A Diagnosis of Torn Meniscus is Not an Indication for Surgery. In patients with degenerative or attritional meniscus tears, again, a situation where your meniscus tissue simply wore out, you may not have severe pain, or swelling. Torn meniscus: Frequently a torn miniscus will not heal. In addition moving around with a torn meniscus could pull fragments of the cartilage into the joint causing larger knee issues which could requiring more significant surgery in the future. The technique will depend on the type of meniscus damage. But partial meniscectomy may be done if torn pieces of meniscus are causing pain and swelling. This results in increased wear and tear and eventually osteoarthritis. People who have had meniscal surgery … advertisement. They concluded: “Arthroscopic partial meniscectomy was associated with a slightly increased risk of developing radiographic knee osteoarthritis and no concomitant benefit in patient-relevant outcomes, at five years after surgery.” Debridement. Your knee can feel better without surgery. If the tear is too big to repair, your surgeon may remove all or part of the meniscus… Additional tools then go through the other … If you have a tear in the white zone of the meniscus, repair surgery usually isn't done, because the meniscus may not heal. More important. I do … Surgery to repair these kinds of tears may not work. Because most of the meniscus has a poor blood supply and does not heal well, removing the torn piece by debridement is most commonly performed. More important. Let me tell a tale of a torn meniscus from a person who is fortunate to get to help people with them every day. My other important reasons: My other important reasons: More important. If your injury doesn’t improve with RICE, NSAIDs and physical therapy, your healthcare provider may recommend arthroscopic surgery. I know that I don't want to have surgery for any reason. The most common surgery is an excision also known as a partial meniscectomy. Diagram of the meniscus showing the red and white zones. Reviewed by a board-certified physician. Meniscus … It is important to get medical advice, usually from an orthopedic specialist to determine the severity of the tear and whether or not surgery is necessary to get well. Although that ‘could’ also be inflammation from trauma and not just a piece of torn meniscus. Is it a small tear and you’re young? Torn Meniscus Management. In most cases, the injury can heal within months and surgery may not be required. They found that the surgery provided no … It is vital that, whenever you are affected with this torn meniscus… (1, 2) Most of these meniscus tears are asymptomatic (2) and don’t require treatment. “Most meniscus tears are not repairable because of the pattern of the tear. If It’s Not Broke, Don’t Fix It – If there is no mechanical signs or concerns related to a knee meniscus tear, I’m a firm believer in not bothering it. A torn meniscus is a common knee injury which often leads people towards surgery. There’s an old saying in sports medicine: “Don’t do surgery on an x-ray or MRI.” In other words, trust you evaluation and what the patient is telling you not just what the film looks like. If it’s catching or locking then maybe you do need surgery. For those who do not need, or choose not to have surgery, their primary care provider, the orthopedic surgeon, or a sports-medicine specialist may continue care. The new study out of Finland looked at 146 patients who had “mechanical symptoms” (i.e., locking or catching thought to be caused by the meniscus). Dr. Soffer Can Help You Heal from a Torn Meniscus. torn meniscus -- surgery or not? Only the outer third of the meniscus has a blood supply and will heal reliably,” said Joshua J. Christensen, M.D. You can also seek assistance from the knee injuries specialists to give you a proper guide on the torn Meniscus conditions. Meniscectomy, removal of the damaged meniscus tissue, has good short … I tore my meniscus almost a year ago and had surgery 6 weeks ago. Equally important. More important. We have upgraded to new forum software as of late last year, and it makes everything here so much better! Repairing your torn meniscus. If you are experiencing joint locking, extreme swelling of the knee, severe pain when moving the joint and you are unable to put any weight on the knee. In other words, the group who did not have the surgery had the same chance of feeling … The meniscus acts as a shock absorber (suspension) in the knee and provides some stability too. Getting a diagnosis and treatment for knee pain Whether you think you have knee arthritis or a torn meniscus, your best bet is to visit a health care professional for an accurate diagnosis and treatment. You may need a partial meniscectomy instead. There are two options for meniscus tear surgery: removing the torn piece of meniscus (debridement), and stitching the torn piece back together (repair). The meniscus is the c-shaped cartilage padding located on either side of a person’s knee joint. This is when they remove the torn piece or trim it. In fact it could make it worse. Now that you've … A surgeon will perform arthroscopic meniscal repair surgery, a minimally invasive procedure. A meniscus repair is a surgical procedure done to repair the damaged meniscus. Since the goal of surgery is to preserve healthy meniscus, meniscus repair is attempted when the tear is repairable. A torn meniscus is a cartilage injury that can happen at any age, although more likely to occur in the younger, active, population. If you have a torn meniscus and wonder if meniscus repair surgery is right for you, here are 4 factors that can determine the answer: 1. There was no discernable difference between the two groups. Rather, it is my intentions to share a personal story that will help … … Treatment. Arthroscopic surgery to remove or repair torn menisci is the definitive treatment for meniscal tears. … Depending upon the intensity of the tear, which can be mild (grade1, 2) or severe (grade 3), your surgeon will choose the following procedure based on your condition: Surgery: Meniscal repair Non-surgical treatment Some tears do not cause symptoms after a few weeks and therefore do not need an operation. It is safe to wait a while, taking simple painkillers and trying physiotherapy. I will be starting those excercises Margered posted as well. You may notice knee pain with certain … Meniscus tears can be treated by meniscus removal (meniscectomy), meniscus repair, or in unusual circumstances, meniscus replacement. All meniscus tears do not need to be fixed. The condition is well treated with such a simple procedure. Often a physical therapist is involved, whether or not meniscus surgery … There are surgical and non-surgical treatments for Meniscus repair depending upon the case. Sometimes this padding is torn or damaged. Diagram … Meniscus surgery is used to repair or removed the damaged tissue. However, the meniscus repair is a more significant surgery, the recovery is longer, and, because of limited blood supply to the meniscus, it is not always possible. Tales of A Torn Meniscus… Do they all need surgery? WELCOME TO THE CASCADECLIMBERS.COM FORUMS 02/03/18. A torn meniscus can cause pain on the inside or outside of the knee, behind the knee, and locking when trying to straighten the knee. Meniscus tears that are less than 5 mm stand a good chance of healing on their own, … Surgery Reduces Occurrence or Other Knee Pain . To get started, the doctor will make 2 or more small incisions around the knee. This allows the orthopedic surgeon to see where pieces of the meniscus need to be removed or repaired. Your surgeon makes a few small incisions in your knee and inserts special long-handled instruments and an arthroscope (camera) through these incisions. I still have some pain, but am able to walk my dog 2 miles everyday (I started walking about 2 weeks ago). Surgical Options for Torn Meniscus. See Figures 6 and 7.. Torn menisci that do not cause the knee to catch or lock are less likely to cause damage to the rest of the knee and pain and swelling symptoms can be treated non-operatively with over the counter pain medications. Dr. Eric Janssen of SportsMED Orthopaedic Surgery & Spine Center demonstrates the difference between a meniscectomy and a meniscus repair. Meniscus Repair Surgery is a procedure to repair torn knee cartilage. Equally important. “Resection of a torn meniscus (cutting away tissue that cannot be sutured) has no added benefit over sham surgery to relieve knee catching or occasional locking. But there's a good chance that it's not necessary and that it won't "fix" your problem. The meniscus repair can restore the normal anatomy of the knee and has a better long-term prognosis when successful. These findings question whether (these) mechanical symptoms are caused by a degenerative meniscus tear and prompt caution in using patients’ self-report of these symptoms as an indication for Arthroscopic … Your Knee 101: What’s A Meniscus Tear? If your meniscus is torn and simply won’t heal, the question is whether a surgeon should fix it or take part of it out. See Knee Surgery for a Torn Meniscus . Actually, you need not depend on the Torn Meniscus surgery all the time. Removing the torn, unhealthy meniscus generally … A high-powered micro camera, an arthroscope, gets inserted into the knee. Notice the torn meniscus sitting in front of the femur… in a very abnormal position . Meniscus tear treatment: sham surgery This study actually followed their surgery vs. sham patients out to 5 years. About 50% of patients with ACL tears also have meniscus tears, whether the ACL injury is acute, subacute or chronic, according to Shelbourne Knee Center research. , orthopedic surgeon with Norton Orthopedic Institute. I want to have the test if it will help me decide whether or not to have surgery for my torn meniscus. Torn meniscus surgery is performed arthroscopically, a minimally invasive surgery, in a hospital or outpatient surgical setting. The New Study Puts the Final Nail in the Meniscus Surgery Coffin. But it is not necessarily the most flexible when it comes to rotating in … Surgery should always be the last resort when treating a torn meniscus. It feels better then before surgery though so I am not complaining. The unusual study involved people with a torn meniscus, crescent-shaped cartilage that helps cushion and stabilize knees. More serious meniscus tears may not heal on their own. You are probably wondering when to see a doctor if you may have a torn meniscus injury? The arthroscope sends images of the inside of your knee to a screen, allowing your surgeon … They randomized about one-half of the patients to meniscus surgery, and about half got a sham surgery. In any case, patients are usually advised to stay off their feet and the use of crutches may be advised for at least several days. Surgery versus conservative treatment for meniscus tears has been a medical topic of controversy for many years. When the meniscus is not working properly or has been injured or removed, more shock is transferred to the bones in the knee (and the smooth cartilage that lines those bones). While many types of health care providers can diagnose and treat a torn meniscus, it is an orthopedic surgeon who would perform the arthroscopic surgery. Surgery is a very effective way to repair a torn meniscus. A knee brace may also be … Reading all the responses here makes me think I may be doing pretty well. Meniscus repair surgery rather than removal may be done on torn knee cartilage when the tear is not central. Surgery for your torn meniscus may help you. However, if your tear is displaced or it’s completely torn in half then maybe you do need surgery. Tales of a torn meniscus from a physiotherapist who has one! Let me previse this article with the notion that not all meniscus tears are the same. I’ve torn my meniscus in judo and jiu-jitsu 2 times (according to the MRI). Where are you leaning now? Is knee surgery necessary to repair a torn meniscus? If your knee is not swelling up and does not hurt, then no further treatment is necessary. A recent study was performed on patients where one group was given the meniscus surgery and the other group was given just two small incisions on their knee. 4 factors that can determine if you’re a candidate for surgery. It is now much easier to do pretty much anything, including write Trip Reports, sell gear, schedule climbing related events, and … Formed by three bones, the knee joint is typically a tough, strong joint. How soon you can walk after meniscus surgery depends on whether the surgery was open or arthroscopic, whether it was a partial or total removal of the meniscus, or whether the meniscus was repaired. Announcements. “Even most symptomatic meniscus tears will get better on their own,” says K. Donald Shelbourne, MD, orthopedic surgeon … If you’ve been experiencing signs of a meniscus tear, is surgery necessary?
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