The meniscus root attachment is important because if the meniscus becomes detached, it can squirt out of the joint, called extrusion, which can lead to the meniscus not being functional. Dr. Burnham and his staff were/are amazing. It hurt like hell. 1-2 Days After Surgery: Hospitalization for meniscus surgery is typically short. Fortunately, this is usually done arthroscopically and with good results. We recommend the use of 2 cannulas such that the meniscus can be pulled down over a broader area and have a better chance of healing to the bone. Rehabilitation begins within a week of surgery. 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 I left my visit feeling very comfortable with where I was and what needed to happen next. Meniscus Root Tear | Knee Doctor | Baton Rouge, LA - Jeremy Burnham, MD Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. Very thorough, knowledgeable and courteous. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. 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 This step involves making a surgical incision or extending a previous surgical incision (such as with an ACL reconstruction) and ensuring that one is dissected down directly to bone. PDF Coronal extrusion of the lateral meniscus does not increase after Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. I did a little internet searching, and diagnosed myself with a Bakers Cyst, which I discovered was pretty common with meniscus tears. Post Operative Knee Arthroscopy FAQs - Complete Orthopedics I felt very informed and well cared for. A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. In this technique, sutures are placed into the torn meniscus root and then shuttled down tunnels in the tibia to tie the repair into place. My name is Dr. David Middaugh. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. Meniscus root tears - a devastating injury - Dr. Bu Balalla Realize that, as discussed above, the torn part of your meniscus was removed. (including injections and arthroscopic surgery), I heard Dr. La Prade was going to practice in the Twin Cities - where I live, & waited for him, based on his renown reputation. Both my children have seen Dr. Burnham with great results. In addition, there is no low age for meniscus repairs, with some root repairs being done in patients as young as 6 or 7 years old. I have two good arms, and a good leg. Driving After A Meniscus Repair : MeniscusInjuries - reddit Wednesday: 8:00 am 5:00 pm He spent a great amount of time explaining everything to me in a way that I understood everything. This results in premature arthritis and cartilage damage in the knee. 2 0 obj From April 22 until May 1, my program changed again, slowly becoming more like my regular training. Stated to me , in detail, what to expect and how long my recovery will take. The meniscus root is where the meniscus attaches to bone. Very reassuring, showed me X-rays and explained the healing process very clearly. Really a national leader in sports medicine! The American Journal of Sports Medicine. I was hit by a car on my bicycle near Horsetooth Reservoir in CO. Ibuprofen (Advil, Motrin) Naproxen (Aleve) Created for people with ongoing healthcare needs but benefits everyone. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. Two weeks today I had meniscus root repair. You will feel tired for several days. Everyone I was in contact with, from support staff to Dr. Burnham, was kind, friendly, competent, and generous with time and information. If not even worse. I would have relied strictly on physical therapy. I was very pleased seeing Dr. Burnham, however I was not pleased to learn I was expected to pay an additional co- pay within the same week to receive the results of my MRI. And its a lot slower for the remaining, you know, six to nine months after the first two or three months. The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. 5 stars! Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . Dr. Burnham made sure I knew what was happening and what could happen. I asked when I could start driving, and he said when I was off my pain medication. They are also important to the stability and function of the knee, keeping the meniscus in place. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. This answers all my questions! He answered all my questions satisfactorily and his entire staff were polite and professional. The steps in a meniscus root repair are very intricate and our biomechanical studies have validated that the steps are essential. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Patients are partial weight bearing for the first 4 weeks and then during weeks 4-6 are progressed to full weight-bearing. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. 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. Meniscus repair rehab protocol. After Meniscus Surgery: What To Expect In The First Few Days And Weeks So that means youre good to go after two to three months. The study included 351 patients with knee OA and meniscus tear. drive the next day if they feel ok. Amazing Doctor and wonderful staff!! Meniscus Root Repair - Joint Replacement Patient Forum This can occur with turning, twisting, or pivoting activities or sports. You should also be able use your leg for driving after one to two weeks, as long as you're not taking opiate pain medication. I really like and appreciate the time and effort he commits to research. 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. Meniscus Repair. For these, please consult a doctor (virtually or in person). Rehabilitation Following Meniscal Root Repair: A Clinical - JOSPT Life happens and our bodies will sometimes let us down. I opened my gym shortly after taking up strength training in earnest to help address my back pain, and have been working for the past eight years to help others embrace their true potential and strength. Dr. Burnham was very helpful for my injury! His team is prompt, thorough, and fun - always smiles. Great shoulder doc. Next, sutures are placed in the meniscal attachment and threaded through the hole in the tibia. PDF Meniscal Root Repair Post-operative Rehabilitation Protocol He listens and address every concern with appropriate solutions. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. And Im a specialist physical therapist El Paso manual physical therapy. The Steadman Clinic - Edwards, CO On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. In particular, it has been found that one of the most common reasons why younger patients need total knee replacements is because of a neglected or undiagnosed meniscus root tear leading to the development of osteoarthritis. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. There are two ways to initiate a consultation with Dr. LaPrade: You can providecurrentX-rays and/or MRIs for a clinical case review with Dr. LaPrade. It can also occur while bending the knee deeply. Full recovery from meniscus surgery can take anywhere from six weeks to three months. 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. An ACL tear most commonly occurs from a turning, twisting, or deceleration mechanism in a noncontact mode. 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. 4 0 obj Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. My name is Dr. David Middaugh. If you're an athlete needing a doctor that understands; this is the guy. And this channel is dedicated to helping people stay healthy, active and mobile. This hoop stress is resisted by fibers that run circumferentially through the meniscus. And this channel is dedicated to helping people stay healthy, active and mobile. I chose not to use my crutches anymore. Great doctor. Robert LaPrade, MD, PhD One should assess the range of motion at that point in time that can be performed in a safe zone to make sure that the physical therapist does not flex them harder in this time frame. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? Dr. Burnham has an awesome bedside manner. And if youve already had your meniscus surgery, then you know what to do so that youre not getting more swelling, pain and not losing motion than that knee and youre staying out of the surgeons office, so you dont have to go back again for another knee surgery. 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. Next, we performed biomechanical studies to show the effects of varying sizes of radial meniscus root tears, validating that a meniscus root tear within a centimeter of its attachment site functions as a meniscus root tear and can be treated the same. dressing in 48 hrs and may let them drive And they can get back to normal in about two or three months after having the surgery. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. A meniscus root tear occurs when one or both of these roots tear away from the bone. And if youve never worked out your glutes if you went through physical therapy never really targeted your glutes ever you better start quick because chances are youve got a muscle imbalance thats caused extra pressures inside your knee thats led to that meniscus tear to begin with thats been the root problem and glute strength is what offsets that forces inside the knee so that your meniscus can heal all the way. One should not look at age as a factor for meniscus root repairs. The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. endobj My pain was gone. %PDF-1.5 If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you b. He provided a thorough explanation without wasting time. To accomplish this goal, Dr. Nwachukwu drills a small hole from the outside of the tibia (shin bone) into the knee joint next to the natural attachment of the meniscus root. Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! The length of time until patients are able to return to driving varies . How long did you have to avoid driving after meniscus surgery? I'm taking pain meds regularly to try and ease pain. Dr. Burnham & his staff are very personable & caring. I was cleared from physical therapy on May 16, 2019, about three months after my surgery, and after only six PT sessions. PDF Meniscal Root Repair Post-operative Rehabilitation Protocol A friend of mine picked me up, and took me to the gym, where I coached my clients, sometimes sitting, sometimes standing. 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 . It has been found that one suture alone for the repair does not work well, so a minimum of 2 sutures is required to maximize meniscal healing. Patients are allowed to walk 4-6 weeks after surgery. In particular, making sure the meniscus has a thorough release from scar tissue and making sure that ones sutures or UltraTape are placed into the best substance possible for the meniscus root repair, are important considerations to maximize the chance of healing of the revision root repair procedure. The knee buckled and I thought, Shit. 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. And now theyre kind of back to the way they were before the surgery. A meniscus root tear can occur due to a traumatic event or degeneration. You will begin to focus on regaining your ROM and begin more in muscle strengthening. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. It can be very difficult to interpret an MRI after a meniscus root repair. Definitely recommend. with time whether there is healing or not. Two important criteria exist to begin driving after meniscus surgery. That night, I drove myself to the gym. How Long Is Recovery After a Meniscus Repair? This technique allows for the meniscus to be pulled down into a broad surface area, maximizing its chance for biologic healing. 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. Dr Jeremy Burnham has a great way of interacting with his patients. 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.