Advertisement - Hide this advert





Author Topic: Still in pain 10 weeks after lateral meniscectomy  (Read 371 times)

0 Members and 1 Guest are viewing this topic.

Offline DannyB15

  • MICROgeek (<20 posts)
  • *
  • Posts: 3
  • Liked: 1
Still in pain 10 weeks after lateral meniscectomy
« on: March 26, 2018, 02:49:56 PM »
Hi, this is my first post. Iíve been searching the forum for help regarding the type of pain Iím in and not had any luck. A bit about me is that Iím 22 and injured my meniscus playing football. This was the second knee surgery I had as I partially tore my ACL when I was 16 and had meniscus tears both sides. Iíve been doing physio for last 9 weeks and itís certainly improving and donít get much pain when doing physio just a bit of an ache afterwards which Iím told is normal. But I noticed a few weeks ago Iím having pain on the outside of the knee and the top of the outside of the calf when sitting or standing. The pain tends to ease when Iím walking and Iíve found that ice can temporarily ease the pain. Iíd say the best way to describe it is that the pain comes and goes. I was never told how much meniscus was removed all I was told was before surgery that the MRI found a small tear. Iím seeing the surgeon next week for the first time since surgery and Iíll see what he says but wanted see if anyone could help on here too. Thanks in advance

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4081
  • Liked: 299
  • Neelie knee!
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #1 on: March 26, 2018, 03:44:02 PM »
Did you do any other damage, notably bruise the bone at all? Is there any wear in the knee?

If itís getting better, thatís good. 6 months for recovery would not be unexpected from the surgery

Do you know why the surgeon removed meniscus rather than try to stitch together given your young age? How long between injury and surgery?

Youíll need to be patient and careful going forwards, as an incomplete meniscus can lead to accelerated wear

Good luck
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline DannyB15

  • MICROgeek (<20 posts)
  • *
  • Posts: 3
  • Liked: 1
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #2 on: March 26, 2018, 06:28:27 PM »
The only other damage i was informed about was that I had a meniscal cyst which he told he would decompress. My injury was in June and my surgery was in January so about 5-6 months with being referred through different people. I forgot to mention that I have no swelling despite my pain. Thanks for the reply

Offline LateralMeniscusIssuesGuy

  • Regular Poster
  • ***
  • Posts: 63
  • Liked: 4
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #3 on: March 27, 2018, 10:41:36 AM »
Hi Danny,

Lets hope when you see your surgeon that he took away minimal material from your meniscus.  I had approx. 2/3rd removed including some of the outer rim and has constant swelling flareups and discomfort for 2 years before finding I had developed full thickness articular cartilage damage in the compartment.

At the other end of the spectrum, by brother had a partial removal from his medial side over a year ago and is literally the same as pre injury in muscle mass, control, no swelling, no pain, international athlete etc.  So I think you can have removal and just be lucky with your leg alignment and choice of activity and quality of movement.

The pain you feel could be the break up of scar tissue rather than damage to the joint surfaces.  Personally I was experiencing joint wear for 2 years but had almost no pain, just enormous swelling, pain only onset after the defect was full thickness.  The best thing would be to get as much information from your surgeon as possible for what he ended up doing, draw you diagrams to know what was removed and what is remaining, and talk through the various pains you have in addition to what the best steps are for you to be back and fully functional.

Age is certainly on your side, I would personally recommend getting enormously strong with the help of a rehab PT and then move onto a strength / lifting PT and try to circumvent your deficient meniscus with muscle and quality of movement, and perhaps appropriate diet and supplementation to keep ahead of weight gain and inflammation.

Please keep us updated, ask questions, work hard, and try not to worry, most people are probably fine for years or forever, don't be scared by account of fragile people like me on this board :)
Partial Lateral Meniscectomy (2/3 removed), pristine articular cartilage...2013
Return to impact sport, continual responsive swelling ever since
Mild pain onset..2016
Arthroscopy reveals grade 2/3 articular cartilage damage lateral compartment behind kneecap
What now? Allograft / brace / nothing?

Offline DannyB15

  • MICROgeek (<20 posts)
  • *
  • Posts: 3
  • Liked: 1
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #4 on: March 29, 2018, 07:35:38 PM »
Thanks for the reply,
Iíve already started making steps for my appointment with he surgeon on Wednesday by making a list of question I want to ask so I donít forget to ask when I see him. I feel Iím progressing well with my physio and donít feel much pain during the sessions itís more afterwards where Iím having problems regarding pain but I donít get any swelling.

Offline badleftknee1

  • MINIgeek (20-50 posts)
  • **
  • Posts: 26
  • Liked: 1
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #5 on: April 01, 2018, 02:57:05 PM »
Danny, I will try to keep this brief given all the great info you have been given already, but your biggest concern you should have moving forward is protecting your articular cartilage on your joint surfaces, which can take a turn for the worse quickly in a meniscus deficient knee (particularly the lateral compartment which is more meniscus dependent). Once you have articular cartilage damage, things become much more painful and far less treatable.

Most cartilage transplant specialists now favor meniscus transplantation for a symptomatic meniscus deficient knee, particularly with any signs of early arthritis (e.g. articular cartilage damage). I advise you to keep a VERY close eye on your articular cartilage by whatever means moving forward. I hate to say this, and I don't know what you currently do for high impact and pivoting activities, but unless you make a career with athletics you should perhaps consider laying off major high impact stuff (for example, now is not the time to start running marathons). It may probably be worthwhile getting connected with a cartilage restoration specialist just to have these discussions with.

Good luck and keep a close eye on it, you will be happy you did.

Offline Frenchknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 8
  • Liked: 0
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #6 on: April 16, 2018, 03:37:33 AM »
Hi guys!

Hell, I thought that meniscus surgeries were easy but hell no. I had a bad tear in my left knee (wrong movement in mma). Had arthroscopy done 4 months ago... They couldn't repair it and 80% of the medial meniscus removed. 1 month post op I had the feeling that something was very wrong.. And since.. Pain walking, pain at night, burning sensations, I feel like a big shi*.. Can take even work ATM, can't run.. I have like 95%in flexion and 100% in extend.. But pain... I mean starting thinking that I will live all my life with pain.. Please guys, tell me that it will go away.
Best from France.  :)

Offline Vickster

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4081
  • Liked: 299
  • Neelie knee!
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #7 on: April 16, 2018, 08:19:37 AM »
 How old are you?

Are you doing physio to work on the muscles, you'll need to adjust the biomechanics to compensate for the big change in the knee and loss of shock absorption. I'd certainly avoid running, swimming and cycling are far less impactful

I assume the surgeon has explained the potential long term consequences or having so much meniscus removed? If you're young (under 40), has s/he suggested discussing a meniscus transplant with an expert? There are few specialists doing few meniscus replacement surgeries around but might be worth exploring

Good info in here http://www.kneeguru.co.uk/KNEEnotes/primers/meniscus

Good luck :)
« Last Edit: April 16, 2018, 08:21:46 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Frenchknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 8
  • Liked: 0
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #8 on: April 16, 2018, 10:24:29 PM »
Thanks for your reply vickster.

I'm 27.  I m atm making PT but I think this will be a hard month. About the surgery, everything was fine and the OS told me "be careful with your knee! Think when you gonna have 60" he advised me that home bike is the best.
To be honest I always had bad quad (genetic), theain thing I cannot understand is why some people don't have their meniscus (total removal) for a long time (25 years) and don t have arthritis and pain. I'm just 4 month post op and had a new MRI, knee looks good. Maybe if I build very strong quad the pain with decrease.. Don t know.

I talked with an expert about the allograff here in France, but he told me that this is a big surgery, with a long time to recover and not very useful atm. He told me to come back in 3 months to talk more about this if I still have pain.

Best  :)  8)

Offline Catherine88

  • Regular Poster
  • ***
  • Posts: 65
  • Liked: 5
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #9 on: April 18, 2018, 04:35:30 PM »
Quote
Same exact thing here! The surgeon in France I consulted with my fear of arthritis after they removed 80%of my last meniscus said there is nothing to be done, unless I can't walk or something..so i carry on, most days are all right, no pain or anything, but I haven't much confidence in my knee, although I did snowboard quiet a few times this winter. What I did was injections, prp and hyaluric acid, so that might have helped. Still waiting for the miracle meniscus replacement.

Offline Frenchknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 8
  • Liked: 0
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #10 on: April 18, 2018, 04:52:38 PM »
I will consult him with crutches, crying and limping.  ;D

Hope it will work LOL.

Nah, I will wait until and if in se month any pain, I will talk about it to my OS.

Catherine, did you do "injection d'acide hyaluronique" does it works? Where can I do prp?

I have some questions about your rehab, How long it took to have no pain and strange feelings in the knee? I'm 4 month post op and still pain. What advice can you give me? Internet is full of crying people afraid of arthritis due to knee surgery, please bring me some hope  :)

Best!
« Last Edit: April 18, 2018, 08:33:39 PM by Frenchknee »

Offline Catherine88

  • Regular Poster
  • ***
  • Posts: 65
  • Liked: 5
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #11 on: April 19, 2018, 09:33:04 AM »
Hey, I did acid hyaluric and prp in the same seshion, there is a doc who does it a Paris; if you want I ll pass to his details. He s been doing it since decades but before it was only done for pro athletes, and he told me he s got a professional tennis player who is bone on bone and regularly comes for those injections just before the season and that allows him to play and compete, otherwise he couldn't..I never had a real pin to the point I couldn't walk, although I developed a bakers cyst and that did hurt!! But I just walked it/stretched it out and it went on its own within a month. Other than that, strange feeling, i kept it till now, although there are moments where my knee feels completely fine, but psychologically, I just don't force myself to run, jump etc. I did snowboard quite a lot, I think it's more of a confidence thing. I also made my muscles around my knee even stronger. And to give you hope, first, there  are people completely bone on bone on their x-ray and they feel normal; I think it's a matter of a perfect alignement and muscle balance, yo just need to teach your knee to rely more on muscles/external mechanism rather than your internal ones. Other than that, I believe body can heal itself, it just takes a lot of time. You need to move it, softly, like walking, bicycling, crawl swimming, doing circles with your knees etc so the synovial fluid keeps flowing. Try to treat it as a normal knee. For me, at the point of operation I had a perfect cartiledge, that is what my surgeon said, then the next x-ray was showing cartiledge thinning, but that is not even surprising given my knee went through several dislocations after I broke the ligament and then finally shredded my lateral meniscus and then the operation right after, which added the ultimate shock..on YouTube I saw a video which gives much sense, it says that when you are injured, rather than operate it you should take several weeks to just rest and fast, which you would rest anyway after operation, so instead just fast and rest it for the amount of time you would if you had operated to give the body the chance to reduce the inflammation and kick the stem cells into work, which happens after 36 hours of fasting. So if I knew that now, i d certainly would try that first. From my experience, I can tell you, the temporary dry fasting (no water or food, start slow..) i started doing reduced my inflammation which I had for a long time after the operation. Cause inflammation needs water to happen. And if you don't give it from outside, the body has to manage by recycling everything damaged within your body to supply you with energy. And finally there is the hope the company Orthonica is developing an entire new meniscus which seems to be a plausible alternative to a much more technical allograft, which doesn't work for more than a decade anyway, and doesn't guarantee you going back to impact sports. I believe there is already an alternative, Nusurface, if your problem is medial meniscus. And in terms of Fysio, I did a lot, like 30 seshions, and now I continue with spinning, deep body weight squats and deadlifts. I ve kept my weight and I'm fit, and do everything I did before although I don't go crazy anymore. So in terms of advice what you can do;
First and foremost, don't give up hope on it getting better, it did for me, it just takes long time and dedication, keep working out, building those muscles as strong as possible, they ll replace the function of your meniscus, just make sure they are balanced (gluts and ischios)
Try to use your leg as if it's heathy, normal leg
Get prp and hyaluric acid injections
Try dry fasting for 24-36 hours where you don't consume nothing if you ve got inflammation
Try water fasting for a min of 36 hrs to get your stem cells working and repairing the abused cartiledge
Keep your weight down (notice this also for with the intermittent fasting lifestyle)
Have faith in your own body healing capacities and give it time, celebrate every little progress
Stretch, stretch, stretch
Visit a chiropractor to make sure you be got a perfect extension as if not, your walking pattern is changed and that anuses the cartiledge even more..(I found out like that I was missing 4-5 degrees, even though I thought I was ok)
Try and leave out gluten from your diet for a few months, see how you feel.
Take lysine supplement when you eat, there is some research which says it's good for the cartiledge
Also glucosamine and chondritoin
All this is to guide you in a long process that it take to recover such an injury. But it's not impossible. I live casi  without lat meniscus and with a new ligament and I'm ok. You ll be too:)
Don't hesitate if you have further questions
Take care

Offline Catherine88

  • Regular Poster
  • ***
  • Posts: 65
  • Liked: 5
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #12 on: April 20, 2018, 08:38:00 AM »
Forgot to add yeasterday..there is this young French kite surfer your age whom I know, Julien leleu, and accroging to what he told me, he came out of the same exact injury I had (broken ligament and shredded mat meniscus) when he landed badly during a kite seshion, and is jumping harder than ever before. He had the same operation like me 2 years ago (reconstructed acl and taken away a piece of meniscus). Sure he did a hard pt and his legs are very muscled, he told me it's all in the dedication and hard work. He trained to h'get back to the top, balance, strength..but he is there, stronger than before.

Offline Frenchknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 8
  • Liked: 0
Re: Still in pain 10 weeks after lateral meniscectomy
« Reply #13 on: April 20, 2018, 05:09:18 PM »
Hey Catherine, such an amazing post. Very thank you! Can we talk by phone I have tons of questions. It'sy first injury and I'm a bit upset about it.

Here is my mail adresse, if you want, send me an email, we can talk if you want.

[email protected]

Best! Sacha.