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Author Topic: I took the plunge, Lateral Meniscus Transplant + OATs  (Read 6091 times)

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Offline AndrewC

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Re: I took the plunge, Lateral Meniscus Transplant + OATs
« Reply #45 on: April 11, 2019, 08:34:47 PM »
Very brief note update.

Diet went well, basically ate calorie maintenance and didn't lose or put on weight as best I can tell.  Probably a beneficial move in body composition.  Knee swelling is good but by instinct is that going full keto didn't have much if any impact from that angle, so will likely stay low carb but increase protein for better muscle gain and retention.  Eating once a day is convenient and has really helped cut down on unhealthy snacking.

I have had a session with a Neural Kinetic Therapy (NKT) professional and they have deemed that the impact if the surgery has left a neural lag / road block that needs retraining and stimulating to get full proprioception of my leg again.  After 1 session I think I am seeing a difference, she wants me to lay off the lower body work and hockey for 2 months to give this a go, so no sport until April.  Excited that this might be the bit I was missing.

Will update probably at the end of that treatment.

Please keep the updates coming! Im enjoying reading your progression!! Sounds like it is going very well.

I am probably going to have to travel this route myself at some point not too far away. It seems a very long road  :(
Big bucket handle tear to lateral meniscus from sporting injury. Arthroscopy and meniscal repair carried out June 2004. sloooowwww recovery!!

2018 - torn medial meniscus in RH knee, partial extrusion. ongoing issues,

Offline LateralMeniscusIssuesGuy

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Re: I took the plunge, Lateral Meniscus Transplant + OATs
« Reply #46 on: April 16, 2019, 08:14:28 AM »
Hey AndrewC,

It is a very long road, and I'm running out of road hahaha!

So NKT is legit, I feel the treatment is really switching on my movement chain, she is very happy with my progress.  She does note there have been internal structural changes from the meniscus but I am sloe to being able to move to impact movement training with her.  She has done sufficient work on me that she has permissioned me to get back to lower body weights, where I had stopped that for 2 months.

I do feel the best I have felt since surgery, knee feels the most versatile and normal it has.  Its not aggravation free, if I do overdo it I sense a reactionary swelling occurring inside even through it isn't visible, or if it is, barely.  Its feels obvious to me that I needed this surgery given the situation I got myself into, and that I picked the right surgeon, but its still not clear how versatile I will be in future, will I, another year from now perhaps, be a fully operational athlete, or am I reaching the limits of my recovery, and should stay away from impact and explosive fast movement, living a very normal active life without excessive exercise / sport.  I still don't know, I still train very often and watch what I eat and take buckets of supplements, so I'm in a good place mentally, and physically I guess (to look at I function really well and look fine) but I am still short of the nirvana.

I plan to have a followup 2yr MRI in a couple of months to see for all the hiccups and scares, whether the meniscus and OATs are still fine.  If they are, thats a tremendous green light to not be put off but the lumps and bumps.  I participating in a national championship and played a fair bit of my sport in the last year, if the scan comes up fine I'll be so relieved and allow more activity little by little and tackle pains that onset with my NKT and FRC trainers.

Hope that's helpful, not a very technical update, but essentially at 21 months I'm doing well physically and mentally, but still think this is a 2 year process, minimum.
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 LateralMeniscusIssuesGuy

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Re: I took the plunge, Lateral Meniscus Transplant + OATs
« Reply #47 on: June 13, 2019, 12:23:20 PM »
Hi all,

More or less my 2yr update.  Just came back from the surgeon office after reviewing my recent MRI.  For what its worth the MRIs indicate my plug and meniscus are as good as the day they were put in, I have a full thickness continuous articular cartilage surface where I had the grade 4 (full thickness) defect, and the meniscus is in place with no signs of tears.

Its a great relief to hear that, as I do get episodes of light swelling, which was the indicator I ignored before this surgery, where it was trying to tell me I was chewing through my articular cartilage.  My Osteopath (and NKT specialist) has different theories on the source of the swelling, but is really happy with my function, and believes as long as we tackles compensations and imbalances as they crop up, I should be a very capable man, able to participate in sport in a balanced way.

I have played in another tournament since my last post, and training ice hockey without significant issues.  My tolerance for playing is increasing gradually, seemingly to no detriment of my knee architecture.  I'm on of the 9 out of 10 for whom a MT improves their life (Tim's statistics).  I am very fortunate to be able to afford all the supplements and additional treatment I have, I can't say definitively but my instinct is they all help.

As such, for now, I am very happy, will continue my daily work to improve (which I have come to enjoy) and hope for a fun filled future.  Tim has recommended either Lipogems or nStride as possible injections to get the capsule to settle down even more, as things are improving I'm unsure whether to invest and risk it at the moment so will do some reading.  If anyone has any opinions I would be grateful.  For the avoidance of any doubt I still don't run or jump really, I didn't train those yet and may never again, I am choosing my battles, and to return to my sport is my number 1 goal.

Its a long road, but for me and my set of circumstances I seem to have satisfactorily salvaged the situation.

JT
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?