When SHOULD and SHOULDN'T Your Patients Have Meniscus Surgery? | Meniscectomy, Repair | FPF E:25

[@fitnesspainfree]

Thanks for watching! References and show notes: fitnesspainfree.com/2022/03/when-should-and-shouldnt-your-patients-have-meniscus-surgery-meniscectomy-meniscus-repair-fpf-show-episode-25/ Please let me know what you'd like to see in future episodes!

[@BernadetteOleary-i4l]

Great video best I've seen. Will you be commenting on #8 anytime soon?

[@fitnesspainfree]

Thank you! PT vs different surgeries? We’re actually going in depth on the meniscus soon on the channel but there is no update for these folks yet. Just checked recently.

[@Sonyland]

This video helped me so much, I don't even know how to thank you, someone recommended it to me on reddit and I'm grateful I watched it, I decided not to have the surgery, I'm 20 and physically active, I had a meniscus tear while doing a series of squats , I insisted a lot to have the surgery with the doctor but he explained to me that the surgery would remove a part of my meniscus and that I should decide if I would like to have it or not but he did not explain it to me in great detail, I was confused and wanted to know the consequences of this, thank you

[@fitnesspainfree]

I’m glad it helped! Happy to see this cleared things up for you.

[@calesvideos]

Thank you for the helpful video. Currently in the decision making process and this leads me to want try long term PT first.

[@fitnesspainfree]

Good stuff! Let me know how you end up doing.

[@marianblum1064]

Great look at the research and synopsis of what is and isn't known. Thank you!

[@fitnesspainfree]

Thank you!

[@aalianubaid1406]

Thank Youuu Sooo Much. This was the most detailed and research oriented explanation of all the questions I had. I'm 20 and had a meniscus tear about 4 months ago. One surgeon suggested meniscus Repair while others suggested PT. Couldn't really make a decision. But I had one question unanswered that will meniscus Repair save me from a long term osteoarthritis that PT won't??! I still am quite undecisive. But yeah , your's was the most satisfactory explanation. Please let me know if you're still active and would be willing to help me make a decision. If yes please share your email. Thank Youuu Sooo Much ✨

[@fitnesspainfree]

Glad it was helpful! Ya it’s a tough call for sure. Feel free to leave questions here I can try my best to help.

[@Headsavvy]

51, acute medial bucket handle tear (with some displacement) playing soccer. Doctor scheduled a surgery but isn’t sure yet if it will be more of a repair or a clean up. He wants to get in there and see up close to know for sure. Would love any feedback on if this seems like the right course of action.

[@fitnesspainfree]

Can’t give specific medical advice but ya first line treatment is going to be either repair or leave it alone if it can’t be repaired and give it time and rehab

[@chris1963a]

Great video, thanks so much

[@fitnesspainfree]

Of course glad you liked it

[@Georgi_Slavov]

Can a horizontal medial m heal on its own ?Have one,only minor pain,no lock,swell or pop in the knee, but doc recommends stitching or cutting the m out.Idk?are there artificial meniscus implants?

[@fitnesspainfree]

We’ll be covering that a bit more in the next few videos we’re releasing. Largely meniscus tears can do well with physical therapy and time but if there is an option to repair the area that may be best. If horizontal it may or may not be a candidate for repair. I would personally hold off on Meniscectomy if I had a tear unless absolutely needed.

[@Georgi_Slavov]

@@fitnesspainfree thank you, exactly horizontal. To be precise "horizontal hypertensional zone in rear of med meniscus".We ll see ,i gotta wait till Monday, doc doesn't work on weekends 🤷‍♂️

[@kadia219]

I have a meniscus tear, and the doctor says it's flips, and i need to do surgery to put it back in place right away. My blood pressure went thru the roof, and he kept on scaring me and telling me all the bad things that can happen if i wait too long like 2 more weeks then i might need a knee replacement and i told him i need more time to think about it but he keeps on telling me its better to do it now he wants me to do it August 6 but i told him ill do it on the 27th but he sounds as if he's upset with me because he keeps on saying he then will have to remove the entire thing. Idk what to do

[@fitnesspainfree]

If you’re unsure of what the doc says you can always get a second opinion. Get a few good recommendations and see those docs if you can. Hard to tell anything and I can’t give specific medical advice.

[@brianmolina3022]

Such a great video! I’m about to repair my acl and medial meniscus bucket handle tear. I am 28 and have been powerlifting perfectly fine with my injury throughout the years and my knee has become much more stable with occasional buckling with change of direction or pivoting. I’ve had the tear for about 7 years and my knee just got stuck on me which forces me into surgery. It’s a bit discouraging that the success rate is 58%. Now I’m debating whether or not to get the repair? Can you give me your thoughts or any advice please.

[@fitnesspainfree]

Brian! Can’t really give specific advice but important to weight the pros and cons of the surgery with your surgeon and or PT. The idea is to both extend the lifespan of the knee and also to get you back to whatever activities you enjoy. The risk is having more meniscus issues in the future due to a lack of ACL. Surgeries can be scary but sometimes it’s the best choice.

[@briaanduzit]

Will the knee pop back in place after being locked? I’m currently dealing with lock knee. It’s been 6 days now. Should I try extending knee to see if knee unlocks?

[@fitnesspainfree]

Go see a professional. Yes I’ve seen some locking improve with time and have gotten a few knees unstuck in the clinic but definitely best to see a doc or Physio at this point.

[@briaanduzit]

@@fitnesspainfree got it - thank you. I’m scheduled to see an orthopedic specialist but need to wait till the 20th. I appreciate your quick response.

[@SportifyTVofficial]

So meniscus repair require rehab and meniscectomy dont't?

[@fitnesspainfree]

Both can require physical therapy or conservative care. In some cases surgical is the best option.

[@starrr_dust]

I had a tear in March. Rehab bad. Surgery July. Constant clicking with every movement of my knee right after surgery. Suspect inside pain on outer bend. Rehab arguing I don’t need ultra sound therapy. Had to fight for it. It does help with inflammation and scar tissue. Complained about instability. Told I have an arthritic knee and am going to need a knee replacement. By surgeon. He never told me about how it would feel post surgery. I had almost rehabilitated it before surgery. It feels worse now. Rehab only going thru the motions no challenge. I keep saying it feels wobbly. And what happened to my muscle tone! I can visually see the weakness in Surgury knee. Feels unstable. What now?, the director of rehab actually told new knee only moves front and back. Does she watch baseball Or tennis? Thanks for listening.

[@fitnesspainfree]

Sorry to hear. Was it a Meniscectomy? How long have you been rehabbing before and after surgery?

[@starrr_dust]

@@fitnesspainfree yes it was. Month and a half before. And it was almost better and then surgery set me back. Month and a half now. Better. But still compromised functioning. Turning. Etc. do not get contrast MRI. It’s still full 10 days later. Massive headaches. Yes contra indicated for arthritic knee.

[@kristijankolozvari7681]

Thank you for the very informative video! Do you still need reference #8? I managed to download it. If so, please give me an email address and I will send it to you. Your video helped me a lot to realize that I most likely don't need to do a surgery, despite two surgeons strongly pushing for it. A surgeon in my home country (Serbia) said "don't let them do the surgery". He probably knew that in the USA this is the most common course of action. Do you have any exercises you would recommend for meniscus tear? Thanks again!

[@fitnesspainfree]

Thanks! I’d love the reference. Ya search meniscus in my page I have a lot of videos and a case study you might find useful. Also I’ll be going in depth on the meniscus in the next several months upcoming.

[@bradfrazer4137]

Such a horrible injury, I feel like my life is over.

[@fitnesspainfree]

Hang in there, have you seen a doc or physical therapist?

[@bradfrazer4137]

@@fitnesspainfreeyes, surgeon wants to remove a bucket handle tear of my lateral meniscus of right knee, 50%, and trim a tear in the medial of my left knee. I can’t run, have serious problem with right knee but no locking. I am really struggling mentally with the surgery, I need to commit to the right knee but not sure about the left? 48 year old man, feel I’m going to have a nervous breakdown about this. I took early retirement to travel the world snowboarding etc and now I feel all of that is over.