His surgery and recovery has been perfect! PDF Knee Arthroscopy Meniscus Root Surgery FAQ - Twin Cities Orthopedics If I could give more than 5 stars, I would. A meniscus root tear usually will not heal on its own. My calf swelled up into my ankles. Weight bearing as tolerated after 6 weeks. This may be recommended depending on the type of meniscus tear. They are also important to the stability and function of the knee, keeping the meniscus in place. He has repaired both of my shoulders and he is awesome to the max. During the procedure, Dr. Vidal will isolate the root, pull it against the tibia and place sutures in the meniscal attachment. Previous attempts to make it better provided only temporary relief. In addition, if the medial meniscus is involved, active Life happens and our bodies will sometimes let us down. Very thorough, knowledgeable and courteous. Meniscus Post Surgery Rehabilitation Conservative treatment methods are typically reserved for patients who would not recover well with surgery (i.e. Recommend highly. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. Dr. Burnham is amazing. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. 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. Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. Many patients who do have a meniscus root tear note that they feel a pop in the back of the knee when they are doing squatting activities, such as cleaning floors, gardening, placing down carpet or plumbing. I press and bench with no modifications. It is shaped like a C and it serves to cushion and stabilize the knee. If so, you may be at risk of tearing the root of your meniscus. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. It takes longer for a meniscus repair to heal than a meniscectomy. My right knee was totally destroyed; ACL, MCL, PCL all severely torn; the patella was the only thing intact in my right knee. Most patients will also have some numbness around the surgical incision, but this is not a true complication and is anticipated with any type of surgical incision. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. Later that summer, the left knee began to bother meagain. MENISCAL ROOT REPAIR POST-OPERATIVE ORDERS . And if we know anything about cartilage, if you want to look this up, it takes about six up to 12 months to fully heal depending on the severity of that injury on the meniscus on that cartilage. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you b. Video chat with a U.S. board-certified doctor 24/7 in a minute. And theres things that you can do, which Ill allude to here in the middle. Driving After A Meniscus Repair : MeniscusInjuries - reddit I would recommend his services to anyone. This was devastating news after being a top triathlete (3rd in the world in my age group in 1989 & 1st nationally in my age group) and a big marathon runner. Recovery Tips After Meniscus Surgery - Kellie Middleton, MD Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! Therefore, we strongly advocate using a button to fix the meniscus sutures or tape on the tibia to minimize the chance of loosening over time. Meniscus root tears - a devastating injury - Dr. Bu Balalla Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? If not even worse. In cases the patients undergo meniscus repair or ligament reconstruction, they are given a brace to support the knee in full extension. 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. He has a great rapport with teenagers. I wont ever go anywhere else. Highlights from the StartingStrength Community. Meniscus Root Repair & Recovery | Emily Socolinsky - Starting Strength The protocol is divided into phases. A friend of mine picked me up, and took me to the gym, where I coached my clients, sometimes sitting, sometimes standing. 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. 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. In the early stages of your meniscus tear you can take these conservative and essential treatments which are as follows: Rest Ice every 15 minutes in every 4-6 hours Compression with an ACE wrap or sleeve Elevation of the leg Nonsteroidal anti-inflammatory medications (NSAIDs) for pain. It is our goal to provide the highest level of care and service to our patients. I really like and appreciate the time and effort he commits to research. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! Therefore, our surgical technique, using specific guides to avoid the eminences to ensure that one can place the guide exactly where one wants to have a cannula come out in the joint, using cannulas to allow for placement of passing sutures quickly and efficiently, having 2 separate cannulas with 2 separate tunnels for the meniscus repair, releasing the meniscus thoroughly to pull it back in the joint so it functions most effectively, and then having self-capture suture devices, which can place suture or tape into the meniscus substance, shuttle them down the tibia, and then tie them over a metal button on the tibia. They walked me through the process from beginning to end. Great shoulder doc. The feeling that your knee is giving way, locking, or catching when you bend it. And the good news is that it can be helped without another surgery. The swelling started to go down, but there was now a lump behind my knee that felt like fluid. Dr. Burnham and his remarkable staff have been a godsend for our son. This can occur in up to 20% of patients, even in the best of circumstances. 2700 Vikings Circle Very positive experience at Bone and Joint Clinic in Baton Rouge. Request Case Review or Office Consultation, Lateral Patellotibial Ligament Reconstruction, Anatomic Analysis of the Posterior Root Attachments of the Menisci, Posterior Root Avulsion Fracture of the Medial Meniscus, Not Your Fathers (or Mothers) Meniscus Surgery, Anterior Intermeniscal Ligament of the Knee An Anatomical Study, Popliteomeniscal Fascial Tears Causing Symptomatic Lateral Compartment Knee Pain, Prospective Outcomes Study of Meniscal Allograft Transplantation. 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. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. very elderly patients). endobj <>/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>> The other aspect that needs to be evaluated is the amount of extrusion of the meniscus. Meniscus Surgery: What to Expect at Home - Alberta 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. Using specific guides to ensure that one can place tunnels in the anatomic position and using self-capture devices, which have been devised to be small enough to not scuff up the cartilage, are some of the best means to perform a transtibial meniscus root repair with self-capture devices. For these, please consult a doctor (virtually or in person). The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. After about five minutes, the wheels were spinning. Progression of range of motion is more limited than for a standard meniscus root repair, usually limiting patients to 0-60 or 0-90 degrees range of motion for the first 4 weeks and then slowly increasing range of motion as tolerated. Contact Dr. Nwachukwus team today! Treatment Outcomes of Meniscal Root Tears: A Systematic Review 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. General anesthesia and a nerve block. The transtibial meniscal root repair is emerging as the gold standard treatment due to its ability to restore a large footprint at the meniscal root's native attachment site and restore normal joint contact pressures. That was day one. Monday: 8:00 am 5:00 pm That means that the remaining meniscus is smaller, but still taking the same pressure. 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. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Full recovery from meniscus surgery can take anywhere from six weeks to three months. United States. 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. 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. He and his staff could not have been more helpful and professional. PDF Posterior Meniscal Root Repairs The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! 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. Do minor meniscus tears require surgery or can it repair itself? As a result, two weeks after surgery I was able to start driving my car, which is a manual. Ill def refer friends and family! In our hands, because we have performed many second look arthroscopies, we have found that the 2-tunnel technique allows for a broader surface area of the meniscus against the decorticated bone and seems to allow for a more solid and secure repair. Other factors can also be present with extrusion, including the progression of arthritis which can cause a well-done meniscus repair to extrude outside the joint. On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. First, one needs to ensure that the meniscus root is repairable and that there is not too much arthritis on that affected portion of the joint such that a meniscus root repair would not be recommended. Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). If the lateral meniscus root tear is not repaired at the same time as an ACL reconstruction, it is now recognized that this could lead to ACL graft failure or loosening over time. Meniscus repair recovery While everyone's recovery is different, here's what you can typically expect with a repair surgery: You may be on crutches for four to six weeks. The pain during my recovery has actually only been minimal, requiring no pain meds. Medication may be needed for 2-3 weeks. Meniscus Injury - Sports Medicine Research - Mayo Clinic This results in premature arthritis and cartilage damage in the knee. The average pain levels after a meniscus root repair fit between a basic knee arthroscopy (minimal pain) and an ACL reconstruction (more severe pain). 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. amount of, supply and beyond the age of 15 has limited healing without surgery. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Prior to Starting Strength, I would have simply gone to physical therapy, done my exercises like the therapist told me to do, and that would have been it. 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. I hung on to this MRI referral for a good month or so, because the knee was starting to feel better, and I was still able to train and attend my BJJ classes. 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. I think my clients thought I had lost my mind, but what else was I going to do? Being stronger is always better than being weak. Typically begins 3-5 days after surgery; Precautions Toe touch weight bearing with brace; Gradually unlock brace for 6 weeks; after 6 weeks no brace A written consent will be obtained from you after the surgical procedure has been explained in detail. 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 The technique of a meniscus root repair involves isolating the root, placing a minimum of 2 sutures in the remaining meniscal attachment, and trying to reposition it back to a more anatomic position. A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. While there are many factors that can go into extrusion, a maximum attempt should be made by the surgeon to try to pull the meniscus back in the joint to give the meniscus the best chance to function as a shock absorber after it heals. 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. These results reveal that, since all the variables and possible concomitant injuries are investigated and addressed, MRR . Dr. Burnham took his time and answered all my questions with explanations. 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. The most common method to fix meniscus root tears is through a tibial bone tunnel. 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 . According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. I'm taking pain meds regularly to try and ease pain. My name is Dr. David Middaugh. I also started boxing sessions once a week with one of my coaches as I am not allowed to start back to BJJ until September. It hurt like hell. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . I was told by one of the orthopedic surgeons that I worked with that I would never run again and would be lucky if I could ever hike again. So happy I found them! As of August 20, 2019, it will be six months post-op. Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. When I returned home around 1pm that day, I sat in my living room for a bit, emailing and texting people to let them know I was alive and well. Many tears have better outcomes if they are treated early. 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. 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. After about two hours, I got up, crutched into the kitchen, brewed a pot of coffee and made myself some pancakes. . Eventually, as I get into the mid 100s again, I will start adding five pounds a week. Rehabilitation Following Meniscal Root Repair: A Clinical - JOSPT Two weeks to the day, I got on my spin bike at the gym and did what I could do. Ibuprofen (Advil, Motrin) Naproxen (Aleve) The next portion of the Smith & Nephew root repair device is a mini First-Pass device. 2601 E. Yandell Drive, Suite 232 PDF Knee meniscus root repair - tcomn.com I left my visit feeling very comfortable with where I was and what needed to happen next. 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 | Orthopedic Knee Surgeon | Vail, Aspen, Denver When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the