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1 0 obj Two weeks. I could not bear weight on my right side though I tried repeatedly, but finally I went and got an MRI and one of the orthopedic surgeons that I worked with was shocked when he saw the MRI result. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Most patients will have pain with squatting and deep knee flexion with a root tear because a meniscus root tear occurs in the back of the knee. He has a great rapport with teenagers. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. Tuesday: 8:00 am 5:00 pm Great shoulder doc. W;5$u4Yxa_V_bm}q8=^_qbY,H(+",X'{|oMs"&A;3.E s&L=Z`)!]$],b }zb& Y@dy.Lif1:4@"Fz"U2`/h0|6^T&}56+Q:Dn{d:rqW@3 7 U. And Im a specialist physical therapist El Paso manual physical therapy. A meniscus root tear occurs when one or both of these roots tear away from the bone. I walked around the gym with the crutches, and without the crutches. 4. He had knee surgery a few months ago and is recovering remarkably well. <> Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. El Paso, Texas 79903. Life happens and our bodies will sometimes let us down. 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. I felt very informed and well cared for. But now I know more about the body, about rehab, and about what being stronger really means. And now theyre kind of back to the way they were before the surgery. He has repaired both of my shoulders and he is awesome to the max. Meniscus root repair surgeon, Doctor Benedict Nwachukwu provides diagnosis as well as surgical and nonsurgical treatment options for patients in Manhattan, New York City, NY who need meniscus root repair surgery. If one has too much arthritis, then the chance of a meniscus root repair helping one to slow down the progression of arthritis is probably not worth having the meniscus root repaired. How long after surgery for a meniscus tear will i be able to drive again. This is one of the first video demonstrations of this. A meniscus root tear usually will not heal on its own. According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. The length of time until patients are able to return to driving varies . Yet, if you feel discomfort, you can take over-the-counter pain medication. I have been very pleased with him at each visit..It's been almost 2 years since my meniscus root tear surgery and I have to say my knee feels great. It is shaped like a C and it serves to cushion and stabilize the knee. They are also important to the stability and function of the knee, keeping the meniscus in place. Is this a tear? When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. This results in premature arthritis and cartilage damage in the knee. You will feel tired for several days. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. I have been walking and training normally for the past four and a half months. This mechanism of injury and the description of a pop is the classic description of one who has a meniscus root tear occur. As of August 20, 2019, it will be six months post-op. 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 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. Often, when a meniscus root is torn, it will retract in the joint and become stuck in place. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. Timeline: 1 week to 5 weeks after Surgery. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. So that means youre good to go after two to three months. There are some isolated reports of using suture anchors to repair a meniscus root repair, but this area of the knee is very difficult to access and the suture anchors can leave large knots which could subsequently interfere with the cartilage surfaces in the knee. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. I have no issues taking the stairs, just a little knee discomfort here and there. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. Really cares for his patients! As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. A meniscus that still has extrusion present also does not function as well over the long term. No swelling. The steps in a meniscus root repair are very intricate and our biomechanical studies have validated that the steps are essential. 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. This may be recommended depending on the type of meniscus tear. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). You may need to leave a message. The Steadman Clinic - Edwards, CO What do you suggest if my MRI says that I have a horizontal tear in the body of the lateral meniscus is shown do I need surgery? And thats the 80% fact is true that does happen. He listens and address every concern with appropriate solutions. Procedure for Meniscus Root Repair. 2 0 obj I sat down and put together a training program with exercises I could do, and trained four days a week as normal. One should not look at age as a factor for meniscus root repairs. Had a meniscus root repair yesterday and the surgery was successful. I would like to thank Dr. Jeremy Burnham for his wonderful work and surgery on my left shoulder. I am so glad I did! While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. 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. Thank you. Therefore, one should attempt a meniscus root repair whenever possible in most patients up to age 70. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. Dr. Nwachukwu and his team will have an individualized recovery program for the best healing success after your meniscal root repair. - 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. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. I chose not to use my crutches anymore. Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. His team is prompt, thorough, and fun - always smiles. I would highly recommend him. The meniscus is a piece of cartilage in the knee, often injured in sports. 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. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. 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. After meniscal surgery, rehabilitation with a physical therapist or athletic trainer is needed to restore range of motion, strength, movement control and guide the athlete's return to sport. He diagnosed the problem quickly and accurately. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture from Jeremy Burnham, Ochsner-Andrews Sports Medicine Institute, Copyright 2022Jeremy Burnham, M.D. This is important because these repairs are still quite tenuous with current technology, so it is important to try to put the meniscus back into a position where there would not be a lot of tension on the repair with knee range of motion. However, if the meniscus re-tore or is placed into a non-anatomic position and ones cartilage surfaces are still fairly intact, an attempt at a revision repair should be made. One of the most common is in patients who may have some underlying arthritis and the arthritis is causing the pain or the arthritis has progressed further after the meniscus root repair. Country. I press and bench with no modifications. If not treated, part of the meniscus may come loose and slip into the joint. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. United States. It is our goal to provide the highest level of care and service to our patients. stream Meniscal root repair whether isolated or in combination with valgus HTO or ACL reconstruction, when indicated, was able to improve the clinical, functional and subjective results of the patients presented in this case series. When I woke up I was in significant pain but the nurses had it under control by the time I left. 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. Regular assessment of gait to avoid compensatory patterns. This allows the meniscus to heal back to the bone. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. very elderly patients). Patient Testimonials - Meniscus Root Repair Everett | OCD Repair of the Knee Kirkland X Accessibility View Book An Appointment (206) 784-8833 Wallingford Office (206) 633-8100 Ballard Office (206) 784-8833 Home My Practice Practice Expertise Patient / Medical Resources Educational Resources Videos Radio/podcasts News Contact Dr. Garcia Facebook Doctors typically provide answers within 24 hours. Thank you Dr. Burnham and Jerrica for everything! But the next day, I woke up and literally ran down my stairs. I was still taking aspirin to prevent clotting after surgery, and I also tried to put as much weight on the left leg as I was allowed, and then more. There can be many factors which can potentially cause pain after a meniscus root repair. . 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. Later that summer, the left knee began to bother meagain. A torn meniscus can result in either sudden or gradual onset of pain. Highlights from the StartingStrength Community. 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. Easy to talk to and will answer any questions of your care. Therefore, the transtibial meniscus root repair technique is by far the most common procedure that is performed. What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. At the beginning of April, I was dancing at a friends wedding when I suddenly heard and felt a loud pop in my left knee. Sometimes the meniscus damage occurs more gradually as part of degeneration.