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Medical Forum / Diseases and Disorders / Arthritis / December 2007

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so,,,i have a meniscus tear: questions

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miko - 06 Nov 2007 00:42 GMT
did the mri last thursday, got a call from the ortho specialst/
surgeon. he said it's an MT. his suggestion was that i should get it
fixed soon because he wanted to avoid the possibility of my knee
buckling and thus making things worse. it sounded like the urgency of
the surgery was preventitive. thing is, i'm going on vacation two days
after the scheduled surgery, so i REALLY want to put it off. ie,,,i
don't want complications screwing up the vacation.

so i have some questions.

1...if it's a tear then why not let it heal on it's own? my opinion is
if surgery can be avoided, then all the better.

2...are there alternatives to surgery?

3...what is actually done in the procedure?

4..what's the success rate? is this one of those things where
everything MIGHT be ok,,,or WILL things be ok after surgery.

history: it first happened 5 or 6 months ago. there was a slight
buckle on my knee, and the knee started feeling "out of lock-step". i
went to the gym and used the treadmill for an hour. in the ensuing
days the knee started to hurt...this lasted for about 2 or 3 weeks.
then it started feeling better. when i initially stood up from a
seated position, the knee hurt and i limped. after standing on it for
a minute or two the pain would go away.

when it was feeling ok, i started biking on a stationary and doing
weights for my knee. everything was ok and in a month i was feeling
GREAT, so i tried the treadmill again. i did it for 20 minutes no
problem. but then the pain came back, only this time it was MILDER. it
felt okay after a week.

that's when i first saw the ortho specialist. he gave the exam and
nothing hurt so he said if it comes back to schedule an mri.

i started using the elliptical trainer and the workouts were great.
1.5 hours per session. any pain was totally gone, and all that was
left was an infrequent crack in my knee like you crack your
knuckle...no biggie, didn't hurt. did the elliptical for about,,,2.5
months.

then two weeks ago i felt a little tick in the knee while on the
elliptical. the next day the pain came back and this time it was like
the first time. i stayed off the gym work, but started with the bike
every other day. no problem, i ice it down after a workout. also,
after i soak in a hot bath, my knee feels fine for a short while.

basically if i HAVE to get surgery i want to do it after i get back
from vacation but that dr, has me worried about buckling.

btw,,,i'm late 50's in in great shape otherwise.

thanks
Harvey R. Stone - 06 Nov 2007 12:37 GMT
Please post your questions in  :alt.support.arthritis  for better answers.
harv
> did the mri last thursday, got a call from the ortho specialst/
> surgeon. he said it's an MT. his suggestion was that i should get it
[quoted text clipped - 51 lines]
>
> thanks
Hawki63@sbcglobal.net - 22 Nov 2007 01:08 GMT
> did the mri last thursday, got a call from the ortho specialst/
> surgeon. he said it's an MT. his suggestion was that i should get it
[quoted text clipped - 8 lines]
> 1...if it's a tear then why not let it heal on it's own? my opinion is
> if surgery can be avoided, then all the better.

the meniscus tho a cartilage...rarely heals on its own

> 2...are there alternatives to surgery?

not that I know of...

> 3...what is actually done in the procedure?

you might want to google Menisicus surgery to get the gory pictures...

essentially it is simple..arthroscopic surgery..done as an outpatient...with
general anesthesia

I was able to walk "off the recovery table" literally within an hour...used
crutches for a few days...pain was pretty minimal...weight bearing allowed

> 4..what's the success rate? is this one of those things where
> everything MIGHT be ok,,,or WILL things be ok after surgery.

depends upon the surgeon I would guess....but removing the "torn meniscus"
is literally a cure

> history: it first happened 5 or 6 months ago. there was a slight
> buckle on my knee, and the knee started feeling "out of lock-step". i
[quoted text clipped - 27 lines]
> basically if i HAVE to get surgery i want to do it after i get back
> from vacation but that dr, has me worried about buckling.

depending upon your vacation...I would wait til after...as flying...being
immobilized for long hours..and trudging thru airports will NOT be fun

on the other hand...if your vacation involves knee bent exercise...don't do
it!!!  no skiing,,running..etc...but sitting on a beach etc might be ok

sounds like you overdid the exercise thing....

good luck

> btw,,,i'm late 50's in in great shape otherwise.
>
> thanks
BlackHawk 96 - 09 Dec 2007 01:46 GMT
>did the mri last thursday, got a call from the ortho specialst/
>surgeon. he said it's an MT. his suggestion was that i should get it
>fixed soon because he wanted to avoid the possibility of my knee
>buckling and thus making things worse.

Pardon my English, but just what the hell is wrong with a knee brace,
which will support your knee while it is healing, AND, take some of
the strain off the joint? Of course we know the answer to that
question. A knee brace cost, maybe $150 and knee surgery cost maybe
$15,000!

>it sounded like the urgency

WHAT urgency? See "knee brace" above.
>of
>the surgery was preventitive. thing is, i'm going on vacation two days
>after the scheduled surgery, so i REALLY want to put it off. ie,,,i
>don't want complications screwing up the vacation.

I would say that you have a REALLY big problem with your priorities. A
vacation vs knee surgery? You're kidding, right?

What? A surgeon who wants to operate? The sooner the better. Imagine
that.

>so i have some questions.
>
>1...if it's a tear then why not let it heal on it's own? my opinion is
>if surgery can be avoided, then all the better.

Of course the body can heal on its own. What else do you think the
body is "designed" to do?

>2...are there alternatives to surgery?

Of course. More on that later, after you answer a few questions.

>3...what is actually done in the procedure?

The surgeon cuts you with a very sharp knife, scissors, or laser.

>4..what's the success rate? is this one of those things where
>everything MIGHT be ok,,,or WILL things be ok after surgery.

If you can answer that, you will get the Nobel Prize for Medicine.
What PROOF of success is your surgeon willing to provide you with?
NONE, I bet.
Anyway, here's a link for you: http://www.arthroscopy.com/sp05005.htm

Do you think that there is a "resorption" of torn cartilage as there
is with offset broken bones which have healed?

>history: it first happened 5 or 6 months ago. there was a slight
>buckle on my knee, and the knee started feeling "out of lock-step". i
[quoted text clipped - 6 lines]
>when it was feeling ok, i started biking on a stationary and doing
>weights

WEIGHTS! R U Crazy? Do you know why your knee was hurting? It's your
body's way of saying; "You know that thing you've been doing? Well,
STOP IT! because it's INJURING ME."

>for my knee. everything was ok and in a month i was feeling
>GREAT, so i tried the treadmill again. i did it for 20 minutes no
>problem. but then the pain came back, only this time it was MILDER. it
>felt okay after a week.

See "INJURING ME" above.

>that's when i first saw the ortho specialist. he gave the exam and
>nothing hurt so he said if it comes back to schedule an mri.
[quoted text clipped - 3 lines]
>left was an infrequent crack in my knee like you crack your
>knuckle...no biggie,

Maybe that was a LOT bigger than what you thought!

>didn't hurt. did the elliptical for about,,,2.5
>months.
[quoted text clipped - 3 lines]
>the first time. i stayed off the gym work, but started with the bike
>every other day. no problem, i ice it down after a workout.

If you are having to ice it down, then you've got inflammation, NOT A
GOOD THING. You should be doing your damndest to avoid that
inflammation in the first place.

>also,
>after i soak in a hot bath, my knee feels fine for a short while.

Heat will help the body heal, which does not happen in five minutes.
More like five months.

>basically if i HAVE to get surgery i want to do it after i get back
>from vacation but that dr, has me worried about buckling.

Imo, you have a LOT more to worry about than buckling.

Am I wrong in summarizing your position as: "Exercise is the SOLUTION
to a problem that was CAUSED by exercise."?
I would suggest that you might look elsewhere for a solution, other
than sharp thingies, for now.

>btw,,,i'm late 50's in in great shape otherwise.

Are you sure?
1) What is your bp?
2) What is your fasting glucose?
3) What are your triglycerides?
4) Do you have abdominal obesity?
5) Have you done a glucose tolerance test?
6) Are you a regular blood donor?
7) What is your serum ferritin level?
8) What are your cholesterol levels?
9) Are you taking any medications?
                        Sincerely,  BlackHawk

>thanks
Harvey R. Stone - 09 Dec 2007 12:36 GMT
Well said BH96,,,,, I have seen a triple dozen posts where people look for
every out to continue their lifestyle with joint failure when the lifestyle
caused the problem.   I remember one where a guy really ripped up his knee
from hitting the slopes where the snow flies and his main worry was how soon
before he was back at it and could the surgeon could success and then there
are the people that will not do the proper rehab because it is too painful
but they can not understand why they do not have things like range of motion
or the joint is weak.....  So it goes.   Facing age, facing what the damage
has done, facing the fact that their lifestyle is going to change  IS
PAINFUL TOO.   I have hopes that your straight forward answers will help.
Harv

>>did the mri last thursday, got a call from the ortho specialst/
>>surgeon. he said it's an MT. his suggestion was that i should get it
[quoted text clipped - 123 lines]
>>
>>thanks
 
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