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how to rehab a torn medial meniscus

by Jewel Bruen Published 2 years ago Updated 1 year ago
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Medication

Mar 18, 2022 · Phase 2 Continue with flexion and extension knee range of motion exercises to regain full range of motion in the joint. Isometric quadriceps contractions can continue. Begin to do squats and lunges but only very shallow if pain allows. One-quarter normal depth is sufficient to start with. Leg press ...

Procedures

What exercises can you do with a torn meniscus? Heel Raises, Heel Dig Bridging, Shallow Standing Knee Bends, Meniscus Tears, Quad Sets, Straight-Leg Raise to the Front,... Hamstring Curls, Heel Raises, Heel Dig Bridging, and Shallow Standing Knee Bends

Therapy

be needed depends in large part on the type of tear (See figure in appendix) and how bad the tear is. Work with your doctor to plan a rehabilitation (rehab) program that helps you regain as much strength and flexibility in your knee as possible. Your rehab program probably will include physical therapy and home exercises. Exercises that might be prescribed for rehab are listed here.

Self-care

Jul 19, 2021 · if you go to most pain practices if you fail physical therapy and surgery is not recommended, they may recommend a steroid injection, which can help temporarily reduce inflammation in and around the knee and meniscus, but this is not advised as steroids as we know can cause damage to the joint cartilage, inhibit healing, and has a host of other …

Nutrition

May 26, 2020 · Here is how you do them: Lie on your back with your injured knee out straight and your other knee bent. Tighten your quad muscle on your straight leg, and raise the leg up about 12 to 15 inches. Be sure to keep your knee... Hold your straight leg up for a few seconds, and then lower it down slowly. ...

What happens if you leave a torn meniscus untreated?

May 26, 2021 · For meniscus tears, this generally means walking with crutches. Rest – Again, this may also mean walking with crutches. This takes all or some pressure away from your knee, allowing the injury to heal unhampered. Ice – Theoretically, ice (i.e. cryotherapy) slows down your body’s inflammatory response to trauma which then reduces swelling and pain.

How to heal a torn meniscus without surgery?

Dec 21, 2020 · Keeping the back and pelvis in a neutral position, flex the right foot and tighten the right thigh muscles, slowly lifting the right leg off the floor. After lifting the right leg to around 45...

How long does it take to recover from meniscus surgery?

If you tear one, your doctor probably will suggest that you rest, apply ice, and take pain relievers at first. From there, you might need physical therapy (PT), surgery, or both. Can I Do PT...

What is the recovery time for a meniscus repair?

For an effective meniscus tear treatment, it is essential to put weight on your knee again gently. As a result, the meniscus receives sufficient nutrients to recover without being overloaded. One way to reduce the load on the meniscus is to wear a knee brace. A knee brace minimizes the pressure on your knee so that you experience less knee pain.

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What to do after meniscus surgery?

After surgery, you will need to do exercises to increase and maintain knee strength and stability. If you have advanced, degenerative arthritis, your doctor might recommend a knee replacement.

How to stop knee pain from twisting?

If your pain is severe, using crutches can take pressure off your knee and promote healing. Ice. Ice can reduce knee pain and swelling.

How does a knee splint work?

The device contains a light and a small camera, which transmits an enlarged image of the inside of your knee onto a monitor. If necessary, surgical instruments can be inserted through the arthroscope or through additional small incisions in your knee to trim or repair the tear.

Can you have a knee replacement if you have arthritis?

If you have advanced, degenerative arthritis, your doctor might recommend a knee replacement. For younger people who have signs and symptoms after surgery but no advanced arthritis, a meniscus transplant might be appropriate. The surgery involves transplanting a meniscus from a cadaver.

Can you have surgery for arthritis?

Tears associated with arthritis often improve over time with treatment of the arthritis, so surgery usually isn't indicated. Many other tears that aren't associated with locking or a block to knee motion will become less painful over time, so they also don't require surgery. Your doctor might recommend: Rest.

How to reduce swelling in knee?

Ice. Ice can reduce knee pain and swelling. Use a cold pack, a bag of frozen vegetables or a towel filled with ice cubes for about 15 minutes at a time , keeping your knee elevated. Do this every four to six hours the first day or two, and then as often as needed. Medication.

Can a torn meniscus show up on X-rays?

X-rays. Because a torn meniscus is made of cartilage, it won't show up on X-rays. But X-rays can help rule out other problems with the knee that cause similar symptoms.

How many repetitions of heel dig bridging?

The heel dig bridging exercise works your hamstrings and the muscles around yourlower body and hips. Do 8 to 12 repetitions. Do not continue with this exercise if itcauses pain.

Does a meniscus tear heal?

Tears at the outer edge (red zone) tend to heal well because there is agood blood supply. The inner area (white zone) lacks a good blood supply andtherefore does not heal well.

What Is a Meniscus?

The meniscus is a fibrocartilage structure that sits on top of the tibia (lower leg bone). There is one on the medial (inside) aspect of the knee, one on the lateral (outside) aspect of the knee. It is shaped like a C and provides some cushion and support for the knee joint as it acts as a shock absorber.

Types of Meniscal tears

Meniscal tears come in a variety of different types, which can affect potential treatments, symptoms or relevance.

Natural Remedies For a Torn Meniscus

If you have knee pain and have been told you have a suspected meniscal tear either from an exam or from MRI, much of the time this can heal on its own with 4-6 weeks of rest, doing some physical therapy that would focus on some range of motion and strengthening exercises and correcting any biomechanical problems that may stem from the core, back, hips or the ankles.

Treatments For A Meniscal Tear Without Surgery

If you go to most pain practices if you fail physical therapy and surgery is not recommended, they may recommend a steroid injection, which can help temporarily reduce inflammation in and around the knee and meniscus, but this is not advised as steroids as we know can cause damage to the joint cartilage, inhibit healing, and has a host of other negative side effects..

Bottom Line

Meniscal tears are common findings in the knee, which many times are of little clinical significance.

How to recover from a meniscus tear?

Exercises should be a major component of your knee rehab program after a meniscus tear. Physical therapy exercises in the clinic, and as part of a home exercise program, can help you recover fully from your meniscus injury.

What to do if you have a meniscus tear in your knee?

Jonathan Cluett, MD. on May 26, 2020. If you have a knee meniscus tear, you may benefit from a physical therapy exercise program to rehabilitate your knee. Working with a physical therapist (PT) can help you regain maximal knee range of motion and strength and can help you return to your normal optimal level of activity.

How to prevent knee surgery?

Research even shows that participating in physical therapy for a meniscus injury may help you avoid surgery for your knee. 1  Your PT may use various modalities and treatments to control your pain or knee swelling or to improve the way the muscles around your knee contracts and supports the joint. Exercises should be a major component ...

Can exercise cause knee pain?

Exercises should not cause any extra pain in your knee. Before starting this, or any other knee meniscus exercise program, check in with your doctor and physical therapist to be sure exercise is safe for you to do. 1.

What muscle is used to straighten the knee?

Quadriceps Exercises. Your quadriceps muscle, or "the quad," straightens your knee, and it supports the joint and your kneecap. After a knee meniscus tear or injury, your physical therapist will likely have you work to improve your quadriceps function so your knee joint is adequately supported.

Is biking good for your knees?

Bike riding can have many benefits, including: It can improve your knee range of motion. It can improve muscular endurance in your legs. It is a non-weight-bearing exercise, which can limit stress and strain through your knee and injured meniscus.

How to improve knee flexion?

Performing heel slides is a great way to improve your knee flexion range of motion. (Flexion is the ability for your knee to bend fully.) To perform the heel slide exercise: Lie on your back. Slowly slide your heel up towards your bottom, allowing your knee to bend as far as possible.

What is the goal of meniscus surgery?

All in all, the goal of treatment, natural or otherwise, is to control both pain and inflammation, get your range of motion back to normal, and help get you stronger muscles. If you had the injury from a certain sport, an added goal would be to improve certain mechanics that may have contributed to your meniscus injury.

How to recover from a knee injury?

While your knee injury is still recovering, start with isometric exercises. These are exercises where you contract your muscles without moving the joint. This helps preserve the strength of your muscles while you’re unable to participate in full-on exercise. It also helps stabilize the knee.

How to balance on one leg?

Now, while it’s great to have a physical therapist and/or a trainer guide you through this, there are a bunch of basic balance exercises you can do on your own, including: Stand on one leg – On a flat and stable surface, slightly bend your hips and knees on one side so you’re only standing on one leg.

How to heal a broken knee?

Rest – Again, this may also mean walking with crutches. This takes all or some pressure away from your knee, allowing the injury to heal unhampered. Ice – Theoretically, ice (i.e. cryotherapy) slows down your body’s inflammatory response to trauma which then reduces swelling and pain.

Can a meniscus tear heal?

Yes, but here’s the thing : A meniscus tear will heal only if the tear is located at the part of the meniscus with blood supply (i.e. the red zone). Luckily, only 19% of the meniscus tears happen in the part with no circulation (i.e. the white zone), so most tears can heal naturally to some degree. ( 7)

What is pain and anti-inflammatory treatment?

Like PRICE, pain and anti-inflammatory drugs are treatments done particularly during the early stages of injury. Though, depending on your tolerance and specific case, these may extend towards the later stages.

How to stabilize knees?

It also helps stabilize the knee. Focus on your quads and hamstrings during this stage. For your quads, you could place a rolled towel under your knees and attempt to push it down. The towel helps keep your knees in a slightly bent position while preventing movement.

How common is a meniscus tear?

Meniscus tears are fairly common; research suggests that around 61 in 100,000. Trusted Source. people in the United States have this health issue. Below, we look into this injury and describe nine exercises that may help strengthen and rebuild a torn meniscus. Be sure to consult a doctor before trying them.

Why do knees tear?

absorb shock from walking and other activities. provide stability to the knee. A tear can occur due to too much strain, sometimes as a result of exercise. Common symptoms include: pain. swelling. clicking.

How to strengthen quadriceps?

Mini squats can help strengthen the quadriceps, large muscles at the front of the thigh, without putting too much pressure on the knees. To perform mini squats: Stand with the back, shoulders, and head against a wall. The feet should be shoulder-width apart and about 1 foot away from the wall.

How to do quadriceps?

To perform the quadriceps setting: Sit or lie flat on the ground, with the legs extended away from the body. Contract the quadriceps, using them to push the backs of the knees toward the floor.

How to do straight leg raises?

To perform straight leg raises: Lie on the floor with the left foot flat and the right leg extended. Keeping the back and pelvis in a neutral position, flex the right foot and tighten the right thigh muscles, slowly lifting the right leg off the floor.

How to strengthen hamstrings?

To perform hamstring heel digs: Lie on the back, with the knees bent and the feet flat on the floor. Flex the feet so that only the heels touch the floor .

How to raise your calf?

To perform standing heel raises: Stand with the feet hip-width apart, with the hands resting on a heavy, solid piece of furniture for support. Slowly lift the heels off the floor as far as is comfortable.

How many menisci are there in each knee?

You have two menisci -- that’s the plural for meniscus -- in each knee. They’re made of cartilage, a tough, rubbery substance. They’re basically shock absorbers that keep your thighbone in the upper leg from pounding on the shinbone in the lower leg. If you tear one, your doctor probably will suggest that you rest, apply ice, ...

What is the pain in my knee?

If you just found out that the pain and swelling in your knee is a torn meniscus, you probably have a decision to make about how to treat it. What’s best for you depends on what the tear’s like, your age, and how soon you want to get back to your normal activities. You have two menisci -- that’s the plural for meniscus -- in each knee.

How to do a PT?

The PT process usually goes something like this: 1 You start with exercises that focus on range of motion, like flexing and extending your knee as much as you can without pain. 2 You move on to stretches that keep your leg muscles loose. 3 You begin basic exercises, like straight leg raises and toe raises. 4 If you can do all that without pain, you move onto more advanced exercises, like toe raises with weights, squats, and harder stretches.

Is PT as effective as surgery?

People who are middle-aged or have osteoarthritis often tear the meniscus simply because it’s worn down. For them, PT may be as effective as surgery. Even if you’re younger, fit, and athletic, a conservative approach is often a good place to start. ...

How to recover from a meniscus tear?

The inner portion of your meniscus lacks this blood flow. That part of your meniscus gets its nutrients from the synovial fluid within your knee capsule. Moving your knee will produce more synovial fluid and thus improves the recovery of your meniscus tear. The best way to do this is by riding a stationary bike.

How to improve meniscus strength?

As the exercise gets easier, you can lift your leg 15 or even 20 times to improve the strength even more. By keeping your knee straight, you don’t put much pressure on your knee. That’s to make sure your meniscus doesn’t damage further. Later on, we’ll add squats and lunges to improve the recovery even further.

What happens if you skip a step?

If you skip a step, the recovery will take much longer. Keep reading for the full explanation and detailed description of the exercises (video’s included) Anatomy and function of your meniscus. Causes of a meniscus tear. Symptoms of a menicus tear. Menicus tear treatment with four exercises.

How much does it cost to repair a meniscus tear?

The recovery without exercises takes a little bit longer but comes without side effects. Surgery costs about $10,000 and also increases your risk of developing osteoarthritis. A total knee replacement because of that later in life will cost an ...

What is the function of the meniscus?

You have 2 in each knee laying next to each other. Its function is to improve the stability of your knee and improve its movements.

Can you walk without pain?

You can walk without much pain and are only slightly limited in your daily life. A small rupture is often caused by bumping your knee. It slightly damages your meniscus on the outside, where recovery is generally excellent. A moderate tear can cause pain at the side or center of your knee.

What is a traumatic event?

Degeneration. A traumatic event can be a sports injury, a misstep, or a fall. It always involves a combination of bending and twisting your knee. A degenerative tear happens to many people when they get older. Due to the repetitive use of your knee combined with less recovery of the damage, a tear can start to happen.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes physical therapy and medication. Although treatable, the condition needs life-long precautionary measures to prevent complications.
Medication

Anti-inflammatory medications: Such as NSAIDs are given shortly after injury to reduce swelling.

Ibuprofen . Naproxen


Corticosteroids: Cortisone injection therapy to decrease joint inflammation. Usually given in severe cases.

Cortisone

Procedures

Partial meniscectomy: Trimming the torn meniscus. If the damage is less severe.

Total meniscectomy: Removing the whole meniscus. If it is severely damaged.

Meniscal repair: Sewing the torn meniscal edges. Usually done when both the ligament and meniscus has to be repaired.

Micro fracture surgery: Stimulating new cartilage growth.

Joint replacement surgery: Recommended for patients with severe knee degeneration and damaged cartilage.

Therapy

Physical therapy:Physical therapy to strengthen the muscles around the knees.

Electrical stimulation:Electrical stimulation of the muscles and nerves around the knee. If the condition does not resolve with rest and medications.

Viscosupplementation:Hyaluronan preparation or injection therapy to treat mild to moderate knee degenerative arthritis. If the condition does not resolve with rest and medications.

Self-care

Always talk to your provider before starting anything.

  • Provide adequate rest to the affected knee by avoiding activities that aggravate pain.
  • Use crutches to take off pressure from the knee.
  • Use ice packs to reduce pain and swelling.
  • Wrap the affected knee using an elastic bandage with help from your doctor.

Nutrition

Foods to eat:

  • Fruits and vegetables high in antioxidants
  • Omega 3 fatty acids containing foods like avocadoes

Foods to avoid:

  • Pro-inflammation foods such as Omega-6 fats -present in sunflower, peanut and soybean oils

Specialist to consult

Orthopedic surgeon
Specializes in the surgery of bone and joint disorders.

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