Meniscus Surgery: Recovery Time and Expectations

Meniscectomy

Hello, doctor! I injured myself while lifting heavy objects, and after two months, I still haven't recovered.
I experience pain and discomfort after walking for a while.
I went to the hospital for a consultation and had an MRI, which revealed that I have a lateral meniscus tear, specifically a discoid meniscus.
The doctor recommended arthroscopic surgery on my knee to remove the damaged portion (which happens to be in the area that needs to be removed) and reshape it to resemble a normal meniscus.
The doctor mentioned that recovery would be quick, and I should be able to return to work in about two weeks.
However, now it has been over two weeks, almost three weeks, and I find it difficult to go up stairs, let alone down stairs.
When I lift my foot, the outer side feels very sore, and maintaining a position for a while before changing it becomes quite uncomfortable.

I would like to ask how long the typical recovery period is for this type of surgery, and whether this discomfort is a normal occurrence.
How long before I can engage in activities like running? I read an article stating that while the initial satisfaction rate for arthroscopic surgery is high, the long-term satisfaction rate drops to only 30-40%.
Is that true? Does complete recovery from this surgery mean that there will be no pain or discomfort? I apologize for my many questions, but I feel a bit scared and have a lot of concerns.
I thought recovery would be quick, but it seems many people need a long time to rest, which is why I have so many questions.

Ab, 20~29 year old female. Ask Date: 2018/10/03

Dr. Cai Shanglin reply Orthopedics

How long it will take to recover should be discussed with the surgeon, as only the surgeon knows the specifics of the arthroscopic procedure performed.
Additionally, recovery ability varies from person to person, so it is difficult to provide a specific timeframe.

Reply Date: 2018/10/03

More Info

Meniscus surgery, particularly arthroscopic surgery for a torn meniscus, is a common procedure aimed at relieving pain and restoring function in the knee joint. Understanding the recovery process and setting realistic expectations is crucial for patients undergoing this type of surgery.

Recovery Timeline
The recovery time after meniscus surgery can vary significantly based on several factors, including the extent of the injury, the type of surgery performed, and the individual’s overall health and activity level. Generally, patients can expect the following timeline:
1. Immediate Post-Operative Phase (0-2 weeks): After surgery, patients are typically advised to rest and elevate the knee. Ice therapy is often recommended to reduce swelling. During this period, it is common to experience some pain and discomfort, which can usually be managed with prescribed pain medications.

2. Early Rehabilitation (2-6 weeks): Physical therapy often begins within a few days post-surgery, focusing on gentle range-of-motion exercises. Patients may gradually start weight-bearing activities, depending on the surgeon's advice. By the end of this phase, many patients can walk with minimal discomfort.

3. Strengthening Phase (6-12 weeks): As healing progresses, physical therapy will shift towards strengthening exercises. Patients may begin to engage in low-impact activities, such as cycling or swimming, but high-impact activities like running or jumping are generally discouraged until further along in the recovery process.

4. Return to Sports and High-Impact Activities (3-6 months): Most patients can expect to return to sports or high-impact activities within three to six months post-surgery, depending on their recovery progress and the specific demands of their sport.

Common Post-Operative Symptoms
It is not unusual to experience discomfort, swelling, and stiffness in the knee during the recovery process. The symptoms you describe, such as difficulty going up and down stairs and discomfort when maintaining certain positions, are common in the early stages of recovery. These symptoms can be attributed to:
- Inflammation: The body’s natural response to surgery can lead to swelling and discomfort.

- Muscle Weakness: After surgery, the muscles around the knee may weaken due to disuse, leading to instability and discomfort.

- Scar Tissue Formation: As the knee heals, scar tissue can develop, which may contribute to stiffness and discomfort.

Long-Term Expectations
Regarding the long-term satisfaction rates post-meniscus surgery, studies indicate that while many patients experience significant improvement in pain and function, a subset may continue to have issues. The reported satisfaction rates of 30-40% for long-term outcomes may reflect the complexity of knee injuries and the presence of other conditions, such as arthritis, which can affect recovery.

Complete Recovery
Complete recovery from meniscus surgery is generally defined as the absence of pain and the ability to perform daily activities without discomfort. However, it is essential to recognize that some patients may experience residual symptoms, particularly if there were pre-existing conditions or if the meniscus tear was extensive.

Conclusion
In summary, while the initial recovery from meniscus surgery may seem slower than anticipated, it is essential to follow your surgeon's advice and engage in physical therapy to optimize recovery. Patience is key, as the healing process can take several months. If you have concerns about your recovery or experience persistent pain, it is advisable to consult your surgeon for further evaluation and guidance. Remember, every individual’s recovery journey is unique, and staying informed and proactive about your rehabilitation can significantly enhance your outcomes.

Similar Q&A

Preparing Mentally for Knee Surgery: What to Expect After an Injury

I fell while riding my motorcycle and injured the ligaments on the right side of my left knee joint and the ligaments in the front. There is also a possibility of a meniscal tear. I previously had blood drawn from the joint cavity, and I may need knee surgery in a few days. The d...

Dr. Luo Zhaozhong reply Orthopedics
From the previous notes, it is evident that your prior physician managed your case very well. Generally, my approach involves conducting a thorough examination to determine whether there is a tear of the anterior cruciate ligament (ACL) and whether the meniscus is ruptured. In th...

Understanding Cartilage Recovery Time and Assessment After Surgery

Hello, Doctor. In August 2017, I suffered a sports injury that resulted in a torn anterior cruciate ligament (ACL) in my left leg, along with a meniscal tear. After surgery, the ACL healed well, but I continued to experience pain in the cartilage area. In July 2018, I was diagnos...

Dr. Li Yongheng reply Orthopedics
1. Recovery typically takes six months. 2. It is not certain; it could be normal, or there may still be issues with the meniscus. 3. Strenuous exercise should be avoided for at least one year. 4. It depends on the specific circumstances at that time.

Post-Surgery Care for Meniscus Repair: Common Concerns and Recovery Tips

Hello Doctor: I would like to ask, I underwent a meniscus repair surgery at the beginning of August, and it has been three months since then. However, I still experience a jumping sensation in my knee during the McMurray test. Is this normal? Additionally, the surgeon advised me ...

Dr. Hong Ximing reply Orthopedics
The healing time after meniscus repair is approximately three months. However, rehabilitation for the thigh should begin as early as possible. As for jumping activities such as playing basketball or running, it is advisable to wait until muscle strength has fully recovered before...

Understanding Meniscus Issues: Symptoms, Treatment, and Recovery

Hello, Doctor: I discovered at the end of December last year that my right knee often makes a popping sound. Later, I experienced pain when going up and down stairs for about 2-3 weeks. In mid-January 2021, I went to the hospital, and the doctor prescribed a 14-day course of anti...

Dr. Chen Yongxue reply Orthopedics
Hello, 1. Whether the condition will worsen without surgery depends on the extent of the meniscal damage. Generally speaking, it is possible for the condition to become more severe. 2. Is there an option for insurance coverage for the surgery, or is it only out-of-pocket? The...