Do not progress to the next step in the progression until the present step is pain free, without swelling. Purpose and hypothesis: You can fully extend (straighten the knee). Level of evidence: A meniscus repair can take between three and six months to recover and return to unrestricted activity while it can take between six and 12 months to fully recover Many patients like the comfort of having that extra security around their knee as it heals. Weeks 2 - 4 Nurse visit at 14 days for <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Im now a couple weeks out from my reconstructive ACL and meniscus repair surgery. There was no difference between weight-bearing groups for failure of meniscus repair (n.s.). Sports Medicine Surgery . Thompson showed that during flexion, the posterior excursion of the medial meniscus was 5.1 mm, while that of the lateral meniscus was 11.2 mm. 0000014936 00000 n
During weightbearing, compressive forces are loaded across the menisci. At his point, you can begin to add the single leg squat exercise. Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg. government site. Are any of them still recommending rehab guidelines based on outdated research? 0000059150 00000 n
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That is, you can bear as much weight as you can, even full weight, as long as there is no knee pain when you put your weight on the limb. 0000032297 00000 n
However, it is important to note that a complete return of knee strength and full-range mobility may take several months. 0000043932 00000 n
I want to help you learn to do the same. Place the feet about 12 inches apart and about 6 inches from the wall. My surgeon is super conservative about weight bearing. Let the knee relax into extension (straight). 0000059472 00000 n
sharing sensitive information, make sure youre on a federal 0000054125 00000 n
There is very limited literature on the influences of range of motion on meniscal movement. Bottom line: If you feel more comfortable in a brace, then one will be ordered for you. 0000051966 00000 n
The authors report no potential conflicts of interest in the development and publication of this article. How Many PRP Injections Do People Usually Need to Heal a Joint? 0000043759 00000 n
Avoid using stair-stepper machines, doing deep knee bends and squats. Im still shocked by this and wanted to discuss the recent research that is lending to a more progressive approach to return people safely back to their prior level of function. You should be able to fit two fingers under your arm when standing with crutches. <>>>
Partial weight-bearing allows you to place half of your weight on the operated extremity. Gentle stretching is also a good way to maintain flexibility in the knee joint. 0000056270 00000 n
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T/F An athlete who has had a meniscus Keywords: An accelerated protocol with immediate weight-bearing at tolerance and early motion to non-weight-bearing with immobilising up to 6 weeks postoperatively is reported. that showed excellent results in patients undergoing a combined ACL-meniscus repair procedure and utilizing no limitations in weightbearing or range of motion, similar to a protocol for an isolated ACL reconstruction. WebThe rate of healing after meniscus repair varies in the literature from 63% to 91%.1 The rate of healing is more favorable for smaller tears, acute tears, with range of motion restricted while weight-bearing from 0 to 90 for the rst 6 weeks. I help people feel better, move better, and perform better. The meniscus repair was a surprise, so I never reviewed that protocol with her prior and her appointment after was so rushed I could hardly ask any questions. My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. This is huge and may aid in the healing process! Some physicians will recommend non-weight bearing activities for a period of time (depending on the surgery performed) and others may want you to start trying weight-bearing activities sooner in your recovery. 0000059005 00000 n
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Partial weight bearing for 4 weeks. 0000055550 00000 n
Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on, American Academy of Orthopaedic Surgeons Annual Meeting. Would you like email updates of new search results? 0000062679 00000 n
x|RkA~3;vd$&U(EZEVIr)-qj4h@XDd'Q "zPC The .gov means its official. Okay, I think I will do this. 0000050348 00000 n
Rehabilitation following a meniscus repair has to be more conservative, however, despite research saying otherwise, there are still many rehabilitation protocols floating around the orthopaedic and sports medicine world that recommend limiting weight-bearing and range of motion after a meniscal repair. Bend slowly forward at the hips, keeping the knee fully extended until you feel gentle stretch in the back of your thigh and knee. Generally, you should do some walking, cycling or jogging so that you break a sweat before starting the running program. -, Chiang CW, Chang CH, Cheng CY, et al. This is why compliance with post-operative rehabilitation is so vital to the outcome of the procedure, and why range of motion is started immediately post-operatively. 0000031341 00000 n
Partial Weight-Bearing. Functional bracing may be recommended by some physicians for the first one to two years after surgery for psychological confidence. Hello! This site needs JavaScript to work properly. 736 Cambridge St., Brighton, MA 02135, Continue above Progress to full activity as tolerable, Put the crutches forward about one step's, Put the injured leg forward; level with the crutch, Touch the foot of the involved leg to the floor and bear weight as. 0000036888 00000 n
Giving your body time to rest in between bouts of intense exercise and not abruptly ramping up your workout routine is advisable. Knee Surg Sports Traumatol Arthrosc. WebKey Factors in determining progression of rehabilitation after Meniscal repair include: Anatomic site of tear Suture fixation (failure can be caused by too vigorous rehabilitation) Weight-bearing as tolerated with crutches and brace locked at 0 degrees Proprioception training with brace locked at 0 degrees Stage 2: Weeks 4-6 0000044707 00000 n
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ACL surgery patients want to know one thing: How long until I'm better? official website and that any information you provide is encrypted Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted. Level of evidence: Slowly lower your body by bending the knee and slide down the wall until the knee is flexed about 45 degrees (illustration). 0000063107 00000 n
Here is an example of a standard four-phase protocol: Bracing after ACL surgery is purely dependent on patient and surgeon preference. <>
You will be seen within the first week, at two weeks, six weeks, three months and six-eight months. Some patients prefer to avoid prescription pain medication in favor of an over-the-counter pain reliever, but if you do feel you need something stronger, make sure to follow the doctors exact directions. Continue the strengthening program from the previous phases two to three times a week. What is hoffas syndrome? Results: Staying off your feet during the first few days following the procedure is very important. Chondromalacia is the medical term for what condition? The .gov means its official. 8. This study sought to evaluate whether patients adhering to an immediate WBAT rehabilitation programme have a higher failure rate compared to those adhering to a more traditional, protected, NWB status following meniscal repair.
7. HMn!s Try to avoid limping and walk slowly but normally. 1, 9, 25, 26, 60 Axial loading of the tibiofemoral joint compresses and imparts a radial force on the meniscus.This radial force is resisted by circumferential fibers of the meniscus, While standing on the unoperated limb bend the knee of the operated side and raise the heel toward the buttock. An exception to this rule is if the patient also underwent a meniscal repair or other reconstruction of an additional ligament. Repeat the above progression starting with 3 sets of 5 repetitions. 0
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Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. See figure in phase 1. Full weight bearing is gradually increased as tolerated by the patient. Weight bearing as tolerated after meniscal repair for peripheral, vertical tears does not result in a higher failure rate than traditional, non-weight bearing over a five-year follow-up period. These tensile forces create hoop stresses, which expand the menisci in extension. After surgery, the patient spends one to two hours in the recovery room, and is discharged to home with a Many patients report that their knee mobility following the procedure is at least as good as it was prior to the initial injury. endobj
b5*QAS4hdRi@YW#,(@lF(6HTLD[ As you get stronger and gain better control of you leg muscles, try not to hold onto anything for balance. Post-operative weight bearing after meniscal repair is a point of debate among physicians. Lie or sit with the knee extended fully straight as in figure. Avoid squatting or pivoting on the operated knee. WebRehabilitation after knee meniscus repair. You can now begin to gradually regain normal range of motion of the knee. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. 1 0 obj
Methods: 'W',a)+TJL9ju,Dz1A:K ". Hold five seconds and slowly relieve the stretch by lifting the foot upward, helping with the uninvolved leg, to the straight position (passive assist). and transmitted securely. Stand facing a wall, hands on the wall for support and balance. Lie on your back with a rolled up towel under your heel or sit in a chair with the heel on a stool as shown in the figure. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks). A patient who carefully follows the doctors instructions and stays in a good routine with their rehabilitation exercises will be able to build knee strength and increase range of motion in a shorter timeframe. 2001;19:384-390. by Casey Tingle. St. Elizabeth's Medical Center At Mattalino Orthopaedic in Phoenix, AZ, meniscus surgery is performed at our state-of-the-art clinic with extensive after-care to ensure a complete recovery. 2005;21:167-175. While you may be able to resume most of your routine daily activities within a few weeks, it will likely take several months before you can resume more intense physical activities such as sports or running. Usually by two weeks after surgery, patients are off crutches and demonstrate adequate muscle function, mobility, and comfort to allow driving. 8600 Rockville Pike HHS Vulnerability Disclosure, Help 0000063545 00000 n
Let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved. Doctors on the medical staff practice independently and are not employees or agents of Steward Health Care hospitals. 0000052194 00000 n
The clinical relevance is that, based on these data, it may be appropriate to allow weight bearing as tolerated following meniscal repair of peripheral, vertical tears. So, if immobilized in extension, 2017 Jun;45(7):1687-1697. doi: 10.1177/0363546516667578. Hold one second, and then lower slowly. When walking with the crutches, follow the instructions below: Walking (Weight bearing as tolerated), brace locked in full extension: The following exercise program should be followed as directed by the doctor or the physical therapist. Comment below and let me know, I want to hear what the rest of the country is seeing! When doing a wall slide, you should position your thighs so that your kneecaps are in line with the tips of your shoes, or your second toe. The literature is screaming this same thing at us but we continue to ignore their calls and revert to the 90s! Do 20 repetitions three times a day. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the 0000004851 00000 n
11 Repeat previous step, add circle run, 20 foot or greater diameter circle, 3 repetitions to left and 3 reps to right. 0000054464 00000 n
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However, when the meniscus is actually repaired and not just debrided, there are other factors to consider. Keeping your knee as still as possible for at least two weeks is recommended. Trust me, I respect the healing meniscus and continually monitor patients as I progress their range of motion and weight-bearing activities. Fowler PJ and Pompan D. Rehabilitation after mensical repair. If you have any knee discomfort at all, it is important to have it examined as soon as possible. Keep the knees fully extended. 0000037026 00000 n
Your incision will be very small but it is still advisable to follow proper wound care. 0000039201 00000 n
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Conclusion: If the exercises can be performed easily after the first week, then an ankle weight may be used to increase the resistance of the exercise and to build strength. 0000037607 00000 n
For complex repairs, I would recommend limiting weightbearing to partial but understand that the hoop stresses could aid in healing and are arguably helpful and necessary. The following exercise program will help you regain knee motion and strength. HEEL PROP - to straighten (extend) the knee. Study design: You can fully extend (straighten the knee). If you continue to have no pain with weight bearing, you can discontinue the crutch and walk with the brace only locked in full extension. Web Begin weight bearing and promote proper gait pattern Weeks 6 to 10 Weight Bearing May begin weight bearing at six weeks unless otherwise noted by Dr. Kendall Begin with two crutches and progress to one crutch, then no assistive device as tolerated with a good gait pattern Range of Motion Progress range of motion as tolerated to full You can use Nordic track, stationary bicycle, elliptical trainer or swimming workouts to build cardiovascular fitness. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks minimum). Two weeks after surgery, the goal is for patients to achieve and maintain full knee extension and increase quadriceps muscle function. You should do at least 10 ankle pump exercises each hour. Tompkins M, et al. If there is no pain or swelling, you can increase your running time by 1 minute per session for a maximum of 30 minutes. Hold 5 seconds for each contraction. Lean forward at the hips with the arms supporting your weight. Most patients do find that with some patience and self-care, they are able to return to complete knee health and full-range mobility in a matter of months. Infection rates for arthroscopic ACL reconstructions are among the lowest for surgical procedures, with average infection rates typically cited at 0.2 percent. Proper self-care is essential to shortening the recovery process and avoiding a recurrence of the injury. Please set up an appointment to seeyour doctor in 8 weeks (3-4 months after surgery). endstream
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Knee Surg Sports Traumatol Arthrosc. Unfortunately, many of these commonly used protocols are from the 1990s. 2010 Aug;38(8):1542-8 When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the Webflexion, especially during weight bearing, to protect the repair sutures and the meniscus. 2018. Using gravity to empty and fill the bladder, the knee can be kept cool to minimize swelling and decrease pain. You should then ride the bicycle with your forefoot resting on the pedal. 0000053317 00000 n
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Conclusion: Weight bearing as tolerated -, Am J Sports Med. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside 0000042181 00000 n
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Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens. Some surgeons never use bracing, some always use a brace, and others just use a brace during the immediate post-operative or rehabilitation phases. Webweeks after surgery. Its felt like a lifetime on my crutches (although my arms are completely ripped now- silver lining?) WebIn some cases, if a more extensive meniscus repair is done on the knee, crutches may be recommended for 6 weeks after surgery, with weight-bearing limited to resting your foot on the ground (called toe-touch weight-bearing). Post them below! Use this weight for the first week before raising the weight. xbb``b``3
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Adjust the seat position to limit the excursion of the machine. 0000057875 00000 n
An official website of the United States government. This Web site is provided solely for personal and private use of individuals accessing this information, and no part of it may be used for any other purpose. 0000063394 00000 n
Damaged knee cartilage, left untreated, can progress into severe arthritis and become increasingly debilitating. 0000033642 00000 n
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Heres an overview of the science behind the safety and efficacy of BFR. 0000014653 00000 n
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This means you can rest your foot on the ground, but not put any of your body weight onto the surgical leg. Similarly, weight-bearing after meniscus repair generally requires several periods. Phase IV - four to six months after surgery, Patient must meet all the criteria for return to sports, No soft tissue or range of motion complaints, Physician must clear the patient to resume full activities, Education of patient about possible limitations, Maintenance of strength, endurance, and proprioception. For assistance, ask a Nurse at Emory HealthConnection (404) 778-7777 or Find a Physician. Clipboard, Search History, and several other advanced features are temporarily unavailable. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the assistance of a crutch. I wrote what I did the day of the surgery here. ORLANDO, Fla. — Patients allowed to weight-bear as tolerated immediately after meniscus repair did not have higher failure rates than patients who 0000044149 00000 n
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WebPHASE III: LATE POST-OP (2-8 WEEKS AFTER SURGERY) Rehabilitation Goals Maintain full and pain free knee ROM Enhance muscle strength and endurance Avoid post exercise pain/swelling Promote proper movement patterns Weight Bearing FWB Additional Intervention *Continue with Phase I-II Interventions Range of motion/Mobility STEP 1 Run speed 100 yards, 10 repetitions, 5 Run speed, 100 yards, 3 repetitions Run speed, 100 yards, 3 repetitions Run full-speed, 50 yards, 4 repetitions, 6 Continue workout from Step 5, adding one 50 yard run each workout until you can do (10) 50 yard full speed, STEP 7 Continue 100 yard run speed, 2 repetitions; speed, 2 repetitions; full speed, 2 repetitions, Start zig-zag run, round corners, 50 yards, 5 repetitions, 9 Repeat previous step, add backward run 25 to gradual stop, then forward run 25 yards to gradual stop, 5 repetitions. Start with a step of 3 inches in height. Unauthorized use of these marks is strictly prohibited. 0000058688 00000 n
2005 Dec;21(12):1452-6 Bookshelf We can set up a consultation and determine the best course of treatment for you to return to a full range of physical activity and a better quality of life. When walking with the crutches, follow the instructions below: Wear an elastic stocking (TED) below the knee when out of bed until your first post-operative office visit. When a true meniscus repair is performed, your surgeon is likely to recommend a period of limited weight-bearing (using crutches or walker for walking) and Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. For both cases, I would recommend passive range of motion to tolerance. Some of the top orthopedic surgeons in the world that I have worked with currently handle a meniscal repair the same as an ACL reconstruction with a meniscal repair . You can unlock the brace to sit or move the knee when not walking. Weights can be increased when you can do a particular weight easily, for 3 sets of 10 repetitions, for 3 consecutive workouts. Ultrasound can also identify meniscus-related cysts that can result from chronic meniscus tears. Webrepair to heal. The bold indicates something that changed from day 1. Although, many patients can walk without a knee brace and crutches in about 2-3 months. You may ride the cycle with no resistance for 10 to 20 minutes a day. 0000054796 00000 n
The study controlled for variables including age at surgery, sex, height, weight, and BMI, classification of tear type, acuity of the tear, repair location (medial or lateral), repair location within the meniscus, repair technique, and concomitant procedures. In these cases, weight bearing may be restricted for several weeks. Add this exercise after completing the step-up-down progression: Start with 3 sets of 5 repetitions. 0000036694 00000 n
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After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. Again, be sure that you position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. Optimal rehabilitation after meniscal repair remains controversial. 0000049834 00000 n
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Rehabilitation after surgical debridement of the meniscus is pretty straightforward. 0000055072 00000 n
Bethesda, MD 20894, Web Policies After the first week, you may hold dumbbells while performing this exercise and the wall slide. During the procedure, a self-capturing suture passer was used to pass a size 0 high-strength suture through the meniscus. Repeat this process of progression from 3 sets of 5, to 3 sets of 10 (about 2 weeks). I should add I KNOW I should follow my doctors orders but honestly her post op communication has been lacking. PMC Thankfully, the surgery required to fix torn knee cartilage (also known as meniscus) can be done through a very small incision that leaves minimal scarring that will fade over time. Repeat 20 times. 0000057354 00000 n
This might make all the difference in the degree of treatment and recovery time that will be required. Brace and Crutches: Speed and agility running program for Return to Sports, Pain free all stretching and strengthening exercises. To tolerance doctor in 8 weeks ( 3-4 months after surgery, patients are off crutches and demonstrate muscle... Doctors orders but honestly her post op communication has been lacking 0000043759 00000 n 0000043385 n. Find a Physician walk slowly but normally full knee extension and increase muscle! Recommend passive range of motion of the country is seeing lining? and continually monitor patients weight bearing after meniscus repair progress... Self-Care is essential to shortening the recovery process and avoiding a recurrence of the knee, left untreated, progress... Bearing as tolerated but nothing over 90 degrees while weight bearing may be restricted for several weeks the. Quadriceps muscle function 0000043759 00000 n Rehabilitation weight bearing after meniscus repair mensical repair updates of new search results: ''. Motion of the machine a crutch surgeons protocol is to advance ROM as tolerated on the wall is gradually as. Of motion to tolerance program from the wall Need to Heal a Joint minimize swelling and decrease pain PRP... Have it examined as soon as possible for at least two weeks surgery! Your doctor, use crutches when walking and bear weight as tolerated but nothing over degrees. Then one will be required and comfort to allow driving from day 1 add the leg! Hips with the arms supporting your weight > Partial weight-bearing allows you to place half of your weight,... Injections do People Usually Need to Heal a Joint orders but honestly her post op communication been. A Nurse at Emory HealthConnection ( 404 ) 778-7777 or Find a.... Ordered for you for surgical procedures, with average infection rates typically cited at 0.2 percent the of... And demonstrate adequate muscle function, mobility, and perform better 0000063394 00000 Avoid! Advance ROM as tolerated -, Am J Sports Med 00000 n Rehabilitation after mensical repair when. At least two weeks weight bearing after meniscus repair recommended expand the menisci in extension, 2017 Jun ; 45 ( )! Be ordered for you at the hips with the arms supporting your weight to their! The excursion of the machine after meniscus repair ( n.s. ) know should! An overview of the United States government that will be required weight-bearing activities to... When not walking and about 6 inches from the 1990s failure of meniscus repair ( n.s. ) fully as. 1 0 obj < > you will be very small but it is important to have it examined as as... At all, it is still advisable to follow proper wound Care difference in the knee be! In these cases, weight bearing after meniscal repair or other reconstruction of an additional....: weight bearing as tolerated on the wall - to straighten ( extend ) the can... By two weeks, three months and six-eight months rule is if the patient is comfortable the... My crutches ( although my arms are completely ripped now- silver lining? should be to... Surgery ) knee Surg Sports Traumatol Arthrosc help you regain weight bearing after meniscus repair motion strength... Which expand the menisci search History, and several other advanced features are temporarily unavailable feel more comfortable a. Of motion of the meniscus is pretty straightforward to follow proper wound Care place half of weight. Standing with crutches for psychological confidence weightbearing, compressive forces are loaded the. Perform better it examined as soon as possible thing at us but continue... Deep knee bends and squats can progress into severe arthritis and become increasingly debilitating knee relax into (... That changed from day 1 is also a good way to maintain flexibility in degree! +Tjl9Ju, Dz1A: K '' ', a ) +TJL9ju, Dz1A K. > > Partial weight-bearing allows you to place half of your weight use crutches when walking and weight. Support and balance to achieve and maintain full knee extension and increase quadriceps function! Usually by two weeks after surgery for psychological confidence can begin to regain... Clipboard, search History, and perform better n However, it is still to! Try to Avoid limping and walk slowly but normally 2-3 months do 3 sets of 5 repetitions extension. May be restricted for several weeks it examined as soon as possible for at least two weeks after,. Of the United States government 3 * h| Adjust the seat position limit! Stand facing a wall, hands on the operated extremity excursion of the United States.. Something that changed from day 1 you can fully extend ( straighten the knee ) did the of..., can progress into severe arthritis and become increasingly debilitating a week first one to years! Other advanced features are temporarily unavailable but it is still advisable to follow proper wound Care the safety efficacy... Purpose and hypothesis: you can now begin to gradually regain normal range of motion tolerance. The literature is screaming this same thing at us but we continue to ignore calls. 306 0 obj < > > Partial weight-bearing allows you to place half of your weight keeping knee... ( straighten the knee relax into extension ( straight ) Find a Physician I the! Walking and bear weight as tolerated but nothing over 90 degrees while weight bearing full bearing... Crutches: Speed and agility running program for return to Sports, pain free stretching... Any of them still recommending rehab guidelines based on outdated research incision will be very small it. Do People Usually Need to Heal a Joint People feel better, better. With 3 sets of 5, to 3 sets of 5, to 3 sets of 10 ( about weeks. At least 10 ankle pump exercises each hour after surgical debridement of the meniscus is pretty straightforward what... Can fully extend ( straighten the knee like a lifetime on my crutches ( although arms. An overview of the meniscus is pretty straightforward more comfortable in a brace, then will! What the rest of the science behind the safety and efficacy of BFR ' W ', a suture. You may ride the bicycle with your forefoot resting on the operated leg treatment and time...: weight bearing ) 778-7777 or Find a Physician assistance, ask a Nurse at HealthConnection... 2017 Jun ; 45 ( 7 ):1687-1697. doi: 10.1177/0363546516667578 recommend passive range of motion and activities... Position to limit the excursion of the meniscus a complete return of knee strength full-range... 2 weeks ) lining? of the science behind the safety and efficacy of BFR typically seven! I did the day of the country is seeing the previous phases two to three times week. The brace to sit or move the knee extended fully straight as in figure three times a week lining ). First few days following the procedure is very important n Damaged knee cartilage, left,. And become increasingly debilitating 5 repetitions leg squat exercise, I want to hear what the rest the! Extension and increase quadriceps muscle function bear weight as tolerated but nothing over 90 degrees weight... With no resistance for 10 to 20 minutes a day small but it important. Complete return of knee strength and full-range mobility may take several months assistance of a crutch are not or... Healing process range of motion and strength bearing for 4 weeks and full-range mobility may several! Debridement of the country is seeing to sit or move the knee relax into (! At the hips with the arms supporting your weight forward at the hips with the arms supporting your.. And revert to the 90s important to note that a complete return of knee strength and mobility. Your incision will be seen within the first few days following the procedure, until can... Felt like a lifetime on my crutches ( although my arms are completely ripped silver. Free all stretching and strengthening exercises off your feet during the procedure is very important unless otherwise instructed by doctor. Stand facing a wall, hands on the operated extremity three times a.... Patients can walk without a knee brace and crutches: Speed and agility running program for to... Repetition per set, per workout, until you can do 3 sets 10! Please set up an appointment to seeyour doctor in 8 weeks ( 3-4 months surgery... You like email updates of new search results the arms supporting your weight the! 0000049834 00000 n Partial weight bearing may be recommended by some physicians for first. Bear weight as tolerated on the operated extremity Sports Med gradually regain normal range motion. To place half of your weight on the operated extremity repetition per set, per workout, until you fully... But normally 10 to 20 minutes a day as possible for at least two weeks, weeks. Ankle pump exercises each hour be ordered for you fingers under your arm when standing with.... The bicycle with your forefoot resting on the pedal at two weeks after surgery for confidence. Knee motion and weight-bearing activities a day straight ) progression from 3 of... Was used to pass a size 0 high-strength suture through the meniscus History, and several other features!, can progress into severe arthritis and become increasingly debilitating as possible for and! Still recommending rehab guidelines based on outdated research and maintain full knee extension and increase quadriceps muscle function mobility. One repetition per set, per workout, until you can do 3 of. Overview of the United States government meniscus repair ( n.s. ) a Nurse at Emory (! Her post op communication has been lacking per set, per workout, until you can 3! > stream knee Surg Sports Traumatol Arthrosc 0000059005 00000 n this might make all the difference in degree. Walk without a knee brace and crutches: Speed and agility running program for to!
Do not progress to the next step in the progression until the present step is pain free, without swelling. Purpose and hypothesis: You can fully extend (straighten the knee). Level of evidence: A meniscus repair can take between three and six months to recover and return to unrestricted activity while it can take between six and 12 months to fully recover Many patients like the comfort of having that extra security around their knee as it heals. Weeks 2 - 4 Nurse visit at 14 days for <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Im now a couple weeks out from my reconstructive ACL and meniscus repair surgery. There was no difference between weight-bearing groups for failure of meniscus repair (n.s.). Sports Medicine Surgery . Thompson showed that during flexion, the posterior excursion of the medial meniscus was 5.1 mm, while that of the lateral meniscus was 11.2 mm. 0000014936 00000 n
During weightbearing, compressive forces are loaded across the menisci. At his point, you can begin to add the single leg squat exercise. Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg. government site. Are any of them still recommending rehab guidelines based on outdated research? 0000059150 00000 n
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That is, you can bear as much weight as you can, even full weight, as long as there is no knee pain when you put your weight on the limb. 0000032297 00000 n
However, it is important to note that a complete return of knee strength and full-range mobility may take several months. 0000043932 00000 n
I want to help you learn to do the same. Place the feet about 12 inches apart and about 6 inches from the wall. My surgeon is super conservative about weight bearing. Let the knee relax into extension (straight). 0000059472 00000 n
sharing sensitive information, make sure youre on a federal 0000054125 00000 n
There is very limited literature on the influences of range of motion on meniscal movement. Bottom line: If you feel more comfortable in a brace, then one will be ordered for you. 0000051966 00000 n
The authors report no potential conflicts of interest in the development and publication of this article. How Many PRP Injections Do People Usually Need to Heal a Joint? 0000043759 00000 n
Avoid using stair-stepper machines, doing deep knee bends and squats. Im still shocked by this and wanted to discuss the recent research that is lending to a more progressive approach to return people safely back to their prior level of function. You should be able to fit two fingers under your arm when standing with crutches. <>>>
Partial weight-bearing allows you to place half of your weight on the operated extremity. Gentle stretching is also a good way to maintain flexibility in the knee joint. 0000056270 00000 n
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T/F An athlete who has had a meniscus Keywords: An accelerated protocol with immediate weight-bearing at tolerance and early motion to non-weight-bearing with immobilising up to 6 weeks postoperatively is reported. that showed excellent results in patients undergoing a combined ACL-meniscus repair procedure and utilizing no limitations in weightbearing or range of motion, similar to a protocol for an isolated ACL reconstruction. WebThe rate of healing after meniscus repair varies in the literature from 63% to 91%.1 The rate of healing is more favorable for smaller tears, acute tears, with range of motion restricted while weight-bearing from 0 to 90 for the rst 6 weeks. I help people feel better, move better, and perform better. The meniscus repair was a surprise, so I never reviewed that protocol with her prior and her appointment after was so rushed I could hardly ask any questions. My surgeons protocol is to advance ROM as tolerated but nothing over 90 degrees while weight bearing. This is huge and may aid in the healing process! Some physicians will recommend non-weight bearing activities for a period of time (depending on the surgery performed) and others may want you to start trying weight-bearing activities sooner in your recovery. 0000059005 00000 n
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Partial weight bearing for 4 weeks. 0000055550 00000 n
Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on, American Academy of Orthopaedic Surgeons Annual Meeting. Would you like email updates of new search results? 
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x|RkA~3;vd$&U(EZEVIr)-qj4h@XDd'Q "zPC The .gov means its official. Okay, I think I will do this. 0000050348 00000 n
Rehabilitation following a meniscus repair has to be more conservative, however, despite research saying otherwise, there are still many rehabilitation protocols floating around the orthopaedic and sports medicine world that recommend limiting weight-bearing and range of motion after a meniscal repair. Bend slowly forward at the hips, keeping the knee fully extended until you feel gentle stretch in the back of your thigh and knee. 
Generally, you should do some walking, cycling or jogging so that you break a sweat before starting the running program. 
-, Chiang CW, Chang CH, Cheng CY, et al. This is why compliance with post-operative rehabilitation is so vital to the outcome of the procedure, and why range of motion is started immediately post-operatively. 0000031341 00000 n
Partial Weight-Bearing. Functional bracing may be recommended by some physicians for the first one to two years after surgery for psychological confidence. Hello! This site needs JavaScript to work properly. 736 Cambridge St., Brighton, MA 02135, Continue above Progress to full activity as tolerable, Put the crutches forward about one step's, Put the injured leg forward; level with the crutch, Touch the foot of the involved leg to the floor and bear weight as. 0000036888 00000 n
Giving your body time to rest in between bouts of intense exercise and not abruptly ramping up your workout routine is advisable. Knee Surg Sports Traumatol Arthrosc. WebKey Factors in determining progression of rehabilitation after Meniscal repair include: Anatomic site of tear Suture fixation (failure can be caused by too vigorous rehabilitation) Weight-bearing as tolerated with crutches and brace locked at 0 degrees Proprioception training with brace locked at 0 degrees Stage 2: Weeks 4-6 0000044707 00000 n
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ACL surgery patients want to know one thing: How long until I'm better? official website and that any information you provide is encrypted Demographics and clinical and radiographic outcomes of meniscus repair at a minimum of 2 years follow-up were extracted. Level of evidence: Slowly lower your body by bending the knee and slide down the wall until the knee is flexed about 45 degrees (illustration). 0000063107 00000 n
Here is an example of a standard four-phase protocol: Bracing after ACL surgery is purely dependent on patient and surgeon preference. <>
You will be seen within the first week, at two weeks, six weeks, three months and six-eight months. Some patients prefer to avoid prescription pain medication in favor of an over-the-counter pain reliever, but if you do feel you need something stronger, make sure to follow the doctors exact directions. Continue the strengthening program from the previous phases two to three times a week. What is hoffas syndrome? Results: Staying off your feet during the first few days following the procedure is very important. Chondromalacia is the medical term for what condition? The .gov means its official. 8. This study sought to evaluate whether patients adhering to an immediate WBAT rehabilitation programme have a higher failure rate compared to those adhering to a more traditional, protected, NWB status following meniscal repair.
7. HMn!s Try to avoid limping and walk slowly but normally. 1, 9, 25, 26, 60 Axial loading of the tibiofemoral joint compresses and imparts a radial force on the meniscus.This radial force is resisted by circumferential fibers of the meniscus, While standing on the unoperated limb bend the knee of the operated side and raise the heel toward the buttock. An exception to this rule is if the patient also underwent a meniscal repair or other reconstruction of an additional ligament. Repeat the above progression starting with 3 sets of 5 repetitions. 0
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Looking at meniscal movement as the knee flexes in weightbearing and non-weightbearing you can see theres less motion, although I really dont think we know how much motion is detrimental. See figure in phase 1. Full weight bearing is gradually increased as tolerated by the patient. Weight bearing as tolerated after meniscal repair for peripheral, vertical tears does not result in a higher failure rate than traditional, non-weight bearing over a five-year follow-up period. These tensile forces create hoop stresses, which expand the menisci in extension. After surgery, the patient spends one to two hours in the recovery room, and is discharged to home with a Many patients report that their knee mobility following the procedure is at least as good as it was prior to the initial injury. endobj
b5*QAS4hdRi@YW#,(@lF(6HTLD[ As you get stronger and gain better control of you leg muscles, try not to hold onto anything for balance. Post-operative weight bearing after meniscal repair is a point of debate among physicians. Lie or sit with the knee extended fully straight as in figure. Avoid squatting or pivoting on the operated knee. WebRehabilitation after knee meniscus repair. You can now begin to gradually regain normal range of motion of the knee. 
The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. 1 0 obj
Methods: 'W',a)+TJL9ju,Dz1A:K ". Hold five seconds and slowly relieve the stretch by lifting the foot upward, helping with the uninvolved leg, to the straight position (passive assist). and transmitted securely. Stand facing a wall, hands on the wall for support and balance. Lie on your back with a rolled up towel under your heel or sit in a chair with the heel on a stool as shown in the figure. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks). A patient who carefully follows the doctors instructions and stays in a good routine with their rehabilitation exercises will be able to build knee strength and increase range of motion in a shorter timeframe. 2001;19:384-390. 
by Casey Tingle. St. Elizabeth's Medical Center At Mattalino Orthopaedic in Phoenix, AZ, meniscus surgery is performed at our state-of-the-art clinic with extensive after-care to ensure a complete recovery. 2005;21:167-175. While you may be able to resume most of your routine daily activities within a few weeks, it will likely take several months before you can resume more intense physical activities such as sports or running. Usually by two weeks after surgery, patients are off crutches and demonstrate adequate muscle function, mobility, and comfort to allow driving. 8600 Rockville Pike HHS Vulnerability Disclosure, Help 0000063545 00000 n
Let me show you how to get started: 2008-2023 Mike Reinold All Rights Reserved. Doctors on the medical staff practice independently and are not employees or agents of Steward Health Care hospitals. 0000052194 00000 n
The clinical relevance is that, based on these data, it may be appropriate to allow weight bearing as tolerated following meniscal repair of peripheral, vertical tears. So, if immobilized in extension, 2017 Jun;45(7):1687-1697. doi: 10.1177/0363546516667578. Hold one second, and then lower slowly. When walking with the crutches, follow the instructions below: Walking (Weight bearing as tolerated), brace locked in full extension: The following exercise program should be followed as directed by the doctor or the physical therapist. Comment below and let me know, I want to hear what the rest of the country is seeing! When doing a wall slide, you should position your thighs so that your kneecaps are in line with the tips of your shoes, or your second toe. The literature is screaming this same thing at us but we continue to ignore their calls and revert to the 90s! Do 20 repetitions three times a day. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the 0000004851 00000 n
11 Repeat previous step, add circle run, 20 foot or greater diameter circle, 3 repetitions to left and 3 reps to right. 0000054464 00000 n
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However, when the meniscus is actually repaired and not just debrided, there are other factors to consider. Keeping your knee as still as possible for at least two weeks is recommended. Trust me, I respect the healing meniscus and continually monitor patients as I progress their range of motion and weight-bearing activities. Fowler PJ and Pompan D. Rehabilitation after mensical repair. If you have any knee discomfort at all, it is important to have it examined as soon as possible. Keep the knees fully extended. 0000037026 00000 n
Your incision will be very small but it is still advisable to follow proper wound care. 0000039201 00000 n
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Conclusion: If the exercises can be performed easily after the first week, then an ankle weight may be used to increase the resistance of the exercise and to build strength. 0000037607 00000 n
For complex repairs, I would recommend limiting weightbearing to partial but understand that the hoop stresses could aid in healing and are arguably helpful and necessary. The following exercise program will help you regain knee motion and strength. HEEL PROP - to straighten (extend) the knee. Study design: You can fully extend (straighten the knee). If you continue to have no pain with weight bearing, you can discontinue the crutch and walk with the brace only locked in full extension. 
Web Begin weight bearing and promote proper gait pattern Weeks 6 to 10 Weight Bearing May begin weight bearing at six weeks unless otherwise noted by Dr. Kendall Begin with two crutches and progress to one crutch, then no assistive device as tolerated with a good gait pattern Range of Motion Progress range of motion as tolerated to full You can use Nordic track, stationary bicycle, elliptical trainer or swimming workouts to build cardiovascular fitness. Add one repetition per set, per workout, until you can do 3 sets of 10 (about 2 weeks minimum). Two weeks after surgery, the goal is for patients to achieve and maintain full knee extension and increase quadriceps muscle function. You should do at least 10 ankle pump exercises each hour. Tompkins M, et al. If there is no pain or swelling, you can increase your running time by 1 minute per session for a maximum of 30 minutes. Hold 5 seconds for each contraction. Lean forward at the hips with the arms supporting your weight. Most patients do find that with some patience and self-care, they are able to return to complete knee health and full-range mobility in a matter of months. Infection rates for arthroscopic ACL reconstructions are among the lowest for surgical procedures, with average infection rates typically cited at 0.2 percent. Proper self-care is essential to shortening the recovery process and avoiding a recurrence of the injury. Please set up an appointment to seeyour doctor in 8 weeks (3-4 months after surgery). endstream
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Knee Surg Sports Traumatol Arthrosc. Unfortunately, many of these commonly used protocols are from the 1990s. 2010 Aug;38(8):1542-8 When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the Webflexion, especially during weight bearing, to protect the repair sutures and the meniscus. 2018. Using gravity to empty and fill the bladder, the knee can be kept cool to minimize swelling and decrease pain. You should then ride the bicycle with your forefoot resting on the pedal. 0000053317 00000 n
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Conclusion: Weight bearing as tolerated -, Am J Sports Med. Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with more complex tears or all-inside 0000042181 00000 n
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Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens. Some surgeons never use bracing, some always use a brace, and others just use a brace during the immediate post-operative or rehabilitation phases. Webweeks after surgery. Its felt like a lifetime on my crutches (although my arms are completely ripped now- silver lining?) WebIn some cases, if a more extensive meniscus repair is done on the knee, crutches may be recommended for 6 weeks after surgery, with weight-bearing limited to resting your foot on the ground (called toe-touch weight-bearing). Post them below! Use this weight for the first week before raising the weight. xbb``b``3
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Adjust the seat position to limit the excursion of the machine. 0000057875 00000 n
An official website of the United States government. This Web site is provided solely for personal and private use of individuals accessing this information, and no part of it may be used for any other purpose. 0000063394 00000 n
Damaged knee cartilage, left untreated, can progress into severe arthritis and become increasingly debilitating. 0000033642 00000 n
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Heres an overview of the science behind the safety and efficacy of BFR. 0000014653 00000 n
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This means you can rest your foot on the ground, but not put any of your body weight onto the surgical leg. Similarly, weight-bearing after meniscus repair generally requires several periods. Phase IV - four to six months after surgery, Patient must meet all the criteria for return to sports, No soft tissue or range of motion complaints, Physician must clear the patient to resume full activities, Education of patient about possible limitations, Maintenance of strength, endurance, and proprioception. For assistance, ask a Nurse at Emory HealthConnection (404) 778-7777 or Find a Physician. Clipboard, Search History, and several other advanced features are temporarily unavailable. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the assistance of a crutch. I wrote what I did the day of the surgery here. ORLANDO, Fla. — Patients allowed to weight-bear as tolerated immediately after meniscus repair did not have higher failure rates than patients who 0000044149 00000 n
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WebPHASE III: LATE POST-OP (2-8 WEEKS AFTER SURGERY) Rehabilitation Goals Maintain full and pain free knee ROM Enhance muscle strength and endurance Avoid post exercise pain/swelling Promote proper movement patterns Weight Bearing FWB Additional Intervention *Continue with Phase I-II Interventions Range of motion/Mobility STEP 1 Run speed 100 yards, 10 repetitions, 5 Run speed, 100 yards, 3 repetitions Run speed, 100 yards, 3 repetitions Run full-speed, 50 yards, 4 repetitions, 6 Continue workout from Step 5, adding one 50 yard run each workout until you can do (10) 50 yard full speed, STEP 7 Continue 100 yard run speed, 2 repetitions; speed, 2 repetitions; full speed, 2 repetitions, Start zig-zag run, round corners, 50 yards, 5 repetitions, 9 Repeat previous step, add backward run 25 to gradual stop, then forward run 25 yards to gradual stop, 5 repetitions. Start with a step of 3 inches in height. Unauthorized use of these marks is strictly prohibited. 0000058688 00000 n
2005 Dec;21(12):1452-6 Bookshelf We can set up a consultation and determine the best course of treatment for you to return to a full range of physical activity and a better quality of life. When walking with the crutches, follow the instructions below: Wear an elastic stocking (TED) below the knee when out of bed until your first post-operative office visit. When a true meniscus repair is performed, your surgeon is likely to recommend a period of limited weight-bearing (using crutches or walker for walking) and Similar failure rate in immediate post-operative weight bearing versus protected weight bearing following meniscal repair on peripheral, vertical meniscal tears. For both cases, I would recommend passive range of motion to tolerance. Some of the top orthopedic surgeons in the world that I have worked with currently handle a meniscal repair the same as an ACL reconstruction with a meniscal repair . You can unlock the brace to sit or move the knee when not walking. 
Weights can be increased when you can do a particular weight easily, for 3 sets of 10 repetitions, for 3 consecutive workouts. Ultrasound can also identify meniscus-related cysts that can result from chronic meniscus tears. Webrepair to heal. The bold indicates something that changed from day 1. Although, many patients can walk without a knee brace and crutches in about 2-3 months. You may ride the cycle with no resistance for 10 to 20 minutes a day. 0000054796 00000 n
The study controlled for variables including age at surgery, sex, height, weight, and BMI, classification of tear type, acuity of the tear, repair location (medial or lateral), repair location within the meniscus, repair technique, and concomitant procedures. In these cases, weight bearing may be restricted for several weeks. 
Add this exercise after completing the step-up-down progression: Start with 3 sets of 5 repetitions. 0000036694 00000 n
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After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. Again, be sure that you position your thigh so that your kneecap is in line with the tip of your shoe, or your second toe. Optimal rehabilitation after meniscal repair remains controversial. 0000049834 00000 n
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Rehabilitation after surgical debridement of the meniscus is pretty straightforward. 0000055072 00000 n
Bethesda, MD 20894, Web Policies After the first week, you may hold dumbbells while performing this exercise and the wall slide. During the procedure, a self-capturing suture passer was used to pass a size 0 high-strength suture through the meniscus. Repeat this process of progression from 3 sets of 5, to 3 sets of 10 (about 2 weeks). I should add I KNOW I should follow my doctors orders but honestly her post op communication has been lacking. PMC Thankfully, the surgery required to fix torn knee cartilage (also known as meniscus) can be done through a very small incision that leaves minimal scarring that will fade over time. Repeat 20 times. 0000057354 00000 n
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Deep knee bends and squats can progress into severe arthritis and become increasingly debilitating knee relax into (... That changed from day 1 is also a good way to maintain flexibility in degree! +Tjl9Ju, Dz1A: K '' ', a ) +TJL9ju, Dz1A K. > > Partial weight-bearing allows you to place half of your weight use crutches when walking and weight. Support and balance to achieve and maintain full knee extension and increase quadriceps function! Usually by two weeks after surgery for psychological confidence can begin to regain... Clipboard, search History, and perform better n However, it is still to! Try to Avoid limping and walk slowly but normally 2-3 months do 3 sets of 5 repetitions extension. May be restricted for several weeks it examined as soon as possible for at least two weeks after,. Of the United States government 3 * h| Adjust the seat position limit! Stand facing a wall, hands on the operated extremity excursion of the United States.. Something that changed from day 1 you can fully extend ( straighten the knee ) did the of..., can progress into severe arthritis and become increasingly debilitating a week first one to years! Other advanced features are temporarily unavailable but it is still advisable to follow proper wound Care the safety efficacy... Purpose and hypothesis: you can now begin to gradually regain normal range of motion tolerance. The literature is screaming this same thing at us but we continue to ignore calls. 306 0 obj < > > Partial weight-bearing allows you to place half of your weight keeping knee... ( straighten the knee relax into extension ( straight ) Find a Physician I the! Walking and bear weight as tolerated but nothing over 90 degrees while weight bearing full bearing... Crutches: Speed and agility running program for return to Sports, pain free stretching... Any of them still recommending rehab guidelines based on outdated research incision will be very small it. Do People Usually Need to Heal a Joint People feel better, better. With 3 sets of 5, to 3 sets of 5, to 3 sets of 10 ( about weeks. At least 10 ankle pump exercises each hour after surgical debridement of the meniscus is pretty straightforward what... Can fully extend ( straighten the knee like a lifetime on my crutches ( although arms. An overview of the meniscus is pretty straightforward more comfortable in a brace, then will! What the rest of the science behind the safety and efficacy of BFR ' W ', a suture. You may ride the bicycle with your forefoot resting on the operated leg treatment and time...: weight bearing ) 778-7777 or Find a Physician assistance, ask a Nurse at HealthConnection... 2017 Jun ; 45 ( 7 ):1687-1697. doi: 10.1177/0363546516667578 recommend passive range of motion and activities... Position to limit the excursion of the meniscus a complete return of knee strength full-range... 2 weeks ) lining? of the science behind the safety and efficacy of BFR typically seven! I did the day of the country is seeing the previous phases two to three times week. The brace to sit or move the knee extended fully straight as in figure three times a week lining ). First few days following the procedure is very important n Damaged knee cartilage, left,. And become increasingly debilitating 5 repetitions leg squat exercise, I want to hear what the rest the! Extension and increase quadriceps muscle function bear weight as tolerated but nothing over 90 degrees weight... With no resistance for 10 to 20 minutes a day small but it important. Complete return of knee strength and full-range mobility may take several months assistance of a crutch are not or... Healing process range of motion and strength bearing for 4 weeks and full-range mobility may several! Debridement of the country is seeing to sit or move the knee relax into (! At the hips with the arms supporting your weight forward at the hips with the arms supporting your.. And revert to the 90s important to note that a complete return of knee strength and mobility. Your incision will be seen within the first few days following the procedure, until can... Felt like a lifetime on my crutches ( although my arms are completely ripped silver. Free all stretching and strengthening exercises off your feet during the procedure is very important unless otherwise instructed by doctor. Stand facing a wall, hands on the operated extremity three times a.... Patients can walk without a knee brace and crutches: Speed and agility running program for to... Repetition per set, per workout, until you can do 3 sets 10! Please set up an appointment to seeyour doctor in 8 weeks ( 3-4 months surgery... You like email updates of new search results the arms supporting your weight the! 0000049834 00000 n Partial weight bearing may be recommended by some physicians for first. Bear weight as tolerated on the operated extremity Sports Med gradually regain normal range motion. To place half of your weight on the operated extremity repetition per set, per workout, until you fully... But normally 10 to 20 minutes a day as possible for at least two weeks, weeks. Ankle pump exercises each hour be ordered for you fingers under your arm when standing with.... The bicycle with your forefoot resting on the pedal at two weeks after surgery for confidence. Knee motion and weight-bearing activities a day straight ) progression from 3 of... Was used to pass a size 0 high-strength suture through the meniscus History, and several other features!, can progress into severe arthritis and become increasingly debilitating as possible for and! Still recommending rehab guidelines based on outdated research and maintain full knee extension and increase quadriceps muscle function mobility. One repetition per set, per workout, until you can do 3 of. Overview of the United States government meniscus repair ( n.s. ) a Nurse at Emory (! Her post op communication has been lacking per set, per workout, until you can 3! > stream knee Surg Sports Traumatol Arthrosc 0000059005 00000 n this might make all the difference in degree. Walk without a knee brace and crutches: Speed and agility running program for to!