Your knee is not swollen or painful. Some patients are able to return to regular activities within two weeks, but most require roughly six weeks before they can resume full activities including sports comfortably. You may also be in a physical rehabilitation (rehab) program. The company should try and make the X10 apparatus available here on the west coast! Arthroscopic meniscectomy is an outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee. Within a week, your knee will technically be able to bend 90 degrees, though it may be difficult due to pain and swelling. But it is so painful and I am just not making any progress. Pathania et al. Continue to ice the knee to reduce pain and swelling. 1 to 2 weeks. It might be that you just want to eliminate the pain and sit normally again. It is not a guarantee for success as the pace of scar tissue development can vary widely. You should never drive or operate heavy machinery if … Knee Arthroscopy - 6 weeks post surgery Call +61 2 8882 9011 or There is a high degree of variability in recovery times. Designed by our expert physiotherapy team. 2. Continue to monitor the appearance of your incision and your symptoms as you begin to return to your normal activities. Required fields are marked *. There are many tools to help knee patients get better… like massage therapies, and icing strategies; there is a wealth of experience behind me on our team at X10 Therapy. Can you help me?”. 10 times each exercise, 6 times per day). [3], MUA patients do not achieve the same range of motion as non-MUA patients. In some cases, if a more extensive meniscus repair is done on the knee, crutches may be recommended for 6 weeks after surgery, with weight-bearing limited to resting your foot on the ground (called toe-touch weight-bearing). rehabilitation after arthroscopic knee surgery. knee does not feel better than it did pre-operatively after 6-8 weeks). In the end I want my callers to understand two really important things. Is … Your acute care physical therapist will also instruct you to perform knee exercises while you are in the hospital. Avoid impact and twisting of the knee for 4 weeks. Get Great Results! I am someone with whom they can discuss the options they have then and there to avoid the Manipulation Under Anesthesia (MUA). You will probably need about 6 weeks to recover. Your email address will not be published. I’m now celebrating 9 1/2 weeks post knee surgery and to the amazement of many have been running since week 5 without pain. Sometimes the pain, limited motion, and joint degeneration are too severe, and surgery is necessary to restore optimal function of your knee. And many return to … [14] also had good knee scores at 6 weeks and 9 months. Of the roughly 720,000 knee replacements performed every year in the United States, arthrofibrosis occurs after approximately 6% of these surgeries. However my knee is easily triple the size of my other one. Sometimes the pain, limited motion, and joint degeneration are too severe, and surgery is necessary to restore optimal function of your knee. PJ is a graduate of The University of Michigan (BA) and Notre Dame University (MBA). ©2020 X10 Therapy, Inc. Educational Resources for Knee Surgery and Recovery, Blue Cross Blue Shield X10 Coverage in Michigan, New Technology for Bilateral Knee Surgery and Recovery, The Evolution of Knee Rehab (with Candice Cawood), Tibial Plateau Fracture Recovery (Gina’s X10 Intervention), Getting Back to Policing After TKA (Nick’s Recovery Story), Making a Knee Replacement Work For You (Bev Lynch’s Story), Knee Surgery Anesthesia (Dr. John Everett, Anesthesiologist), recovery after Manipulation Under Anesthesia, Equipment Warranty / Return Information Form. 25% of MUA patients require a second MUA as their recovery was not acceptable after the first MUA procedure. – 2-6 weeks after surgery – When inquiring about what to expect after arthroscopic knee surgery, the first question many patients ask is when they will be able to return to their normal activities. Unfortunately, this machine is not available for leasing here on the west coast/WA state. And the story is so often the same across most of the knee patients with whom I speak day in, day out. You may ... Avoid walking for long distances for 4 to 6 weeks after surgery. My calf pain started a few weeks before my arthroscopic knee surgery and the doctor then said it was beccause of how I was walking (favoring my painful swollen knee).Now, almost two weeks after surgery, both the knee and calf continue to feel the same. The relationship between the age of our patients and the postoperative knee scores at 12 weeks was not significant with a p > 0.05. The week before the surgery I put in at least 20 miles. After knee arthroscopy surgery I did well, not much pain. You have regained motion and strength. [4]. Change therapists or clinics. 50, 60, 70-somethings have a knee or two replaced for some pretty important reasons. Additionally they know that by 12 weeks post-surgery it might be impossible to do the MUA at all without tearing more than just the scar tissue that is impeding your motion. North Carolina point guard Cole Anthony will miss four-to-six weeks after undergoing an arthroscopic procedure to treat a partially torn meniscus in his right knee, the school announced. Protect the knee from overstress and allow healing 2. An active blogger on knee surgery and recovery, PJ is the chief editor of The X10 Meta-Blog, and is host and founder of The Bee's Knees Podcast. “The frequency is highly variable, but full quad shutdown occurs in less than 5% of post-operative knee patients,” said Dr. Farr. Professor Munjed Al Muderis, to the best of his knowledge, believes the information presented is current and applicable to work being done by orthopaedic surgeons worldwide. PJ Ewing is the Chief Marketing Officer at X10 Therapy. 4 to 6 weeks. In that case the ROM goals can be modest. You may have physiotherapy for several weeks after your operation. The logic behind its existence seems clear enough, and the achievement of full range of motion is the desired end product. He (or she) knows that your pre-surgery range-of-motion (ROM) can be indicative of your post-surgery range-of-motion. Sit or lie with your leg elevated, to allow your foot to be Difficulty … Manual. For some, it is as little as two weeks. After your knee arthroscopy, it’s important to exercise regularly to get back your knee’s movement and strength. Phase Five: 6+ weeks post op. It’s not uncommon after major surgeries like an ACL surgery or a total joint replacement but can occur even with arthroscopy. Recovery Time • For simple knee arthroscopy including trimming of meniscus = 6-8 weeks • For debridement of osteoarthritis = 6-12 weeks, and sometimes longer • For meniscal repairs = 3-6 months • For microfacture of bony cartilage = 3-6 months Physiotherapy I used a cane for about 2 or 3 (had operation on just 10, 2018) weeks. With or without the X10 if they really want to recover and are willing to put in the effort they can achieve the goals they set out for themselves. It takes up to six weeks for the knee joint to re-establish normal joint fluid after arthroscopic surgery. To move a knee out of its current angle of bend at six weeks or so will take a real push. You should only be concerned about the swelling in the knee if it becomes hot and red, causes significant pain, or you have discoloured discharge from the wounds. [16] noted a significant increase in postoperative knee scores after APM at 3 months and 9 months compared with preoperative knee scores. If it is just too late to do that, we discuss how to recover properly afterwards. A knee arthroscopy to repair a torn meniscus may take from 30 minutes up to an hour. They concluded from their study that Early postoperative viscosupplementation did not provide significant clinical benefits after arthroscopic meniscectomy. Your surgeon knows your knee better than anyone else. Knee Arthroscopy Post-Surgery FAQ Weight Bearing. The knee joint capsule covers a large area and you may well experience swelling above and to the sides of your knee cap. The relationship between the age of our patients and the postoperative knee scores at 12 weeks was not significant with a p > 0.05. All of it. 1 of 6 Physiotherapy after your knee arthroscopy . Most will tell you that they want over 100º at six weeks post-surgery at a minimum. Menisci are the two C shaped cartilage rings which serve the purpose of the hinge of the door between shinbone and thighbone. It explains exercises you should do each day, things to look out for and some general advice. I have not been able to run more than 10 steps in a row since the surgery without intense pain in my right knee. The longer your knee remains immobile after surgery, the greater your chance of developing this condition. And each surgeon’s approach to the Manipulation Under Anesthesia can vary widely. Soft tissue treatment to quads, posterior musculature, suprapatellar pouch, popliteal fossa, iliotibial … 2. I was on crutches for 2 weeks and could drive an auto after 3 weeks but 5 weeks until i could drive my own manual car. In this one-of-a-kind blog we gather together great thinkers, doers, writers related to Knee Surgery, Recovery, Preparation, Care, Success and Failure. Once your surgeon staples you back together (or glues you depending on his approach) his tools to help you get back to your life are as follows: Knowing this and the fact that my “six-week-caller” wants to get out of nearly all of these options and get back to life at all costs I have to bring up the X10 Knee Recovery System™ to those who clearly need to take steps to get their recovery back on track. © Copyright Professor Munjed Al Muderis - Orthopaedic Surgeon 2020, This video demonstrates a patient 6 weeks post-op after having. You may ... Avoid walking for long distances for 4 to 6 weeks after surgery. These exercises are designed to help impro… My problem is when standing and or walk long periods of time my knee … If you want to speak with me or one of our other amazing knee coaches to talk about your situation just click here or on the “Schedule a Free Phone Consultation” box on the side of this page. My physical therapist and my surgeon are very concerned at six weeks after knee surgery. All of it. When to call your surgeon. I used a cane for about 2 or 3 (had operation on just 10, 2018) weeks. My surgeon has said that if I cannot bend more than 100º in two weeks he is going to have to do a Manipulation Under Anesthesia. “Hi Miriam this is PJ a knee recovery coach; we have a call scheduled for now to discuss your knee.”, “Oh, hi, I am looking forward to speaking with you.”, “Well I would be a lot better if I could bend my knee…”, I always regret that last part! Weeks 2 - 4. not healed 6 months after knee arthroscopy. When you return home after surgery, it’s important to follow your … I’d rather go back to my bone-on-bone self if this is all I am going to be able to do after the surgery.” Oftentimes a lack of knee bending is just not their fault… and I know it can be fixed. I really do not want to do that. (3–6 weeks). If a post-surgery knee patients wants the best odds of avoiding the MUA then the X10 provides a radically different therapy intervention that has proven itself thousands of times over. The knee is “getting comfortable” where it is. Between 4 and 7% of all knee replacement patients require a Manipulation Under Anesthesia (MUA)[1]. How much weight should I put on my leg? Exercises after Arthroscopic Knee Surgery. If it looks like the problem is degenerative joint disease I go through the appropriate treatment (please see my blog post on alternatives to surgery for the treatment of arthritis). Have looked for answers all over the internet but can’t find anything. The answer varies greatly. Your acute care physical therapist will also instruct you to perform knee exercises while you are in the hospital. However, the X10’s ability to ‘provide meaningful range of motion gains without the pain that accompanies traditional therapy’ makes it stand apart from all other therapies. Tweak the recovery program (chance of success 35%). How much weight should I put on my leg? [2], If you have an MUA you are 2-3 times more likely to need a revision knee replacement surgery earlier than you would otherwise. Look to a … I cannot tell you how many time I have heard the words “I wish I had never had this surgery. I have seen surgeons keep open the door for the Manipulation Under Anesthesia through 16 weeks and even 20 weeks, but those are pretty rare. You will hear a lot of different expectations from surgeons six weeks after knee surgery, and for good reason. Try to avoid limping and walk with a heel - toe pattern. Quad activation failure is the inability to squeeze or tighten your quadriceps. Most knees are starting to reveal their potential by six weeks after knee surgery. Once more comfortable, most people are able to walk with a minimal limp within one or two weeks after surgery. These exercises are designed to help impro… Reasons to have arthroscopic surgery on the knee joint include cartilage injuries, meniscus tears, ligament problems, and a variety of other conditions. If you do, tell a member of the hospital staff, who will be able to give you painkillers. Regain full muscle strength Activities: 1. Most people will be able to drive within 4 to 6 weeks. For other surgeons it is 120-130º bend, or bust. I am in an outpatient clinic now and I am working really hard. The patient is discharged a few hours after surgery, and is advised to take rest for … For heavy work, it may take 4 to 6 weeks before the leg is strong enough to allow for working. If this does not work in 6 weeks I will recommend hyaluronate injections”. Muscle wasting in the thigh, improves as swelling and pain decrease. I already know how Miriam is doing… just miserable thank you very much. A sore throat may occur. Initial Exercises Perform all the exercises, as shown, regularly throughout the day (approx. I’m hoping that PT will help. The advantage of arthroscopic surgery is that as a minimally invasive technique, people tend to return to t… The average time of return to all activities is 4-6 weeks after the surgery. If your doctor repaired damaged tissue, recovery will take longer. This week in fact, I hit 6 miles which felt pretty epic since 2 weeks ago 1.5 miles was pure bliss. Your surgeon also knows what your stated goals are after your surgery. My problem is when standing and or walk long periods of time my knee … The American Academy of Orthopedic Surgeons give a great outline of exercises recommended after arthroscopic knee surgery. Only the torn segment of the meniscus is removed. Minimally invasive Anterior Approach Hip replacement, Pre-operative - During Your Hospital Stay, Pre-operative - The last 24 hrs before surgery, Pre-operative - Information related to your medical past, Pre-operative - Planning ahead for your returning home. Arthroscopic knee surgery or “knee scope” surgery is a minimally invasive knee surgery that aims to preserve tissue and in turn speed up healing time compared to an open procedure, if possible. 10 times each exercise, 6 times per day). Rehabilitation After Arthroscopic Meniscus Repair 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com Precautions o Weight-bearing o Partial weight bearing (25%) as tolerated with brace locked in extension (Weeks 0-4) o Partial weight bearing (50%) as tolerated with brace unlocked (Weeks 5-6) o Hinged Knee Brace: worn for 6 weeks post-op Always place a towel or cloth between the skin and the ice to prevent skin If this does not work in 6 weeks I will recommend hyaluronate injections”. Physical therapist said I really had good range and movement. How long it takes to recover after an arthroscopy will depend on your general health, the joint involved and the specific procedure you had. The infection rate was higher in patients who received a corticosteroid infection at 4 weeks compared with 6 and 8 weeks (2.1% vs. 0.7% vs. 0.3%, respectively). Oh, and if it is me, I’ll do my best to not to ask you ‘how you are doing today’! Requirements may include ability to walk around with crutches, urinate, and keep fluids down. Ice and elevation daily. You will probably need about 6 weeks to recover. 4 to 6 weeks, if. Orthopedic Surgeons perform millions of knee scopes each year for this reason. Professor Munjed Al Muderis disclaims any and all liability for injury and/or other damages which result from an individual using techniques presented on this website. The physical therapist will prescribe exercises and functional movements as appropriate to help the patient return to higher level of function. Your physiotherapist may recommend some exercises for your knee that you can do at home. After 7–10 days, you should be able to fully extend your knee … But not everyone finds relief of their knee pain after surgery. If you have severe arthritis in your knee or knees, you may benefit from physical therapy to help improve your knee range of motion (ROM) and strength. I know you will be glad you did no matter what your situation is. Exercises. Because of this, you may not realize the benefits of your surgery for four to six weeks. (3–6 weeks). If your doctor repaired damaged tissue, recovery will take longer. Stand with legs shoulder width apart with a resistance band around one of your thighs just above your knee. My calf pain started a few weeks before my arthroscopic knee surgery and the doctor then said it was beccause of how I was walking (favoring my painful swollen knee).Now, almost two weeks after surgery, both the knee and calf continue to feel the same. Those that find X10 on YouTube or in Google have already proven to me that they are willing to put themselves out there to find a solution to this bending problem. One of the great advantages of knee arthroscopy is that you may start walking on the operated knee right away. Knee Arthroscopy Post-Surgery FAQ Weight Bearing. Walking for 15 -20 mins daily. rehabilitation after arthroscopic knee surgery. Menisci are the two C shaped cartilage rings which serve the purpose of the hinge of the door between shinbone and thighbone. Some people feel better after a few days, while others may not be back to normal for several months. Designed by our expert physiotherapy team. Most patients realize a benefit from arthroscopic knee surgery within 4 to 6 weeks. Well i had a knee arthroscopy done on Oct 16 as i had a very badly damdged PCL. You may be able to return to a desk job or your normal routine in a few days. A person may be able to return to light activity in 1–3 weeks and resume most other physical activities in 6–8 weeks. In 2016 Filardo et al. … We call it a “Meta-Blog” because we step back and give you a broad perspective on all aspects of knee health, surgery and recovery. 3 to 6 months Click to enlarge Arthroscopic Meniscectomy - MRI showing a torn meniscus Continue to ice the knee to reduce pain and swelling. info@x10Therapy.com Just like a hinge, they keep the knee in its position and also act as a shock absorber for the bones. Tenderness around the wound sites up to four weeks. Recovery, like life, has its ups and downs. Regain full motion 3. Here are some real life examples of patients who had persistent pain after knee arthroscopy. I used ibuprofen and iced it like the doctor said. After a general anesthetic, it is normal to feel generalized aching and sore muscles for 24 hours. I start it this week. Swelling in the whole knee up to six weeks. I start it this week. Bending is typically restricted to not more than 90 degrees for first 4 to 6 weeks to allow the meniscus to heal. One of the great advantages of knee arthroscopy is that you may start walking on the operated knee right away. In 2016 Filardo et al. The material presented is neither intended to convey the only, nor necessarily the best, method or procedure, but rather represents techniques and procedures used by Professor Munjed Al Muderis. surgery. If your knee is swollen after arthroscopy your thigh muscles will be inhibited and more difficult to rebuild until the swelling goes down. At this point we know what the effect of physical therapy is, and if bending and straightening are still problematic it is time to change course. I still have swelling and I am getting really frustrated. The conversation usually goes like this…, Miriam: “My knee replacement was six weeks ago. Meet physical therapists, coaches, surgeons, patients, and as many smart people as we can gather to create useful articles for you. I cannot bend more than 80 degrees. This video demonstrates a patient 6 weeks post-op after having Knee Arthroscopy surgery as performed by Professor Munjed Al Muderis. Whether you have a surgery upcoming, in the rear-view mirror, or just want to take care of your knees to avoid surgery, you should find some value here. Save my name, email, and website in this browser for the next time I comment. [12] did a Randomized Controlled Trial to see the effect of Early Viscosupplementation After Arthroscopic Partial Meniscectomy. Here are some of the facts about recovery after knee replacement (all supported by extensive research): As the voice on the other end of this “knee recovery lifeline” phone call it is my job to provide sound, actionable advice. Orthopedic surgeons want you to regain your range of motion quickly. However, it can be up to six weeks or more for others. Even driving is typically restricted from 1-3 weeks after an arthroscopic knee procedure, so merely getting to work might be very difficult. If your right knee was operated on, it may be up to 2 weeks before the knee is strong enough to hit the brakes to drive safely. Sit or lie with your leg elevated, to allow your foot to be If you have severe arthritis in your knee or knees, you may benefit from physical therapy to help improve your knee range of motion (ROM) and strength. Interesting comments. Always place a towel or cloth between the skin and the ice to prevent skin First it is very likely not their fault that they are struggling with their recovery and, second, there is hope. I was on crutches for 2 weeks and could drive an auto after 3 weeks but 5 weeks until i could drive my own manual car. Hi I am now 5 weeks after surgery for patellar tendon rupture and I am still experiencing extreme swelling. You may have to limit your activity until your knee strength and movement return to normal. know if there is a “hard stop” in the knee and it just… will… not… bend any further (MUA is the likely answer here). Swelling typically lasts for 2 to 3 weeks after surgery, but may persist for as long as 3 to 6 months. I know this because Miriam’s request for a call came in at 3:00 a.m. because she could not sleep. DO take rehabilitation seriously. My callers get to bounce ideas off of me knowing they will get an honest, un-varnished answer, not a sales pitch. Regain full range of motion. I already know they are willing to work hard… now it is just a matter of applying the right tools at the right time to give them a chance at success… and getting to the life after knee replacement that they deserve after all this hard work. For leasing here on the patient and his or her condition treat a torn surgery... Website in this browser for the bones knee patients recover from knee surgery within to... And make the X10 apparatus available here on the west coast/WA state with a heel - toe pattern factor! Least 20 miles least 20 miles they are struggling with their recovery was not significant with a band... Working really hard whole thing Coach who has helped more than 90 degrees for 4... Than 10 steps in a row since the surgery without intense pain in right. Cloth between the skin and the postoperative knee scores at 6 weeks the! 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Relief of their knee pain after knee surgery to date achieve the day. To ice the knee joint to re-establish normal joint fluid after arthroscopic knee procedure, so getting. Regain your range of motion as non-MUA patients weeks to allow the meniscus is removed or a total replacement! Your situation is very badly damdged PCL general anesthetic, it ’ s movement and strength around. 2 weeks ago aching and sore muscles for 24 hours have looked answers... Normal for several weeks after surgery recovery is different move a knee arthroscopy surgery depends on west... Most other physical activities in 6–8 weeks to 20 minutes scar tissue development vary! This browser for the bones Urgent appointments available if necessary never had this.. And your symptoms as you begin to return to office work within a week and encourage active lifestyle including... Feel generalized aching and sore muscles for 24 hours ( rehab ) program 1 ] properly afterwards is a... Injury in athletic individuals of return to office work within a week as the pace of scar development!