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Author Topic: Partial medial meniscectomy issues  (Read 203 times)

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Offline Jayunderscorebob

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Partial medial meniscectomy issues
« on: March 21, 2021, 07:27:11 AM »
Hi - first time post  :)

I'm a 42 yr old man and 7 weeks ago I underwent a partial medial meniscectomy.

I have OA in the medial compartment only and it was trimmed up and cleaned out. The operation was straight forward with no complications.

7 weeks later I am able to fully bend my knee for the first time in over a year. I've been doing all of the physio exercises; leg extensions, leg curls, wall squats, calf raises without any real issue.

What I'm finding is that if I spend any length of time on my feet my operated knee becomes hot, painful and swollen. It becomes painful to touch on the joint line on the inside of my knee. I can't walk for longer than 10 minutes without starting to limp. Even standing at the stove cooking a meal causes me issues.

Prior to my knee issues I was extremely active. I used to run ultra marathons and cycle in the local sportives. I spent slot of time running and riding.

I'm really struggling with how much my life has changed and feel like the operation has failed - even feels like it's made things worse.

Is this common? Should I feel an improvement 7 weeks post operative? What are my possible next options?

TIA

Online vickster

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Re: Partial medial meniscectomy issues
« Reply #1 on: March 21, 2021, 10:27:50 AM »
You would be best advised to go back to your physio and explain the issues. Get referred back to the surgeon if they think itís needed.

However, 7 weeks post arthroscopy with menisectomy is pretty soon, recovery is likely to take 3-6 months. The biomechanics in your knee have been changed with menisectomy so your body needs to get used to it. Have you had your gait assessed, your feet? You may even need orthotics in your shoes to compensate for the change to your knee? What shoes do you wear?

How severe is the arthritis in your knee, that might be exacerbating any trauma from the surgery. Was any work done to the bone, eg shaving, even micro fracture? Those will elongate the recovery process.

Do you ice the knee regularly, especially after exercises or at the end of the day when itís inflamed? Does a compression sleeve help?

Good luck, itís likely more rest and time is needed :)
« Last Edit: March 21, 2021, 11:45:30 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, Hoffaís 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 SuspectDevice

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Re: Partial medial meniscectomy issues
« Reply #2 on: July 11, 2021, 04:30:43 AM »
A medial menisectomy at 49 yrs of age was the final straw that triggered 6yrs of pain, burning, redness, hotness in BOTH my knees within about 1mth of the surgery.  After many years of visiting 'experts' I finally worked out for myself I had chronic synovitis in both knees and got on a path to largely overcome it.  I think I was headed down the synovitis path anyway, but the menisectomy was the final straw.

The work of Dr Scott Dye, Richard Bedard & Paul Ingraham set me on the path to recovery.  Google them, read their online material & buy the Ebooks if you want (I did).

The symptoms you mention always make me suspicious of synovitis (or loss of tissue homeostasis as Dr Dye calls it).  If that's your problem, knee strengthening exercises & running will only make it worse.  You need to get the inflammation under control first.
L Medial menisectomy 2012
PFPS both knees 2012-2017
Pre-CRPS diagnosed 2014 (I think this was crap)
2017 - 90+% cured via Dr Dye's research
2018 - MTB crash, busted collarbone & ribs - easy compared to knees!
2020 - ride 3x/week, swim 2x/week, gym 2x/week, aiming to get back to short triathlons