menis cal injuries - bodyzone · menis introdu welcom the men meniscus weaker w down mo cal inju...
TRANSCRIPT
Menis
Introdu
Welcom
The menmeniscusweaker wdown mo
scal Inju
uction
e to BodyZo
iscus is a cos is fairly touwith age, andotion of squa
uries
one Physiot
mmonly injuugh and rubbd meniscal teatting.
herapy's pa
ured structurbery, and teaears can occu
atient resou
re in the knears usually our in aging a
rce about M
ee. The injuryccur as a res
adults as the
Meniscal Inj
ry can occur sult of a forcresult of fai
juries.
in any age gceful twistingrly minor inj
group. In youg injury. The
njuries, even
unger peoe meniscfrom the
This guid
w h w
Anatom
What is
There are
Menis
The C-shmiddle othe cente
These twspread ouRunning
de will help
where the meow an injure
what can be d
my
a meniscus,
e two menisc
sci
haped mediaf the body.)
er of the body
wo menisci acut the forcesputs about e
p you unders
eniscus is loced meniscus done for an i
, and what d
ci between th
l meniscus isThe U-shapy.)
ct like shock that are traneight times y
stand:
cated in the kcauses prob
injured meni
does it do?
he shinbone
s on the insided lateral m
k absorbers insmitted acroyour body we
knee blems iscus
(tibia) and t
de part of thmeniscus is on
n the knee. Foss the jointeight on the
thighbone (f
he knee, closn the outer h
Forming a g. Walking puknee. As the
femur) in the
est to your ohalf of the kn
gasket betweuts up to twoe knee bend
e knee joint.
other knee. (nee joint. (La
en the shinbo times yours, the back p
(Menisci is
Medial meaateral mean
bone and the r body weighpart of the m
plural fo
ns closers further
thighbonht on the
menisci ta
the press
Articularcartilage
ure.
r cartilage is allows the s
a smooth, slsurfaces to sl
lippery matelide against o
erial that covone another
vers the endswithout dam
s of the bonemage to eithe
es that make er surface.
up the knee joint. Th
Articu
By spreaone smalarea, lead
The menstable tha
ular Car
ding out thell area on theding to dama
isci add staban its otherw
rtilage
forces on the surface of tage and dege
bility to the kwise flat surfa
he knee jointthe joint. Wieneration of
knee joint. Tface. Withou
t, the meniscithout the methe articular
They convertut the menisc
ci protect theenisci, the for cartilage, a
t the surface ci, the round
e articular caorces on the a condition c
of the shinbfemur woul
artilage fromknee joint aalled osteoa
bone into a shld slide on to
m getting too are concentraarthritis.
hallow sockeop of the flat
much prated onto
et, whicht surface
Conve
Causes
How do
Meniscalmeniscusresult of activity.
ersion o
meniscal pr
l injuries cans is a fairly ta fairly forcThe entire in
of Shinb
roblems dev
n occur at anough and rubeful twistingnner rim of t
one to S
velop?
ny age, but thbbery structug injury. In ththe medial m
Shallow
he causes areure. Tears inhe younger a
meniscus can
Socket
e somewhat n the meniscage group, m
n be torn in w
different forcus in patientmeniscal tearwhat is called
r each age grts under 30 yrs are more ld a:
roup. In youyears old usulikely to be c
unger peoually occcaused by
Bucke
The men
The tissuages oftethere isn'commonmenisci t
et Hand
iscus can als
ue that formsen end up wit't one specifily seen as a to fray and b
dle Tear
so have a fla
s the meniscith a tear as r
fic injury to tpart of the o
become torn
ap torn from
i weakens wresult of a mthe knee thatoverall condiin many dire
the inner rim
with age, makminor injury,
t leads to theition of osteoections.
m.
king the mensuch as from
e degenerativoarthritis of
nisci prone tom the up-andve type of mthe knee in a
o degeneratid-down moti
meniscal tear.aging adults
ion and tearion of squatti. These tears. Degenerati
ng. Peoping. Moss of the mive tears
Menis
Sympto
What do
sci Dege
oms
oes a torn m
eneratio
meniscus feel
n and T
l like?
Tearing
The mostto where
The kneesometimeinflamed
The kneeknee. Thpencil stu
A torn mcause the
Diagnos
Diagnosiwhere the
Some pat
t common prthe meniscu
e may swell, es called wa
d.
e joint can alis can happeuck in the hi
meniscus can e joint surfac
sis
is begins wite pain is loc
tients may b
roblem causus is located.
causing it toter on the kn
lso lock up ifen when a frainge of a doo
cause long-tce to become
th a history aated, whethe
be referred to
ed by a torn. Or the pain
o feel stiff annee. This is n
f the tear is lagment of thor.
term probleme worn, leadi
and physicaler you've had
o a doctor for
n meniscus isn may be mo
nd tight. Thinot unique to
large enoughhe meniscus
ms. The coning to knee o
l exam. Yourd any lockin
r further dia
s pain. The pore vague and
is is usually o meniscal te
h. Locking retears free an
stant rubbinosteoarthriti
r physiotherng, and if you
agnosis. Onc
pain may be d involve the
because fluiears, since it
efers to the ind gets caugh
g of the torns.
rapist at Bodu have any c
e your diagn
felt along the whole kne
id accumulatt can also oc
inability to cht in the hin
n meniscus o
dyZone Physclicks or pop
nostic exami
he edge of thee.
tes inside theccur when th
completely snge mechanis
on the articul
iotherapy wps with knee
ination is com
he knee jo
e knee johe knee b
traightensm of the
lar cartila
ill try to moveme
mplete, t
physiotherapists have treatment options that will help speed your recovery, so that you can more quickly return tactive lifestyle.
.
Our Treatment
Non-surgical Rehabilitation
When you visit BodyZone Physiotherapy , our initial treatments for a torn meniscus focus on decreasing pain anin your knee. Rest and anti-inflammatory medications, such as aspirin, can help decrease these symptoms. You muse crutches until you can walk without a limp.
Our physiotherapist will treat your swelling and pain with the use of ice, electrical stimulation, and rest periods wsupported in elevation. Exercises are used to help you regain normal movement of joints and muscles. Exercises knee range of motion and strength are added gradually. Our physiotherapist may also help you to obtain and use brace.
Although recovery time varies, nonsurgical rehabilitation for a meniscal injury typically lasts six to eight weeks. return to your sporting activities when your quadriceps and hamstring muscles are back to nearly their full strengcontrol, you are not having swelling that comes and goes, and you aren't having problems with the knee giving w
Post-surgical Rehabilitation
Rehabilitation proceeds cautiously after surgery on the meniscus, and treatments will vary depending on whetherpart of the meniscus taken out or your surgeon repaired or replaced the meniscus.
Patients are strongly advised to follow their physiotherapist's recommendations about how much weight can be bstanding or walking. After a partial meniscectomy, we may instruct you to place a comfortable amount of weightoperated leg using a walking aid. After a meniscal repair, however, you may be instructed to keep your knee stralocked knee brace and to put only minimal or no weight on your foot when standing or walking for up to six wee
BodyZone Physiotherapy patients usually need only a few physiotherapy visits after meniscectomy. We may readditional treatments if there are problems with swelling, pain, or weakness. Rehabilitation is slower after a menor allograft procedure. At first, expect to see our physiotherapist two to three times a week. If your surgery and rego as planned, you may only need to do a home program and see our physiotherapist every few weeks over a sixweek period.
Surgery
If the knee keeps locking up and can't be straightened out, surgery may be recommended as soon as reasonably premove the torn part that is getting caught in the knee joint. But even a less severely torn meniscus may not heal If symptoms continue after nonsurgical treatment, surgery will probably be suggested to either remove or repair t
portion o
Surgeonsknee to a
Partia
The procsmall incthe torn p
Surgeonsto the knbeyond r
Menis
Wheneverecently t
of the menisc
s use an arthallow the ins
al Menis
cedure to takcision. This oportion of th
s would rathee. Removal
repair is the e
scal Rep
er possible, storn their me
cus.
roscope (meertion of the
scectom
ke out the damopening is ne
he meniscus,
er not take ol of the menientire menis
pair
surgeons preeniscus are g
entioned earle camera into
my
maged portioeeded to insewhile the ar
out the entireiscus increascus removed
efer to a torngenerally go
lier) during so the joint.
on of the meert surgical irthroscope is
e meniscus. Tses the risk od.
n meniscus, od candidate
surgery for a
eniscus is cainstruments s used to see
This is becauof future kne
rather than res for:
an injured m
alled a partiainto the kne
e what is hap
use the meniee arthritis. O
remove even
meniscus. Sm
al meniscectoee joint. The ppening.
iscus helps aOnly if the e
n a small pie
mall incisions
omy. The surinstruments
absorb shockentire menisc
ece. Young p
s are mad
rgeon maare used
k and addcus is dam
people wh
Repai
Older pat
To repairsew the ttogether.
ir
tients with d
r the torn metorn edges of
degenerative
eniscus, the sf the meniscu
tears are no
surgeon inseus together.
ot.
erts the arthrOthers use s
roscope and vspecial faste
views the toeners, called
orn meniscussuture anch
s. Some surgors, to ancho
geons useor the tor
Specia
Menis
Surgeonstissue, caa longer p
al Faste
scal Tra
s are beginnialled an allogperiod of tim
eners
ansplant
ing to experigraft, from ame.
tation
iment with danother perso
different wayon's body. Fu
ys to replaceurther inves
e a damaged tigation is n
meniscus. Oeeded to see
One way is be how well th
by transplhese patie