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Author Topic: Link between Partial Meniscectomy and Lower Back Pain/Hip/Pelvic/SI issues?  (Read 67 times)

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Offline Dns15

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Good day!

I was wondering if a link's been established between Partial Meniscectomy and Lower Back Pain/Hip/Pelvic/SI issues after a few years?

My husband had a Partial Meniscectomy about 3 years ago and has been suffering from lower back pain for the last 2.  He's also experiencing symptoms which point to SI joint dysfunction or some other type of hip/pelvic problem.  He's seen a musculoskeletal specialist and several physiotherapists, but it seems like no one is taking a whole body view and treats symptoms in isolation, he's not making any progress so far.  I'm just wondering if they might be missing something  :-\


Thank you for your assistance and thoughts in advance  :)

Offline vickster

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Medial or lateral menisectomy, how much was removed?
 What’s the state of the knee generally, is he knock or bow legged?
Has he seen a podiatrist? Had his gait assessed?
Menisectomy could have impacted the biomechanics, perhaps custom insoles could help if there’s an imbalance?

What sport, activity does he do? Does he do anything that strengthens and stretches, especially back and core like Pilates? What else does he do to keep his back, SI, pelvis flexible?
Does sport massage help? How is the flexibility and strength in his glutes, hamstrings and muscle balance versus quads?

How old is he? What job does he do? Back issues often go hand in hand with a sedentary job, poor posture.

Any other health issues? Has his spine and pelvis been scanned?
It maybe there’s a spinal issue, and it’s a coincidence it started following the knee op.

Maybe a fresh pair of eyes from a highly experienced physio or even a chiropractor if you can get a recommendation (their level of training varies between countries too) might be worthwhile

Good luck
« Last Edit: November 09, 2021, 08:54:04 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 Dns15

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Medial or lateral menisectomy, how much was removed?
 What’s the state of the knee generally, is he knock or bow legged?
Has he seen a podiatrist? Had his gait assessed?
Menisectomy could have impacted the biomechanics, perhaps custom insoles could help if there’s an imbalance?

What sport, activity does he do? Does he do anything that strengthens and stretches, especially back and core like Pilates? What else does he do to keep his back, SI, pelvis flexible?
Does sport massage help? How is the flexibility and strength in his glutes, hamstrings and muscle balance versus quads?

How old is he? What job does he do? Back issues often go hand in hand with a sedentary job, poor posture.

Any other health issues? Has his spine and pelvis been scanned?
It maybe there’s a spinal issue, and it’s a coincidence it started following the knee op.

Maybe a fresh pair of eyes from a highly experienced physio or even a chiropractor if you can get a recommendation (their level of training varies between countries too) might be worthwhile

Good luck


Hi Vickster, love your questions.. they've made us think.  Apologies for the delayed response, and sorry about the format, I struggled to add a table.

Medial or lateral meniscectomy   
Medial meniscectomy on the Right knee

How much was removed?   
70% - April 2019

What’s the state of the knee generally, is he knock or bow legged?   
Pretty normal, not bowed or knocked

Has he seen a podiatrist?   
Not yet. Visited 2 x chiros, 2 x physios and a musculoskeletal specialist

Had his gait assessed?   
No, but this sounds like something we need to have done

What sport, activity does he do?   
Kickboxing  –   often 6 years ago, sporadically 3 years ago and stopped completely 2 years ago
Mountain biking – sporadically in the last year
Gym – 5 days a week, but only sporadically in the last 2 years due to lockdowns, we're still in lockdown now

Does he do anything that strengthens and stretches, especially back and core like Pilates? What else does he do to keep his back, SI, pelvis flexible?   
To be honest he was focusing on cardio and very little on strength, in hindsight this wasn't very smart of us as it seems like after the operation he never regained proper strength in his lower body             
                                                                                                                                   
I've been encouraging him to try Pilates, but he hasn't yet           

He tried cycling at the gym and did several physio recommended exercises, stretches and light weight-training on some of the machines for several weeks in a row, but without real progress. These focused on core and legs     
                                                                                                                                       
For the last 2 weeks he's put effort into a new workout incorporating gluteus med/min and core strengthening.  It's home based without equipment since we're in lockdown, but hopefully we can expand on that once we're out

Does sport massage help?   
For a little while it seems to yes, but it's short lived.  Have tried acupuncture as well

How is the flexibility and strength in his glutes, hamstrings and muscle balance versus quads?   
Hamstrings and back have always been quite stiff, glutes and quads got pretty weak in the last 2 years.  He's not very flexible at all now either

How old is he? What job does he do?   
45 – In IT, so he's sitting 8 – 10 hours a day  :(  He does try to take frequent short walks, but it doesn't always work out that way

Any other health issues?   
Very mild Psoriatic Arthritis. A few fingers and toes are impacted.  Xrays and MRI of his back came back clean for signs arthritis

Has his spine and pelvis been scanned?   
Spine yes and found mild deterioration in L4 and L5

Current status   
The knee seems fine, although he's not really putting it through its paces at the moment so it's hard to tell if there's significant weakness around it

His lower back feels weak and stiff, seems to have pain daily for around 2 years.  Might be worth mentioning that on some days (when his back feels better)  he experiences coccyx pain after getting up from a chair.  Like the two issues are alternating

In the last 4 weeks or so there's a shocking pain in his lower back and pelvis when performing some movements with 1 leg in the air as mentioned, and at times a radiating pain in the quad of his right leg.  He's also mentioned stiffness and soreness near his hip bone, like at the site of his gluteus medius

It's sounding more and more like a glute/pelvic issue the longer we research, we're currently looking into Piriformis Syndrome, Trendelenberg Gait etc..

We'll have a Muscle Balance Assessment done at a new physio in the next couple of weeks and based on your questions we found a "Gait Doctor" which he will go see as well.  And then hopefully as soon as lockdown ends (which should be in Dec/Jan) he can start on something like Reformer Pilates depending on the outcome of the two appointments

I hope we're on the right track this time around  :) Feeling positive, I hate seeing him in pain.