Ways to Reduce continued knee pain after meniscus surgery

Most people have meniscus tears, some do not even know. Most patients can get it without meniscus surgery. Sometimes you will have chronic pain that interferes with your life and you choose to have arthroscopy, which is the most common way to perform meniscus surgery. While the success rate of meniscus surgery is usually very high, there are several reasons why you may experience pain after meniscus surgery.

Many people experience knee pain, rupture or rupture, or swelling following their meniscus surgery. While these symptoms may be unpleasant and irritating, they usually resolve with the time when the knee continues to recover. This article will briefly review the anatomy of the knee, men’s injury, treatment, and the common symptoms you may experience following surgery.

Deciding to undergo surgery may be difficult, since there is so much information to consider. Some common concerns include risk, surgical efficacy, and relevance. People with a meniscus injury face many treatment options, but the list could be exhausted – leaving them with the option of surgery.

Arthroscopic knee surgery is an important surgical procedure to manage and treat many common knee conditions. But not everyone gets relief from knee pain after surgery. Reasons for arthroscopic surgery on the knee joint include cartilage injuries, meniscus tears, ligament problems, and a number of other conditions.1 The advantage of arthroscopic surgery is that as a minimally invasive technique, people tend to return to activity. their faster, with less pain.

What is Meniscal Tears?

Meniscus tears occur when the meniscus is damaged or ruptured. The normal meniscus is more fragile as it is slightly mobileer (moves less) than the posterior meniscus.

Meniscal tears can occur with trauma or excess. In a young patient, it usually occurs after a strong twisting injury to the injured leg that can occur in the knee while playing sports that require a lot of play (hockey, tennis, football, football, etc.). It can also occur by running or loading too much together i.e. by lifting weights.

As we age, the menisci become weaker, and they may be injured by only a small amount of trauma. Meniscal tears are also usually caused by normal activity (squatting, sitting) when the cartilage of the knee begins to degenerate (osteoarthritis).

Tears that occur in the arthritic knee are called meniscal degenerative tears. As the soft and soft cartilage of the knee wears out, the bad core bone is exposed. The exposed bone feels similar to a sheet of sand. Thus, in the arthritic knee, the sharp bone ends up rubbing the menisci and almost always causes the rupture of these structures.

There are many patterns of male tears. The pattern of male tears is one of the most important factors that a surgeon will use to determine if a tear is being repaired or not. The entire inner edge of the middle meniscus can be split – this is called the bucket handle handle (the cracked area looks like a handle). Meniscus tears can be seen as a simple wind or can be hard (cut in many ways). Meniscal tears are not always associated with symptoms, but when present, these symptoms may include: pain, swelling, stiffness or joint stiffness, popping, or difficulty stretching the foot outwards.

There are many options for treating male tears (see below). If you and your surgeon decide to continue surgery, it is important to keep in mind that following arthroscopic surgery, pain, swelling, or knee pain may be normal.

What happens during Meniscus surgery?

Surgery is often considered to be (the final solution) for patients with knee pain. Although most patients begin to recover after only six weeks, it can be a difficult process. Each surgery comes with a set of risks that should be carefully discussed with doctors and surgeons before the operation begins. Some common concerns include receiving anesthesia and the risk of infection or blood clots, for example.

The most common method of meniscus surgery is performed arthroscopically. This means that the surgery begins with a small incision, in which the surgeon places a small camera and tools that he uses to repair the damage. This may involve shaving off damaged tissue, or making a tear.

Since arthroscopy is a minimally invasive surgery, the recovery time is much shorter than total knee replacement or other more involved procedures. Many patients choose to undergo this type of surgery so that the damage can begin to heal. As with any treatment, however, there is a risk that the symptoms do not go away, even after surgical intervention.

How Knee Pain Be Continued After Surgery?

There are several reasons why knee pain may persist after meniscus surgery. These factors may vary depending on what was accomplished during surgery. Here are some common reasons why pain persists:

Chronic Swelling; Arthroscopic surgery is a small surgical procedure that is used to see inside your knees, and to repair or remove any damage. While all of this sounds gentle and non-invasive, it needs to be understood that your body will deal with surgical trauma. Swelling is difficult to resolve, as there are many possible causes, some of which are listed below. In addition, some patients who have arthroscopic surgery have persistent swelling as a result of chronic inflammation from surgical trauma.

Infections; it is a very rare complication of arthroscopic surgery.3 But it is a problem that is very feared by patients. While infection is an uncommon cause of pain after knee arthroscopy, it is one that needs to be at the top of everyone’s list considering that early treatment is important to have a good chance of recovery. Treatment of an infection requires long-term antibiotic treatment and may require additional surgery to clean the joint.

Poor renovation; When people have a knee injury, such as a ruptured meniscus or cartilage damage, they can develop poor knee flexion. To protect and reduce pain, people often relax or develop abnormal behavior. In addition, other knee joint injuries are the result of poor posture. The current study focuses on the strong stability of the lower extremity in other words, how strong your knee is when faced with normal strength and movement.

Arthritis in the Joint; Perhaps the most common reason why patients have chronic pain after arthroscopic knee surgery is that their knee has joint barley damage that cannot be adequately repaired by arthroscopic procedure. However, there are times when patients with coronary artery disease may have problems that can improve with arthroscopic surgery, or your surgeon may not know the extent of arthritis until the time of surgery.

Although these are common causes of pain, there are several other factors, such as inflammation and infection, that should be considered as well. Doctors will order new tests to determine the cause of the persistent pain. These may include blood tests and images.

Some medical experts are concerned about the effectiveness of meniscus surgery, with some studies suggesting that it is ineffective and unnecessary. Those who see surgery do not necessarily know an alternative treatment for meniscus injury that provides promising results for short-term and long-term treatment.

How continued knee pain after meniscus surgery Treated?

The first step in treating knee pain is to find the cause. Meniscus injury can often be seen when a doctor performs a series of tests to diagnose it. This may include watching the patient walk, bend the knee, and find out where the pain is.

Physicians may prescribe MRI or other imaging techniques such as X-Rays or CT Scans. The images produced can give doctors a clear idea of ​​what is causing the knee pain, which can come from different structures in the knee. MRI is a common technology used to detect meniscus injury because it captures the image of soft tissue, which includes cartilage.

Once the diagnosis is made, physicians can begin planning a treatment that is specific to the individual needs of the patient. Meniscus injuries can vary in severity, some tears are minor and cause very few symptoms, while others can be more severe and may require surgery.

Treating a meniscus wound generally includes several important steps before surgery is considered:

  • Pain Management: Many patients take over-the-counter medications to reduce pain, such as Ibuprofen or Naproxen. Relieving pain can make it easier to do daily activities that would otherwise be very difficult.
    Rice: Rest, Ice, Compression, and Elevation can help reduce swelling while providing comfort.
  • Gear adjustment: Knee braces can help keep the joints together as you recover. Supporting materials such as crutches or rods can be used to place a small weight on the joint.
  • Physical Therapy: Several exercises can help the limb to regain strength after an injury, especially if certain muscles are weakened during the healing process. Other goals of physical therapy are to rejuvenate, build strength, and reduce pain during other activities.
    Patients undergoing this treatment may be successful, as the body has the ability to heal itself. Some injuries are more than natural rehabilitation, however, and require surgical intervention.

What to know about arthroscopic meniscus repair

Arthroscopic meniscus repair is an outpatient surgical procedure to correct knee cartilage. A ruptured meniscus is formed by a variety of invasive techniques and requires postoperative protection to allow healing. Physical therapy is necessary to get full knee function, which takes place on average 4-5 months after surgery.

1. Danger

All surgeries are risky. There is probably nothing you can think of that could go wrong that didn’t go wrong at some point. That being said, meniscus repair is a safe procedure with a stress level of 1.3%. The most common complications are skin vascular injuries, which a large number determine without additional procedures for three months after surgery. Injury to large arteries or blood vessels is rare, such as blood clots. Knee stiffness, infections, and other problems are not uncommon, but they can occur.

2. Manage risk

The most effective treatment for depression is prevention. For example, the risk of infection is reduced by prescribing pesticides before surgery, and the risk of blood clots is reduced by using embolism socks. If infection occurs, repeating arthroscopy to remove infected tissue and impurities, in combination with pesticides for six weeks is generally best. If blood clots occur, blood clots are used for three months to reduce the chance of freezing or breaking and traveling to the lungs.

3. Preparation

Since arthroscopic meniscus repair is a selective procedure, the patient’s condition can be improved with successful surgery. There must be someone to help at home for the first few days as mobility will deteriorate. There should be no current infection. The knee should not have sores or scratches. The knee should not be shaved on the day of surgery or the day before surgery. Quitting or quitting smoking will reduce the risk of infection and blood clots, and improve healing. Airplanes should not be scheduled within the first five days following surgery to reduce the chances of blood clotting.

4. Urgency

Surgery for meniscus tears is not an emergency. Arthroscopic meniscus repair is a selective procedure that can be designed to minimize the disruption of patients’ lives. The results have been enhanced by repairing meniscus tears within the first two months of injury.

5. Time

Meniscus repair is best done within the first two months after meniscus tearing to enhance meniscus healing. Walking on a knee that is (closed) can further damage the meniscus and create an irreversible tear. Squatting should be avoided before surgery, as this can remove a piece of meniscus inside the joint and cause (closing).

6. Technical details

After anesthetic control and knee examination, a bandage is placed on the upper thigh and the thigh is secured to the table by the owner of the closed limb. The knee and lower leg are cleaned and dissected and diagnostic arthroscopy is performed. Diagnostic arthroscopy is a detailed internal examination with a camera connected to viewing screens. The vessels are approximately 5mm in diameter and are inserted through three or four channels of 1cm around the knee.

7. pain management

Repair of arthroscopic meniscus is moderately painful. Because softer tissue surgery is performed, it is more painful than conventional arthroscopy, but not more painful than a ligament construction or other procedure that requires holes to drill through a bone. Internal anesthetic is used during surgery to reduce pain, but patients generally have a swollen, painful knee for the first three days after surgery, which can be administered with narcotic and anti-inflammatory drugs.

8. Efficacy of medication

The combination of narcotic and anti-inflammatory pain medication provides good pain relief with minimal side effects. Good pain management is the balance between effectiveness and impact. Since all narcotic pain medications can cause nausea and constipation, drinking plenty of fluids and taking a stool after surgery can alleviate these problems.

9. Significant side effects

Narcotic pain medications can cause drowsiness, shortness of breath, difficulty urinating and bladder, nausea, vomiting and allergic reactions. Patients who are on high doses of narcotic or alcohol in recent days may find that the usual dose of pain medication does not work well. For some patients, balancing the benefits and side effects of pain medications is a challenge. Patients should inform their surgeon if they have had previous problems with pain medication or pain control.

10. Find a qualified surgeon

Surgeons who have received corporate training in sports medicine have received additional training in arthroscopic techniques such as meniscus repair. The operation is best performed by a surgeon who is interested and experienced in the repair of arthroscopic meniscus. Surgeons with these qualifications can be obtained through “medical university schools, and are often members of specialized communities such as the American Orthopedic Society of Sports Medicine and the North American Arthroscopy Association”.