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Meniscus issues, advice needed - Page 2

post #31 of 41
Quote:
Originally Posted by core2 View Post
 

Ortho says I have a 5050 chance that it is a meniscus tear or that I just had some muscles catch on my knee cap during the squat.  With the location of my pain it could be either so he ordered the MRI and I go in for that next week.  The knee has been feeling a lot better these last few days so I'm hopeful but we'll see. 


Any chance of getting a referral for physical therapy?  Even a few sessions would be good for learning how to exercise with the goal of protecting the knee as much as possible.

post #32 of 41
Thread Starter 

I found out the MRI results today.  I have a small meniscus tear.  Ortho says due to where it is located and the size, it may or may not heal on its own.  The last week or so my knee has felt much better and he said that is a good sign.  I'm supposed to take it easy for the next few weeks and ramp back up my normal exercise level.  If my pain comes back in any significant form, surgery it is.  If it stays like it is now, I am good to go.

 

He said no knee brace is needed but I almost feel like I should have something to brace up my knee when I get back on skis in a few weeks? 

 

So bad news and good news I guess, I'll take it over "you definitely need surgery."

post #33 of 41

Sounds like a reasonable outcome all things considered. When you get back to normal, spend some time strengthening your hips and glutes. According to this fellow they are key to managing knee issues:

 

http://chadwaterbury.com/glute-training-science-at-mpi/

 

I've had three surgeries with good outcomes; right now my right knee is a bit wonky but I can live with it.The additional effort I've put in to my hips and glutes has really made a difference to my athletic abilities and pain levels. Whether it really is having an effect I have no idea. But...

 

It can't hurt, it might help and you'll look better in your "tighty whities" !

post #34 of 41

core2:

 

I had the damaged cartilage removed from the inside of my knee ( medial meniscus.)  I have not noticed any big change in stability, but I have noticed a big difference in my knee taking impacts due to the lack of cushioning- jumping, running FORGET IT!  Me, I don't think a knee brace would make a difference as far as stability of my knee.  

 

So, Cardinals @ Seahawks?  I think Seattle is going to come out of it with a win, going to be interesting!

post #35 of 41
Thread Starter 
Quote:
Originally Posted by wuz a skier View Post
 

core2:

 

I had the damaged cartilage removed from the inside of my knee ( medial meniscus.)  I have not noticed any big change in stability, but I have noticed a big difference in my knee taking impacts due to the lack of cushioning- jumping, running FORGET IT!  Me, I don't think a knee brace would make a difference as far as stability of my knee.  

 

So, Cardinals @ Seahawks?  I think Seattle is going to come out of it with a win, going to be interesting!

 

 

I decided to take the knee out for a test drive on the local WROD last Saturday (without a brace).  It held up surprisingly well on the groomer they had open so I am hopeful for the season.  The real test will be when the moguls and steeps open up and my knees start taking a beating.

 

I'm not a Cards fan so good one on the Hawks.  :cool

post #36 of 41
Quote:
Originally Posted by jzamp View Post

Unless it's a tear on the vascular side (unlikely) the meniscus really doesn't have the ability to heal itself. It will feel better with rest but depending in the severity/location of the tear it will come back with exercise. See an ortho doc or get an MRI. If you are going to be active sooner or later you will need surgery

I guess this is right. 

Here is my surgery report as you can see I have 3 meniscus tear all left in situ. I am 43. I am hoping that the main one which the 12 mm medial meniscus tear will heal itself . It is not clear if that is possible but as it is very peripheral I am assuming it could fully heal. I am not really symptomatic. I am 4 months into rehab. My surgeon said that they lateral tears won't be an issue unless I re injure. The medial one is the main issue but luckily is on the vascular part.

 

Operative procedure

A tourniquet was applied and anthroscopy performed using anterolateral and anteromedial portals. No abnormality was seen in the patellofemoral compartment. In the medial compartment the articular surface was intact. Probing revealed an inferior surface partial thickness vertical longitudinal tear on the inferior surface of the posterior horn of the medial meniscus. The tear was very peripheral and was approximately 12 mm in length. As it was stable, it was felt that there was little to be gained by trying to suture it, given the patient’s age. In the intercondylar notch there was a proximal rupture of the anterior cruciate ligament. In the lateral compartment the articular cartilage was intact. There were small inferior surface and superior surface partial thickness vertical longitudinal tears on the posterior horn of the lateral meniscus . These were stable and were not addressed surgically.

post #37 of 41
Thread Starter 

I've been skiing with the tear.  I ski fine all day, no weakness, then it hurts like hell for the drive home and a little sore the next day then I'm fine.  It hasn't kept me from skiing so I guess I am lucky but it is still there.

post #38 of 41

I have no doubt that you can ski with the tear. My sister in law does the same but if you have meniscus dammage already that is likely to worsen because of your ACL tear and deficient knee.

 

Go on http://www.ncbi.nlm.nih.gov/pubmed

 

This is the website where surgeons publish their long term clinical studies (look for ACL deficient knee studies). This is a link that was given to me by my surgeon as I have been asking him a lot of questions about OA related issues.

I  am 43 recovering (4 months) from an ACL reco and I had 3 stable menisci tears (2 small one on the lateral meniscus and 1 x 12 mm on the peripheral part of the medial meniscus).

post #39 of 41
Quote:
Originally Posted by core2 View Post
 

I've been skiing with the tear.  I ski fine all day, no weakness, then it hurts like hell for the drive home and a little sore the next day then I'm fine.  It hasn't kept me from skiing so I guess I am lucky but it is still there.


Core2

 

It has been a terrible season so far in the WA Cascades so I haven't skied much.  The plan was to actually spend a whole day skiing and see how my knee holds up but I can't see buying a lift ticket at this point in the season with such lousy conditions.  I have done some turns over 4 days and seems like my knee does fine.  We'll see.

 

Beer helps!!

 

GO HAWKS

post #40 of 41

@core2 so now that it's over a year later, how are you and your knee doing?

post #41 of 41
Thread Starter 
Quote:
Originally Posted by CookieDecali View Post
 

@core2 so now that it's over a year later, how are you and your knee doing?

 

Doing awesome actually.  Every now and then I get some pain on the drive home from skiing but that is it so I guess it healed up.  I definitely consider myself lucky as I thought I'd be dealing with this for years.

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