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Author Topic: Rehab post arthroscopy  (Read 2338 times)

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Offline Lofty76

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Rehab post arthroscopy
« on: June 02, 2015, 09:38:05 PM »
Can anyone provide any rehab advice after a knee scope?
I'm 8 weeks post surgery but still have severe stiffness in the knee especially after prolonged standing. I stood at work giving a presentation for 1 hour today but the knee feels so tight and stiff afterwards.

Offline vickster

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Re: Rehab post arthroscopy
« Reply #1 on: June 02, 2015, 09:58:08 PM »
What did they do in the scope? What physio are you doing? What have the surgeon and physio said to you?
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Lofty76

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Re: Rehab post arthroscopy
« Reply #2 on: June 03, 2015, 12:08:59 PM »
Plica removal.
Physio exercises are toe raises & mini squats with a ball (which seem to worsen the pain)
Surgeon said nothing more he can do, as everything is clear.

My advice to anyone is, never have an exploratory scope. As I'm starting to wonder if I'll ever be able to fully straighten my leg again without pain...

Offline vickster

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Re: Rehab post arthroscopy
« Reply #3 on: June 03, 2015, 01:18:09 PM »
Go see a sports physio experienced in rehabbing after knee operations. They will send you back to the surgeon if concerned

Is the knee swollen? Or is there scar tissue formation perhaps, which can occur after plica removal. How short of full extension is the knee? After the op did you do heel slides and other bending exercises? Also, did you support the leg under the knee when elevating or only under the calf or ankle/foot? Doing this can adversely affect extension potentially
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Lofty76

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Re: Rehab post arthroscopy
« Reply #4 on: June 03, 2015, 02:51:55 PM »
Thanks for the reply, there is some swelling & a little scar tissue.
The problem is trying to find a good sports physio in the Midalnds area (UK)!
I've tried 4 already but keep being told that I have patellar malfunction & perhaps shouldn't have the operation...

Its all so depressing. I've had the ache that stops me from doing any activity for almost 12 months now.

Offline vickster

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Re: Rehab post arthroscopy
« Reply #5 on: June 03, 2015, 04:28:38 PM »
What sports are you trying to get back to? Try to find a physio with a special interest in that. I'm a cyclist and now see a physio who on,y works with cyclists and is a serious one herself. There'll be similar for footballers, skiers, rugby players, swimmers etc. you just need to hunt around. Get in touch with the professional body that charters physios and ask them

Maybe there is an issue with the patellar tracking but often assuming the bones aren't too wonky that can often be addressed through proper physio of all the muscles, including hips, core, back

Your other option could be to ask the surgeon or your GP to refer you to a sports physician, or a musculoskeletal rheumatologist

Surgery certainly isn't always the answers and should be a last resort after physio, rest, time
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Lofty76

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Re: Rehab post arthroscopy
« Reply #6 on: June 09, 2015, 11:44:47 AM »
Thanks again Vickster.

I am trying to get back to bowling/golf/jogging.

I've finally been given a physio programme, involving mini squats, heel raises and pool walking and I'm therefore hoping this provides some relief & improves the maltracking as you suggest.

Whether it'll help with the scar tissue particularly around the arthroscopic portholes, I'm less sure.

Offline vickster

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Re: Rehab post arthroscopy
« Reply #7 on: June 09, 2015, 02:53:47 PM »
Are the physio and yourself working on braking down the scar tissue around the portals. Get the physio to show you how to do this yourself, bio oil works well (and smells nice) during self massage

It is natural for scarring to occur where the tissue is cut, but you can work to minimise this and associated swelling

Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline Lofty76

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Re: Rehab post arthroscopy
« Reply #8 on: June 10, 2015, 09:40:10 AM »
Thanks for the tip re: Bio Oil.

I appreciate everyone is different, but does anyone have any idea how long before the tightness around the knee takes to disappear after arthroscopy?
I'm OK sitting, but any prolonged standing causes stiffness.

Also, after a few physio/gym visits, the exercises seem to increase the inflammation  :(

Offline vickster

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Re: Rehab post arthroscopy
« Reply #9 on: June 10, 2015, 10:23:26 AM »
I dont think it's possible to generalise, it depends on the condition of the knee, the reason for the arthroscopy

if standing try to do gentle knee bends every so often to keep the knees moving, or just move around more :) when you say severe stiffness, to the extent that the knee feels blocked and you can't bend or straighten it, or more stiff and achy

My view is it'll take 3-6 months to recover from arthroscopy but you need to keep up with physio.

Maybe discuss your concerns with the physio to get some help from a trained professional :) Do you ice and elevate after doing physio or going to the gym?

the reason for the scope can also continue to cause issues, unfortunately the surgery isn't a guaranteed panacea. Your knee is highly unlikely to ever be the same as its pre injury or pre op state

My scope was 4 months ago, I can't kneel on the knee, although it's more or less recovered from the surgery. I have other soreness in the leg but that's not as a result of the scope
« Last Edit: June 10, 2015, 10:28:28 AM by Vickster »
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline TheEbae

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Re: Rehab post arthroscopy
« Reply #10 on: June 15, 2015, 02:01:11 AM »
Lofty76,

I am so, so sorry to hear that you are still having pain! I am almost 4 months post-op, but I do recall having some stiffness and crackling in my knee for a good 8-10 weeks post-op. The tightness gradually got better and I am now feeling great. Well, in that knee anyway :)

I found that performing scar tissue massage directly over my incisions helped tremendously, as most of my tightness was just from scar tissue.

I also agree about finding a sports therapist. I had a sports OS and PTs who were familiar with sports medicine. I had a fantastic outcome. They will know specifically how to rehab you. Has your therapist had much experience with plica syndrome rehab? Mine did not, as they are fairly rare. My surgeon was very specific with his therapy protocol, so this was not a big deal for my rehab. At one point, I had one of my therapists googling "plica surgery rehab" because he had never dealt with it before... Not the most comforting thing! I gently reminded him that my surgeon had a specific protocol to follow :)

Best of luck, my friend. Keep us posted on your rehab. If you need anything or have any specific questions, do not hesitate to ask me!

EBae
~The EBae~

11-12-14 MCL sprain
12-08-14 Plica Syndrome diagnosis
2-24-15 Plica and scar tissue removal surgery
4-20-15 Patellar Tendonitis onset

Offline Lofty76

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Re: Rehab post arthroscopy
« Reply #11 on: June 16, 2015, 11:07:24 PM »
Cheers Ebae, what rehab exercises did you do?
I'm doing daily physio, but the tightness doesn't seem to be improving.
If I had known that this exploratory/scope/washout/Plica removal would be so disabilitating I'd have never gone for it.

I stood for 20 minutes at ascot races today, and walked a short distance to/from the car park, hence I'm sitting here with ice on a throbbing hot knee..... This can't be normal?

Oh well back to walking round a pool and 10 minutes on a bike tomorrow, if only I could see a glimmer of light at the end of the tunnel....

How did you find a sports therapist?
« Last Edit: June 16, 2015, 11:10:20 PM by Lofty76 »

Offline vickster

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Re: Rehab post arthroscopy
« Reply #12 on: June 16, 2015, 11:57:45 PM »
Where in the UK are you? Check your local private hospitals sports medicine faci.ities. If they have specialists, there will likely be a team of physios too. Looking at the cv of a physio, should give an indication of their interest in dealing with sports injuries and which sports specifically. I've been seeing a physio who specilaises in working with cyclists for example. A previous physio was also a tennis coach, not that I play (the team was recommended to me by the hospital physio who felt I should get a fresh pairs of eyes)

If you are involved in a specific sport, you'll probably have a club or team mate who's seen a physio at some point. Failing all of that, ask the surgeon. It sounds like toy you should see him again to investigate what's causing your inflammation
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline TheEbae

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Re: Rehab post arthroscopy
« Reply #13 on: June 17, 2015, 07:20:17 PM »
Lofty76,

I did basic knee arthroscopy rehab exercises. Nothing special, really. I did use essential oils religiously (not selling here, just trying to help. I'm not even a distributor :) ) that helped with inflammation. I used what we call "pain cream". I used Valor (a blend of oils), PanAway (another blend), Copaiba, Lemongrass and Peppermint mixed with coconut oil. It helped me tremendously. I am in the US, so I do not know the brands of oils you have in the UK. I do not believe that the oils did all of the work in my rehab, but they did enhance it.

Have you been taking any supplements? I don't remember if I commented about turmeric on one of your posts or if it was a different user's post... But turmeric is a natural anti-inflammatory and I took that at max dosage daily. It really helped me.

Again, these are just suggestions and I certainly still needed the therapy and such hard work to get to where I am today.

I think the burning hot sensation is due to inflammation, hence my suggestion of the anti-inflammatory supplement and oils.

My home program for weeks 2-6 (I was only in PT for 6 weeks)
Straight leg raises (3x20 reps)
Hip abduction (3x20 reps)
Clamshells (3x20 reps)
Knee bends (I don't exactly remember the technical name.. but I did 3x20 reps)
Bridges (3x20 reps)
Mini squats (to be done 4-6 times daily with 20 squats per time)
Marching while holding onto a counter (to be done 4-6 times daily for 1 min each)
Weight shifting (to be done 4-6 times daily for 1 min each)

I think that was all.... I recently threw that paper away, haha!

Good luck, Lofty! Check in with your doctor if things aren't improving slowly but steadily.

Keep me posted!
EBae


~The EBae~

11-12-14 MCL sprain
12-08-14 Plica Syndrome diagnosis
2-24-15 Plica and scar tissue removal surgery
4-20-15 Patellar Tendonitis onset















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