Meniscus Repair
Meniscus repair is a surgical procedure aimed at fixing tears in the knee’s meniscus, which provides cushioning and stability. The surgery typically involves stitching the torn edges together, allowing for healing. Rehabilitation is essential post-surgery, focusing on restoring strength and range of motion. Most patients can expect a gradual return to normal activities within several months, depending on the severity of the injury and adherence to rehabilitation protocols.
Signs and Symptoms:
- Knee pain, especially along the joint line
- Swelling and stiffness
- Limited range of motion
- Clicking or locking sensation in the knee
- Difficulty bearing weight
Physiotherapy Managements:
- 1. Immediate Post-Operative Phase (Weeks 1-4)
- Goals:
- Reduce pain and swelling.
- Protect the surgical site.
- Begin gentle range of motion.
- Interventions:
- R.I.C.E. Protocol: Rest, Ice, Compression, Elevation.
- Weight-bearing: Non-weight bearing or partial weight-bearing using crutches.
- Range of motion exercises: Gentle flexion and extension (as tolerated).
- Isometric exercises: Quadriceps and hamstring isometrics to maintain muscle strength.
- 2. Early Rehabilitation Phase (Weeks 4-8)
- Goals:
- Restore range of motion.
- Gradually increase strength.
- Begin functional activities.
- Interventions:
- Progress to full weight-bearing: As advised by the surgeon.
- Closed-chain exercises: Wall slides, mini squats, and heel raises.
- Strengthening exercises: Focus on quadriceps and hamstrings using light resistance.
- Balance and proprioception training: Simple balance exercises to improve stability.
- 3. Advanced Rehabilitation Phase (Weeks 8-12)
- Goals:
- Further increase strength and stability.
- Prepare for return to sport and activities.
- Interventions:
- Strengthening exercises: Progressive resistance training for the knee and hip muscles.
- Agility drills: Introduction of light agility exercises as tolerated.
- Functional training: Sport-specific drills and activities that mimic desired movements.
- 4. Return to Activity Phase (Weeks 12 and beyond)
- Goals:
- Achieve full function.
- Safely return to sports or high-level activities.
- Interventions:
- Sport-specific training: Gradual reintroduction to sport-specific skills.
- Advanced agility and plyometric exercises: For dynamic stability and strength.
- Continued strength and conditioning: Maintain muscle balance and overall fitness.
- Monitoring and Follow-Up
- Regular assessments to track progress and adjust the rehabilitation plan.
- Collaboration with the surgeon to ensure safe return to activities.
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