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Does a extruded medial meniscus towards the posterior root need surgery? Very positive experience at Bone and Joint Clinic in Baton Rouge. To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain Minimize swelling . The High Tech Shirt Problem in the Squat Rusty Holcomb, Observations on Training by an Old Guy Phil Ringman. They are also important to the stability and function of the knee, keeping the meniscus in place. I chose not to use my crutches anymore. He has a great rapport with teenagers. And they can get back to normal in about two or three months after having the surgery. The steps in a meniscus root repair are very intricate and our biomechanical studies have validated that the steps are essential. When one drills a tunnel and tries to place stitches up a tunnel without a cannula in place, it can be extremely technically challenging. xYIoH8(Jr@fI)/_U}|xW&JDIraqm There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. 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. I highly recommend Dr Burnham for your orthopedic needs hands down. Contact Dr. Nwachukwus team today! And people are often disappointed to find out that as they begin to get back to normal, as theyve been told that they probably could and should they start to get swelling in the knee, they start to get a pain, of course. 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. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. 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. The other aspect that needs to be evaluated is the amount of extrusion of the meniscus. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. short distances based on their motion and There are two menisci in the knee, medial and lateral. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Medial meniscus root repair midterm results suggest excellent outcomes in a well-aligned knee with minimal degenerative change. Super knowledgeable. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. The pain during my recovery has actually only been minimal, requiring no pain meds. Monday: 8:00 am 5:00 pm And cartilage is one of the slowest healing tissues in the body. I'm able to run and exercise without pain. Studies comparing repair with either meniscectomy or conservative treatment found greater improvement and slower . They can occur in younger patients as a result of high energy trauma, but are more common in patients between 45 and 60 as a result of degeneration of the meniscus with age. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. The drill tip can then be pulled out, leaving the cannula in place, which allows one to place a passing stich up it to subsequently shuttle sutures down the tibial tunnel. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. A meniscus that still has extrusion present also does not function as well over the long term. United States. Medication may be needed for 2-3 weeks. 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. I would highly recommend him. 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. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. It hurt like hell. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. Conservative treatment methods are typically reserved for patients who would not recover well with surgery (i.e. In addition, if the medial meniscus is involved, active I have been very pleased with him at each visit..It's been almost 2 years since my meniscus root tear surgery and I have to say my knee feels great. I rate him 5stars. The procedure can be a complete meniscectomy where the meniscus and the . 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. 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. Two weeks. And thats all good if youre going to end up having the surgery. In fact 2 years ago I finished climbing the top 100 peaks in CO. The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. I got rid of the box for squats the end of July. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. You may need surgery to restore full knee function. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . 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. Ibuprofen (Advil, Motrin) Naproxen (Aleve) 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. It was glorious. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. Nothing. It takes longer for a meniscus repair to heal than a meniscectomy. 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. Country. Fortunately, this is usually done arthroscopically and with good results. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. When I woke up I was in significant pain but the nurses had it under control by the time I left. There can be many factors which can potentially cause pain after a meniscus root repair. If one has too much arthritis, then the chance of a meniscus root repair helping one to slow down the progression of arthritis is probably not worth having the meniscus root repaired. Video chat with a U.S. board-certified doctor 24/7 in a minute. Therefore, it is strongly recommended to proceed with a meniscus root repair whenever possible, with patients up to the age of 70 being reported as having excellent return of function. The Steadman Clinic - Edwards, CO 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. 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. In addition, there is no low age for meniscus repairs, with some root repairs being done in patients as young as 6 or 7 years old. How long after surgery for a meniscus tear will i be able to drive again. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. A week later, I got my MRI results and I was told that this was going to be a very long recovery, but I had other plans. After a pretty serious car accident, Dr. Burnham performed knee surgery on me. 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. These include 1-tunnel and 2-tunnel techniques. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. 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. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. While there are a small number of patients who do have their meniscus root re-tear, this has been nowhere near as common as the other sources noted above. Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. Surgical repair can successfully allow the meniscus to heal. He provided a thorough explanation without wasting time. . I kept training, modifying my squatting as needed until I could get back to proper depth. Meniscus root repair surgeon, Doctor Benedict Nwachukwu provides diagnosis as well as surgical and nonsurgical treatment options for patients in Manhattan, New York City, NY who need meniscus root repair surgery. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. There was absolutely no knee pain. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. 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. And unless you have been following my Instagram page and know about my rehab, you would never even know that I had knee surgery. We have published and validated our results in the peer-reviewed literature, which was at the time the largest series of meniscus root repairs reported. 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. Very reassuring, showed me X-rays and explained the healing process very clearly. In addition, the design of the meniscus is such that the full pressure of weight bearing activities is transmitted through the root of the meniscus, meaning that it is constantly pulling and stretching the tear with every step. He will now be caring for my hip and knee in the future. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE Ive dealt with other knee doctors in prior injuries, but Dr. Burham and his team clearly stood out. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. drive the next day if they feel ok. During the procedure, Dr. Vidal will isolate the root, pull it against the tibia and place sutures in the meniscal attachment. And Im a specialist physical therapist El Paso manual physical therapy. Robert LaPrade, MD, PhD The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. 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. We had a wonderful experience and I highly recommend him. They explain things very well. Really cares for his patients! (it is still a bit swollen). Thanks to his staff for being so helpful. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. How long did you have to avoid driving after meniscus surgery? Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. 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 Heel lift in opposite shoe to normalize gait. If one does a meniscus root repair in that extruded position, the chance of a meniscus root repair working over the long term is very minimal. Very thorough, knowledgeable and courteous. I continued to lower the box for squats, and started to add weight. Usually, pain is minimal after this type of surgery. In determining if one can have a revision root repair, one needs to determine the cause of the failure as well as the amount of underlying arthritis. I am so glad I did! The . 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 28 day knee health and wellness boost program you can also find that in the link and as a link in the description below. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! Medial Patellofemoral Ligament (MPFL) Reconstruction . In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned.
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