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How Long On Crutches After Meniscus Repair?
How Long On Crutches After Meniscus Repair? Most individuals need to use crutches for about 4-6 weeks after meniscus repair, before transitioning to weight-bearing activities. Meniscus repair surgery is a common procedure used to treat a torn meniscus in the knee. The meniscus is a C-shaped piece of cartilage that provides cushioning and stability to the knee joint. After surgery, it is crucial…
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So here's an oddly specific prompt that you absolutely cannot prove is based on actual life events. (Escape) ending. Instead of opting for the faster recovery of removing the damaged bits of meniscus in his knee, Chris gets the damaged tissue repaired, which comes with a long, long recovery with zero weight-bearing on that leg for a couple months. So... with this going on, could I have six sentences of him realizing he's locked his keys and crutches in the car at a gas station?
He could’ve called the girls, that was the thing - he could’ve (and probably should’ve) called them to ask for help, but man oh man, he could already hear the ‘I told you so’s and feel the disappointed looks, so NOPE.
He was a smart guy, after all...he could...he could figure this out, right?
“This is your fault, you know,” Chris muttered in the general direction of his knee, wincing as he tried the driver’s side door again before sitting on the hood of the car and awkwardly scooting himself across to try the passenger’s side instead, “If you didn’t have to go and fucking...crunch...if you could’ve just been an adequate fucking body part for once...”
The passenger’s side was just as locked; a deflated glance through the window (the move he perhaps should’ve taken in the first place) revealed beyond a shadow of the doubt the back doors were locked too, which left him with only one other option...
Taking out his phone, he tapped a contact and braced himself for one hell of a conversation, muttering a too-cheerful “Heyyy Sam...know anything about breaking into cars?” as he tried not to think about how hard Josh would’ve been laughing, had he been there.
six sentence sat(or)sunday!!!
#wacem#asks#queenie writes supermassive#the almosts#i wont ask if the prompts based on real life events as long as YOU promise not to ask whether the breaking into a car recently#(due to idiocy) is based on real life events in turn#pinky promise
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hey hey it’s everyone’s not-so-favorite crippled dyke trying to pay her bills while she recovers from knee surgery!
i had an arthroscopic procedure to repair a torn meniscus and remove a cyst in my right knee on the 13th and i’m currently on a leave of absence from my job that’s supposed to be six weeks long, so yeah i’m not making money right now. i can’t even get around without crutches or a walker, i obviously can’t drive, especially on prescription narcotics, and i also have stitches in my knee (i’ll spare everyone from looking at them). i also have lupus + arthritis, fibromyalgia and joint hypermobility syndrome - that’s how the meniscus tore in the first place - which has already reduced my ability to work like i used to the past year and a half and i’m ready to just give up already. i’ve been trying to get SSDI for over a year now and while the social security administration said they would do a reconsideration of my case after i handed in a doctor’s note and my leave papers for my file i haven’t heard a peep from them since.
i really just need help with my internet (it’s $200-something because centurylink won’t stop trying to tack shit onto my bill) and my cellphone (it’s $150), so i’m looking at $350. my previous orthopedist bills were adjusted to a zero balance cause i’m that poor so we don’t have to worry about that FOR NOW.
HTTPS://WWW.GOFUNDME.COM/IMTIREDCOM paypal / venmo / google wallet: [email protected] || cash.me: $Colorthecover || WISHLIST
to those who wanna roll up in here with something smart: BEGONE, lest you wanna catch these crutches. to everyone else, thank you for reading and boosting!
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Magic and Moonlight: Chapter 24
Here I am with chapter 24. Tagging: @queenofthearchitect @biforbecky2belts @balorsbitxh @mrsambroserollinsacklesmgk @mox-made-me-do-it @sassyspacedust @afauss2009 @calwitch and @never-sawft-princess If you want to be tagged, hit my inbox. Enjoy!
My feud with Colby was going great. Kane has been hounding him at every turn and I was enjoying every second of it. Despite our feuding, Colby and I still rode together between venues. But today were on our flight to get started on the European tour before Survivor Series. Since Colby and I were feuding, we were on the same tour and heading to Dublin, Ireland for the first stop. Our plane had just touched down and Colby and I were waiting for our luggage.
“Are you excited for this tour,” Colby asked as he grabbed our bags from the luggage claim belt.
“I am,” I smiled as I took my bags from him before lacing our fingers together to go to bus queue where we’d be gathering with other superstars on our tour team, “I didn’t get to enjoy the last tour since I was out pregnant with Tyler.”
“You’ll have a blast I promise,” he smiled as we joined back up with Cesaro and several other stars from the locker room, “Do you have a match during the first show?”
“Yeah I’m going against Naomi,” I replied, “I heard you have a street fight with Kane. You’re going to do great.”
The show was well under way and I had already had my match, which I won. I was now on the stage, mic in hand, and Colby was in the ring. I was going to tear Colby apart before his title defense against Kane in his street fight.
“Seth, you really are carrying the company on your back,” I chuckled a little, “Because it clearly is so easy that a simple idiot like you has been able to stay champion from sheer dumb luck and cheap tactics. I don’t think you deserve to be the top guy of the company. And Kane is going to fix all of that tonight.”
With that, Kane entered the arena and took to the ring. He dominated the match for quite a while. Soon Colby had him set up to take a huge spot they had planned before we made the trip to Dublin.
Colby was on the top rope and Kane stood on the middle rope. Colby went to do a sunset flip, a move he has done hundreds of times without an issue. But this one ended up differently. When came down behind Kane, his foot hit the matt wrong and he collapsed hard. Colby had to use the ropes to stand back up. He somehow was able to pick up Kane and send him through the table set up in the middle of the ring.
Colby continued on through his match, even landed the pedigree to finish the match and got the pin. He stayed curled up on the matt as the ref handed him his title back as the trainers and doctors came into the arena to check on him. I opted to stay back in gorilla so they could attend to Colby to make sure he was okay. I could tell he wasn’t.
A trainer slung Colby’s arm over his shoulder and helped him to the back. The moment Colby got to the back I took his title as he was led further into the backstage area to the trainer’s room. I stayed with him in the ring, just watching helplessly as the trainers checked over his knee.
“Alright, so we’re going to need you to get to the hospital in Cardiff to get checked out,” the head trainer said as he got Colby a pair of crutches, “Until we know what’s going on, ice your knee and don’t put any weight on your right leg.”
“Thanks guys,” Colby thanked the men as he got up from the table and I led him out of the room, “Let’s go get a shower and head to the hotel for the night.”
Colby and I found out that he had nearly completely destroyed his knee. Colby had torn his ACL, MCL, and the meniscus of his right knee. Colby was sent back to the States and down to Birmingham, Alabama to get surgery to repair the damage. This left me alone on the tour. I was not allowed to join him on his trip back home.
“All alone again I see,” I looked up from my plate as I was sitting in catering before Raw would air, “No loverboy to look after you.”
“Dean,” I sneered at him, “Come to make easy picking of me. I have no time to deal with you.”
I went into his mind and gave him aneurysms over and over as his rapid healing mended the damage I was causing him, giving him a very painful headache. Roman came over to comfort him as I stopped his suffering.
“Try to attack me again and I will turn your fur inside out,” I threatened as I walked out of catering.
Tonight, I was going to be relinquishing Colby’s title on his behalf as a way to call a truce between us. I knew this would more than likely cause Colby to be removed from the Authority when he returns, but everything was up in the air at the moment. All I knew was that I would have to end my relationship with the Authority eventually.
“Sorry I’m late, Stephanie,” I greeted her as I entered the ring, holding Colby’s title against my shoulder, “I had to find Seth’s title.”
“That’s okay,” she replied, “I can’t blame him for wanting to hide the title. But seeing as he will be unable to defend his title for the foreseeable future, he has to relinquish it. So with a vacant title, we will have a tournament and the final round will be held during Survivor Series, where a new champion will be crowned.”
Roman ended up winning the WWE title at Survivor Series and tonight was the Raw after Survivor Series and I was going to make my break from the Authority tonight. I was now nowhere closer to getting my hands on Morrigan and I had no use to work with the Helmsleys anymore.
“Roman we want you to join with us,” Stephanie proposed to the big Samoan, “We could help you stay atop the mountain and stay champion for a very long reign.”
“You can’t be serious,” I interrupted as I came out of gorilla, “The moment you get a new champion, you completely forget about Seth. He didn’t get injured on purpose. I will not stick around to watch you burn me out of the Authority too.”
“Then so be it, Casey,” Stephanie looked at me, “Consider yourself out. You interrupt any of our plans, and I will see you punished in any way I see fit.”
I decided to get into the ring and I slapped her. I was not going to make this easy for her to just ignore me. I was going to be a thorn in her side on behalf of Colby as he stayed at home with Tyler while he worked on recovering from his injury.
“Casey,” Hunter yelled at me as Stephanie cowered behind him, “Consider yourself suspended for the next thirty days. Now get out of my ring!”
I smirked as Roman wound up for a Superman punch. Hunter followed my gaze and turned towards Roman, leading to Roman hitting him right on the jaw. I high fived Roman, making it known I had made peace with him. I climbed out of the ring and made my way backstage.
I went into my locker room and I checked my phone to find that I had a missed call from Colby. I called him back immediately as I began to pack up my things to get out of the arena for the night before getting on the first plane out to Davenport to return home to my two favorite men.
“Hey Thea thanks for calling me back,” Colby greeted me, “I was watching you in the ring and I am so proud of you. That slap was great. I think I saw Steph’s head spin.”
“I had to do right by you,” I replied, “Even if we were feuding. Anyway, seeing as I’m suspended, I’m going to be getting on the next flight home in the morning. And then I’ll be home with my two favorite boys.”
“I can’t wait to have you home,” he laughed, “Then I don’t need to have my mom over every day to help me with Tyler and baby me all day.”
“You do know that I will baby you when I get home, right,” I asked him.
“It’s different when it’s coming from girlfriend and not my mother,” he countered, “I feel like I’m six-years-old again.”
“Don’t worry,” I chuckled, “I’ll be home very soon. But for now, I’m going to let you go so I can go find my rental car and get to hotel so I can get some sleep before my flight tomorrow. I love you, Colby.”
“I love you too, Thea,” he replied, “Stay safe and I’ll see when you land.”
I finally landed in Davenport and I was so excited to be reunited with Colby. I missed him ever since he had to stay home due to his injury. I hadn’t be away from for this long since before Tyler was born, even then he was able to visit me nearly every week before tours would start.
I dragged my bags behind me as I went over to the carpool lanes where I was going to be meeting up with my mom to get a ride home. Holly opted to stay at mine and Colby’s place to help look after Colby and Tyler before I got home and I would take over.
“Hi mom,” I greeted my mom with a hug as I got to her car, “Thank you for coming to pick me up from the airport.”
“Not a problem, Thea,” my mom kissed my forehead before taking my bags and loaded them into her trunk, “Now let’s get you home. I’m sure Colby will be happy to see you again.”
The ride home was quick and I was happy to see that my boys were in the living room to greet me. Colby was standing, using his crutches to stand as he held onto Tyler. I immediately took Tyler into my arms and earned giggles and coos from my little boy.
“Welcome home, babe,” Colby hobbled over to me and planted a kiss in my hair as I held Tyler between us, “We both missed you terribly.”
“I can imagine,” I hummed as I set Tyler down to let him crawl around on the floor before I wrapped my arms around Colby’s waist, “How are you holding up?”
“He’s been a moaning pain in the butt all week,” Holly called as she came out of the kitchen, “Welcome home Thea. How was your flight?”
“Mom really,” Colby groaned, “Ignore her, that’s what I do.”
“That’s why I have to do this all the time,” Holly pinched him on his bicep and earned a whimper out of Colby, “I’m going to head home. If you need anything, Thea, give me a call.”
And like that, she was out the door. I helped Colby over to the couch and propped his leg up on the coffee table to get him comfortable before I tucked into his side on the couch. I hummed as I basked in the feeling of being home at last.
“So what do you want to do,” I asked Colby as he wrapped his arms around me.
“I just want to relax and maybe watch a few movies with you,” he replied, “I’m exhausted from not being able to sleep due to the pain in my knee.”
“Do you want me to heal your knee,” I asked him, “That way you won’t be in so much pain.”
“No,” he replied, “I’m more than willing to let my knee heal the normal way. I like having a chance to be at home for a while. I get to finally be home with my son.”
“That’s fair,” I replied, “At least let me ease some of your pain okay.”
I channeled a calming aura into the room, aiming to ease his pain. I set the aura to linger through the entire house and to stay around without draining me of my energy. It was an advanced spell I picked up from taking care of my own bumps and bruises from being in the ring.
“Now,” I got up from the couch to grab Colby’s Xbox controller and the TV remote, “How about you pick out a movie and I will make us something to eat.”
#seth rollins x oc#seth rollins fic#seth rollins fanfic#seth rollins fanfiction#wwe fic#wwe fanfic#wwe fanfiction#werewolf!seth rollins#witch!oc#supernatural/occult!au#magic and moonlight
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DISCLAIMER: I am not a medical doctor and even if I was you shouldn’t believe everything I say. I have injured my knees many times and I am sharing what I have learned.
What is a torn meniscus?
A torn meniscus is a tear of the cartilage that acts as a cushion and stabilizer between the major bones of the leg. If you look in the picture above you can see that you have an inside (medial) and outside (lateral) meniscus.
Either one of these can be torn.
What causes a torn meniscus?
A torn meniscus is often caused by an unusual movement or twisting of the knee.
What is a torn meniscus surgery?
This is when they will insert a tiny camera into your knee and then go in to either remove the torn bit (which is called a partial meniscectomy PM) or they will try to repair it with stitches (sutures).
Repair has better results, but is not without risk. PM also has a higher risk of developing arthritis.
When is torn meniscus surgery necessary?
I would say torn meniscus surgery is possibly (but not always) necessary or an emergency when you have mechanical symptoms like locking. If you injured your knee and then following it you couldn’t bend your knee or you feel something catching then ‘maybe’ you need surgery.
Different surgeons have different protocols and different ways to calculate whether a surgery is necessary, but keep in mind that they are a surgeon.
The best doctor you could have would be one versed in various techniques to heal the injury or treat it like: partial meniscectomy, repair, PRP, stem cells, etc.
But normally they are not, they are a surgeon.
They don’t have all the answers.
Most surgeons are actually practicing old medicine in a sense and not the most up to date and what’s used 100 years from now will be more advanced. The journey from studies to practice in medicine can take 17 years according to one study.
What to do when you have a torn meniscus?
When you have a torn meniscus the best thing to do is take it easy and wait. You will want to limit motion and walking and then only gently and gradually add motion over the weeks and months to follow. You may even want to get a pair of crutches.
And limit walking for up to two weeks to allow any hematoma a chance to heal the best. STUDY
If you have severe mechanical symptoms (locking and catching) then maybe you want to see a doctor and inquire about surgery and the best thing to do.
Rehab is something you will need to do but not too fast.
Cartilage is very slow to heal. Some doctors say it can’t heal, but beware of doctors that make statements like that because it’s not the total truth. It may be difficult to heal, but it is not impossible. STUDY
Will a torn meniscus heal itself without surgery?
It entirely depends on the tear and what you do. It’s possible that a torn meniscus can heal itself without surgery, but sometimes it will need prompting via alternative means and it will always need rehab.
Whether you get surgery or not you need to get religious about rehab.
It’s possible that the damage is so severe that it wouldn’t heal well. If you have severe symptoms like locking then maybe not.
It’s also possible that it will only partially heal.
Or it may not grow back together but the pain will disappear. Asymptomatic tears exist. STUDY
Mainstream ortho’s say that if it’s in the red zone (vascular part) it can heal. And if it’s in the white zone (non-vascular) part it can’t. However, some STUDIES show that you have stem cells in your knees following injury and other STUDIES show that these cells where able to cross from the red to white zone.
Will a torn meniscus show on an mri or an xray?
How is it diagnosed? A torn meniscus is diagnosed by MRI. It should show on an MRI but not on an xray. Xrays are typically used for bone. Your doctor should be able to read the MRI.
Although some lesions (tears) can be missed.
What does a torn meniscus look like on mri?
it typically looks like a white line. And it’s very easy for an untrained eye to miss.
Will my torn meniscus pain go away?
Most tears may take 2 months or more to heal. In that time the pain may go away entirely. Some people do have chronic pain or reoccurring meniscus tear symptoms. It may come and go.
A surgery at a later time may improve symptoms although that can also cause longer term problems down the rode.
So it could be a case of damned if you do damned if you don’t.
Does a torn meniscus require surgery?
No not necessarily. In fact some STUDIES show that partial meniscectomy surgery is overused. You want to be very cautious about proceeding with surgery.
Typically tears that have mechanical symptoms like locking or catching may require surgery. However, some REPORTS show that people can have these symptoms after surgery too.
Is a torn meniscus painful?
Yes, it can be very painful. The first time I tore mine in judo class was extremely painful. My knee hyperextended and I couldn’t stand for maybe an hour.
Walking was extremely painful and it was a couple of months before I returned to normal activities at about 90%.
This last time I tore it was not initially as painful as the first time but definitely took longer until I felt better. I still have some pain that comes and goes and certain activities can aggravate it.
How long does it take a torn meniscus to heal?
That depends on the tear. A small tear in the vascular zone may heal within a month. Other tears can take 2 months or more. Full maturation of a tear can take a year or more. STUDY
You will need a rehab program and some alternative treatments may make healing faster.
Severe tears may not heal well or completely.
How does a torn meniscus heal?
A torn meniscus will try to heal itself via blood from the vascular part, cells that can cross from the red zone to the white, stem cells in synovial fluid and nutrients from nearby bone. STUDIES
How is a torn meniscus repaired?
A torn meniscus is usually “repaired” with stitches (sutures). A partial meniscectomy is more frequently practiced though and this is not really considered “repair”.
Arthroscopy is when they will put a little camera in you knee and then stitch together the torn bits of meniscus. Or in the case of partial meniscectomy (PM) they will remove the torn bit.
STUDIES show that repair has a failure rate of about 10-30%. And other studies show that PM can have and arthritis RATE of over 60%.
More advanced surgeons may add certain growth factors during the surgery.
There are other treatments as well that may help the meniscus heal itself.
What does a torn meniscus feel like?
It can feel like a sharp stabbing pain or it may feel like a dull pain. There may be stiffness as well.
Other torn meniscus symptoms could be:
popping
clicking
locking
catching
What does a torn meniscus look like?
Here you can see what a torn meniscus looks like. There are different kinds of tears:
horizontal
oblique
radial
flap
bucket handle
longitudinal
horn rupture
What helps a torn meniscus?
Rehab will help it STUDY although don’t go too fast. Certain growth factors have also been shown to help it as well. STUDIES
It’s a knee joint so it’s designed to move so it needs to move, however that should be limited in the beginning depending on the extent of a tear.
Why does a torn meniscus hurt at night?
A torn meniscus can hurt more at night because inflammatory factors increase in the evening.
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Recovery and Discharge Time after Knee Arthroscopy
Recovery from arthroscopy knee surgery is much faster than traditional surgery. However, it varies depending on which area has been operated and the method used by the orthopaedic surgeon in Delhi. This involves torn meniscus, cruciate ligaments, synovial membrane, patella misalignment, broken joint cartilage and other pathologies such as Baker's cyst.
Tips to follow
As a rule, the recovery time of a knee arthroscopy in Dwarka depends on how long it takes for the inflammation caused by surgery to disappear. The patient should follow some tips such as:
Use crutches for eight or ten days.
Put your knee high using several cushions to cushion, in order to control swelling the days after surgery.
Not standing for a long period of time, or doing any exercise until your doctor tells you to.
Take pain relievers to alleviate pain.
Take anti-inflammatory medication, such as ibuprofen, and get cold in the area.
Start exercising to boost your area's musculature, when your physiotherapist in Dwarka advises you.
In most cases, the time off for a knee arthroscopy in Dwarka is estimated at one month. From that moment on, the patient can regain his or her normal routine.
The same is not true if the patient has undergone a more complex surgery such as meniscal repair. Here the immediate postoperative is heavier, although the results are very good. After the surgery, the advice of orthopaedic in Delhi should be followed and the knee should not bend more than 60 degrees or carry weight on the operated leg the first month. During that time you have to use crutches, avoiding supporting your foot and having your knee suffer. After 30 days you have to start a progressive rehabilitative treatment, from least to most. Recovery lasts about 3 or 4 months. After this time the patient regains mobility in the joint and can reach its previous sporting level, explains the best knee surgeon in Delhi.
After surgery, some precautions should be taken to prevent wounds from becoming infected. The incisions should be kept clean and dry while the stitches are maintained. It is recommended to cover the operated leg with a plastic, when the patient is going to shower, to protect it from moisture and water. Routine checks are common for the specialist to assess development. Your orthopaedic in Tilak Nagar will also indicate when you can drive again, although it usually will take one to three weeks.
Rehabilitation and exercises
Rehabilitation following a knee arthroscopy in Dwarka seeks full joint recovery, returning tone, strength and mobility. In athletes, this step, prior to full recovery, is very important to get back to their sporting level before the injury. The type of injury marks when rehabilitation needs to begin and how it should be done, says the sports injury specialist in west Delhi.
There are exercises the patient can do at home. The most common ones, which can be done sitting or standing are:
Contract the quadriceps, pressing the knee and holding for five seconds.
Raise your legs about 30 cm and keep them stretched with your foot in a flex position (planting dorsiflexion) for a few seconds.
Both require about 10 repetitions. Also, when crutches are no longer used, the orthopaedic in Delhi recommends:
Carry weight on the knee gradually.
Perform joint bending and extension exercises.
Up and down stairs
Walk
After a knee arthroscopy in Delhi, most people in a month resume their normal activity and work, although in some cases they may need to use crutches. In certain surgeries, recovery lasts for several months.
#arthroscopy in Delhi#arthroscopy in Dwarka#best knee surgeon in Delhi#orthopaedic surgeon in Delhi#orthopaedic in Delhi#orthopaedic in Tilak Nagar#sports injury specialist in West Delhi
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Does Platelet Rich Plasma (Prp) Therapy Works For Knee?
Traditionally knee pain caused by osteoarthritis (OA) can manage by the use of anti-inflammatories, physical therapy, cortisone injections, and surgery. Recent clinical studies suggest that the PRP therapy for knee is also useful in managing or controlling the knee pain caused by osteoarthritis (OA).
How does platelets rich plasma therapy works for knee pain?
Platelets rich plasma (PRP) therapy involves collecting a small amount of your own blood and spinning that in a centrifuge machine to separate the platelets from the red cells. The platelets which are collected after the centrifugation are then injected into the knee to stimulate healing and regeneration of damaged cells or tissues.
PRP for knee is designed to rebuild cartilage, repair torn meniscus and ligaments, and reduce swelling and pain caused by osteoarthritis or any other musculoskeletal problem. An experienced clinician can help you in joint replacement, PRP for knee also help certain patients to avoid a surgery. Platelets rich plasma therapy works by stimulating the natural immune repair mechanisms and supplying the growth factors necessary to rebuild tissue.
PRP for knee are designed to deliver high concentration of endogenous; it means your own home-grown platelets to the knee where osteoarthritis is present.
Since platelets play a significant role in the healing process of tissue, reintroducing a high concentration of platelets directly into the injured area may enhance the healing process.
After the PRP injections:
Once you use PRP for knee, you should restrict to some instructions like;
· Avoid doing strenuous exercise, particularly movements that put weight on your knee joint.
· Avoid using anti-inflammatory medications, such as aspirin and ibuprofen because these drugs can interfere with the PRP treatment. People who need pain relief can ask their doctors about some other options.
· You should wear a splint for the first few weeks to stabilize the joint. Some providers may also recommend using crutches to avoid putting unnecessary weight on the knee.
· Using cold compresses to decrease swelling and reduce pain. Some people find that alternating hot and cold packs is helpful.
· Elevating the joint at night, by sleeping with the knee (or affected joint) rose on a few pillows.
· Should follow all the instructions from your doctor.
Advantages of PRP treatment:
There are various reasons that why the patients of osteoarthritis might consider PRP treatment for their knees. Some of the advantages of PRP for knee include;
· Platelet-rich plasma is autologous plasma which means it comes from the patient’s body, so it is natural and the injections carry few risks.
· Other treatments can be unreliable or vary from person to person, and some have drawbacks like these treatments are only useful in managing the pain symptoms but they can’t eliminate the pain. And due to the usage of repeated injections ligaments will become weak.
· But unlike other treatments, PRP for knee do not require long-term rehabilitation and don’t have adverse effects on health.
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[If you don’t want to read an angry, self-pitying rant just skip it. Also I don’t want advice. It’s cathartic to yell on the internet]
Anyway I had 80% of my meniscus removed, am doing physical therapy twice a week with a copay of $35 ($280/month). No weight bearing at least until my post-op on the 18th, and I’ve already been on crutches for almost 3 weeks. In fact, it will be 3 weeks on Saturday. I need rides everywhere, I can’t clean my room or do my laundry by myself. I can’t even fill up my water and take it to my bed stand. My knee hurts randomly, I still don’t have full ROM, I have to do physical therapy exercises 4-6 times per day but I don’t have time now that I’m back on campus with all our mandatory labs, ultrasounds, dissections, peer teachings, exams, and clinical skills. There’s never a good time to blow your meniscus, but when you’re 27 and in your neuro block, that’s objectively the worst time. At least in MSK we didn’t have so much mandatory cramp. If I miss >2 weeks of mandatory events, I have to make things up over the summer. Like the whole block. Which I am 5 weeks into (out of 12) and it’s hell, so no thank you. Also I don’t want it to interfere with the research I’m doing, especially because I need it to be competitive to do residency where I want.
I think I’m eligible for a meniscal transplant. From what the PT, PA, and technician said, unless something drastic happens we can talk about doing it. The orthopod seems gung-ho about it. It’s a rare surgery, and has a 49% success rate at 10 years. That puts me at 37 when it fails. I’m just trying to buy time so I don’t have to get a total knee arthroplasty in my early 40s. Without my medial meniscus I’m looking at 15x more pressure with weight bearing. My physical therapist said it’s much better to have a medial than a lateral meniscectomy, at least. The medial compartment is apparently better at distributing shock. Still 1500% more shock than with a normal meniscus, but whatever. Apparently the recovery from the meniscus transplant is rough. I haven’t looked too much into it yet because the last time I was on the internet I got infinitely depressed. My PT told me that they usually save these surgeries for young people who have their meniscus removed, because the long-term effects are catastrophic. And while he was talking about adolescent boys, I’m also only 27. Let me repeat: ONLY 27. And I love weight bearing activities. I’m active as fuck. I lost 50 lbs being active and have kept it off for like 5+ years by being active. Telling me I can’t play tennis, can’t run unless I’m willing to say FUCK YOU to my knee cartilage is honestly like killing a part of me. I think I am actually going through the grieving process. I told peter before they took me into surgery and the night before that them taking out my meniscus was my worst fear. I expected it wouldn’t be repaired, but I thought hey, they’ll leave 50% at least, right? I woke up at it was 80. I cried all weekend from the time the drugs wore off until I just got fucking mad. I accidentally went to the same-day surgery floor today on my way to PT and the last time I was there i still had my meniscus. Nice. It made me feel like shit to stand there.
Classes are fine. My grades are fine. Still sitting around average, which is where I want to be. I just have so much work to make up from the week I was out, and then we just have a bunch of busy work anyway. I have shadowing reflections and SOAP notes and IHI coursework and a QI project to do all before spring break in a week. And next week itself is hell because I’m making up two labs and doing two labs (which are long and hard and have quizzes) Monday and Tuesday. I have LPCC Wednesday which eats up my afternoon, but guess what, the practical over ALL the labs we’ve done (like 12), 3 dissections, and 2 prosections is on Thursday. AND I’M ON CRUTCHES. The literally the day after we have our biweekly exam. WTF? And I’m supposed to be doing all my busy work while studying for all this shit and making up work ON CRUTCHES.
And I made a counseling appointment but it’s during spring break, so all my friends will be living it up in New Orleans and guess who cant fucking go now. This fucking blows. I have never gone out with friends for spring break, and I helped make all the plans, and I was SO SO SO SO SO EXCITED, and now it’s just all SHIT because of my knee. And I have to FUCKING UBER to my counseling appointment because my roommate is busy and everyone else I know will be out of town!!!! Amazing!!!! And my dad has to drive 3 hrs to pick me up and drive 3 hrs back. This is pathetic and frustrating and I’m so mad.
And I keep fucking FALLING!!!! When I’m at school for so long having to stand and sit in chairs (BOTH OF WHICH ARE UNCOMFORTABLE AND CAUSE ME PAIN) I get tired and am more likely to put unintentional pressure on my bad leg. And my apartment has stairs I need to go down and I fucking tripped and landed with ALL my weight on my effectively medial-meniscus-free leg. CLASSIC. AWESOME.
I have to study in my bed because chairs and the couch are uncomfortable and I have to keep my leg extended. It’s hell on my back. My neck hurts, my back hurts. It’s hard to focus when you hurt. I’m tired and I’m sick of this. I know people have it worse than me. I don’t care. This sucks so bad. I went through a pretty bad bout of depression and now I’m just MAD. I’m mad at everyone. I want to lash out at the people I love. Incredible. Amazing. Wow.
Literally every time I say things can’t get worse, they do. That’s how I landed with this $35 co-pay, and then later turned the wrong burner on when I was trying to cook and burned my plastic bowl. Honestly, that’s how what I thought was a minor meniscus tear turned into a bucket-handle tear that flipped under my femoral condyle and got ground into fucking mush
I don’t want to give up but I want a fucking break
Also it’s already April and I have nowhere to live next year
lit
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A dream deferred but not denied by ACL tear
The dream of playing college soccer was within reach. Emily had been working on her game since she was four years old, and at 16 was now co-captain of both her high school and club teams. Colleges were taking note.
Just three games into club season, Emily was on the field in North Carolina, running back to her net when she tore her left anterior cruciate ligament (ACL). She heard her knee pop, and knew immediately what had happened. “I’ve always had a high tolerance for pain, but that definitely raised the bar,” she says. Her mother Lauri can still hear her daughter’s screams from that day as she watched the event unfold from the sidelines.
Six months later, Emily is tackling recovery the same way she tackles life. “Emily is a go-getter,” says Lauri. “In school and in soccer, she works and works and works — she just never stops.”
Double diagnosis: Torn ACL and meniscus
The day of the injury, Emily and her family bought a pair of crutches and some Advil at a local pharmacy, and flew back to Boston on their scheduled flight. Despite the pain, Emily went to school the next morning because she didn’t want to fall behind in her studies. Her dad picked her up early from school and they drove together to meet with Dr. Benton Heyworth, orthopedic surgeon at Boston Children’s Hospital Sports Medicine Division.
An MRI confirmed Emily had torn both her ACL and meniscus. She knew it was coming, but the diagnosis was hard to hear. “I remember looking out the window in his office and just crying. That was a tough moment.”
But in typical Emily fashion, she wiped off her tears and geared up for what was next. “Dr. Heyworth explained everything about how the surgery is done, what to expect during recovery, and how important physical therapy would be,” says Emily. “Dr. Heyworth is incredible,” adds Lauri. “He talks to both the patient and the parent, and answers all of our questions.”
“Emily is ambitious and passionate about soccer, and she is also a caring and loyal friend who would do anything for someone else. She is beautiful inside and out.” ~ Lauri, Emily’s mom
On December 21, just 17 days after the injury, Heyworth performed reconstruction surgery on Emily’s knee — repairing the meniscus and replacing the ends of her torn ACL with a tendon graft from her own hamstring. “One of the many ways we invest in our patients’ long-term health is by focusing on joint preservation,” says Heyworth. “In Emily’s case, we repaired her torn meniscus instead of performing a partial meniscectomy, which involves trimming part of the meniscus out and can cause an accelerated rate of arthritis.”
Recovery: A focus on injury prevention
With ACL re-tear rates as high as 13 percent for teens, the right recovery program is key to a healthy and strong return to play. “Our ACL Program is unique in that everyone who undergoes ACL surgery at Boston Children’s has access to The Micheli Center for Sports Injury Prevention,” explains Heyworth. “Here, sophisticated injury prevention assessments are performed 6 months after the surgery, and again at 9 or 12 months, if necessary. The extra support is important and allows us to assess lingering or persistent issues before an athlete returns to play.”
Emily’s early recovery involved a full-leg brace and no physical activity. She admits those first few months were emotional as she longed to get back in the game and doubted her ability to do so. Frequent check-ins with Heyworth and The Micheli Center helped remind her she was on track. And two friends who tore their ACLs before Emily offered companionship and support. Their high school classmates refer to the three girls as “The ACL Crew.”
Prognosis: College soccer still in sight
Emily in her element before injury.
Today, things are looking up. Emily wears a more flexible sports brace and can run on a treadmill. She maintains a rigorous schedule of daily physical therapy, as Heyworth had recommended. “Obviously I’d rather be at practice, but the only way to get better and play soccer again is to do what I know I need to do.”
Emily is likely to be back on the field by September, just in time to shine for college coaches. She is hopeful but patient. “It took me years to get the hang of skills like cone dribbling and shooting with both feet, but I never gave up. I learned that things take time and will always fall into place.”
Until then, Emily is exploring other interests. “I miss soccer, but now that I’m not playing, I’ve been able to focus more on my schoolwork and start a job. I believe that everything happens for a reason. You might not know why something happened to you, but if you’re willing to accept it, you’ll see things you would have never noticed before and you’ll be stronger in the end.”
Learn more about Boston Children’s Hospital ACL Program.
The post A dream deferred but not denied by ACL tear appeared first on Thriving Blog.
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How Long On Crutches After Meniscus Repair?
#howlongaftermeniscusrepaircanyouwalk#howlongareyouoncrutchesaftermeniscusrepair#howlongareyouoncrutchesaftermeniscusrepairsurgery#howlongareyouoncrutchesaftermeniscussurgery
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Knee Arthroscopy - What You Need To Know
Arthroscopy in Delhi is a common surgical procedure in which a joint is visualized using a small camera. Arthroscopy gives doctors a clear view of the inside of the knee. This helps them diagnose and treat knee problems.
Technical advances have led to high-definition monitors and high-resolution cameras. These and other improvements have made arthroscopy a very effective tool for treating knee problems. According to Orthopaedic in Delhi, more than 4 million knee arthroscopies are performed worldwide each year.
Description
Arthroscopy is done through small incisions. During the procedure, your orthopaedic surgeon in Delhi inserts the arthroscope (an instrument with a small, pencil-sized camera) into your knee joint. The arthroscope sends the image to a television monitor. On the monitor, your surgeon can see the knee structures in great detail.
Your surgeon can use arthroscopy to feel, repair, or remove injured tissue. To do this, small surgical instruments are inserted through other incisions around your knee.
Preparation for surgery
If you decide to have knee arthroscopy in Delhi, you may need a complete physical exam with your family doctor before surgery. Your doctor will evaluate your health and identify any problems that may interfere with your surgery.
Before surgery, tell your orthopaedic surgeon in West Delhi about any medications or supplements that you take. The doctor will tell you which medications you should stop taking before surgery.
To help plan the procedure, your orthopaedic surgeon in Dwarka may order preoperative exams. These may include blood cell counts or an EKG (electrocardiogram).
Surgery
Almost all arthroscopic knee surgery is performed in outpatient care.
Process
The best knee surgeon in Delhi will make small incisions in your knee. A sterile solution will be used to fill the knee joint and remove any cloudy fluid. This helps your orthopaedic surgeon see your knee clearly and in full detail.
Your surgeon's first task is to properly diagnose your problem. He or she will insert the arthroscope and use the image projected on the screen to guide you. If surgical treatment is necessary, your best knee surgeon in West Delhi will insert tiny instruments through another small incision. These instruments can be scissors, razors, or lasers.
This part of the procedure generally lasts from 30 minutes to just over an hour. How long it lasts depends on the findings and the treatment needed.
Knee arthroscopy in Delhi is most commonly used to:
Remove or repair broken meniscus cartilage
Reconstruct a torn anterior cruciate ligament
Trim broken pieces of articular cartilage
Remove loose pieces of bone or cartilage
Remove inflamed synovial tissue
Your surgeon can close the incisions with a suture or steri-strips (small adhesive strips) and cover them with a soft bandage.
You will be transferred to the recovery room and could go home in 1 to 2 hours. Make sure someone is with you to drive you home.
Recovery
Recovery from knee arthroscopy is much faster than traditional open knee surgery. Still, it is important to follow your orthopaedic surgeon's instructions carefully after you return home. You should ask someone to accompany you the first night at your home.
Inflammation
Keep your leg elevated as much as possible for the first few days after surgery. Apply ice according to the recommendations of orthopaedic in West Delhi to relieve inflammation and pain.
Care of compresses
You will leave the hospital with a bandage that will cover your knee. Keep the incisions clean and dry. Your orthopaedic in Dwarka will tell you when you can shower or bathe, and when you should change the dressing.
Your surgeon will see you in the office a few days after surgery to monitor your progress, review the results of the surgery, and begin your postoperative treatment program.
Bear weight
Most patients need crutches or other assistance after arthroscopic surgery. Your orthopaedic doctor in Delhi will tell you when it is safe to support weight on your foot and leg. If you have any questions about bearing weight, call your surgeon.
Driving vehicles
Your orthopaedic doctor in West Delhi will discuss with you when you will be able to drive. This decision is based on several factors, including:
The involved knee
If you drive an automatic or manual transmission vehicle
The nature of the procedure
Your level of pain
If you are using narcotic pain medicine
How much can you control your knee?
Typically, patients can drive 1 to 3 weeks after the procedure.
Medicines
Your orthopaedic doctor in Dwarka will prescribe pain medication to help ease the discomfort after surgery. Your doctor may also recommend medications such as aspirin to decrease the risk of blood clots.
You should exercise your knee regularly for several weeks after surgery. This will restore movement and strengthen your leg and knee muscles.
Therapeutic exercise will play an important role in your recovery. A formal physical therapy program can improve the bottom line.
Final Result
Unless you have a ligament reconstruction, you should be able to return to most of your physical activities after 6 to 8 weeks, or sometimes much earlier. Higher impact activities should be avoided for a longer time. You will need to speak to your doctor before resuming intense physical activities.
If your job involves heavy tasks, it may take longer before you can get back to work. Discuss with your orthopedic in Delhi when it is reasonable and safe for you to return to work.
The result of your surgery will likely be determined by the degree of damage to your knee. For example, if the articular cartilage in your knee has worn down completely, then full recovery may not be possible. You may need to change your lifestyle. This may mean limiting your activities and looking for low-impact exercise alternatives.
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