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Meniscus debridement post op question

Posted on 3/18/15 at 3:15 pm
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 3:15 pm
Had a meniscus debridement in October 2014 in one knee and in December 2014 in the other knee. Doc agreed to send me to PT after the 2nd one mainly to so that I didn't overdo things in getting back to running. Very happy with the doc and the PT.

Here I am right at 5 months after the initial surgery and am feeling "iffy" in the knee. It's not quite the same pain when I run and doesn't make me want to stop BUT does make me wonder if I'm hurting anything. It "aches" when going from bent to straight and when getting up/down from a chair.

WHAT I'M ASKING: Is this normal for come and go achiness? I hate to rush over there and get it checked out BUT I hate to wait as well. I'm guess that Xrays will show nothing ... perhaps the physical exam will but if not all they can do is have an MRI done. (One knee they told me they removed 15% of meniscus and the other they didn't say but op report says "debrided sharply to the pink zone" -- THIS is the knee in question.

(I'm perfectly happy to suck it up if this is normal ... I just don't want to cause any more damage.)
Posted by guedeaux
Tardis
Member since Jan 2008
13611 posts
Posted on 3/18/15 at 3:16 pm to
STOP frickING RUNNING!!!!
Posted by theunknownknight
Baton Rouge
Member since Sep 2005
57346 posts
Posted on 3/18/15 at 3:16 pm to
too soon
Posted by Boudreaux35
BR
Member since Sep 2007
21500 posts
Posted on 3/18/15 at 3:18 pm to
quote:

debridement


Sounds like a new term for divorce.

quote:

It "aches" when going from bent to straight and when getting up/down from a chair


This is called getting old. Just get used to it. Only one way to cure getting old.
Posted by Sam Waterston
Baton Rouge
Member since Sep 2008
1992 posts
Posted on 3/18/15 at 3:19 pm to
While some soreness can be seen, never mess with the knees, especially since you have a surgical history. There's no harm in having your ortho look at it/MRI.

Edit: X-ray will not really show anything since it's likely soft tissue, only if there's some bony damage or significant inflammation
This post was edited on 3/18/15 at 3:21 pm
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 3:21 pm to
Sam Waterston, am I thinking right that his physical exam of the knee and MRI would really be all he could do right?

eta: cysts were in this knee ... op report says that they evacuated them but the outside still feels "squishy" for a lack of a better term. And yes, I'm aware xrays more than likely won't be helpful with this.
This post was edited on 3/18/15 at 3:24 pm
Posted by Tiger Ryno
#WoF
Member since Feb 2007
103094 posts
Posted on 3/18/15 at 3:30 pm to
no runner wants to hear it but they need to give it up. you want to keep going through surgeries and rehabs and expensive PT/ART, etc... that is the road you are going down by continuing to run. find a new physical activity like biking or swimming or whatever
Posted by TigerDeacon
West Monroe, LA
Member since Sep 2003
29308 posts
Posted on 3/18/15 at 3:33 pm to
1. Too soon after surgery. I have had two meniscus surgeries. It took a year after each for my knee to feel 100%

2. STOP RUNNING!
Posted by skinny domino
sebr
Member since Feb 2007
14341 posts
Posted on 3/18/15 at 3:55 pm to
quote:

WHAT I'M ASKING: Is this normal for come and go achiness?
Had a frayed meniscus scoped in 1997 (Bankston) - told me he would see me in 10 years - still no problem. Running since 1977 - still do my 7miles a day - quit marathons (11) - too much training - getting old - (71).
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 4:29 pm to
quote:

It took a year after each for my knee to feel 100%


This makes me feel better ... and the doc (former LSU lineman) told me there is no reason I should stop running. One tear was there for YEARS (like 17) and no one ever picked up on that as being the reason for the pain I was having.

I've only been running for 3 years ... Doc said run 100 miles a week if I wanted to but if meds and ice were needed after runs it was time to see him again. He also told me 2 weeks after to do what I wanted ... I mentioned something about not going to boot camp and he asked why -- told him stadiums/box jumps/etc and he said there was no reason to be worried (I still didn't go back to that though). No arthritis was found ... will be 46 in July so I was happy to hear this.
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 4:30 pm to
quote:

Had a frayed meniscus scoped in 1997 (Bankston) - told me he would see me in 10 years - still no problem. Running since 1977 - still do my 7miles a day - quit marathons (11) - too much training - getting old - (71).


Yeah, I haven't done a marathon ... but would like to and again, the doc said no reason to not have it as a goal. Only run 3, SOMETIMES 4 days per week. And see above -- almost 46 and no arthritis.

Thanks.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
23965 posts
Posted on 3/18/15 at 4:37 pm to
[quote] Doc said run 100 miles a week [quote]



How much are you running a week?
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 4:41 pm to
Lakeboy he was using that as an example ... basically was telling me to do what I want to do and enjoy it. Guess I should correct that. Just depends on the week -- 15-25 before surgery.
Posted by JTM72
BR, LA.
Member since Mar 2014
1192 posts
Posted on 3/18/15 at 4:52 pm to
I had a a meniscus debridement done back in 08, then a complete meniscectomy in 2011. All from playing football in high school/college.

Running will always cause it to flame up, ask your doctor about celebrex, stuff works wonders, I took it for a while, then just switched to ibuprofen as needed. Also, ask him about lubrication injections in your knee, that worked even better. It was once a week for 5 weeks, its some shite they get out of the cone of a rooster, weird as shite, i know, I got it done twice while still playing ball. I actually wouldn't mind doing it again.

Best thing is to keep strengthening your muscles around your knees.

The pain does get better, but you will have a few bad days every so often, you get use to it.
Posted by Sam Waterston
Baton Rouge
Member since Sep 2008
1992 posts
Posted on 3/18/15 at 4:54 pm to
Pretty much a physical exam and MRI. As for the cysts, if evacuated surgically, I wouldn't expect them to come back, but you never know. And if you've been inflamed in that knee a while, there could be some residual fluid from that giving the "squishy" feel. Knees are one of those things that if left to their own devices, will come back to bite you in the arse as you age, that's why I'm suggesting if you are feeling something is amiss, it doesn't hurt to get it looked at...esp if you have good insurance
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 5:01 pm to
Thanks ... have a run scheduled tomorrow and this weekend; not long ones but long enough to see what happens. Trying to not think about/fixate on it but will definitely err on the side of caution.

Just curious -- are you a PT? Ortho? PTA?
Posted by WeeWee
Member since Aug 2012
40138 posts
Posted on 3/18/15 at 5:04 pm to
quote:

Here I am right at 5 months after the initial surgery and am feeling "iffy" in the knee. It's not quite the same pain when I run and doesn't make me want to stop BUT does make me wonder if I'm hurting anything. It "aches" when going from bent to straight and when getting up/down from a chair.

WHAT I'M ASKING: Is this normal for come and go achiness? I hate to rush over there and get it checked out BUT I hate to wait as well. I'm guess that Xrays will show nothing ... perhaps the physical exam will but if not all they can do is have an MRI done. (One knee they told me they removed 15% of meniscus and the other they didn't say but op report says "debrided sharply to the pink zone" -- THIS is the knee in question.


It took me almost a year after my meniscus surgey before the "iffy" feeling my knee went away. I used a brace I bought at Wal Greens and switched to low impact cardio to minimize the risk of collateral damage. I don't remember any pain other than the 1st couple of PT sessions when they broke up the scar tissue though.
Posted by Tigerfan19
Member since Mar 2004
2119 posts
Posted on 3/18/15 at 5:10 pm to
Not highjacking but tore my acl and mcl makes a year yesterday. Pre-habbed for a 4 weeks. Mcl healed on its own didn't need surgery. Did the graph instead of the hamstring for the ACL so I'm 11 months post op. Still doing PT as Patella tendonitis flared up and is the major problem. Anyone has this occur during their ACL rehab as far as patella problems. Was very active before, tore it playing basketball. Finally released to play racquetball, softball, tennis and basketball about 4 weeks ago again but I'm not close to 100% My new PT gave me a more flexible brace compared to the ones you see on the o lineman, which feels way better than the standard one. Just looking for a timeframe to be close to 100% again.
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 5:14 pm to
quote:

It took me almost a year after my meniscus surgey before the "iffy" feeling my knee went away


Thanks ... the best way to describe it may be "achy" ... prior to surgery it would ACHE down to the bone it seemed and I couldn't ever get comfortable especially at night. This started WAY before I started running and I never could pinpoint anything that would bring it on OR make it go away. This isn't that bad by any means -- I just don't want to cause issues.

Thanks for the reply.
Posted by tiger91
In my own little world
Member since Nov 2005
36708 posts
Posted on 3/18/15 at 5:15 pm to
fan19 I have no clue ... hope someone has a similar experience that can help.
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