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Conservative meniscus rehab protocol pdf

Find Visit Today and Find More Results. Search a wide range of information from across the web with smartsearchresults.com functional status with either arthroscopic partial meniscectomy or physical therapy. This makes conservative management of meniscal tears an attractive initial strategy considering it is noninvasive, low-cost, and still allows the patient to progress to surgical intervention at a later time if desired or required.7 Indications for Treatment Rehabilitation Protocol for Meniscus Repair This protocol is intended to guide clinicians and patients through the post-operative course for a meniscus repair. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician Meniscus Tear: Rehabilitation Exercises Appendix Topic Images Meniscus Tears Quad Sets Straight-Leg Raise to the Front Straight-Leg Raise to the Back Hamstring Curls Heel Raises Heel Dig Bridging Shallow Standing Knee Bends Meniscus Tear: Rehabilitation Exercises A meniscus tear is a common knee joint injury. How well the knee will heal and.

Conservative Treatment for Meniscus Rehabilitation . Spencer, N. ATS and Willis, J. ATS Advisor: Schilling, J., PhD . Department of Exercise, Health, and Sports Science . Introduction. The meniscus is a crescent-shaped piece of cartilage that is located between the femur and the tibia. 7. There are two menisci, the latera Rehabilitation Protocol: Meniscal Repair Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical Center, Peabody 978-538-4267 Department of Rehabilitation Service Rehabilitation Guidelines for Meniscal Repair There are two types of cartilage in the knee, articular cartilage and meniscus cartilage. Articular cartilage is made up of collagen, proteoglycans and water and lines the end of the bones that meet to form a joint. The primary functio 3. G. Malanga et al. Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics. PMR. 2019 Mar;11(3):292 -308. doi: 10.1016/j.pmrj.2018.08.384. Epub 2019 Feb 27 4. R Kaminski et al. Short-Term Outcomes of Percutaneous Trephination with a Platelet Rich Plasma Intrameniscal Injection for the Repair of Degenerative Meniscal.

Arthroscopy vs Conservative Tx for Meniscus Tears • Not all meniscus tears need surgery.. • This does not mean all meniscus tears do not , et al. Surgery versus physical therapy for a meniscal tear and osteoarthri@s. N Eng J Med 2013; 368:1675-1684 16) Paxton SE, Stock MV, Brophy RH. Meniscal repair versus par@al meniscectomy. rehabilitation of isolated mcl sprains This program may be accelerated for Grade I MCL Sprains or may be extended depending on the severity of the injury. The following schedule serves as guidelines to help in the expediency of returning a patient to his or her pre-injury state Effectiveness of supervised physical therapy in the early period after arthroscopic partial meniscectomy. Phys Ther. 2003;83(6):520-535. 2. Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial Corpus ID: 70811731. Conservative Treatment for Meniscus Rehabilitation @inproceedings{Spencer2014ConservativeTF, title={Conservative Treatment for Meniscus Rehabilitation}, author={N. Spencer and J. Willis}, year={2014} Rehabilitation and Return to Play Following. Meniscal Repair. Owen M. Lennon, PT, DPT, OCS, * and Trifon Totlis, MD, PhD. †. The outcome of meniscal repair has been good to ex cellent with.

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Meniscus Root Repair Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a meniscus root repair. It is by no means intended to be a substitute for one's clinical decision making regarding th Be sure to follow the more conservative protocol with regards to range of motion, weight bearing, and rehab progression when there are concomitant injuries (i.e. meniscus repair). Post-operative considerations If you develop a fever, intense calf pain, excessive drainage from the incision, uncontrolled pain or any other symptom

Treatment options for meniscal tears fall into three broad categories; non-operative, meniscectomy or meniscal repair. Selecting the most appropriate treatment for a given patient involves both patient factors (e.g., age, co-morbidities and compliance) and tear characteristics (e.g., location of tear/age/reducibility of tear).There is evidence suggesting that degenerative tears in older. Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline for a non-operative rehabilitation course of a patient with an isolated medial cruciate ligament injury. It is by no means in- tended to be a substitute for one's clinical decision making regarding the progression of a patient's.

ACL Non-Operative Protocol . Anatomy and Biomechanics The knee is a hinge joint connecting the femur and tibia bones. It is The initial course of treatment in physical therapy includes rest, anti-inflammatory measures and activity conservative treatment is unsuccessful and recurrent buckling persists. In this case, you and your. REHABILITATION PROTOCOL The following is a protocol for postoperative patients following ACL reconstruction and meniscus repair (medial or lateral). The primary goal of this protocol is to protect the reconstruction and while steadily progressing towards and ultimately achieving pre-injury level of activity. Please note this protocol is a. Phase 3 torn meniscus rehabilitation. Duration: Between 2 and 3 weeks post-injury. The aim of phase 3 of a meniscus tear rehabilitation program is to ensure full range of movement in the knee, regain normal strength with the ability to perform a full squat and start to return to running and normal training Background. Exercise is a viable treatment alternative to arthroscopic partial meniscectomy in patients with degenerative meniscus tears. No study has reported in detail the type of exercises, progression, tolerance, and potential benefit from an exercise therapy program in these patients who have not had surgery

Conservative management of meniscal injuries is the preferred method of treatment, particularly in the case of stable meniscal tears, as arthroscopic repair or meniscectom y also increases risk of. Rehabilitation Guidelines for Meniscal Repair of Root and Complex Tears There are two types of cartilage in the knee; articular cartilage and meniscus cartilage. Articular cartilage is made up of collagen, proteoglycans and water which lines the end of the bones that meet t

  1. Conservative treatment is rarely successful for treating meniscal tears in young athletes and repair of the torn menisci is often required (LoE: 5) [47] Repair of a meniscal lesion should be strongly considered if the tear is peripheral and longitudinal, with concurrent Anterior Cruciate Ligament (ACL) reconstruction, and in younger patients.
  2. Popular to contrary belief, NOT ALL MENISCUS TEARS REQUIRE SURGERY! If you have injured your meniscus or know someone that has, there is hope! The majorit..
  3. Forte Sports | Sports physicians & orthopaedic surgeons.
  4. Introduction. A meniscus tear is a common knee joint injury. How well the knee will heal and whether surgery will be needed depends in large part on the type of tear and how bad the tear is. Work with your doctor to plan a rehabilitation (rehab) program that helps you regain as much strength and flexibility in your knee as possible
  5. Non-Operative PCL Tear Rehabilitation Phase I: 0-6 weeks Precautions PRICE (Protect, Rest, Ice, Compress, Elevate) protocol Avoid hyperextension (12 weeks) Prevent posterior tibial translation (12 weeks) Isolated hamstring exercises should be avoided until week 12 Weight bearin

Sports Medicine Rehabilitation Protocols. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports. Physical therapy (PT) can be useful for a torn meniscus whether or not you have surgery. Find out when it helps, what to expect, and how long you'll need to do it for

in comparison to partial meniscectomy. Preserving meniscal tissue is particularly important for the long-term health of the knee joint. Currently, no consensus exists for a standardized postoperative rehabilitation protocol after isolated meniscal repair. With isolated meniscal repairs the capacity of the meniscus to heal is limited conservative meniscus rehab protocol pdf. The RICE protocol is effective for many sports-related injuries. The described exercise therapy program only requires equipment that is available in most physical therapy clinics. A physiotherapist who is experienced in knee surgery rehabilitation should be consulted Meniscus Rehab Exercises . Straight Leg Raise - Starting Position . Lay on the ground with your affected leg straight. The opposite leg will be bent. Be sure to rotate your leg outward (laterally) slightly to gain a better activation of the medial (inner) side of the quadriceps

Conservative Treatment for Meniscus Rehabilitatio

CONSERVATIVE MANAGEMENT FOR FEMOROACETABULAR IMPINGEMENT (FAI) This protocol is intended to provide the clinician with instruction, direction, rehabilitative guidelines and functional goals for the conservative treatment of femoroacetabular impingement (FAI). It is not intended to be a substitut orthopaedic physical therapy management of patients with and treatment interven-tions of meniscus and articular cartilage lesions with respect to postsurgical care, and this revision builds on the original guidelines. The state of the literature in the nonoperativ following rehabilitation. Physical therapy notes and home exercise logs were reviewed and all ex - ercises were recorded and coded using the phased rehabilitation protocol as a guide. At follow-up, patients were divided into two groups; responders and non-responders to treatment based on PRO PCL - Non Operative Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for rehabilitation following a PCL injury/tear, typically grade I and II • Conservative treatment o Symptoms typically resolve on their own, regardless of treatment or no treatment. o Physical therapy o Medication o Injections Pa. s. s. i. v. e. E. x. t. e. r. n. a. l. R. o. t. a. t. i. o. n. Grasp the end of the rod with hand 1 and the middle of the rod with hand 2 Use hand 2 to passively rotate hand 1 to the.

information and a better understanding regarding the principles of a meniscal rehabilitation protocol. Purpose. The meniscus is connective tissue made of fibrocartilage. It is positioned on top of the tibia and is connected to the tibial plateau both anteriorly and posteriorly. The meniscus is made of two segments which consist of the medial. cleavage tears can result in advanced degeneration of the meniscus tissue and underlying cartilage, especially during high-impact activity. The listed clinical practice recommendations are more conservative than traditional meniscus repair protocols due to the complexity of the surgical technique. The direc Rehabilitation following surgery for multiligament knee injury (MLKI) or knee dislocation is an essential element of the treatment to achieve a full recovery. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals. It is not meant as a home program

Conservative Treatment for Meniscus Rehabilitation

meniscal tears conservatively with a protocol of ice, NSAIDs, and physical therapy.13-16 Physical therapy for these injuries focuses on strengthening the muscles of the injured extremity, especially surrounding the knee, as well as maintaining range of motion of the knee and hip.17-18 Supervised ther-apy sessions emphasizing exercises such as. Exercises should only be done on the advice of your doctor and only if you feel very minimal or no pain while you do them at home. The list below has links to specific exercises with pictures and instructions. Quad sets. Straight-leg raise to the front. Straight-leg raise to the back. Hamstring curls

(PDF) Rehabilitation and Return to Play Following Meniscal

  1. Thus, exercise therapy may also be a feasible and effective treatment option for younger adults with a meniscal tear, potentially postponing or even preventing surgery. The purpose of this study was to describe the development and feasibility of a 12-week exercise therapy program in young adults (18-40 years of age) eligible for meniscal surgery
  2. UVA SPORTS MEDICINE . 515 Ray C. Hunt Drive, Suite 1100, Charlottesville, VA 22903 Phone: 434-243-7778 Fax: 434-243-5075 Meniscal Root Repair Post-operative Rehabilitation Protocol
  3. Elbow Dislocation Rehab Protocol Phase I: Weeks 1-4 Goals: Control edema and pain Early full ROM Protect injured tissues Minimize deconditioning Intervention: • Continue to assess for neurovascular compromise • Elevation and ice • Gentle PROM - working to get full extension • Splinting/bracing as neede
  4. Physical therapy Joint pain AND Swelling Failure of previous subchondral drilling rehabilitation protocol. AND Failure of traditional surgical interventions (i.e., microfracture, conservative treatment. AND . Previous meniscectomy with at least two-thirds of the meniscus removed. AN
  5. Rehabilitation Protocol: Total Hip Arthroplasty (THA) Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical Center, Peabody 978-538-4267 Department of Rehabilitation Services Lahey Hospital & Medical Center, Burlington 781-744-864

Treatment of meniscal tears: An evidence based approac

  1. meniscal tears or cartilage injuries do not require surgery. However, there are a small percentage of patients who continue to have symptoms despite a course of conservative treatment. Some portion of the pain may be from osteoarthritis, whereby the cartilage lining the knee joint has simply worn away
  2. Medial Meniscus Anatomy. The medial meniscus is a fibrocartilage semicircular band that covers the knee joint medially, placed between the medial condyle of the femur and the tibia. C-shaped with a triangular cross-section. Average width of 9 to 10 mm. The average thickness of 3 to 5 mm
  3. Physical therapy protocols. Achilles Tendon Repair: Accelerated PT Rehabilitation Protocol. AC Reconstruction. ACL Autograft Reconstruction. ACL Reconstruction, FCL Reconstruction. ACL Revision. Arthroscopic Bankart Repair-Moderate Program. Arthroscopic Bankart Repair-Conservative Program. Arthroscopic Cuff Repair/Subacromial Decompression/BT
  4. Non-Operative Labral/FAI Hip Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for rehabilitation following Non Operative Labral/FAI Hip Rehabilitation guideline. Modifications to this guideline may be necessary dependent on physician.
  5. Conservative (non-surgical) interventions are also used as treatment for this injury. This usually takes the form of a progressive rehabilitation programme that includes exercises aimed at improving strength and balance. We aimed to assess the effects of surgical versus conservative interventions for treating ACL injuries. Results of the searc
  6. REHABILITATION PROTOCOL The following is a protocol for postoperative patients following PLC knee reconstruction. The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving pre-injury level of activity. Please note this protocol is a guideline
  7. ACL Reconstruction with Meniscal Repair Rehabilitation Protocol • Basic ACL protocol but no passive range of motion (PROM) greater than 90 degrees for four weeks; no squatting, hyperflexion for six months; no deep squats for 6 to 9 months; incorporate meniscal repair protocol Immediate Post-o

Torn Meniscus Rehabilitation - Sportsinjuryclinic

  1. The initial treatment of the injured joint is to apply ice and gentle compression to control swelling. A knee brace and crutches are used. The knee should be evaluated by a doctor to see which ligaments are torn and to be sure other structures such as tendons, arteries, nerves, etc. have not been injured. X -rays are taken to rule out a fracture
  2. Conservative Treatment Protocols. Below is a list of conservative treatment protocols (PDF format) for patients who have not had surgery. If you are unable to find the treatment protocol you need, please feel free to call us at 631-1600, Ext. 255
  3. 1. Introduction. Meniscal injuries are a common occurrence in young athletes, particularly in contact sports such as football and rugby.1, 2 Due to the unique vascular anatomy of the meniscus, with only the outer third of the tissue having a ready blood supply, 3 treatment outcomes of these injuries can vary, based on the individual tear pattern. The type of treatment used varies and is.

A 12-Week Exercise Therapy Program in Middle-Aged Patients

Lateral Release (Knee) Post-Operative Protocol. Download as PDF Phase I - Maximum Protection (0 to 2 weeks): Weeks 0 to 2: Lateral buttress in post-op dressing to stabilize patella Ice and modalities to reduce pain and inflammation Use crutches for 5 to 7 days to reduce swelling Proximal Hamstring Tendinopathy . Three physical examination maneuvers have been described for diagnosis of proximal hamstring tendinopathy. The Puranen-Orava test is a standing test that actively stretches the hamstring when the hip is flexed to 90 degrees and the knee is extended fully and the foot is on a support 90 degrees to the standing body (FIGURE 1).(11, 46) The bent-knee stretch test. 2 Surgical procedures for meniscal tears include conservative treatment for an asymptomatic tear, an arthroscopic partial meniscectomy or a total meniscectomy. Recovery time after surgical intervention ranges from 6 weeks to between 6 and 9 months. Background: On March 4th, 2017, a 52-year old male basketball player, who was training to compete in the National Senior Games in June 2017, came. Because of the poor tissue status, regardless of the size of the tear and subsequent repair, a more conservative approach must be taken. An open repair is more painful for the patient and has higher chance of infection and morbidity but it is also more stable; therefore, rehab can be advanced more aggressively than if the repair was done. Description. This PATIENTS GUIDE for post-operative Physiotherapy After Tibia-Fibula Fracture is created by Dr. Sunit (PT), a well-qualified rehabilitation professional. It is a 23-page ebook beautifully featured with the colorful illustration which can be printed and used by both the patient and rehabilitation (medical) professional as well

Meniscus Tear: Rehabilitation Exercises. A meniscus tear is a common knee joint injury. How well the knee will heal and whether surgery will be needed depends in large part on the type of tear and how bad the tear is. Work with your doctor to plan a rehabilitation (rehab) program that helps you regain as much strength and flexibility in your. 900 Round Valley Drive, Suite 100 / Park City, UT 84060 / Telephone (435)655-6600 / Fax (435)655-2388 MCL Sprain Non-Operative Protocol Information

Clinical Botom Line. A medial collateral ligament (MCL) injury is a stretch, partial tear, or complete tear of the ligament on the inside of the knee. A valgus trauma or external tibia rotation are the causes of this injury. This injury is categorized in 3 grades: I, II and III Conservative Non-Operative Meniscus Injury Rehab Program. As Dr. Nima Mehran mentioned, most meniscal injuries respond very well to physical therapy - as long as there are no mechanical symptoms presents or complex meniscal injuries. Again, if you have mechanical symptoms like locking or catching/clicking with pain please go and see an. The meniscus is a crescent shaped cartilage that acts as a shock absorber between the femur and tibia. Each knee has two menisci: medial (inner) and lateral (outer). The menisci are attached to the tibia. When the tibia suddenly moves forward and the ACL tears, the meniscus can become compressed between the femur and tibia resulting in a tear. Th Conservative Treatment Protocols Below is a list of conservative treatment protocols (PDF format) for patients who have not had surgery. If you are unable to find the treatment protocol you need, please feel free to call us at 631-1600, Ext. 239 or 249. Medial Collateral Ligament Injury Rehab Medial Tibial Stress Syndrome [ al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med 2013;368:1675-84 2 Roemer FW, Kwoh CK, Hannon MJ, Hunter DJ, Eckstein F, Grago J, Boudreau RM, Englund M, Guermazi A. Partial meniscectomy is associated with increased risk of incident radiographic osteoarthritis and worsening cartilage damag

The intent of this protocol is to provide the therapist with a guideline for the post-op rehab of a patient who has had a meniscus repair, meniscal root repair, or meniscal transplant. It is not intended to be a substitute for appropriate clinical decision making regarding the progression of a patient's rehab REHABILITATION AFTER KNEE MENISCUS REPAIR . Phase One: The first week after surgery . Goals: 1. Control pain and swelling 2. Initiate knee motion 3. Activate the quadriceps muscles. Guidelines and Activities: Knee Range of Motion: You can fully extend (straighten the knee). To avoid placing stress on the meniscus repair, do not ben Some people with meniscus tears will respond to conservative treatment, including rest, medications, and physical therapy. Meniscus tears do not heal, and over a period of time your knee joint will grind out the tear. In some cases, cortisone injection can also be The specific rehabilitation protocol will be reviewed with you after surgery

Treatment&of&Degenerative& Meniscus&Tears& Topic&#:0680 Nomination&Date:06/09/2016 Nominator:&AmericanAcademyofOrthopaedicSurgeons& Date:July2016 Summaries. - Successful outcomes for the conservative group were (47.1%, 33.3%, and 63.6% for 12-, 24-, and 52-week evaluations, respectively). ** 2/3 of the dogs in the conservative group had successful outcomes at the 52-week mark REHABILITATION PLANNING FOR CONSERVATIVE CCL-DEFICIENCY GOALS in successful management of ACL-D in humans medial meniscus rehab protocol conservative treatment and physics, and extension knee ligament and begin. Hopping and extension and following surgery for information purposes only. Tea towel or at least a stabilizing brace to get back playing your consent prior to function properly. Up to walk normally wit ESSKA Meniscus Consensus algorithm Non-locked Painful Knee ≥1 Mo, Age >35 yr, clinical history and examination compatible with degenerative meniscus lesion X-rays (Weight bearing AP + Lat. + Schuss view) MRI at that stage usually unnecessary except special indications Exclude further non-meniscus related disease Non-operative Treatment.

Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Both tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) are painful conditions caused by overuse. Over time, the forearm muscles and tendons become damaged from repeating the same motions again an Hamstring Rehabilitation and Prevention Protocol University of Delaware Sports and Orthopedic Clinic 2/15 Leg swings - these are performed stationary with one hand supported for balance. Swing straight leg forward until stretch is felt and then repeat into hip extension, progressively increasing the range Specific treatment of a patient should be based on individual needs and the medical care deemed necessary by the treating physician and therapists. OrthoIllinois and/or the therapists of OrthoIllinois Rehabilitation take no responsibility or assume no liability for improper use of these protocols meniscus and 25% of the lateral meniscus had the best blood supply in the adult meniscus; otherwise known as the red/red zone.37 Nonoperative management should consist of 3 months of rest, ice, anti-inflammatories, and physical therapy. Unstable tears can be described as bucket-handle tears, radial, parrot-beak, oblique, degenerative, an

(PDF) Conservative management of a traumatic meniscal

Knee Arthroscopy with Meniscal Root Repair/ Meniscus Radial Tear Repair The intent of this protocol is to provide a general framework for meniscal root repair rehabilitation. Within this framework there are specific guidelines for activity progression which directly relate to tissue tolerance and directional preference of movement Rehabilitation Program for This protocol is designed to assist you with your preparation for surgery and should be followed under the direction of a physiotherapist . OVERVIEW OF THE KNEE: The ACL is one of the four major ligaments of the knee that connect the tibia (shin bone) t

slight variations in this protocol if there are limitations imposed from additional associated injuries such as meniscal tears, articular cartilage trauma, bone bruising or other ligamentous injuries. This rehabilitation protocol spans over a 6 month period and is divided into 7 timelines. Eac MENISCAL ROOT REPAIR/ MENSICAL RADIAL TEAR REPAIR This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. The intent is to provide the therapist with a general framework

Meniscal Lesions - Physiopedi

Meniscal Repair Protocol p. 1 Meniscal Repair Protocol Applicability: Physician Practice Date Effective: 12/2016 Department: Rehabilitation Services Date Last Reviewed / or Date Last Revision: Supersedes: Meniscus Repair Protocol (Dr. Beattie) 12/2016 Administration Approval: Amy Putnam, VP Physician Services Purpose: Define the protocol to be followed for all patients referred from Northwester The treatment may or may not end with surgery, but either way, your treatment protocol is designed to return the patient to function. In contrast a 62-year-old comes to your office with knee pain and Grade 1 osteoarthritis on radiographs. Maybe you obtained an MRI which confirmed no meniscus tear and the osteoarthritis changes Physical Therapy Protocols. SLUCare Sports Medicine and Shoulder Surgery specialists developed the following physical therapy protocols for SLUCare clinicians to use when recommending treatment and rehab for SLUCare patients. However, anyone recovering from an injury or surgery is free to use them. PT general form for online reference treatment of the more complex pathology. In general, knee injuries should be referred for orthopedic consultation and/or treatment under the following circumstances: 1. Failure of a presumed knee sprain to show progressive resolution and response to appropriate conservative treatment in a period of three (3) weeks. 2

Conservative, Non-Operative Meniscus Tear Early Rehab

If you have a knee meniscus tear, you may benefit from a physical therapy exercise program to rehabilitate your knee. Working with a physical therapist (PT) can help you regain maximal knee range of motion and strength and can help you return to your normal optimal level of activity.. Research even shows that participating in physical therapy for a meniscus injury may help you avoid surgery. If a meniscal repair has been performed as part of the knee reconstruction then a hinged knee brace will be worn for 8 weeks. The first four weeks locked in extension, and the second four weeks ranging from 0-90°. The overall rehabilitation will need to be tailored to accommodate this. Post Operative Programme 1-14 Days Manual Physiotherap MCL Injury Rehab Considerations. As previously discussed, the severity of injury to the MCL will dictate the course of rehabilitation. Nonoperative care has been the preferred treatment for most MCL injuries again due to the high quality of tissue healing.If upon an initial evaluation from a physical therapist or orthopedist, the specific clinician observes there is significant instability in.

Protocol This trial protocol has been provided by the authors to give readers additional information about their work. treatment (physical therapy) of patients with degenerative meniscal tears. ACL REHABILITATION PROTOCOL, OPERATIVE WITH MENISCUS REPAIR OR MICROFRACTURE . TIMETABLES ARE ESTIMATES . Dr. Levene (2/2015) I. Preoperative . a. Rest, ice, compression, elevation . b. NSAID, pref. COX-2 if early surgery planned . c. Bledsoe style brace for concomitant gr III MCL injury if present . d. Fit with functional brace, preop use. Rehabilitation Protocol Weeks post-injury 1-2 Weeks Initiate physical therapy. Patient will wear immobilizer for 2 weeks following injury, except in P.T. Rx. of modalities for pain and swelling as needed. Easy stationary bike for range of motion (ROM's), Quads, straight leg raises (SLR's), calf raises. Gentle ROM's. No valgus stres Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 2007;15:393-401. Barrett GR, Field MH, Treacy SH, Ruff CG. Clinical results of meniscus repair in patients 40 years and older However, certain patients could be treated properly by conservative treatment , and the clinical outcomes of conservative treatment have been reported to be competent with early diagnosis and proper treatment protocols [30, 32]. However, if conservative treatment failed, it may miss the proper time for meniscus repair Posterior Cruciate Ligament Rehabilitation Protocol **It is important to understand that all time frames are approximate and that progressions should be based on individual monitoring. General Precautions: 1. Early activity following PCL repair can lead to increased laxity. The focus of this rehab protocol is o