He was outstanding. with time whether there is healing or not. The recovery time for meniscus surgery depends on the type of surgery you had. His MA Michelle was very professional and kind. As of August 20, 2019, it will be six months post-op. Thank you for choosing Dr. LaPrade as your healthcare provider. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. Dr. Burnham & his staff are very personable & caring. We are so grateful for you both! Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. Knows his stuff. 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. His extensive schooling, research, and commitment to his craft shined through at every turn as he evaluated my injury, presented all my options (clearly explaining non-surgical options and expected outcomes), and helped me plan my course of treatment and recovery. endobj In some cases, its important that you take away from this video today that it takes six to 12 months to heal from a meniscus surgery. 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. Therefore, we strongly advocate using a button to fix the meniscus sutures or tape on the tibia to minimize the chance of loosening over time. I highly recommend him. I would recommend his service to any recreational athlete. 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. I can run, bike, & climb mountains. Other non-medical modalities may help, such as using ice and elevating the leg. The steps in a meniscus root repair are very intricate and our biomechanical studies have validated that the steps are essential. Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain Minimize swelling . The blood supply to the meniscus in an adolescent or adult is very poor. I never met a doctor and his team that showed some much compassion about their patient. I really like and appreciate the time and effort he commits to research. It was press/bench day, so I set up for some seated presses and dragged a stool over to prop my left leg up while I benched. Meniscus Root Tear | Orthopedic Knee Specialist | Vail, Aspen, Denver These UltraTape or sutures can then ultimately be shuttled down the cannulas and then tied over a metal button on the front part of the tibia. In January of this year, I finally decided to go back to my doctor to get that MRI. Dr. Burnham has an awesome bedside manner. Very thorough, knowledgeable and courteous. PDF Meniscal Root Repair Post-operative Rehabilitation Protocol The most common method to fix meniscus root tears is through a tibial bone tunnel. Meniscus Surgery: What to Expect at Home - Alberta 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. I have successfully repaired meniscus root tears in patients that were 70 and 71 years old respectively and they are some of my happiest patients. Thanks to Dr. Burnham and his staff. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. You can schedule an office consultation with Dr. LaPrade. 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. Dr. Burnham was very personable and explained my situation in great detail. Dr. Burnham clearly cares about his patients and their follow up care. An iatrogenic meniscus root tear means that a tunnel was drilled for an ACL or PCL reconstruction and hit the meniscus root and detached it from bone. And get the pain under control and recover normally the way that you should have once you start doing the right things. Meniscus root tears usually occur in patients with deep flexion such as skiers, or home gardeners, plumbers, or carpet layers or people doing similar activities. (E) Horizontalized FlipCutter drill ready to drill 10-mm-deep tibial tunnel. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. 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. I felt very informed and well cared for. Healing kind of goes fast the beginning and then it tapers off. He will now be caring for my hip and knee in the future. When I returned home around 1pm that day, I sat in my living room for a bit, emailing and texting people to let them know I was alive and well. Created for people with ongoing healthcare needs but benefits everyone. Post Operative Knee Arthroscopy FAQs - Complete Orthopedics What made my recovery so fast? Meniscus root repair | Knee Problems | Forums | Patient They moved my knee a bit, and I had decent ROM, better than expected. %PDF-1.5 The left knee was feeling great up until about a year and a half ago, when I started noticing some pain. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. The incisions leave scars that usually fade in time. 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. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. Patients are allowed to walk 4-6 weeks after surgery. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. These results reveal that, since all the variables and possible concomitant injuries are investigated and addressed, MRR . Most of these types of injuries, that are symptomatic, require surgery. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. And the good news is that it can be helped without another surgery. Please help. 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. 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. I would highly recommend him. I hope that you found hope now that if you got if you had a meniscus surgery in the past and youre dealing with these problems of swelling the pain the loss of motion please start doing this this taking this advice that i gave you start doing the exercises and get better it is possible to get that swelling down and to get your motion back and to recover and be normal. 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. The feeling that your knee is giving way, locking, or catching when you bend it. I finally decided to make an appointment with a knee specialist. In this technique, sutures are placed into the torn meniscus root and then shuttled down tunnels in the tibia to tie the repair into place. Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! He listens and address every concern with appropriate solutions. 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 We currently use UltraTape to do this. 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. Ive already talked about this but I cant drive the point home enough if youve gone to the doctor. He spent a great amount of time explaining everything to me in a way that I understood everything. Nothing. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. Two important criteria exist to begin driving after meniscus surgery. The following Tuesday, I saw my doctor. Well, this is not normal. And I feel my rode to recovery will be wonderful. 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. 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. How Long On Crutches After Meniscus Repair? Meniscus root tears are now being recognised as a significant cause of pain, disability, and rapid joint deterioration. Some patients may experience catching, clicking, or locking of their knee. The pain during my recovery has actually only been minimal, requiring no pain meds. 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 ~. A meniscus can become damaged due to sudden trauma. One should not look at age as a factor for meniscus root repairs. If the surgery is on the right leg i change to 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. I started Brazilian Jiu-Jitsu about four years ago. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. The system also involves a drill with a cannula whereby one can drill through the tibial guide, see the drill bit come out inside the knee, and then pull the drill bit out and leave the cannula in place. However, if the meniscus re-tore or is placed into a non-anatomic position and ones cartilage surfaces are still fairly intact, an attempt at a revision repair should be made. Amazing Doctor and wonderful staff!! Most patients with meniscal root tears will ultimately need surgical fixation of the root. 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. 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. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. The transtibial meniscal root repair is emerging as the gold standard treatment due to its ability to restore a large footprint at the meniscal root's native attachment site and restore normal joint contact pressures. It can also occur while bending the knee deeply. And then they lose motion. Dr. Burnham performed my hip pin surgery and it all went extremely well. Types of root tears: Oftentimes, after having a meniscus surgery, people are told that they'll be fine. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. While there are many factors that can go into extrusion, a maximum attempt should be made by the surgeon to try to pull the meniscus back in the joint to give the meniscus the best chance to function as a shock absorber after it heals. Realize that, as discussed above, the torn part of your meniscus was removed. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. Meniscus Tears: Why You Should Not Let Them Go Untreated After hours 763-520-7870 Address Maple Grove 9630 Grove Circle N., Suite 200 Maple Grove, MN 55369 Minnetonka 15450 Highway 7, Suite 100 Minnetonka, MN 55345 Robbinsdale 3366 Oakdale Ave. N Suite 103 Robbinsdale, MN 55422 Knee Meniscus Root . Highly recommended! Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. 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. You'll likely regain your previous muscle strength in the leg by. I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. So lets get to it. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. I was going to rehab myself, and keep training as normally as I could. Meniscal Repair. importance of the meniscus root has become more apparent. And thats all good if youre going to end up having the surgery. This can occur with turning, twisting, or pivoting activities or sports. Stated to me , in detail, what to expect and how long my recovery will take. If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. So happy I found them! 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. Meniscus Root Tear | Knee Doctor | Baton Rouge, LA - Jeremy Burnham, MD
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