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re: Anyone have luck rehabbing a torn meniscus

Posted on 12/12/20 at 3:42 pm to
Posted by McLemore
Member since Dec 2003
34802 posts
Posted on 12/12/20 at 3:42 pm to
I did. PT and break from running for about a year. Also I had steroids for six months as part of chemotherapy, and I swear that helped heal it. Just a theory. I ski, run and do everything now (as other ailments allow). 46.

I am a firm believer in PT for just about everything.
Posted by thegambler
Louisiana
Member since Oct 2012
2046 posts
Posted on 12/12/20 at 3:43 pm to
Inside or outside. My doc said one was surgery and one was PT. I did PT and it's fine. I think mine was outter knee. Thankfully, I have no scar to make 100 percent sure.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13868 posts
Posted on 12/12/20 at 3:49 pm to
Maybe look into a Mesenchymal stem cell injection. Although they might be hesitant to inject someone with an INR between 2.5-3.5.
Posted by gmshooter
Louisiana
Member since Nov 2011
419 posts
Posted on 12/12/20 at 4:00 pm to
Tore mine rehabed for a while and no issues. Dr chip bankston @ broc looked at mine. His thoughts were we could rehab it back without surgery. (I did the stem cell injection also)Very pleased with his work. He just did my right rotator cuff surgery last week. Crossing my fingerson this one too.
This post was edited on 12/12/20 at 4:02 pm
Posted by Darth_Vader
A galaxy far, far away
Member since Dec 2011
72254 posts
Posted on 12/12/20 at 4:11 pm to
quote:

Maybe look into a Mesenchymal stem cell injection. Although they might be hesitant to inject someone with an INR between 2.5-3.5.


That’s the exact INR target range I have to maintain. I had my number checked the other day and it was 3.6, so just a bit high.

Funny story, I went to the Coumadin clinic about 8:30 that morning. Later that afternoon about 4:00 PM I washed my hands which made the bandaid come off. A few minutes later I noticed my finger was bleeding.
Posted by pbro62
Baton Rouge
Member since May 2016
15171 posts
Posted on 12/12/20 at 4:17 pm to
Fatass
Posted by ItNeverRains
Offugeaux
Member since Oct 2007
28166 posts
Posted on 12/12/20 at 4:33 pm to
I’ve posted this here many times. The first time I tore my meniscus I had surgery. The 2nd time I did acupuncture. It took six months going 2x week but it healed on its own. That was about 5 years ago. I thought it was crazy at the time but did not want to have surgery. Flame away.
Posted by IonaTiger
The Commonwealth Of Virginia
Member since Mar 2006
33237 posts
Posted on 12/12/20 at 4:43 pm to
I rehabbed fine, but it was much different than today.

I had medial meniscus surgery at age 17 after graduating from HS in June 1969. It was before arthroscopy. They cut my knee open; I was in the hospital for 3 days; in an ankle to thigh bandage all summer; on crutches for a month and a half; and a cane thereafter while I did PT. I was doing fine by the time I started college in September.

Depending on your age, I would do PT for as long as it helped. There is probably surgery in your future, but arthroscopy isn't all that bad. I think about the arthroscopy I had on my shoulder in 2015 and going home in a few hours. Amazing what these orthopaedists can do.
Posted by blueridgeTiger
Granbury, TX
Member since Jun 2004
22049 posts
Posted on 12/12/20 at 4:50 pm to
I haven't gone through rehab with my torn meniscus, but I have taken gel shots into my knee. Those shots lessen the pain, and can participate in most of my usual activities.
Posted by Herschal
Land of the Free
Member since Sep 2011
2119 posts
Posted on 12/12/20 at 5:03 pm to
I did not have the surgery. Maybe 1-2 weeks of rehab.

But it does still give me issues 13 years later.

Good luck.
Posted by Roll Tide Ravens
Birmingham, AL
Member since Nov 2015
51011 posts
Posted on 12/12/20 at 5:12 pm to
quote:

Darth_Vader

quote:

I’ve torn my meniscus.



Sorry, had to. Hope you get healed up quick!
This post was edited on 12/12/20 at 5:14 pm
Posted by back9Tiger
Island Coconut Salesman
Member since Nov 2005
17635 posts
Posted on 12/12/20 at 5:15 pm to
This and my brother in law having surgery where they went in as just did a micro fracture surgery unbeknownst to him is the reason why I never did it. Suppose there is a form to check and let them know if you want them to fix anything else they find while in.... took him over a year to feel right. Pain pretty much went away after about 5-6 months. Some proper excercises and what not.
This post was edited on 12/12/20 at 5:20 pm
Posted by billjamin
Houston
Member since Jun 2019
16721 posts
Posted on 12/12/20 at 5:16 pm to
Rehab worked for me but I do very minimal impact exercise so not sure if that matters.
Posted by Cracker
in a box
Member since Nov 2009
19102 posts
Posted on 12/12/20 at 6:04 pm to
just get it fixed not a big deal nancy
Posted by MikeyFL
Member since Sep 2010
10199 posts
Posted on 12/12/20 at 6:52 pm to
quote:

Depends on where the tear is. The outer areas of the meniscus tend to have more blood supply, thus more potential for non-operative healing.

If it’s more internal and/or a flap of tissue that keeps putting your knee in a bind and perpetuating your inflammation, surgery likely is best.


This is good advice. I had an outer tear and managed to rehab it without an operation. Also, I was 27 and in pretty good shape at the time, so I had enough muscle mass to rehab slowly. I imagine the doctor's advice would be different now that I'm older.
Posted by djangochained
Gardere
Member since Jul 2013
19122 posts
Posted on 12/12/20 at 6:54 pm to
No, surgery helped me
Posted by cwil177
Baton Rouge
Member since Jun 2011
29561 posts
Posted on 12/12/20 at 7:08 pm to
I practice sports medicine so I feel qualified to answer this question.

Research shows that people who get surgery to take out part of the meniscus feel better sooner than people who do PT, but at 12 months pain scores are the same. At 1 year the only difference is that the people who had the surgery have less meniscus now and a higher incidence of arthritis long-term. That said, I do think some people benefit from a meniscectomy, namely people with mechanical symptoms (like when you can’t fully extend your leg).
Posted by ell_13
Member since Apr 2013
87205 posts
Posted on 12/12/20 at 7:32 pm to
Tore mine in college. Back to 100% in 4 weeks. Had surgery during the off-season so didn’t miss any games or practices.
Posted by Darth_Vader
A galaxy far, far away
Member since Dec 2011
72254 posts
Posted on 12/12/20 at 7:33 pm to
quote:

cwil177



Thanks for the advice. I can’t fully extend my knee. This meniscectomy that you mentioned, what does it involve?
Posted by cwil177
Baton Rouge
Member since Jun 2011
29561 posts
Posted on 12/12/20 at 7:45 pm to
The surgeon puts two or three poke holes in the knee, looks around for damage to the meniscus (with a camera), and then uses a special shaver device to shave away the torn piece. Some doctors are more aggressive than others about not only the surgery itself but also with how much meniscus they take out. You want a surgeon who won’t just hack away at it. For a guy like yourself who has had issues in the past with surgery I would definitely at least attempt PT first. The study I cited above did suggest that even some patients with a mechanical block such as yourself may be able to get away with PT alone. If you go the PT route make sure you go somewhere with a great reputation (PT may be more important than the surgery itself tbh). Since you don’t have full range of motion it makes it more difficult to increase your quad strength, which is ultimately the most important part of rehab. For that reason I would find a place that does BFR (blood flow restriction). It allows you to build muscle more efficiently by inducing an ischemic state, which causes the body to release more growth factors. This is done despite putting lower loads on the joint, which is another benefit. Good luck and let me know if you have any other questions.

Also are you in Alabama? I’m in Birmingham if you need recs.
This post was edited on 12/12/20 at 7:46 pm
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