Pain After Meniscus Rehabilitation: Is It Normal? - Orthopedics

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After undergoing a medial meniscus repair surgery, experiencing pain during rehabilitation can be a common occurrence, but it is essential to understand the nature and implications of that pain. Given that you had your surgery on July 4th and have just started rehabilitation, it is not unusual to feel discomfort, especially as you begin to engage in physical therapy exercises.

Firstly, it is important to differentiate between types of pain. The pain you describe, which occurs when bending your knee and is located on the upper left side of the knee joint, may indicate several possibilities. Since you have a history of anterior cruciate ligament (ACL) reconstruction, it is possible that the pain could be related to the surrounding structures, including the ligaments, tendons, or even the cartilage that may still be healing. The fact that you can extend and lift your leg without pain suggests that the primary issue may be related to the bending motion, which is often more challenging post-surgery.

In the early stages of rehabilitation, it is common to experience some discomfort as you work to regain range of motion and strength. The pain you feel after rehabilitation could be due to several factors:
1. Inflammation: Post-surgical inflammation is a natural response as your body heals. This inflammation can lead to pain and stiffness, especially after physical activity.

2. Tissue Healing: The tissues around the knee, including the meniscus, ligaments, and muscles, are still in the healing phase. As you start to use your knee more actively, you may experience pain as these tissues adapt to the increased load.

3. Scar Tissue Formation: After surgery, scar tissue can form, which may restrict movement and cause discomfort. This is particularly relevant if you feel a "catching" sensation when bending your knee.

4. Muscle Weakness: Post-surgery, the muscles surrounding the knee may be weak, leading to pain when they are engaged during rehabilitation exercises.

Regarding your specific concerns about whether all pain is normal, it is essential to communicate openly with your physical therapist or orthopedic surgeon. While some discomfort is expected, particularly as you push your range of motion, sharp or severe pain, or pain that worsens significantly after therapy, should be evaluated further. It may indicate that you are overexerting yourself or that there is an underlying issue that needs to be addressed.

In terms of your rehabilitation progress, being able to bend your knee to 75 degrees is a positive sign, but it is crucial to continue to work within a pain-free range. Gradually increasing your range of motion and strength through guided exercises is vital. If you experience pain during specific movements, it may be beneficial to modify those exercises or consult your therapist for alternative approaches.

In summary, while some pain after meniscus repair surgery and during rehabilitation can be normal, it is essential to monitor the type and intensity of the pain. Regular follow-ups with your healthcare provider and physical therapist will help ensure that your recovery is on track and that any concerning symptoms are addressed promptly. Remember to listen to your body, and do not hesitate to seek further evaluation if you feel that your pain is not improving or is worsening. Your recovery is a process, and being proactive about your symptoms will contribute to a successful rehabilitation outcome.