ATHROSCOPY AND RETURNING TO RUNNING

POST SURGERY ADVICE

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29/07/2014 at 09:20

Hi all

Injured my knee fishing , yes fishing 13 months ago when the platform I was stood on collapsed. This resulted in tibia head bruising and a torn medial meniscus which was only discovered 7 weeks ago. Basically had surgery on Thursday and had the damaged part of my medial meniscus removed. Currently off work. I have stopped taking painkillers and I am doing basic exercises. There is some swelling but not bad and next to no bruising. I am in the Berlin marathon. I managed to train fairly well considering the state of my knee and have done a 19 mile run and also ran 46 miles 2 weeks before surgery. I hope to be jogging lightly at 2 weeks after a few days of gentle cycling on an exercise bike. Is this to soon? I am not going to push through pain but the damage I expected  doesnt seem to bad.

 

29/07/2014 at 15:10

Everyone is different, and everyone will react differently.  But I would urge caution - my initial recovery was quick, with no painkillers needed the day after and able to walk rather than limp within a few days. However the bit that took longest to recover was the deep bruising under the knee and around the inside of my leg, which made the knee tender to touch and unstable when load bearing.  

All told, it took me about 12 weeks to be back to normal, although I probably could have started running after about 10 (I ended up getting over-cautious towards the end as I'd been a bit too keen at the start).   Between 8 and 12 weeks I started cycling, gradually building over the weeks until the knee felt stable when sprinting out of the saddle.     

The consultant who operated on me had said it would be two months until it was back to normal, which suggests I took a bit longer than average to recover. 

As I said, everyone is different so you may be back after two weeks but don't be too concerned if it takes a bit longer as it will recover after a relatively short while.

29/07/2014 at 23:16

I saw a consultant the other day about an arthroscopy and he told me it would take six to eight weeks to return to running or cycling. He said it would more likely be eight for the average person, six for elites who have more facilities to help them recover. 

29/07/2014 at 23:58

I had arthroscopy 19 may, and the consultant said before op when they planned to do microfracture, lateral release and spring clean, that would be running in 12 weeks.i had meniscus trim, lateral release, tidy up of tibial plateau and femoral condyle.had good recovery , stopped pain killers 2 days after op, ditched crutvhrs , went wel til week 7 , swelling would not go.ten weeks in , settling well but defo no cycling or running.

31/07/2014 at 17:25
Thanks for the replies. I have downloaded a variety of data sheets from different clinics. One in particular says light cycling , jogging 7-10 days. Others say 6-8 weeks. I know I had a decent sized portion of medial meniscus out. Havent spoken to the surgeon but I dont think he did anything else. Gonna try 30 minutes gentle on an exercise bike tonight. I will go carefully and see how it reacts. I wont to attempt to run round a field in 7 more days. Cheers. Peter
04/08/2014 at 11:19

Hi Peter,

What was the timeline in your surgery, did you go NHS.
What was the wait time for your MRI scan and then the wait time for your OP.

I ask becasue I may need to go doen the same path...

Cheers.

05/08/2014 at 17:37

Hi Stu. Had 2 doctors appointments as the first just sent me home. Got referred to our Ramsey Health Care unit. Had an MRI after 3 weeks. found bone bruising and micro fractures . Rested for 3 months. Had loads of problems at work , knee locking pain etc. Begged the surgeon to see me again. He did. Had another mri and found a large meniscus tear. Waited 3 weeks for the scan then 4 weeks to see the surgeon then three further weeks for the op.

05/08/2014 at 22:54

Stu/ Peter sorry to jump in but im on the same path so I thought you might be interested. I saw my doctor in march And got a consultant appointment in April. Was sent for xrays then an MRI which showed some mild cartridge damage and a misaligned patella. He tried a cortisone injection and referred me for Physio to try to rebuild my wasted muscles but the knee was too swollen to work with.  Went back to the consult and he confirmed surgery was my only option (Lateral release) He took a fair amount if fluid off to keep me mobile while I wait for a date -  nothing through yet but hopefully will be 'done' in September.    It feels like a lifetime that I've not been able to run or cycle.  Please keep posting as I would like to hear  how you both get on. Thanks 

07/08/2014 at 08:59

Hi Peter/MM,
Good to hear your stories, hope everything goes okay, keep the updates posted on here.
My situation is 18 months of niggly knee pain, on the medial side of left knee, been to physio who gave me strengthening exercises, my VMO and quads are good and my biomechanics have been checked and are okay. I still get a pain on the days after a run, I can play sqaush, circuits, cycle and have no reaction, it's only a running that aggrevates it, physio thinks it could be a slight tear or issue in the medial meniscus. I went to the Doctors on Tuesday who referred me for an MRI scna, hopefully within the next 4 weeks. I love running, always have and as much as I can do the cross training stuff, I want to run far more regularly than I do.  

08/08/2014 at 16:42

Today is a good day. 2 weeks after surgery I just hit 25 miles on my bike on a fairly hilly circuit and after a little audible pop after 2 miles I had no pain whatsoever throughout. Its always trapped and played up cycling and half locked putting my foot down to balance. Funny how you get used to things. Going across the field tomorrow and will aim for a general 10. Did daily 30 minute bursts on my exercise bike last week. I sympathise with anyone battling an injury like this. I have Berlin end of September then Paris next year. I now expect to be able to run 20 miles by the end of August. I had a full ankle reconstruction five years ago. All my ligament were destroyed and my heel was splintering. This ankle has done 8 marathons without a twinge. Paris though will be my 10th and last marathon.Point of interest. I ran 46 miles in a week before the operation including a half marathon. I couldnt run downhill at this point or go round left hand corners running. Pain was awfull. This has however kept my fitness level up. Only swelling in my knee at present are two bumps where the surgical instruments went in.

08/08/2014 at 17:16

That's brilliant Peter really good to hear of a positive result 

09/08/2014 at 09:37
Got up this morning. Walked round the corner with the garmin on and started running. Hurt at first so I stopped then ran 5.7. Miles in 41 minutes and stopped. My inner quad is weaker on the operated knee as are my hamatrings but not bad . Cycle tomorrow then run again Monday. Think you must completely stop the first week but do the exercises they give you. A positive attitude helps.
15/08/2014 at 07:54

run 5.7 , 5 7 and 7.2 miles this week. knee is a bit stiff and its sore running downhill. now 3 weeks from surgery. going to swim today and try 10 tomorrow.

 

15/08/2014 at 10:00

Encouraging Peter. Thanks for the update. I'm scheduled for 4th September so running during November may be on the cards if im lucky and your progress is anything to go on  

16/08/2014 at 13:13

Hi Minnie  , maybe a bit foolish who knows but went 13.1 today. knee hurt at first then settled. Luckily ran past some posh farmhouses so the verges were cut. Noticable difference running on softer ground. 

 

16/08/2014 at 16:24

Did you start Physio straight after your op Peter ? 

16/08/2014 at 20:47

yes. You get some exercises to do straight away. Fairly basic but definately worth doing to get your joint moving.

19/08/2014 at 11:21

I'm 6 days post-op for my posterior medial meniscectomy and it all seems fine so far although I've not attempted to do anything serious on it yet bar some simple exercises to get the knee moving.

prior to the op I couldn't stand from sitting without pain and discomfort and that has disappeared almost immediately which I am grateful for.  swelling around the knee has reduced a lot but still there above the knee but that's gradually getting better.  the steristripped scars are are now starting to itch which is telling me that they are healing well - I'll take them off on Friday (9days) to see how they're looking and re-strip if needed.   crutches lasted 5 mins (to leave hospital!) and not been used since....

as an over-60, I have some signs of arthritis in the knee but it's minor but my surgeon has categorically told me no running for at least 6 weeks or I risk not recovering fully as it will take longer at my age.  he's happy to have me biking and swimming as long as I don't go nuts and I will stick to this.   

overall - I'm a lot happier post-op and my wife says I'm smiling again rather than grimacing.  

19/08/2014 at 19:38

Sounds good so far FB  Hope the recovery continues x 

Edited: 19/08/2014 at 19:38
24/08/2014 at 12:36

Ran 7.5 miles Tues , cycled 40 Wed , gym for an hour Thurs , ran 12 Fri and 19 today. Secret for me is to ice the night before I run to get the swelling down. It lumps up where the instruments went in. Walking still hurts.

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