Surgical Meniscus Injury Treatments
If you fail to see improvement with the conservative treatments, your physician may recommend a surgical option. You are generally a candidate for surgery if you have injured your meniscus and you:
- Experience disabling symptoms that interfere with your daily living after 2 - 3 months (knee catching or locking, very stiff and painful, major instability).
- Have a larger, complex or displaced tear.
- Have major instability in your knee (often due to a combined meniscus/ACL injury)
- Are a high-level athlete
A torn meniscus is one of the most common knee surgeries. The type of surgery you require will depend on the size, shape and location of your meniscus injury. There are generally 3 types of meniscus surgeries that will be recommended: a meniscectomy, a meniscal repair, or a meniscal replacement. All of these will be performed by arthroscope while under some type of anesthesia; they usually don't require an overnight hospital stay. Your orthopedic surgeon will determine which surgery is most suited to your condition.
Arthroscopic surgery involves making tiny incisions around your knee joint and inserting a pencil-thin, fiber optic camera with a small lens and lighting system in one hole, and small surgical instruments in the other holes. The surgeon will take a look inside your joint to investigate all the soft tissues and bones. These images will then be transmitted to a TV monitor, which allow the doctor to make a diagnosis and/or perform the meniscus surgery under video control. At the end of surgery, your incisions are closed, and a dressing is applied.
Most surgeries will require extensive rehabilitation utilizing the conservative treatments noted above. Cold compression therapy can begin after surgery, with permission from your doctor. Physical therapy and strengthening normally begin a few weeks after surgery (depending on the type of surgery). Your surgeon should provide a treatment plan to help you regain normal use as soon as possible.
Types of Meniscus Surgeries:
The most common meniscus surgery is a Partial Meniscectomy or Resection, which involves removal of the torn or damaged part of your meniscus. It is generally used for degenerative and horizontal tears located in the inner 2/3 of your meniscus (the white-on-white zone). This area has a poor healing rate because it receives little or no blood supply, therefore it is better to remove the damaged part rather than try to fix it. A meniscus repair is generally not used for these tears, because it will rarely be successful.
The goal of this surgery is stabilization, which will prevent catching, buckling and locking in your knee joint. The surgeon will trim and smooth out frayed edges on the inner rim (which can be difficult to reach), and remove the damaged part or flap of your meniscus.
Degenerative changes can lead to a completely collapsed meniscus. This is seen more frequently on your lateral meniscus, rather than your medial meniscus. A Complete Meniscectomy or Resection may be required, which involves surgical removal of your entire meniscus. If you have your meniscus removed, the rest of your joint gets overloaded (resulting in a 200% Š 300% increase in contact pressure). This surgery is only performed if necessary, as removal of the medial meniscus can lead to becoming bow-legged and removal of the lateral meniscus can lead to becoming knock-kneed.
Although meniscectomies have faster recovery than other meniscus surgeries they can often lead to arthritis as the size of your meniscus (shock absorber) is reduced and/or removed. Normal knees have 20% better shock-absorbing capacity than meniscectomized knees.
If you have a discoid meniscus that did not heal through conservative treatments, part of your meniscus will be removed to relieve symptoms and preserve some of your meniscus cushioning function.
A Meniscal Repair is generally preferred over a meniscectomy, as it fixes the damage and helps prevent deterioration of your meniscus. However, this involves a more complex surgery, the recovery is longer and it is not always possible (depending on the location). Early diagnosis definitely can affect the outcome of this surgery. Younger people tend to be the best candidates as their tears are often stable and located near the outer edge of the joint capsule. These tears have a better chance of healing than those farther in the joint because they receive more blood supply (the red-on-red and red-on-white zones). After your surgical incision has healed and with permission from your surgeon, Blood Flow Stimulation Therapy™ can help improve blood circulation to the injured areas to help you heal faster.
- Trepanation (Abrasion Technique) involves making small holes or shaving torn edges in your meniscus to promote bleeding and enhance healing. Longitudinal tears or bucket handle tears often wonÕt heal unless they are abraded.
- Suturing involves using stitches or other devices the body absorbs (tacks, screws or arrows) to reconnect the tear, repair the damage, and save your meniscus. Your surgeon may try to repair your radial split tear or parrotÕs beak tear with sutures; however these tend to have a lower incidence of healing because of their location.
A Meniscal Replacement involves implanting a new meniscus into your knee. This is accomplished via:
- Allograft (transplanting a meniscus from a donor). This surgery is rarely done and has not proven effective over the long term.
- Collagen implant (engineered collagen is put in your knee with the hope that a new meniscus will grow in the joint). Results for this surgery are questionable and it is still not FDA approved.
Generally you will be able to return to normal activities and sports approximately 6 weeks after a partial meniscectomy and 3-4 months after a meniscal repair or replacement. Research indicates pain relief after a partial meniscectomy or abrasion is about 50 - 75%. However, healing and recovery time is generally dependent on the degree of damage done, your age, pre-injury level of function, and your rehabilitation.
There are always some risks associated with any surgery, which include but are not limited to possible infection, allergic reaction to medications, blood clots, and damage to surrounding nerves or blood vessels. However, modern techniques have significantly minimized the occurrence of these problems. Although surgery is often successful at repairing any damage and/or relieving pain, it does not necessarily return strength to your knee. Tenderness, pain, stiffness and weakness are very common after surgery. That is why a strong commitment to rehabilitation utilizing the conservative treatments above is essential!
BFST™ - Using Your Body's Natural Healing System
Your body can heal itself! In fact, your body starts healing itself the moment you are injured and it's the blood in your body that makes it all happen. Your blood is the transport mechanism for everything that is good inside you. It carries oxygen, nutrients, water and antibodies. Proper blood flow is essential to healing. Unfortunately, when you injure your body you stop moving and the swelling sets in. That means your vital blood flow can be reduced to a trickle! If you want to heal quickly, you need to keep your blood moving and that's where Blood Flow Stimulation Therapy™, or BFST™, comes in.
Blood Flow Stimulation Therapy™ promotes the flow of blood through the injured area without the need to exercise your already damaged tissue. You can really feel it work. Within moments of applying an Inferno Wrap™ you can feel the healing sensation and the increase in blood flow. During a treatment, and for quite some time after you finish, your injured area will experience increased blood flow even though your body is at rest. It's a soothing sensation and extremely effective. With BFST™ your injury is constantly being fed with healing, nutritious, oxygen and energy filled blood. This is exactly what your body needs to heal.
How An Inferno Wrap™ Works
Inferno Wraps™ have been specifically designed for the treatment of deep, soft tissue injury. Inferno Wraps contain a patented Energy Web™ which is flexible and shaped to conform to your body. This Energy Web™ emits a uniform wave of perfectly safe electro-magnetic energy over its entire surface. This energy travels deep inside your body and stimulates the blood flow needed to heal your injury.
Our Cold Compression Wraps are recommended by countless medical professionals. That's why we sell them, because they are the best. We have noticed over time that our customers are so fond of our cold wraps that they are frequently coming back and ordering a second one. The wraps are becoming very popular with baseball and soccer trainers, and the wraps can be conveniently stored in a cooler for quick application on the field when needed.
If you suffer from mild inflammation or pain after certain activities or movements use cold compression therapy when you complete the activity and then rest and elevate your area of injury. Maximize your pain relief and injury recovery by using an Inferno™ Personal Therapy System. Proven Performance, Proven Relief - only found at MendMeShop.com. If you have been given a treatment plan by your health professional, make sure you adhere to it to ensure pain free living. In general, people who are committed to their therapies and exercises will have the best medical outcomes.