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Offline margaretg

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knee problem
« on: November 05, 2008, 05:30:25 PM »
I have seen a a consultant and had a a MRi scan done. The MRI scan shows a buckle handle tear of the lateral meniscus.

the consultant has suggested 10 to 12 sessions of physiotherapy  and if this is not successful a operation may be needed

My question is can physiotherapy repair a bucket tear?

Offline jathib

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Re: knee problem
« Reply #1 on: November 05, 2008, 05:40:59 PM »
No, meniscus tears cannot heal because they don't have a blood supply. Physical therapy will strengthen the muscles in your leg. Sometimes that will make you feel better but the tear is going to be there until you have surgery.

Offline plantgeek58

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Re: knee problem
« Reply #2 on: November 05, 2008, 09:50:16 PM »
Agreed, and a few words of advice about physio:  some therapists are knowledgeable about dealing with tears, others aren't. Make sure yours knows about the tear and don't let him/her force you to do any exercise that causes an increase in pain. That could mean you're making the tear worse. If you do notice it getting worse, then I'd advise getting back to the OS and scheduling the surgery. The larger the tear and the more meniscus you lose, the greater your risk of developing early arthritis.
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
LK 11/04 & 8/06 part m. menisc.
     7/07 LR, patellar tendon debrid., part m. menisc.

Offline KC64

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Re: knee problem
« Reply #3 on: November 06, 2008, 08:34:08 PM »
7 weeks ago I went in for a meniscus tear repair.  When I got out of surgery I was informed that my meniscus was fine.  However, the surgeon did the following things:

1.  removed plica
2. removed a loose body
3.  trochlear chondromalacia
4. lateral release
5. trochlear defect/microfracture

I started therapy 4 days after surgery and have going twice a week since.   Most people say that when having the mfx that they are non weight bearing for 6 weeks.  That was not the case for me.  I could put as much weight on as tolerated.  After 7 weeks I'm not very satisfied with the progress.  My gait is terrible and the knee is still very stiff.  My therapist said in his 10 years he has never seen all these procedures done at once and is somewhat unsure of how to treat me.  Anyone else have 2 or 3 of these procedures done at once?  I don't know what to expect in terms of recovery. 

Any ideas?

Offline Kaputt_Knee

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Re: knee problem
« Reply #4 on: November 06, 2008, 10:40:07 PM »
Margaretg - your problem cannot be solved with PT - sorry, but I agree with Terre and Jathib 100% also based on personal experience. Go to the Information Hub here and read about the problem and inform yourself about your real options.

Then go back to your quack and tell him what you have learnt - I would print out the papers just in case!

Then find an OS who is more up-to-date with current procedures  ;)

KrisCole64 - May I politely suggest you start your own topic if you want answers from people here - choose your topic title carefully or maybe post in the appropriate specialist areas asking about each of the main procedures.

1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline Doc79316

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Re: knee problem
« Reply #5 on: November 06, 2008, 11:54:59 PM »
Hi Margaret,

I'd have to agree. PT won't help one bit with a tear of this type. However, physio can be very effective at regaining strength in specific muscles arounf the knee (quads, VMO etc). If you work hard at it and follwo through with physio for a length of time before any surgery, then the stronger the muscles beforehand, the quicker and easier the recovery period afterwards (well that's how it's supposed to work anyway).

Having said that - everyone is different and each one f us copes with and heals after surgery in a differnet way, over varying time periods. SO what may work for one person, may not be acceptable to someone else.

It also sounds as though your OS is out of touch with procedures, surgeries, possible outcomes etc. Maybe a second opinion is required. Of course, this is yoru prerogative, but it maybe worth considering.

You may also wish to arm yourself with a lsit of questrion about any proposed procedure, rehab and recovery times, future prognosis etc. These can all help you to decide whether to continue and follow through with a certain treatment.

Take care,

Laura xx
Left knee surgery
13/08/03-Fulkerson TTT
05/06/05-Stabilisation & Medialisation/Tendon Transfer
13/01/06-Proximal Hamstring Superior Stabilisation
06/03/06-RSD/CRPS diagnosed
20/07/06 + 03/04/07-Excision of scar tissue
02/03/20-Left transfemoral amputation

Offline bavage

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Re: knee problem
« Reply #6 on: November 07, 2008, 03:55:47 AM »
PT will only strengthen your muscles, not repair the tear.

So, I do not understand why you are going through PT. Surely, the OS knows this?

Could the OS be getting your strength built up B/4 surgery?
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