So getting swelling, or if its been a year since you had your meniscus surgery, and youre better overall, but youre still getting some swelling and pain, then its normal. 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. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? Most meniscus root tears require surgery. You'll begin a graduated rehabilitation protocol. I'm taking pain meds regularly to try and ease pain. I have see all three orthopedic doctors at the Grove and Jerrica is the one I see the most and the latest she's absolutely wonderful. The goal of a meniscus root tear repair is to locate the torn root and tack it back down to the bone using strong sutures. So happy I found them! The American Journal of Sports Medicine. I would recommend his service to any recreational athlete. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. 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. endobj The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. Therefore, we found that non-anatomic meniscus root tear repairs were not successful. 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. Really cares for his patients! - 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. 2 0 obj The meniscus is a piece of cartilage in the knee, often injured in sports. Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. We recommend the use of 2 cannulas such that the meniscus can be pulled down over a broader area and have a better chance of healing to the bone. Created for people with ongoing healthcare needs but benefits everyone. I would like to thank Dr. Jeremy Burnham for his wonderful work and surgery on my left shoulder. These include 1-tunnel and 2-tunnel techniques. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. He has a great rapport with teenagers. Meniscus root tears are now being recognised as a significant cause of pain, disability, and rapid joint deterioration. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. Other common symptoms include limping, a change in the patients gait and the inability to put weight on the affected knee. 4010 W. 65th St. 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. Instead of wall slides, I opted for high box squats. 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. The most common root repair technique is called a transtibial technique. There are some isolated reports of using suture anchors to repair a meniscus root repair, but this area of the knee is very difficult to access and the suture anchors can leave large knots which could subsequently interfere with the cartilage surfaces in the knee. Patient Testimonials - Meniscus Root Repair Everett | OCD Repair of the Knee Kirkland X Accessibility View Book An Appointment (206) 784-8833 Wallingford Office (206) 633-8100 Ballard Office (206) 784-8833 Home My Practice Practice Expertise Patient / Medical Resources Educational Resources Videos Radio/podcasts News Contact Dr. Garcia Facebook As of August 20, 2019, it will be six months post-op. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. They are also important to the stability and function of the knee, keeping the meniscus in place. The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. 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. I left my visit feeling very comfortable with where I was and what needed to happen next. 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. Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. How long after surgery for a meniscus tear will i be able to drive again. I would have relied strictly on physical therapy. For these, please consult a doctor (virtually or in person). I would recommend his services to anyone. Dr Burnham is so personable. 5 stars! 2601 E. Yandell Drive, Suite 232 You should also be able use your leg for driving after one to two weeks, as long as you're not taking opiate pain medication. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. . These are totally different. The meniscus is a very important piece of cartilage in the knee. His surgery and recovery has been perfect! Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). We had a wonderful experience and I highly recommend him. Full recovery from meniscus surgery can take anywhere from six weeks to three months. There can be many factors which can potentially cause pain after a meniscus root repair. My calf swelled up into my ankles. EDINA- CROSSTOWN OFFICE Patients are allowed to walk 4-6 weeks after surgery. Amazing Doctor and wonderful staff!! According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. Very reassuring, showed me X-rays and explained the healing process very clearly. stream Timeline: 1 week to 5 weeks after Surgery. 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. The other aspect that needs to be evaluated is the amount of extrusion of the meniscus. This can occur in up to 20% of patients, even in the best of circumstances. Your knee will be swollen. Definition/Description. 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. My right knee was totally destroyed; ACL, MCL, PCL all severely torn; the patella was the only thing intact in my right knee. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. One of the most common is in patients who may have some underlying arthritis and the arthritis is causing the pain or the arthritis has progressed further after the meniscus root repair. HSS Sports Medicine Institute West Side From April 22 until May 1, my program changed again, slowly becoming more like my regular training. Do minor meniscus tears require surgery or can it repair itself? But youve got to figure out a way to get your butt muscles stronger if youre looking for a more comprehensive plan for making your knee better and getting your glutes stronger we also have a program called the, https://www.epmanualphysicaltherapy.com/wp-content/uploads/2020/01/Logo-copy-1030x429.jpg, Shoulder Impingement: Everything You Need To Know To Get Healthy Again, Top 5 Shoulder Impingement Exercises To Help Get Healthy Again, Top 6 At Home Treatments To Begin To Naturally Heal Cervical Radiculopathy, Click Here To Schedule A Phone Call With An Expert, Click Here To Ask About Cost & Availability, Copyright 2022 - El Paso Manual Physical Therapy, How To Tell If Youve Got A Rotator Cuff Tear, Request A Virtual Visit With One Of Our Expert PTs, 28 day knee health and wellness boost program, 28-Day Knee Health & Wellness Boost Program, 28 Day Back Health & Wellness Boost Program. Most patients will have pain with squatting and deep knee flexion with a root tear because a meniscus root tear occurs in the back of the knee. 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. 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. My name is Dr. David Middaugh. If one has fairly normal cartilage of that side, the success rate is going to be better than those patients that have mild to moderate chondromalacia (arthritis) of the same compartment as the root repair. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. The most common method to fix meniscus root tears is through a tibial bone tunnel. The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. Thank you Dr. Burnham for being so amazing! We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. This is because a lack of meniscus attachment at the root causes extra stress to be placed on an ACL graft and it can also result in the patient having more instability, both with anterior tibial translation, and with twisting and turning activities during the pivot shift, when there is a concurrent lateral meniscus root tear. There are 2 main variants of the transtibial root repair technique. Is this normal? That night, I drove myself to the gym. Many patients do not have significant joint line pain like a typical meniscus tear, so having a patient stand up and squat down is often performed during the clinical exam to validate that the patient may have a meniscus root tear. And then after the surgery, the focus is doing physical therapy, typically if he gets sent there, and youre going to lose some motion in the surgery so your knee wont be able to bend or straighten all the way. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. I recommend him, as well as his staff, to anyone requiring such services. Swelling and stiffness. Browse archives. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE Rehabilitation begins within a week of surgery. We are so grateful and thankful. It can also occur while bending the knee deeply. In recent years the importance of the meniscus root has become more apparent. I was very pleased seeing Dr. Burnham, however I was not pleased to learn I was expected to pay an additional co- pay within the same week to receive the results of my MRI. endobj Can you tear your meniscus again after a surgery and if you do how can you tell? We currently use UltraTape to do this. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. Each week my leg brace is put to a different degree so I learn to bend my knee again. The length of time until patients are able to return to driving varies . He answered all of my concerns about my knee. Dr. Burnham took his time and answered all my questions with explanations. What was going to help my knee? And I feel my rode to recovery will be wonderful. 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. Nothing. They walked me through the process from beginning to end. I am now adding 10 pounds a week to the bar for squats. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. This technique is fast and effective. Deconditioning of ones quadriceps muscles can also cause similar symptoms, so it is important to determine if one has any atrophy of their thigh muscles, usually measured as the thigh circumference 15 cm above the patella and compared to the opposite leg.
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