RehabFAQs

what is the long term rehab/ management plan for a meniscus

by Ludie Thiel Published 2 years ago Updated 1 year ago
Get Help Now 📞 +1(888) 218-08-63

meniscus tear is a common knee joint injury. How well the knee will heal and whether surgery willbe needed depends in large part on the type of tear (See figure in appendix) and how bad the tearis. Work with your doctor to plan a rehabilitation (rehab) program that helps you regain as muchstrength and flexibility in your knee as possible. Your rehab program probably will include physicaltherapy and home exercises.

Full Answer

How long should I do physical therapy for a torn meniscus?

Feb 16, 2022 · How long does it take to rehab a meniscus tear? Meniscus tears are the most frequently treated knee injuries. Recovery will take about 6 to 8 weeks if your meniscus tear is treated conservatively, without surgery. How long after meniscus repair surgery can I walk?

What are the treatment options for meniscus tears?

Feb 16, 2022 · How long is physical therapy for torn meniscus? As part of a conservative treatment, you’ll probably try PT for around 4 to 6 weeks, on a regular schedule. Also, you must regularly exercise at home the way you are taught. If it doesn’t work, then it may be time for surgery. Will a knee brace help a torn meniscus? Yes.

What factors should be considered when creating a meniscus treatment plan?

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. Work with your doctor and physical

Does arthroscopic meniscal repair improve results for traumatic meniscal tears?

Jan 06, 2022 · 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 4 to 6 hours the first day or two, and then as often as needed. Medication. Over-the-counter pain relievers also can help ease knee pain. Therapy

What are the management options for a meniscus tear?

Your doctor might recommend:Rest. Avoid activities that aggravate your knee pain, especially any activity that causes you to twist, rotate or pivot your knee. ... Ice. Ice can reduce knee pain and swelling. ... Medication. Over-the-counter pain relievers also can help ease knee pain.Jan 6, 2022

How long is rehab for meniscus?

As part of a conservative treatment, you'll probably try PT for around 4 to 6 weeks, on a regular schedule. Also, you must regularly exercise at home the way you are taught. If it doesn't work, then it may be time for surgery.May 13, 2021

What is rehabilitation after meniscus repair?

Starting rehabilitation training is overall supported after a mean period of 5.6 weeks (SD: 1.5 weeks) and specific training after a mean period of 14.6 weeks (SD: 5.4 weeks) (see Figure 4). Early rehabilitation after meniscus repair including weight bearing, range of motion, CAM/CPM therapy, and use of orthosis.Mar 29, 2020

How do you rehab a torn meniscus?

Meniscus Tear: Rehabilitation ExercisesMeniscus Tears.Quad Sets.Straight-Leg Raise to the Front.Straight-Leg Raise to the Back.Hamstring Curls.Heel Raises.Heel Dig Bridging.Shallow Standing Knee Bends.

What is the difference between meniscus repair and Meniscectomy?

Meniscus Tear Removal vs. There are two basic approaches to treating a torn meniscus: removing the torn part of the meniscus (a procedure called a meniscectomy); repairing the meniscus by suturing the torn parts together.

How do you rehab a torn meniscus without surgery?

Nonsurgical treatmentsRest. Try to rest your knee for a few days and keep pressure off it.Ice. Putting ice on your knee for 10 to 15 minutes at a time can help reduce any swelling.Compression. You can also reduce swelling by wrapping your knee with an elastic bandage or wearing a knee brace.Elevation.Dec 21, 2020

When should you start rehab after meniscus surgery?

Approximately 4 weeks after surgery, patients typically begin to perform higher level activities during physical therapy visits. With your physical therapist's guidance at 4 to 6 weeks, you will begin the gradual transition back to your sport.

What can you not do after meniscus surgery?

Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. It is vital that meniscus repair patients do not squat for at least four months after the repair.

What is the fastest way to recover from meniscus surgery?

You will recover more quickly if you carefully follow all your doctor's instructions. In your first days after surgery, you will need apply ice frequently and elevate your knee above your heart to help relieve swelling. Be sure to get plenty of sleep, to help your body heal.

How do you train your legs with a torn meniscus?

0:341:29How to Exercise the Quads With a Torn Meniscus - YouTubeYouTubeStart of suggested clipEnd of suggested clipWhere you would stand hip width apart toes are pointed up straight then down to about a 15 percentMoreWhere you would stand hip width apart toes are pointed up straight then down to about a 15 percent angle just like this weight your glutes to come back up to start. So squat down about 15 percent

Can you still exercise with a torn meniscus?

Doctors will usually advise against performing certain exercises when you have a meniscus tear. These exercises can put too much pressure on an already unstable knee. Avoid exercises that involve: pivoting.Aug 9, 2021

Why do meniscus tears heal?

Tears in the outer 1/3 of the meniscus have healing potential because there is blood flow to that area. However, tears in the inner 2/3 generally do not heal well as a result of poor circulation.

What is the meniscus in the knee?

The meniscus is a C-shaped tissue between your femur (thigh bone) and your tibia (shin bone). Each knee has a medial (inner side) meniscus and a lateral (outer side) meniscus. The meniscus is composed of water, collagen, proteins, and other cellular elements. Via OrthoInfo.

How long does it take for knee pain to come back?

If your discomfort does in fact increase during/after exercises, it must come back down to your baseline levels within 24 hours.

Do meniscus injuries require surgery?

As mentioned in the Q&A above, not all meniscus injuries require surgery and actually A LOT of meniscus injuries do very well managed conservatively without surgery. We have had hundreds of people achieve successful outcomes with our program.

What is the role of the medial meniscus in the knee?

The meniscus is a shock absorber that helps optimize force transmission across the knee and protects the cartilage at the end of our femur and tibia. The medial meniscus is also a secondary stabilizer to the ACL as it can prevent anterior translation (forward shifting) of the tibia.

Do meniscus tears need surgery?

All meniscus tears do not require surgery. Surgery is indicated if you have mechanical symptoms such as locking. Otherwise, you should try conservative management first. This includes NSAIDs (anti-inflammatories), physical therapy, and finally – injections.

What muscles do you use for a thigh lift?

This exercise is great because you have to tighten your thigh and use your quadriceps muscle – no matter what direction we lift. We also get the added benefit of working on the hip flexors, abduction, extensors, and adductors as well!

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 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 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 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.

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.

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.

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.

What is the most common pathology of the knee?

Meniscal tears are the most common pathology of the knee with a mean annual incidence of 66 per 100000[1]. Historically it was believed that the menisci served no functional purpose and they were often excised with open total meniscectomy[2].

How accurate is MRI for meniscal tear?

MRI scans are only 80%-90% accurate at diagnosing meniscal tears initially and even less accurate post-operatively. High signal in the meniscal tissue can represent oedema, degeneration, an actual tear or a healing tear post repair[56].

Does a meniscus tear heal?

The blood supply is fundamental to the success of a meniscal repair. Only tears in the red-red or possibly the red-white zone are expected to heal. The absence of blood vessels in the remaining meniscus prevents widespread use of meniscal repair and patients are subjected to meniscectomy.

What is the difference between medial and lateral meniscus?

The medial meniscus is “U” shaped covering around 60% of the medial compartment whereas the lateral meniscus is more “C” with a shorter distance between its anterior and posterior horns covering 80% of the lateral compartment[6]. Meniscal tissue consists mainly of water and type I collagen fibres[7].

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.

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 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, ...

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. ...

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9