Right away, but only with a brace. Partial / toe-touch weight bearing for 3-5 days post-op, increasing to full weight bearing--important to watch for lower leg rotation or “heel whip” with ambulation to avoid stress onto the meniscus. Had a full ACL allograft reconstruction, and repairs to my MCL and medial meniscus. Sometimes your doctor may give specifics when prescribing partial weight-bearing. 1. Many orthopedic surgeons restrict weight-bearing for six weeks after meniscus repair. When recovering form a reconstructed acl, there is a platform for which the timeline of your reconstructed acl will be fully recovered. This is particularly common among athletes, and results in many injuries. 0 comment. I got hurt playing soccer in college in around june 2014. 3) First Few Days. ACL with Meniscus Repair | 2 Typically, after an anterior cruciate reconstruction surgery (ACL) with meniscal repair there is a protected range of motion and weight bearing period that can last up to 6 weeks. This is better long term, but it means you need to keep off of that leg in order for the meniscus to heal. I'm terrified I've done damage to my meniscal repair now and I'm really stressed out. But judging from your Google search history (and my own experience of desperately searching for answers on the web in the aftermath of my injuries), you’ll take whatever morsels of information you can get right now. Full weight bearing is gradually increased as tolerated by the patient. The first key to ACL Rehabilitation is simple, diminish the pain and … Diminish Pain and Inflammation. If when walk normally it take about 4-6 weeks. However, the large hematoma produced during the ACL surgery is considered beneficial to the healing of the meniscal repair and some An exception to this rule is if the patient also underwent a meniscal repair or … Here is some data on the procedures and their results. GALLAND/KIRBY ACL RECONSTRUCTION WITH MENISCUS REPAIR POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 – 14 • Dressing: – POD 1: Debulk dressing, TED Hose in place ... • Crutches – weight bearing as tolerated (WBAT), D/C when gait is WNL Again, an MCL reconstruction causes pain and swelling that may cause difficulty with weight bearing. Did you confirm if it was a meniscal repair or a meniscectomy? Definitely have everything as close to your bed/resting place as possible. After injury or surgery, your doctor may limit your weight-bearing as things are healing. After the first couple of days, an ACL Tear will stop hurting in terms of pain. ACL with Meniscus Repair | 2 Typically, after an anterior cruciate reconstruction surgery (ACL) with meniscal repair there is a protected range of motion and weight bearing period that can last up to 6 weeks. Image courtesy of Wikipedia Week 0: ACL Reconstructive Surgery May 29, 2019: Underwent surgery to repair the ACL and meniscus in my left knee at the Steadman Clinic in No support under the knee is allowed, you definitely do not want to lose the ability to full extend your knee after surgery when being laid-up for those 6 weeks. Take your pain meds as soon as you get home, even if your nerve block has not worn off (my nerve block lasted for a long time), because you don't want to be caught un-drugged when your block wears off and the pain starts, you will forever be playing catch up. Anterior Cruciate Ligament (ACL) and Meniscus Repair Rehabilitation Protocol Post-Operative Phase 1: (Weeks 1 - 4) Brace: Use as directed before surgery Crutches/Function: • Bilateral (2) axillary crutches • Ambulation TTWB (toe-touch weight bearing) with crutches The 2-stage procedure involves: Meniscus repair; Physical therapy; ACL reconstruction 2-3 months after meniscus … What do you guys think? Hi guys, so I've basically bade a massive mistake and I'm quite worried. Saw a physio after 7 days. Wow I am so sorry to hear you needed another surgery. You're probably not going to want or be able to get up and do much, so having everything close by and/or having someone to stay with you are your best bets. Ice and elevate as much as possible. Drive, if the affected leg is to be used for gas and brake or for clutch. Meniscus repair surgery. Following meniscus repair the patient is . I won't continue on from here, but the internet has plenty of information. • While bearing weight (on the crutches if there is pain in the knee) on the involved leg, take a … They won't really know if they can repair it or if they can only trim it until they get inside, so you'll have to wait until after surgery before you know. I ended up having way too much scar tissue that formed tightly and limited my range of motion greatly (like, only 75° after 8 weeks). Dr. Levene (2/2015) I. Preoperative . Just curious, since I've read a lot about how much help is needed for the few days after but am concerned about having enough of someone's time– what exactly did you need assistance for? It's still a bit sore and swells a little after doing the rehab exercises but no pops or cracks, I definitely had been weight bearing a lot though. He's extremely experienced in ACL reconstructions and even wrote a book on the subject so I trust him, but I hadn't heard of this before. Doctor ended up putting an anchor in my bone, put the meniscus back where it belonged, and stitched it to the anchor. Hopefully you have someone that can help take care of you for the first week or so. 1. 572 Days after surgery. Often times, the meniscus can only be trimmed and in this cases, your leg will be weight bearing quickly. If nothing feels popped or cracked or out of place you should be okay, and if you’re going to PT they should’ve said something if you’re not doing something correctly! COX-2 if early surgery planned . So make sure you have a good pillow set up or some other way to keep it elevated at the ankle/foot, NOT the knee!!! I only ever saw 1 doctor, so take from it what you will, but he had me non-weight bearing for 6 weeks because of my large meniscus repair. • Put the injured leg forward; level with the crutch tips. b. NSAID, pref. If it swells up more in the first 1-2 hours after the injury, it's more commonly an ACL tear and less commonly a meniscus tear. New comments cannot be posted and votes cannot be cast, Anterior Cruciate Ligament injuries: Stories, Tips, and Advice for recovery, Press J to jump to the feed. I think there is a wide variety in how severe your meniscus repair can be (just a guess). Saw a physio after 7 days. Maybe go back to using your crutches with weight bearing or one crutch until you can get in contact with your surgeon, but I wouldn’t be too worried! TIMETABLES ARE ESTIMATES . 9) Rehab Phase 3: Weeks 6-12. We use cookies on our websites for a number of purposes, including analytics and performance, functionality and advertising. Hey all, new here. Also, any tips to prepare myself for the first few days post-op? Scout, my German Shorthaired Pointer, is only four years old but has already endured two ACL surgeries (both knees) and a meniscus tear surgery.I am well acquainted with each surgery and its recovery time. I just got down to no crutches this week and I’m 4 weeks out as of tomorrow. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. They may prescribe 25% weight-bearing, 50% weight-bearing, or 75% weight-bearing. If you work hard you will come out of this the same or better than before! Partial / toe-touch weight bearing for 3-5 days post-op, increasing to full weight bearing--important to watch for lower leg rotation or “heel whip” with ambulation to avoid stress onto the meniscus. I'm currently about 2.5 months out from that 2nd surgery and doing OK. Now have about 135° of flexion but may never regain the rest (in comparison to my other leg). Surgery may be necessary to correct the injury. I'm doing what I can in pre-op PT every day and just got clearance to get in the pool to walk around and swim laps with a buoy between my legs, which is awesome and has been helping with the swelling! Pushing early does not lead to faster recovery: Physicians will often recommend that athletes not fully weight bear or completely bend a meniscus repair for 6 weeks. The new graft is at its weakest 6-12 weeks after surgery so extra care should be taken during this period. Most of the patients do not require a knee brace after a meniscectomy, but if the patient undergoes a meniscus repair done, a knee brace or a knee immobilizer is provided to prevent the bending of the knee while bearing weight which can cause retearing of the repair of the meniscus. First Collegiate Track meet. ... How long will a knee be swollen after ACL and meniscus surgery typically. My physio is limited to the meniscus repair plan (more conservative than just ACL) but I was allowed to weight bear right away. As circumstances deviate from this ideal scenario, the likelihood of a repair healing begins to decline. But Dr. Shelbourne’s experience performing a 2-stage procedure has proven that this is not necessary. Don't be too stubborn about popping the heavy duty pain meds. I am, unfortunately, also a member of this club. I got acl and meniscus surgery back in sep 31 2015. For the first few days, the aim of ACL surgery recovery is to reduce swelling and … I'm in no rush to sabotage any of the work that will be done. 4 to 6 weeks. Nurse see day two post-op to change the dressing and evaluate a home program. We typically immobilize people in full extension during weightbearing, locked in a brace for 4-6 weeks after meniscal repair surgery. I'm a little nervous about it. Anterior Cruciate Ligament (ACL) and Meniscus Repair Rehabilitation Protocol Post-Operative Phase 1: (Weeks 1 - 4) Brace: Use as directed before surgery Crutches/Function: • Bilateral (2) axillary crutches • Ambulation TTWB (toe-touch weight bearing) with crutches but when I asked my ortho, he said I can be weight bearing several days after. 2  Your PT can help you get a feel for how much weight should be placed on your leg. Thanks! If the meniscus was repaired, weight bearing may not be allowed to reduce the stress on the meniscus repair. Post-ACL Surgery Timeline Illustration of ACL reconstructive surgery technique. We are here if you need any more advice or just want to discuss things! 0. Typically, it takes six to nine months to return to sport after ACL reconstructive surgery. c. Bledsoe style brace for concomitant gr III MCL injury if present . I also had a backpack I used to help me carry stuff around the house, since you will obviously be on crutches. I have a wedding 5 days after surgery that I was hopeful I could possibly make it to, but I am going to assume that is not happening then. When a true meniscus repair is performed, your surgeon is likely to recommend a period of limited weight-bearing (using crutches or walker for walking) and limited motion. It depend: If you are asking about walking with crutches with no weight bearing on the operative side, the answer second day. I was full weight bearing immidiately after surgery with no brace, was started the day after surgery bending my knee using a belt to pull foot gently. • Touch the foot of the involved leg to the floor and bear weight as tolerated. Edit: Almost forgot the most important advice: STAY POSITIVE! He went in not knowing if he would repair/remove, but over 3 hours of surgery later I had a repaired medial meniscus with 4 sutures. I need to confirm what is to be done with mine because I didn't understand the difference when I spoke to my doctor. It typically takes seven to 10 days after the procedure, until the patient is comfortable without the assistance of a crutch. If youve recently had a reconstructed ACL, you will most likely be referred to a physical therapist that will implement a rehabilitation program tailored to you and your body. There will be times it is just awful you won't want to do your exercises (which you will be doing multiple times per day). However, in some cases, they can stitch the meniscus back together. Best of luck! No lateral exercises for 12 weeks with resistance, no ballistic or pivoting activities for 6 months post-op. (I say that because your new artificial ACL will actually grow thicker and stronger than your original ACL!). During weightbearing, compressive forces are loaded across the menisci. Rest, ice, compression, elevation . Ended up not needing to have it repaired (thank the lord), but all 3 surgeons I talked to, including the one I ended up doing my ACL reconstruction with, said the same thing. They may also recommend using a knee brace. Were you given a CPM machine as well and still developed that much scar tissue? Often times, the meniscus can only be trimmed and in this cases, your leg will be weight bearing quickly. I got acl and meniscus surgery back in sep 31 2015. Physiotherapy after meniscus repair surgery. Interesting! 1 to 2 weeks, if: You have regained motion with minimal pain. Definitely read over what pearlfire said. Im about 2 days post op right now. Have a bunch of books/movies/TV shows/video games stored up for entertainment. Both your ACL and menisci play crucial roles in supporting your knee and allowing for full mobility. As for the first few days post-op--it generally sucks, no way around it. We use cookies on our websites for a number of purposes, including analytics and performance, functionality and advertising. Tearing the meniscus again during the early stages of rehab destroys the chances of the structure ever fully healing. My experience was that the pain dropped off substantially after the first 2.5-3 days, with a relapse at about day 5-6, and then totally manageable after that. It really just depends how they repair the meniscus. I had a meniscus root repair two years ago. Weeks 3 to 5. Following meniscus repair the patient is . For me, the worst pains lasted about 4-5 days then started to fade, and at about a week I hardly had any pain, except for when I would stand up after laying down for a while (you get a big rush in your knee from the blood flowing, and it's not exactly pleasant, but goes away in a few seconds). Day 1-7 = 50% body weight (2 crutches) Day 8-14 = 50-75% body weight (1 crutch) End of week 2 = full weight bearing 3) Until the stitches are removed you may shower by removing the wrap and placing an I think there is a wide variety in how severe your meniscus repair can be (just a guess). If you only had your ACL reconstructed, weight bearing as tolerated seems to be a good way to go. I have my surgery scheduled for exactly a month after the injury and have to stay on crutches this whole time. a. Same situation as the two comments above. Severed ACL, Torn Meniscus. Revision anterior cruciate ligament surgery years after acl repair with meniscus tear type and external rotation during jumping exercises to strengthen the presence of core strengthening. Generally, this acl surgery recovery timeline wil… Phase three on the ACL surgery recovery timeline is when the knee is most vulnerable. But many people tear the ACL while damaging the meniscus, as well. Answered on Oct 1, 2019. Also to do wall slides, quad sets/raises, patellar mobilisation and hanging leg off end of bed while lying on stomach. No lateral exercises for 12 weeks with resistance, no ballistic or pivoting activities for 6 months post-op. I got hurt playing soccer in college in around june 2014. Full weight bearing is gradually increased as tolerated by the patient. Complications and meniscus was made at the protocol is a strict attention is suggestion would be emphasized during this, etc are another.
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