Post-Operative Care for Knee Arthroscopy: Is Rehab Necessary? - Orthopedics

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Knee arthroscopic debridement surgery


Hello Dr.
Chang,
My mother underwent a left knee arthroscopy at the end of July this year and has recently received hyaluronic acid treatment.
However, she has not been feeling well since the surgery (there is no redness, swelling, heat, or pain).
I would like to know if this is a normal postoperative phenomenon or if she needs to undergo some physical rehabilitation.
Thank you.

susan, 30~39 year old female. Ask Date: 2011/11/17

Dr. Zhang Jiahao reply Orthopedics


Hello: The findings during knee arthroscopy are very important.
Possible intraoperative findings include cartilage softening or damage, meniscal tears, or soft tissue proliferation, among others.
Different intraoperative findings determine the surgical approach and outcomes.
The original surgeon may have a better understanding of this aspect.
If there are currently no signs of inflammation such as redness, swelling, heat, or pain, you can start with several sessions of heat therapy daily.
If discomfort increases, you may take medication as directed by your physician.
Additionally, avoid heavy activities such as climbing or carrying heavy loads.
If you are unsure, it is recommended to take your mother to an orthopedic outpatient clinic for more accurate advice.
I hope this response is helpful to you!

Reply Date: 2011/11/17

More Info


Post-operative care following knee arthroscopy is crucial for recovery, and rehabilitation is often a necessary component of this process. Your mother’s discomfort after her knee arthroscopy and subsequent hyaluronic acid treatment is not uncommon, but it does warrant attention to ensure proper healing and to address any underlying issues.

1. Understanding Post-Operative Discomfort: After knee arthroscopy, patients may experience discomfort due to several factors, including inflammation, swelling, and the body’s natural healing response. While mild discomfort can be expected, persistent or severe pain should be evaluated by a healthcare professional. It’s important to differentiate between normal post-operative symptoms and signs of complications, such as infection or improper healing.

2. The Role of Rehabilitation: Rehabilitation is often recommended after knee arthroscopy for several reasons:
- Restoration of Range of Motion: After surgery, it’s essential to regain full range of motion in the knee joint. Physical therapy can help achieve this through guided exercises.

- Strengthening Muscles: Surgery can lead to muscle atrophy, particularly in the quadriceps and hamstrings. Rehabilitation focuses on strengthening these muscles to support the knee joint and prevent future injuries.

- Pain Management: Physical therapists can employ various modalities, such as ultrasound, electrical stimulation, and manual therapy, to help manage pain and reduce swelling.

- Functional Training: Rehabilitation can also include training for daily activities, ensuring that your mother can return to her normal routine safely and effectively.

3. When to Start Rehabilitation: The timing of rehabilitation can vary based on the specific procedure performed and the individual’s overall health. Generally, physical therapy can begin shortly after surgery, often within a few days, depending on the surgeon’s recommendations. Early intervention can help prevent stiffness and promote healing.

4. Signs That Rehabilitation is Needed: If your mother continues to experience discomfort, limited range of motion, or weakness in her knee, these are indicators that she may benefit from physical therapy. Additionally, if she has difficulty performing daily activities or experiences instability in her knee, rehabilitation should be considered.

5. Consulting with Healthcare Providers: It’s essential to communicate with your mother’s orthopedic surgeon or primary care physician regarding her ongoing discomfort. They can assess her condition and determine whether a referral to a physical therapist is appropriate. They may also provide specific exercises or recommendations tailored to her recovery needs.

6. Additional Considerations: Alongside physical therapy, your mother should continue to follow post-operative care instructions, which may include:
- Ice Therapy: To reduce swelling and manage pain.

- Elevation: Keeping the leg elevated can help decrease swelling.

- Activity Modification: Avoiding high-impact activities until cleared by her healthcare provider.

In conclusion, while some discomfort after knee arthroscopy can be normal, persistent issues may indicate the need for rehabilitation. Engaging in physical therapy can significantly enhance recovery, restore function, and improve overall quality of life. It is advisable to consult with her healthcare provider to discuss her symptoms and determine the best course of action for her rehabilitation needs.

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