This technique is fast and effective. Tuesday: 8:00 am 5:00 pm I could no longer deadlift from the floor, and was having trouble squatting below parallel. The general published success rate for a meniscus root repair is between 80% and 85%. . Realize that, as discussed above, the torn part of your meniscus was removed. I got rid of the box for squats the end of July. Meniscus Injury - Sports Medicine Research - Mayo Clinic Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. What Causes Knee Pain 1 Year After Meniscus Surgery? The most important difference is that rehabilitation following a meniscal repair requires limiting early postoperative weight bearing and knee flexion beyond 90 degrees to . Therefore, our surgical technique, using specific guides to avoid the eminences to ensure that one can place the guide exactly where one wants to have a cannula come out in the joint, using cannulas to allow for placement of passing sutures quickly and efficiently, having 2 separate cannulas with 2 separate tunnels for the meniscus repair, releasing the meniscus thoroughly to pull it back in the joint so it functions most effectively, and then having self-capture suture devices, which can place suture or tape into the meniscus substance, shuttle them down the tibia, and then tie them over a metal button on the tibia. Later that summer, the left knee began to bother meagain. amount of, supply and beyond the age of 15 has limited healing without surgery. 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. Dr Garcia demonstrates his new meniscal extrusion technique - YouTube Strength is one of the most important aspects of our lives. And now theyre kind of back to the way they were before the surgery. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation . Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. short distances based on their motion and This step involves making a surgical incision or extending a previous surgical incision (such as with an ACL reconstruction) and ensuring that one is dissected down directly to bone. Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. A friend of mine picked me up, and took me to the gym, where I coached my clients, sometimes sitting, sometimes standing. Diego has an automatic and it was my left knee that was incapaciated, not my right, so the next day, I hobbled into his car and practiced driving around the block. Thank you. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. At the beginning of April, I was dancing at a friends wedding when I suddenly heard and felt a loud pop in my left knee. So its important at the very beginning its appropriate at the very beginning to make sure that all your emotions back and that you can do some simple walking to and from the house even though hurts so that youre not you know having accidents and better so youre not having emergencies happening you need the function of your leg back. I highly recommend him. 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. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. Meniscus root repair rehab will usually start 1-2 days after surgery. The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. If not treated, part of the meniscus may come loose and slip into the joint. If scar tissue is present, Dr. Nwachukwu will clean up the area so the knee is allowed to move through its entire range of motion. A meniscal repair is a keyhole surgery technique for repairing a ripped meniscus.. Really cares for his patients! Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Patients are partial weight bearing for the first 4 weeks and then during weeks 4-6 are progressed to full weight-bearing. An ACL tear commonly has a pop on the outside of the knee, whereas a patient who has meniscus root tear commonly feels a pop in the back of the knee. Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.2 The FlipCutter II reamer and meniscal root marking hook allow for a minimally invasive . Very reassuring, showed me X-rays and explained the healing process very clearly. I got a lift home, and returned to the gym later that evening for more coaching. In some severe cases, they cant fully extend their knee out or bend their knee all the way. After creating two transtibial tunnels, passing sutures through the detached root of the meniscus and down the tibial tunnels, the sutures are tensioned to reduce the root of the meniscus to anatomic position. My daughter journey was very trying and hard but we made it through with all of their help. I am currently on crutches for 6-8 weeks with no pressure on my leg at all. Easy to talk to and will answer any questions of your care. Patients often report hearing a pop at the time of injury. Meniscus Root Repair Northeast Philadelphia, PA | Meniscal Root Tears Weight bearing as tolerated after 6 weeks. Dr. Burnham is amazing. The protocol is divided into phases. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. I was told by one of the orthopedic surgeons that I worked with that I would never run again and would be lucky if I could ever hike again. His staff is very friendly and upbeat, knowledgeable and thorough. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. It was glorious. Dr. Burnham was very thorough with his examination and diagnosis. Dr. Nwachukwu and his team will have an individualized recovery program for the best healing success after your meniscal root repair. That was day one. Because this is a frequent question posed on Google, I will try to be modest in answering this. United States. No swelling. Meniscus root repair is a surgery performed to repair a torn meniscus root. (it is still a bit swollen). When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. Thank you, Dr. LaPrade, for treating me with the care, focus, and expertise as if I was an Olympic athlete!- From your 63 year old very appreciative patent ~. I felt very informed and well cared for. #JimmyWinkfield is 1 of 5 men to win the prestigious twitter.com/i/web/status/1, What are #loosebodies in the #hip? Video chat with a U.S. board-certified doctor 24/7 in a minute. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. In recent years the importance of the meniscus root has become more apparent. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! Repair of the meniscal root significantly increased functional outcomes scores in 14 of 14 studies and the rate of conversion to TKA was considerably less than those observed following conservative treatment or partial meniscectomy. 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. Meniscus Tear Surgery Recovery Time: When Can I Get Back to Work? My repair will be later this week on my right leg. 2018;47:762. After meniscal surgery, rehabilitation with a physical therapist or athletic trainer is needed to restore range of motion, strength, movement control and guide the athlete's return to sport. He is amazing and a blessing to have in the medical industry. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. If you're an athlete needing a doctor that understands; this is the guy. I rate him 5stars. I left my visit feeling very comfortable with where I was and what needed to happen next. 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.