Shockwave therapy

First of all, it depends on the degree of cross-linking of the meniscus tear. The damaged areas of the torn meniscus can be removed or sutured after diagnosis. During removal, the parts of the meniscus frayed by the crack are sheared off. This allows the rough surface of the torn meniscus to be smoothed out. In a few rare cases, the meniscus tear is restored by a transplant, which is sutured and replaced with donor meniscus or biological tissue replacement.

Whether the meniscus tear can heal by itself is also decided here on the basis of the degree of injury. You should also know that the meniscus contains various zones. Some areas have good blood flow and other regions that are more centered in the knee joint do not.

If the tear is in the well-circulated region of the meniscus and it does not go too deep into the poorly circulated areas, it can heal conservatively.

How long it takes for the meniscus to heal depends on the type and method of treatment and depends on the individual case of one of the patients. The exact type of injury and the location of the crack are decisive. It takes 6 to 14 weeks for the meniscus to heal in most cases.

The pain and inability to move can be painful after a meniscus tear. As a rule, the knee can no longer be fully extended or bent. You should therefore see a doctor as soon as possible to discuss the next steps.

Post-operative effect. If this occurs, the inner lining of the prosthesis and joint must be removed. Knee is then rinsed several times and then a “spacer” is inserted (bone cement prosthesis containing an antibiotic). This spacer stays in the body for an average of 6 months; the patient is not allowed to buy for 6 months. After 6 months, it is replaced by a full prosthesis.

- Improper placement of the prosthesis:
- implants that are too big or too small
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Movement restrictions, in the worst case worse after surgery than before.

6-7 days KH. There are also rehab facilities or outpatient rehab (4 hours a day in a hospital and treatment there) → but is out of the question for people living alone.

Biking, swimming, no problem. Stop-and-go sports, both shear forces acting on the knee joint, should be prevented as far as possible.

This is achieved when the patient says it can't get any worse. After the knee prosthesis has been inserted, the symptoms may be worse than before. If a patient can walk 5 km before surgery, he may only be able to run 500 m after surgery. Therefore, the right time is only when there is no other way out.

They work sedentary work earlier than stressful work. On average, it is 8-12 weeks.

After arthroscopy using degenerative procedures, supports must be run for an average of 4 weeks, then, depending on the findings, a splint takes over this function. However, if the meniscus is still implanted or if the upper and lower legs have cartilage damage opposite each other and has been repaired, this period is extended by 6-6 weeks, but depending on the patient's body weight.

As a patient, you should leave the consultation with the feeling that you know that and why surgery may be necessary. This is the only way you can start the operation with a good feeling. Therefore, you should definitely ask what the alternatives to surgery are (and why they might not be an option for you). You should also ask what the possible risks of surgery are — more about this below — and when is the best time for surgery. If you are still unsure after the surgery consultation, get a second opinion.

Knee surgery should be avoided if it can be avoided. On the one hand, every patient probably prefers to avoid going to the clinic; on the other hand, every operation represents a limited but existing risk that should only be taken when other forms of therapy have been exhausted. This is especially true when it comes to the question of whether an artificial knee joint needs to be inserted.

The knee joint is the joint in the body that is exposed to the greatest load. As a result, problems with the knee joint occur frequently. There are many things you can do to relieve the joint. Avoid knee-straining sports, but knee-saving physical activities and targeted exercises for the knee (physiotherapy); medications, bandages, orthotics — all of this can help reduce pain and relieve and stabilize the knees.

Even when surgery is unavoidable, the use of an artificial knee joint is often not necessary. There are already procedures that can even eliminate extensive cartilage damage with a transplant (cartilage cell transplant).

If an operation is recommended by your attending physician, then it makes sense to obtain a second opinion. Obtaining a second opinion is often also covered by health insurance companies. Of course, there are clear criteria as to when which procedure is to be used. But there are also borderline cases in which different specialists may well have different opinions. So if you want to be sure whether surgery is really necessary in your case, you should definitely get a second opinion from an expert in the field.

But always remember: The risk also represents an opportunity; avoiding one risk can lead to the next. If you refrain from knee joint surgery, this can not only lead to permanent pain and a restriction of mobility in the knee joint and thus quality of life. It can also have repercussions on the leg and hip should the pain cause incorrect strain in the knee.