Meniscus Tear Recovery? Newer Techniques May Help!

How long does meniscus tear recovery take without surgery? Can a meniscus tear heal on its own? Can you walk around with a torn meniscus? Does surgery work? Let’s dig in.

Before you can learn about meniscus tear recovery, you need to know about the meniscus. The knee meniscus is a figure-8 shaped structure that sits between the thigh and leg bone in the knee and acts as a shock absorber to protect cartilage. There is one part of the figure 8 on the inside (medial) that attaches to the leg bone in the middle at the meniscal root. There’s another part on the outside (lateral) that also attaches in the middle. In the image here, the medial meniscus is highlighted red and the lateral meniscus is highlighted yellow. Both structures mix in the ACL ligament in the knee, which is why it’s common to see a medial meniscus injury go along with an ACL injury.

What Is a Knee Meniscus Tear?

There are many different types of meniscus tears that may or may not impact meniscus tear recovery. The first thing you need to know is that tears on the outside of the meniscus are more likely to heal based on the better blood supply in the outer 1/3 of the meniscus. This is called the “red-red zone”. Tears in the middle area that have some blood supply will likely only heal in younger people, and this zone is called red-white. Then there’s the inside 1/3 which is called the white-white zone which has no blood supply, so tears are unlikely to heal. 

The image here shows many different types of meniscus tears in red. While your MRI report will likely tell you the type of tear you have, it’s also important to realize that these tear types may not be as important as we once thought, especially in patients 35 and over. As you’ll read below, in that age group, meniscus tears are as common as wrinkles and many people have no idea that they have them, meaning many don’t cause symptoms.

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Can a Meniscus Tear Heal on its Own? Can You Walk Around with a Torn Meniscus? How Long Does Meniscus Tear Recovery Take Without Surgery?

The short answer is that tears toward the outer third tend to heal on their own with time. Other tears may not, but as I describe below, it may not be a big deal whether the tear heals, as you may have had it for years without ever knowing about it. Meniscus tear recovery without surgery can take 6-12 weeks. To maximize meniscus tear recovery, you may want to purchase or get an unloader brace that can take the weight off of that side while the area heals. Remember, that only works if the tear is in the outside third of the meniscus. These braces are widely available on Amazon and can also be obtained via a doctor’s prescription. The braces are differently configured for the medial or lateral compartments, and left and right, so be careful when ordering.

Are Meniscus Tears a Big Deal?

By the time we’re in our mid-thirties, many of us have tears in our meniscus. Most of us don’t know it (9). Why? Because they are as common and wrinkles and about as important, meaning most don’t hurt. For the ones that do hurt, surgery is often considered. Centeno Schultz Clinic, Does it work?

Does Meniscus Surgery Work?

If you fail meniscus tear recovery on your own, the next step is often surgery. The most common surgery performed on the meniscus is an arthroscopic partial meniscectomy (APM). In this surgery, the doctor removes the part of the meniscus that is torn. The New York Times puts the APM procedure into its “useless” category. Why?

A study conducted in 2013 showed us that APM results couldn’t beat a simple physical therapy program (1). Then research later that year demonstrated that APM wasn’t any better than fake or sham surgery (2). Finally, research in 2016 put the final nail in the proverbial coffin of arthroscopic partial meniscectomy when it discovered that the procedure didn’t beat a faked surgery for patients with locking symptoms due to a torn meniscus (3).

There is also research showing that the surgery may harm the knee joint. For example, research shows us that APM alters the normal way a knee moves (4). Other research has shown that the procedure may cause more lost cartilage (5). Finally, knee arthritis is much more common in patients who have had APM when compared to the non-operated knee (6).

In a recent 5-year study in patients who were over 45 years of age, researchers looked at how many patients went on to get a knee replacement (7). Patients either got physical therapy or a partial meniscectomy to treat a meniscus tear. In the end, the meniscus surgery group was about 2 1/2 times more likely to get a knee replacement than those patients who had just had physical therapy!

Are There Newer Meniscus Injection Techniques that Can Help?

Can meniscus tear recovery be helped along without surgery? I can answer that question with the story of a local patient who is a chiropractor, Evan Katz. He injured his meniscus and ACL while exercising and had significant knee pain. He normally would have had APM surgery at that point, but he knew the research showed that it didn’t work despite surgeons still commonly offering the procedure.

What did Evan Katz do? We performed a Percutaneous Meniscus Trephination procedure using high-dose platelets (8). What’s that? We used precise ultrasound guidance to locate the tear and injected his own healing platelets that we had concentrated in the lab. We also performed a Perc-ACLR procedure with x-ray guidance. How did it work? Here’s a text I got from Evan:

The upshot? Meniscus tear recovery can happen naturally, especially if the meniscus is injured in the outer third. In addition, tears are very common as we age and oftentimes about as important as wrinkles. Also, surgery is really not the answer. Finally, newer techniques are available that can help patients avoid surgery.

Hip Pain Causes

There are many causes of hip pain. most people who experience hip pain believe that it comes from the hip. As a pain physician, I encounter a big number of patients who have hip pain and who are told they have either minimally invasive hip surgery, hip resurfacing surgery or total hip surgery. Unforuntately that this not always the case.

The term pain is one most people know through TV or the filmsthe foremost common is a private who presents to the ER with severe arm or jaw pain. They dont have to see a dentist or an orthopedist. they’re having a attackpain is that the phenomenon of pain perceived at a site adjacent to or at a distance from the positioning of an injury’s origin.

The same concept applies to hip pain causes. What does Centeno Schultz Clinic cost? Common causes of pain that refers to the hip include sacroliliac joint dysfunction, bursitis, myofascial pain syndrome and lumbar degenerative disc disease.

All to often a private goes to their physician with complaints of hip pain only to urge an injection of cortisone or an x-ray of the hip. At the Centeno-Schultz Clinic we evaluate all possible sources of hip pain before focusing our attention on the articulatio spheroidea. Regrettably in 2008, Medicare only requires an x-ray of the hip so as for a patient to be a candidate for minimally invasive hip surgery, arthoscopic hip surgery or total hip replacement surgery. An MRI is crucial to guage structures within the hip which include the cartilage, ligaments and bone.

If therapy is required one in all the latest options is that the use of your own stem cells. At Regenexx expanded autologous stem cells are injected into articulatio spheroidea successfully. Patients will attest to their reduced pain and increased function.

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Knee cartilage surgery

Cartilage may be a dense animal tissue found within the knee where it provides a protective surface. it’s composed of cells called chondrocytes. Unlike other tissues, articular cartilage doesn’t contain blood vessels and thus has poor regenerative qualities. Injury to the articular cartilage of the knee are often the results of trauma, meniscal knee surgery where some or all the mensicus was removed and other sources. Osteoarthrits may be a common condition of cartilage failure that ends up in limited range of motion, possible bone damage and pain.

Until recetnly the sole treatment options included non-surgical treatments and knee cartilage surgery. wanting total knee replacement sugery,the most common knee cartilage surgery was microfracture.

Microfracture is an arthroscopic knee surgerywhere the calcified cartilage is removed and tiny fractures are created within the bone with an surgical pic. There are a series of limiations to the present procedure and it’s been found to be less effective in patients who are older, overweight and have cartilage damage larger the two.5cm. except for the knee surgery pain, the foremost significant drawback is that the must air crutches for 4-6 weeks additionally to daily physiotherapy.

The newest and fewer invasive option for the treatment of damaged knee cartilage is that the use of autologous mesenchymal somatic cella broadcast case report demonstrated successful cartilage growth in human knees using this somatic cell therapy. Unlike knee cartilage sugery,this procedure is performed employing a small needle that’s directed under x-ray into the affected area. Recovery time is significantly different in this after 5-7 days the patient is in a position connected weight on the affected limb without crutches.

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Knee Ligament Surgery

Knee surgery has improved over time. At one point when someone injured their knee it absolutely was not uncommon fo the surgeon to get rid of the “diseased” or damaged structure. However, with what we all know now, knee ligament surgery continues to be far too common.

The cushions within the knee are called meniscus. They pad and absorb the forces exerted by the leg during walking, running and skiing.

The knee is split into two principal sections: the within and therefore the outside. In each of those compartments there’s a meniscus. sort of a disc within the lumbar spine they provide support and structure. When arthroscopic knee surgery is performed often it removes and trims the meniscus. In removing or trimming this vital structure the soundness of the knee if often affected also a pain after knee surgery.

Four Principle Ligaments
There are four principle ligaments:

Anterior Cruciate,
Posterior Cruciate,
Medial Collateral, and
Lateral Collateral Ligament.
The collateral ligaments provide stability. After meniscal knee surgery or arthroscopic knee surgery the medial or lateral collateral ligaments are often weaken and lax which might create to pain after knee surgery.

The medial and lateral colleral ligament may be repaired without knee ligament surgery. the foremost common approach is prolotherapy during which a sclerosing agent is injected to strenghten also as tighten the ligament.

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Autologous Mesenchymal Stem Cell Therapy

The process begins by isolating a person’s own (Autologous) Mesenchymal stem cells (MSCs) from a sample of bone marrow drawn from their hip. The MSCs then divide during a natural growth medium that comes from the identical person’s blood platelets. The result’s to require the relatively small number of MSCs found during a sample bone marrow, say 2 million, and expand them to a population of 20 – 50+ million. With these numbers, substantial tissue growth is formed possible. The MSCs are then injected with atiny low needle, under live x-ray, into areas of bone, cartilage, and ligament/ tendon damage.

Cartilage is regrown in generalized arthritis and/or solitary cartilage defects in knees, shoulders, ankles, hips, and fingers. It may grow to repair partial meniscus tears. Ligaments and tendon injuries, like sprains or partial tears of the ACL, PCL and MCL of the knee, the bodily structure and supporting ligaments of the shoulder, ankle and hand/wrist, moreover as plantar fasciitis, golfer’s and tendonitismay be repaired. Bone is re-grown in chronic non-healing stress fractures or fractures of larger bones that haven’t healed in spite of casting or perhaps surgery. Chrinic conditions like avascular necrosis have also been successfully treated. Finally, some painful disc bulges in lumbar spine (low back) is corrected to alleviate back and leg pain.

People undergoing these treatments are back on their feet the identical day. Those undergoing hip, knee, and ankle injections can begin walking longer distances after the primary week. Their activity levels are gradually increased over the subsequent month, with the expectation that they’ll be back to their pre injury activity level after three months

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Autologous Mesenchymal Stem Cells and Knee Surgery

Countless numbers of individuals suffer from knee pain on a day to day. When this pain is because of cartilage loss causing bone to rub against bone, the condition is termed osteoarthritis. Until recently, treatments for knee pain secondary to osteoarthritis has been limited.

Medications alone, like NSAIDS and narcotics provide temporary, often incomplete relief and might have unwanted side effects like oversedation and stomach ulcers.

Injections of steroid and implant fluid, like Synvisc and Hyalgan, may prove beneficial, but relief is typically temporary.

Prolotherapy, or injection of a dextrose based irritant solution, induces the body’s own healing process, and might offer long run sympotom relief.

There are several surgical options starting from microfracture to total knee replacement are intended to supply more definitive, long run relief from artiritic knee pain. Thse procedures, however often come short of their promised pain relief. Pain after knee surgery is significant and lead to a chronic recovery period. While microfracture’s recovery is a smaller amount than that of knee surgery pain, it’s cartilage growth is commonly minimal and short lived.

Autologous mesenchymal stem cell therapy is an exciting alternative to knee replacement surgery. Unlike any of the procedures mentioned above, this procedure actually regrows cartilage and ends up in reduced knee pain. There are several successful case studies within the literature which attest to the present.

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