Knee Rehabilitation: Pain and Recovery After Meniscus Surgery - Rehabilitation

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Knee problems


Dr.
Lee, I had a right knee medial meniscus repair and cartilage graft surgery at the end of September this year.
I returned for a follow-up appointment last week, and the doctor mentioned that my quadriceps are currently engaged during knee flexion and advised me to press down and straighten my leg.
However, during the leg press, I noticed a slight pain in the right medial meniscus.
Is this normal? (I had a graft from the right lateral meniscus to the medial side.) Additionally, I am unable to lift my leg from the front and inner side; could this be due to the ongoing healing of the meniscus?

Xiao Wei, 40~49 year old female. Ask Date: 2022/12/07

Dr. Li Weiqiang reply Rehabilitation


Q1: I had a right knee medial meniscus repair and cartilage graft surgery at the end of September this year.
I visited the doctor last week, and he mentioned that my quadriceps are currently flexing and there are issues with leg extension.
During the leg extension process, I noticed a slight pain in the right medial meniscus.
Is this normal? A: How severe is the pain? Is it likely to resolve on its own?
Q2: I am unable to lift my leg from the front and inner side.
Is this because the meniscus is still healing? A: It may be due to insufficient muscle strength.
Have you been receiving rehabilitation therapy?

Reply Date: 2022/12/07

More Info


After undergoing a right knee meniscus repair and cartilage grafting surgery, it is not uncommon to experience some discomfort or pain during the rehabilitation process. The knee joint is a complex structure, and the recovery from such surgeries can vary significantly from person to person.
Firstly, it is important to understand that the meniscus plays a crucial role in knee stability and load distribution. When you have surgery to repair or graft cartilage, the healing process involves not only the physical repair of the tissue but also the re-establishment of the surrounding muscles and ligaments that support the knee. Pain during rehabilitation, especially when performing exercises like leg presses or stretching, can be a normal part of the healing process. However, it is essential to differentiate between normal post-surgical discomfort and pain that may indicate complications.

The fact that you are experiencing slight pain in the right inner meniscus area during leg pressing could be attributed to several factors. Firstly, the surgical site is still healing, and the newly grafted cartilage may still be integrating into the surrounding tissue. This process can take time, and some discomfort is expected as the body adapts to the changes. Additionally, if you are experiencing difficulty in lifting your leg, particularly on the front and inner sides, it could be due to muscle weakness or atrophy that often occurs after knee surgery. The quadriceps muscle, which is essential for knee extension, may need time and targeted rehabilitation exercises to regain strength.

During the rehabilitation phase, it is crucial to follow your physical therapist's guidance closely. They will likely recommend a progressive rehabilitation program that includes range-of-motion exercises, strengthening exercises, and functional activities. The goal is to gradually increase your knee's flexibility and strength without overloading the healing tissues. If you find that certain movements consistently cause pain, it is important to communicate this with your physical therapist or orthopedic surgeon. They may need to adjust your rehabilitation program to ensure that you are not exacerbating any underlying issues.

In terms of timeline, recovery from meniscus surgery can vary widely. Generally, patients can expect to see significant improvements in function and pain levels within a few months, but full recovery may take up to six months or longer, depending on the extent of the injury and the surgery performed. It is also important to note that while some discomfort is normal, persistent or worsening pain should be evaluated by your healthcare provider to rule out complications such as re-tearing of the meniscus, infection, or issues related to the graft.

In conclusion, while experiencing some pain during rehabilitation after meniscus surgery can be normal, it is essential to monitor your symptoms closely. Ensure that you maintain open communication with your healthcare team, adhere to your rehabilitation program, and report any concerning symptoms. With time, patience, and appropriate rehabilitation, many patients can achieve a successful recovery and return to their normal activities.

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