Answer: Immediately after surgery you will learn to climb stairs safely using crutches. As recovery continues and you work on flexion and extension of the new knee, you will be able to climb without crutches. With the help of physical therapy and building up the quadriceps muscles, stair climbing will be a breeze.
You can walk with your full weight on both legs (unless your surgeon has given you specific instructions). You can walk up and down stairs.
Over 4-6 weeks, the pain and swelling may decrease and activities of daily living may become tolerable. However, athletic activities may reproduce pain and swelling. Sometimes even activities of daily living such as going up and down stairs or getting in and out of cars may produce pain in a knee with a torn meniscus.
Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. It is vital that meniscus repair patients do not squat for at least four months after the repair.
How soon you can return to work depends on your job. If you sit at work, you may be able to go back in 1 to 2 weeks. But if you are on your feet at work, it may take 4 to 6 weeks. If you are very physically active in your job, it may take 3 to 6 months.
Complicated arthroscopic repair of a meniscus tear requires that the patient's knee be completely immobilized for 2 weeks after surgery. Followed by 2 weeks of limited motion before resuming daily activities.
Rest, ice, compression, and elevation (R.I.C.E) are recommended for patients recovering from any kind of surgery, include meniscal repair. Keep these guidelines in mind to make sure you're getting the most out of this approach: Avoid whatever activity caused your injury and rest as often as possible.
In a healthy knee, articular cartilage keeps your kneecap stable and cushioned and provides lubrication to the knee joint. If you are experiencing knee pain when climbing or descending stairs, it is likely that the cartilage is damaged so that the kneecap is sliding out of position, causing pain and discomfort.
Sleep on your back with the leg slightly elevated
encourages healthy circulation, which helps keep pain and swelling in check. This position also helps you avoid bumping the incision site, which can lead to bleeding and infection.
You can fully extend (straighten the knee). To avoid placing stress on the meniscus repair, do not bend your knee beyond 90 degrees (bent to a right angle). Brace and Crutches: Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg.
You may still be able to walk with a bucket handle meniscal tear, and in fact, many athletes continue to play with a bucket handle meniscal tear. With bucket handle tears the meniscus can flip back into place and feel good for some time, but it will typically flip back forward with one wrong painful move.
Cycling can be a good cross-training option if you have a meniscus tear, but it won't suit everyone. If your knee feels uncomfortable, check whether it makes a difference if you adjust your saddle (higher is often better) or where you place your feet on the pedals.
Patient will be non-weight bearing for 6 weeks immediately following surgery unless otherwise directed. Progress to partial weight bearing with brace at week 6. Progress to full weight bearing with brace unlocked (if adequate quad control) near week 8.
Although exercise is the key to healing, you could be backpedaling progress by overworking your knee. Signs of over-exercising include swelling of the entire leg and lingering pain that stretches into the evening or into the next day.
During the first few weeks of your arthroscopic knee surgery recovery, you should be bearing weight as tolerated with crutches. You should be progressing to full weight bearing without the use of crutches. Proprioceptive exercises focus on the ability to sense movement within joints.
Most people can walk with crutches soon after meniscus surgery. Many return to normal activities within six to eight weeks. Your healthcare provider may recommend low-impact activities rather than high-impact (such as walking rather than running). If you have a physical job, you may need extra time off work to recover.
You may be able to return to most of your regular activities within a few weeks. But it will be several months before you have complete use of your knee. It may take as long as 6 months before your knee is strong enough for hard physical work or certain sports.
You may shower 24 to 48 hours after surgery, if your doctor okays it. When you shower, keep your bandage and incisions dry by taping a sheet of plastic to cover them. If you have a brace, take it off if your doctor says it is okay. It might help to sit on a shower stool.
If a meniscus tear is considered appropriate for an attempt at repair, a number of techniques can be used. The surgery is primarily arthroscopic (minimally invasive) although additional small incisions, or cuts, may be necessary to perform the repair. A variety of devices or sutures can be used to perform a repair.
Following a repair, you will typically use crutches for at least three weeks to allow the repaired tissue to become attached and to avoid retearing the meniscus.