Usually, pain is minimal after this type of 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 . Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. Two important criteria exist to begin driving after meniscus surgery. Dr Burnhams bedside manner was exceptional. Instead of wall slides, I opted for high box squats. Meniscus root tears are now being recognised as a significant cause of pain, disability, and rapid joint deterioration. 1) You must be off narcotic medications for a . Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 But now I know more about the body, about rehab, and about what being stronger really means. I would highly recommend him. I am a coach, and I have two boys playing sports, the best thing I can say is that my sons will go see Dr. Burnham in the event they are injured, and I will always recommend him to my athletes. I chose not to use my crutches anymore. 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. It involves removal of some or all of a meniscus from the tibio-femoral joint of the knee using arthroscopic (keyhole) surgery. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. 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. 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. Of patients treated with medial meniscal posterior root repair, 62.43% demonstrated complete healing on follow-up magnetic resonance imaging (MRI) or second-look arthroscopy. The protocol is divided into phases. 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. Ive dealt with other knee doctors in prior injuries, but Dr. Burham and his team clearly stood out. So that means youre good to go after two to three months. 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. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Dr Burnham is so personable. And its really concerning and very disappointing for somebody whos gone through the knee surgery. endobj When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the Drivers: The meniscus repair surgery to prevent osteoarthritis is expected to drive market development. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. Ibuprofen (Advil, Motrin) Naproxen (Aleve) As of August 20, 2019, it will be six months post-op. I have no issues taking the stairs, just a little knee discomfort here and there. A meniscal repair is a keyhole surgery technique for repairing a ripped meniscus.. He is walking without a limb and is on schedule with his progress. endobj I started Brazilian Jiu-Jitsu about four years ago. - 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. Meniscus Repair. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE They might have a follow up visit or two but its really physical therapy that suppose take over at that point in physical therapy just has you for two to three months and once theyre done with you same thing once youre back to walking and bending your knee all the way and straightening out your knee all the way. 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. 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. I was told it would be about 6 weeks, but my instructions are to wear a brace at full extension for the duration of this time. A meniscus root repair involves reattaching the meniscus back to bone where it has been torn. drive the next day if they feel ok. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Thank you Dr. Burnham for being so amazing! If patients put weight on the knee immediately after the repair, the forces on . In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. Does a extruded medial meniscus towards the posterior root need surgery? And cartilage is one of the slowest healing tissues in the body. questions after your surgery, during business hours call 763-302-2231. Further study into meniscus root tears and radial root tears is ongoing by our research laboratory to try to improve the treatment of these complex problems. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. <> 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. Appreciate the attention and time spent during office visits. He answered all my questions satisfactorily and his entire staff were polite and professional. There was absolutely no knee pain. When you put weight on your leg, it is the meniscal roots that transfer the axial loading forces of the knee into hoop stress in the meniscus. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. Dr. Burnham took time to explain the surgery & what to expect during recovery, answering all my questions (& there were many). He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. After you have surgery to repair a meniscus tear, you may need to build up your strength in the muscles of your leg that support your knee. 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. These are totally different. Meniscus root repair is a surgery performed to repair a torn meniscus root. If not treated, part of the meniscus may come loose and slip into the joint. Keeping each meniscus in place are two "roots" that attach to the tibia (shin bone). In layman terms, I had completely torn my medial meniscus from the bone, and it had to be sewn back on. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? Please try again. 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. He and his staff could not have been more helpful and professional. 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. After sutures are placed arthroscopically into the meniscal attachment, a small diameter tunnel, usually 5 millimeters in size, is reamed to the meniscal root attachment site, the sutures are pulled down the tunnel, and tied over a button on the anterior cortex of the tibia. Is this a tear? Very positive experience at Bone and Joint Clinic in Baton Rouge. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. MRI is used to look more closely at the meniscus and determine if it is something that needs surgical treatment, although not all meniscus root tears show up on MRI. Dr. Robert F. LaPrade operated on my right knee in May of 2010. 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. Robert LaPrade, MD, PhD Prior to that, they are recommended to use crutches. This answers all my questions! Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. I plan to squat 135 pounds for three sets of five on this day and am scheduled to deadlift 200 pounds on August 23. The following Tuesday, I saw my doctor. 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. Highly recommended! The root attachments of the posterior horns of the medial and lateral meniscus are very important for joint health. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. If a patient does have a meniscus root tear and the cartilage in that same compartment is still relatively good or normal, a meniscus root repair would be indicated. What could you eat or do for a meniscus tear to heal faster after surgery? In recent years the importance of the meniscus root has become more apparent. He is on the cutting edge of research and techniques around surgery, he has a memorably reassuring bedside manner, and Im thankful he was in charge of my evalution and treatment. Monday: 8:00 am 5:00 pm Many surgeons will tie the meniscus root repair with the knee bent, so that one can start motion right after surgery and not have to worry about the meniscus root repair being stretched out. Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery. . There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. Full recovery usually takes 6 months but can take up to 1 year. Dr Jeremy Burnham has a great way of interacting with his patients. 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 . Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! It was tough, and it hurt like hell, but I took it slowly. 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. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. Dr. Burnham & his staff are very personable & caring. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If you're an athlete needing a doctor that understands; this is the guy. By using our website, you consent to our use of cookies. Strength. My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. So the focus of physical therapy after a knee meniscus surgery is getting your motion all the way back and then getting strong enough to stand and do some walking. My surgery was at 8:30am Wednesday, February 20. At the end of March, my doctor told me I could take my brace off completely, and use crutches for another week if I needed to. Patients are allowed to initiate weightbearing at 6 weeks, but should avoid any significant squatting, squatting and lifting, or sitting cross-legged for a minimum of 5-6 months. It can also occur while bending the knee deeply. 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. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. One of the main portions of the system is a guide that can be placed inside the joint that fits around the tibial eminences and allows the surgeon to place the tip of the guide right at the area that has been decorticated of bone, where one wants to perform the root repair tunnel. A torn meniscus can result in either sudden or gradual onset of pain. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. Two weeks today I had meniscus root repair. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. When a tear of the meniscal root, or even a tear near the root, occurs, the meniscus can no longer convert axial loading forces into hoop stresses. I highly recommend him. I switched from trap bar deadlifts to barbell rack pulls, continued to lower the box for squats and switched from single leg deadlifts to RDLs. So happy I found them! 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. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. As a result, two weeks after surgery I was able to start driving my car, which is a manual. He provided a thorough explanation without wasting time. You may need to leave a message. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. Studies comparing repair with either meniscectomy or conservative treatment found greater improvement and slower . This mechanism of injury and the description of a pop is the classic description of one who has a meniscus root tear occur. 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. 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. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. This is because the signs of arthritis are usually pain and swelling with activities. The meniscus is a very important piece of cartilage in the knee. He diagnosed the problem quickly and accurately. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. I'm taking pain meds regularly to try and ease pain. 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. <>/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>> And Im a specialist physical therapist El Paso manual physical therapy. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. Recommend highly. I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. I did a few jungle gym rows, and finished with planks. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. A written consent will be obtained from you after the surgical procedure has been explained in detail. He then drills a hole from the front of the tibia, into the root area and brings the sutures through the hole in order to tie them together and hold the tissue in place. Created for people with ongoing healthcare needs but benefits everyone. Each week my leg brace is put to a different degree so I learn to bend my knee again. Everyone made us feel comfortable, and they were all polite and professional. His MA Michelle was very professional and kind. When I woke up I was in significant pain but the nurses had it under control by the time I left. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture from Jeremy Burnham, Ochsner-Andrews Sports Medicine Institute, Copyright 2022Jeremy Burnham, M.D. I decided to continue with my usual four day split with two upper body days and two lower body days, although I did also incorporate a few extra upper body exercises as my lower body work was not that intense. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. 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. Meniscus root repair rehab will usually start 1-2 days after surgery. dressing in 48 hrs and may let them drive Two days after my surgery, Diego took me to my first PT session. Theyre kind of done with you too but what if you want to go play with the grandkids do you want to kneel what do you want to exercise youve got to set your expectations to still take it easy still rehab or strengthen the right muscles or do the right kind of treatment for yourself so that you can continue to heal. Patients \50 years had outcomes similar to those of patients !50 years, as did . We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. I also found that there were patients being referred to me who had meniscus root repairs that were done well, but the meniscus was not pulled back in the joint and these patients continued to have pain. And I feel my rode to recovery will be wonderful. Realize that, as discussed above, the torn part of your meniscus was removed. And now theyre kind of back to the way they were before the surgery. Partial weightbearing status (<50%), unless otherwise ordered by MD. His staff is very friendly and upbeat, knowledgeable and thorough. The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). 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. What to do if I have a radial meniscus tear, what's the chance of it fully healing with 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. Thanks to his staff for being so helpful. Timeline: 1 week to 5 weeks after Surgery. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? What was going to help my knee? I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. What made my recovery so fast? They walked me through the process from beginning to end. In particular, these younger patients have to look at a meniscus root repair as soon as possible to ensure that they dont develop arthritis. And if youve never worked out your glutes if you went through physical therapy never really targeted your glutes ever you better start quick because chances are youve got a muscle imbalance thats caused extra pressures inside your knee thats led to that meniscus tear to begin with thats been the root problem and glute strength is what offsets that forces inside the knee so that your meniscus can heal all the way. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. If so, you may be at risk of tearing the root of your meniscus. 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. It hurt like hell. They are also important to the stability and function of the knee, keeping the meniscus in place. A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. % Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee.
driving after meniscus root repair
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