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Author Topic: right knee Arthroscopy+ lateral menisectory 3 weeks problems ,rom stiffness help  (Read 4229 times)

Offline SILENTMOUNTAIN

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Hi everyone
,
I had keyhole surgery on my right knee Arthroscopy+ lateral menicectory ( operative procedure and final diagnosis)

3 weeks ago to repair a tear on the meniscus and a bit shaved off the lateral, please excuse im not sure all he details but could get the report if needed ,im 26  a keen basketball and football player.

 i have recorded a short video of my knee showing where the tightness is ect please can you take a look, i have marked below wha the pain feels like at the timer on the video , i have phoned to see the os but i wont get to see him for at least a week so until then any insight would be helpful to at least put my mind at ease


http://www.youtube.com/watch?v=40bTgOdar1k


At  0-10 seconds i attempt the heel slide

At 12- 32 seconds i show how much i can bend the knee,

At 35- 42 seconds i point to where i get the tightness like a clamp pressure when i try to bend the knee to its furthest point.

At 46-54 i show the where i get the tightness when i try to bend it fully, there is kind of a line or fold of pain and tightness.

The rest of the video i stand up as straight as i possibly can ,
I have my first PT session a week today,  is there a way i can measure my range of motion now ? i dont have an iphone.
any thoughts or help please?

« Last Edit: June 25, 2012, 07:22:33 PM by SILENTMOUNTAIN »

Offline LindaM

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Hey there Mountain,

Am I correct in assuming that you have been faithfully doing the heel slides, straight leg raises etc. that you were given after surgery, or have you just been winging it on range of motion exercises?  If you have just been doing things on your own you might want to look for a set of exercises on this website or on one of the orthopedic sites to get you on the right track until you  have PT.  I am really surprised that you have gone this long without a PT appt.  I had my first about 3 days after surgery to make sure I got a good start.  It looks like you might have about 100 degrees right now which is low, so I understand your concern.  You can get a better stretch lying down and sliding your heel toward your body in slow sets of 10 and work to thirty.  Then try lying on your back and bringing your knee to your chest.  You may need to support the foot with your good leg so the stretch isn't too uncomfortable at first.  The next deeper stretch that I was given was to put my foot on the second step and do a gentle lunge forward.  It give you a lot a stretch and good control.  Hopefully you will get that knee bending further each time you work on it.  You can also get that knee moving on an exercise bike.  Set the seat high and gently pedal.  If you can't get a full rotation at first, rock it forward, then back until you can.  After you can do regular pedaling, try lowering the seat a notch for more stretch.  I find that this is great to really loosen things up.

You will also want to work on strengthening everything around the knee as well.  Your knee will feel different because it is with a little less meniscus to cushion it.  Over time you will get used to your new normal.  It looked like you knee is still somewhat swollen on the video.  The pain you are feeling is probably partly due to that and since you are three weeks out you are likely trying to get back to all your usual routine and pushing things a bit.  Take the time to elevate and ice like they told you when you have pain and don't go back to your sports until you get an ok from your surgeon.  You can find dozens of people on here who wish they had given themselves time to fully heal before pushing things and paid the price.

Good luck and good healing :)

Linda
>20 yrs. osteo and inflammatory arthritis, fibromyalgia
meniscus repair Sept. 2009
right PKR June 2010
left PKR Feb. 2012

Offline SILENTMOUNTAIN

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Thank you for the reply Linda, a  lot to try and im  sure it will be of great help.
Does anyone know if its ok to have a warm bath to ease things up or will that counter any progress.

Offline LindaM

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Hi again,
Warmth is not going to set you back, in fact it is a great way to loosen things up before exercise.  Then ice after exerciise to prevent swelling.

Linda
>20 yrs. osteo and inflammatory arthritis, fibromyalgia
meniscus repair Sept. 2009
right PKR June 2010
left PKR Feb. 2012

Offline knee2no

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Looks pretty good.  3 weeks is early to feel normal again. You point to the incisions and they will feel tight for awhile try to massage the area.  Did you have a "repair" of the meniscus or a menisectomy..there is a big difference.
I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

I will not be ashamed to say "I know not", nor will I fail to call in my colleagues when the skills of another are needed.

Offline Vickster

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  • Neelie knee!
OP says he has a repair (medial?) and a trim (lateral meniscus)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
Partial meniscectomy, mfx not needed - smooth scar tissue over OC lesion, shaving of lateral aspect of patella - grade III defect
2nd scope on 16/12/10, chondroplasty & Durolane jab
Cartilage damage on femur & tibia
Knee being ignored ;-)

Offline SILENTMOUNTAIN

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Hello , it was a right knee lateral menisectory, thats what it says on the release form note.
The OS was a bit  busy and i felt like i was rushed so i didnt get time to ask him fully, i was not really with it and in allot of pain so i didnt take in what he said maybe. What is the difference witha  menisectory ? healing wise ?
I have notice a very slight improvment since i posted this video, but it still swells up often so i  have sarted to ice it even more 3-4 times a day and i have started taking 3 ibroprohic tablets a day.


I can walk on it for 10-15 mins and it then gets suddenly stiff and painful.

thank you for taking the time to reply

Offline CariG

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Hi Mountain,
I haven't been through your situation, but I wanted to share with you what has helped me when it comes to doing my exercises. I've found with my travelling knees that applying heat on them for 10 minutes before I exercise works wonders, as everything is nice and warm, with the blood flowing a bit easier. I still do a 5 minute stretching session and gentle peddling on my exercise bike before getting stuck in to all of my routine. Followed by ice for another 10-15 minutes after finishing and a good massage around my knees and thighs.
Give yourself, and your body, time to recover. Hope you start feeling more like yourself soon.  :)
All is possible....
2004 ~ clicking/cracking original pain started R Knee
2007 ~ MPFL Reconstruction R Knee
2008 ~ Removal of cartilage (80%) R Knee
MPFL Reconstruction L Knee
12/7/2012 ~ Lateral Release & Scope R Knee

Offline SILENTMOUNTAIN

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Thanks, i will try that  and im going to see a physio for the first time on monday i will ask him for  advise on how to properly warm up and massage.

I managed to walk/limp about 1 mile today , the furthest i have  walked since the op it got stiff quick and i had a constant poping in the joint, like  bit of air trapped ,   Got home insantly iced it and elevaed the leg, feels  a bit sore and tired now i guess and hope thas a good sort of pain to get in rehab?

Offline knee2no

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OP doesnt mention medial meniscus only lateral.  Meniscus repair they repair with stitches.  A menisectomy involves removal of part of the meniscus leaving you with less meniscus. Repair is longer rehab . 
Many patients inadvertently use the term "repair" when actually they had a partial menisectomy (partial removal).
I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

I will not be ashamed to say "I know not", nor will I fail to call in my colleagues when the skills of another are needed.

Offline SILENTMOUNTAIN

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I wish i had read his site before hand, all i see are countless horror stories,  obv people who have had sucess would never post on this site , so i kind of paniced a bit when i first starting reading the forum.

The right hand side of my knee feels a little saw and rougher than before is that normal?  its not really painful just feels a little odd,

the pain im getting is from the lack of range of motion stiffness and weak muscles.

do you think i will ever be able to play basketball again once im recoverd , i have already decided to give  up football :(


Offline LindaM

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Hey Mountain,

There are many success stories here in the archived blogs, and although we have had problems, many of us have had successes as well.  My PKRs were absolutely boring in their ordinary recoveries. which is why I didn't write about them.  When you log on you see all the ones that are just in the beginning stages of questioning or in process of recovery, and yes there are some really hard cases that are not being treated successfully.  But the rest of us try to give encouragement and any little tips that can make things easier as someone recovers.

Your knee will never be exactly the same, but with time and strengthening it will allow you to do most everything you used to-in moderation.  It feels different because it is different-and you need to be wise in choosing your activities.  I expect that in time you will be able to play basketball and even football again on occasion, but without the cushion you have lost your knee is more vulnerable to injury and eventually to arthritis.  I would talk with your surgeon and respect the limits he gives you.  You have another 60 or 70 years to wear that knee.  Choosing to give up a football team is a hard decision, but I think you are wise in making it.

Good luck with your PT and hopefully your surgeon will give you good news on doing sports.

Linda :)
>20 yrs. osteo and inflammatory arthritis, fibromyalgia
meniscus repair Sept. 2009
right PKR June 2010
left PKR Feb. 2012

Offline SILENTMOUNTAIN

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I will keep on posting as i progress, thank you ever so much for your replies they offer some hope and  this whole site and community is fantastic.
whats annoying for me is that i injured my knee 6 months ago, the past month before i had sugery, i could play sports and was about 90% fit even with a bit of a knee problem, i wish maybe i should have stuck with what i had left.
It will be 4 weeks on thursday since the op i was hoping to be much more recoverd by now , i hope you dont think im moaning  posting on here its got to the stage where im getting worried frustrated about it all.



Basketball is my main goal fav sport  i want to be playing for at least another 10 years, i have been playing at least 4 times week for the past 6 years, Its only suddenly in the past year my body has started feeling a little more  old than usual,

ideally i would hope to get back to cycling every day, basketball at least 3 times a week , rowing 2-3 times a week.
I think sadly i will have to give up football, but im going to have to accept i cant do quite as much as before with all the other sport i do :(
i also used to jog  every evening  i will have to give that up too :(
I have always been a big built person around 17 stone but i was really fit , just naturally well built and a bit overweight, and probly what im falling to peices with injures so young.
could  me being a vegatarian  be a factor for a slower recovery ? should i start taking supliments  to aid my receovery.

Anyway these are all questions i will try and talk to the physio about, i will post back on monday after my first physio session , in the meantime i will continue with all the helpful tips and try to stay positive.,  good luck to you all with your injuries too.
« Last Edit: June 28, 2012, 01:35:41 AM by SILENTMOUNTAIN »

Offline CariG

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I feel for you Mountain. My older brother (only by 2 years) had his meniscus removed last November, after having a fall on the basketball court. He's struggled over the past few months as he's started to feel 'normal' again, and the choice he made to give it up has really messed with his head. His partner has threatened to leave him (hopefully joking!) if he goes back to it....I'm admittedly not overly convinced he's doing the right thing, but hearing and seeing the amount of grief he's going through not doing what he loves is heartbreaking. He's gone back to playing one half and sitting on the bench for the other half of the game, and is so far feeling more like himself mentally.
I think that's the bigger picture. Take your time with the recovery, and don't push it....which it sounds like you're already doing, hence the frustration. My brother only returned two weeks ago, near the end of the season, but is feeling and sounding more like the guy he really is. My hope for you is to experience the same down the track.
I've given up dancing in the fashion I was used to....but when I'm on crutches I can boogie with the best of them!!!  :) Might not look fantastic, but man, it feels great to do it!!!
I think the mental recovery is just as important as the physical, though it is hard to accept our limitations. When the rest of our body feels 'normal', it's really difficult to remember that we're a different 'normal' now compared to then. I'd like to think each of us is a stronger normal than other mere mortals! Helps me get through the day.
I wouldn't have thought being Vegan would slow recovery in a major way, but with no experience in that department, being only a layman, who knows. Certainly take the supplements, as I believe they do help regardless of our diets. With so much processed food out there, it always pays  to have an ace up your sleeve.
Don't give up on the sports you love, and mean so much to you. Just give it a bit of time, and work your way back into them as time, and your knee, allow.
In the meantime, keep up the great work!!
All is possible....
2004 ~ clicking/cracking original pain started R Knee
2007 ~ MPFL Reconstruction R Knee
2008 ~ Removal of cartilage (80%) R Knee
MPFL Reconstruction L Knee
12/7/2012 ~ Lateral Release & Scope R Knee

Offline SILENTMOUNTAIN

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Thank you for posting,

I wont ever give up i would like to try and play for at least 5 more years into my early 30's,  i guess my dreams of slam dunking might be over tho lol :P

You see pro atheletes who have sufferd injuries like us who have returned after lots of hard work,  does that sports tape help to prevent when i do finally return once being given the all clear from the OS  , i might also look into a proper knee support or brace would that  help prevent a further injury in theory. Anyway im far from that but i guess there is no harm in looking at those options.


I have been using ice 4 times a day, taking 3 pills a day and i have seem more range of motion, only a little bit of progress but at least its something, trying to get in as best possible shape before i see the physio on monday as im worried it will be painful.

The worst part of the day is when i wake up the knee is swollen and stiff i feel i need to ice and stretch it out before i can get up and about for the day.


 














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