Meniscus Rehabilitation: Pain After Surgery and PRP Therapy - Orthopedics

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Meniscus rehabilitation


Dear Doctor, I had my left medial meniscus repaired by a physician a year ago, and I still experience a sharp pain when squatting.
Is this normal? I found information online about PRP therapy; would it be effective for my condition? I've recently regained some muscle strength.

Niming, 30~39 year old female. Ask Date: 2020/05/09

Dr. Chen Yongxue reply Orthopedics


Hello, regarding your post-operative condition, it is advisable to consult your attending physician.
Thank you.

Reply Date: 2020/05/09

More Info


After undergoing a meniscus repair surgery, experiencing pain or discomfort, such as a stabbing sensation when squatting, can be a common occurrence, especially one year post-operation. The meniscus is a crucial cartilage structure in the knee that acts as a cushion and stabilizer. When it is repaired, the healing process can take time, and some patients may continue to experience residual pain or discomfort as they return to their normal activities.

The pain you are describing could be attributed to several factors. First, the healing of the meniscus itself may not be complete, or there could be scar tissue formation around the surgical site, which can lead to discomfort during certain movements. Additionally, the muscles and ligaments surrounding the knee may have weakened or become imbalanced during your recovery, which can contribute to pain when performing specific activities like squatting.

Regarding PRP (Platelet-Rich Plasma) therapy, it is a treatment that has gained popularity in recent years for various musculoskeletal conditions, including knee injuries. PRP therapy involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting it back into the injured area. The growth factors in the platelets are believed to promote healing and reduce inflammation.

For your situation, PRP therapy may potentially be beneficial. Some studies suggest that PRP can help improve pain and function in patients with knee osteoarthritis and may aid in the healing of soft tissue injuries, including meniscal tears. However, the effectiveness of PRP can vary from person to person, and it is essential to have a thorough discussion with your orthopedic surgeon or a sports medicine specialist to determine if this treatment is appropriate for you.

In addition to considering PRP therapy, it is crucial to continue with a structured rehabilitation program. Strengthening the muscles around the knee, particularly the quadriceps and hamstrings, can provide better support and stability to the joint, potentially alleviating some of the pain you are experiencing. A physical therapist can design a tailored rehabilitation program that focuses on strengthening, flexibility, and functional exercises to help you regain full function of your knee.

It is also important to listen to your body. If certain movements consistently cause pain, it may be wise to modify those activities or seek professional guidance on how to perform them correctly. Regular follow-ups with your orthopedic surgeon can help monitor your progress and address any ongoing issues.

In summary, while some discomfort after meniscus repair surgery can be normal, persistent pain warrants further evaluation. PRP therapy may be a viable option to explore, but it should be considered as part of a comprehensive rehabilitation strategy. Engaging in a targeted physical therapy program and maintaining open communication with your healthcare providers will be key to your recovery and return to normal activities.

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