Following meniscus surgery, a person may develop new knee pain. This can occur for several reasons, including reinjury or problems with postsurgical rehabilitation. It may also develop due to postsurgical complications, such as arthritis. The treatment for new knee pain may vary depending on the underlying cause.
So unfortunately, having a meniscal tear which requires surgery may raise your risk of getting arthritis later in life. It has also been shown that a knee that has undergone meniscus surgery has weaker thigh muscles and poorer quality of cartilage 4 years after the surgery [3].
Knee pain, osteoarthritis, re-injury, inadequate rehabilitation, and spontaneous osteonecrosis are potential long-term problems after meniscus surgery. Talk with your healthcare provider about treatments to help you find relief if you're experiencing pain or other post-surgery problems.
In serious cases, it can develop into long-term knee problems, like arthritis. In addition moving around with a torn meniscus could pull fragments of the cartilage into the joint causing larger knee issues which could requiring more significant surgery in the future.
Many cases of a meniscus injury require surgical treatment to repair the cartilage and return stability and function to the knee joint. If a patient underwent a surgical meniscus repair and still experiences pain and swelling, or if a patient re-tears the cartilage, a revision meniscus repair may be necessary.
Full recovery from meniscus surgery can take anywhere from six weeks to three months.
Most people who tear a meniscus can return to full activity. If you have surgery to repair a torn meniscus, your knee should be fully recovered after a few months of physical therapy. If you have surgery to remove all or part of your meniscus, you may be at higher risk of developing arthritis down the road.
Symptoms may go away but can come back from overuse or when you do activities that involve twisting. The pain may come and go over a period of years if the tear isn't treated. Larger tears usually cause more pain and immediate swelling and stiffness.
Some meniscus injuries can heal on their own when proper precautions and treatment regimens are followed. However, some tears may be severe enough to warrant further action. If your meniscus won't heal, it's time to see an orthopedist.
A meniscus tear interferes with the normal movement of the knee, and without treatment, you can wind up with serious, lifelong problems.
Factors that may cause a failed meniscal repair include: Patients older than 40 years of age. Delayed treatment. Ragged, degenerative and complex tears.
Arthroscopic meniscus repair typically takes about 40 minutes to perform, and usually you will be able to leave the hospital the same day. There are three main types of meniscus repairs. Your surgeon chooses a technique based on the location of the tear and his or her experience with the techniques.
Some people may develop knee pain a year after meniscus surgery. This could occur for various reasons, including difficulties with postsurgical rehabilitation, re-tearing the cartilage, or developing arthritis. The meniscus is a crescent-shaped piece of cartilage that sits between the knee bones.
It may take as long as 6 months before your knee is strong enough for hard physical work or certain sports. You will need to build your strength and the motion of your joint with rehabilitation (rehab) exercises. In time, your knee will likely be stronger and more stable than it was before the surgery.
Regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Your orthopaedic surgeon or physical therapist may recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day.
Often, the knee feels quite stiff and uncomfortable when you start pedalling and then improves as you continue. It's best to use a stationary bike during the early stages of meniscus tear rehab.
Avoid positions and activities that place excessive pressure on knee until pain and swelling resolve. Problematic positions include squatting, pivoting, repetitive bending (eg, climbing stairs, rising from seated position, operating clutch and pedals), jogging, and swimming using the frog or whip kick.
Your doctor or physiotherapist will give you an idea of when you can return to these activities. If you had a partial meniscectomy, you might be able to play sports in about 4 to 6 weeks. If you had meniscus repair, it may be 3 to 6 months before you can play sports.
When you have your meniscus shaved or cut to remove a jagged edge, you may be able to return to sports in 7-9 weeks. Most athletes make a full recovery from this procedure and are able to return to their sport.
Thirty-six percent of meniscus repair failures occur after the second postoperative year. The only significant finding was that inside-out repair results in a lower failure rate compared to all-inside repair (5.6% vs. 22.3%; p = 0.009) at 5 years.
After the first week, you may then increase weight as tolerated and advance to one crutch for a few days and then a cane if needed. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months.
Pain and pain management
Arthroscopic meniscus repair is moderately painful. Because more soft tissue surgery is performed, it is more painful than a standard arthroscopy, but less painful than a ligament reconstruction or another procedure that requires drilling holes through the bone.
In general, it's better to fix the meniscus than to remove it. Some types of tears can't be fixed. For example, radial tears sometimes can be fixed, but it depends on where they are. But most horizontal, long-standing, and degenerative tears—those caused by years of wear and tear—can't be fixed.