Can I Run with a Meniscus Tear? A PT’s Perspective

Поділитися
Вставка
  • Опубліковано 24 лис 2024

КОМЕНТАРІ • 200

  • @littleo353
    @littleo353 Рік тому +28

    I tore my right medial meniscus 7 years ago - it was torn according to MRI, doctors, etc. 95% of it's length. That was consistent with the "slicing" pain I felt when it tore. Surgery was not only strongly recommended, it was considered my only option. None of the 3 doctors involved suggested anything else. I declined the meniscectomy surgery. Seven (7) years later I am very active - golfing, running including and especially trail and cross-country racing and some biking and swimming (no tennis).
    I have no pain but I have 'sensations" at times of something is in there. It could be some remaining scar tissue or something isn't quite normal. I currently believe it merely has to do with my not doing enough OR knowing enough about the interdependencies and relationships between the various muscles that are associated with the knee. I've learned the calve muscle connects to the lower part of the fibia (top of the knee area) and that quads and hamstring connect to the top part of the tibia (lower part of the knee). That was critically important wisdom.
    I first learned of this from a highly experienced chinese active-release therapist. She detected that my quad was very tight - and she "broke" that tightness and I felt immediate improvement that lasted for days. I almost felt normal - like a miracle. THAT convinced me that I was not in holistic balance in my leg muscles. I am learning more about the intricacies of stretching and all the muscles involved and their interdependencies.
    I am in my 70's and today play golf at least once weekly and hit practice balls as well. I have a 3 or 4 handicap so put demands on my body . I also run primarily on grass/dirt trails. I easily run a 5K even in extreme heat. Recently I played a round of golf and that afternoon ran a 5K alone in 96 degree weather.
    To my fellow elder running friends, I am a freak. After a competitive 5K a person I know in the running community - an elite senior state-wide runner was shocked when I told him my time in this flat, road race 5K. It was 23:10. He asked me how much mileage I was doing. I have records for years and I told him I was averaging about 3 miles PER WEEK (not a typo PER WEEK) for 2 years prior to that race - with no peaks and valleys of training. Running a 5K some weeks, skip a week and run a 10K - all on grassy hills. He was stunned and asked how could I be running so fast at my "advanced" age on so little training. Here is what I told him and what YOU need to know.
    We all know that exercise causes inflammation and we try to address and manage that. Cool downs. Water. Healthy food. Massage. etc.
    Did you know that eating after sundown CAUSES inflammation ALL THROUGH THE NIGHT? See the interviews of Dr. Satchin Panda - it was his research findings that I learned this from. Dr. Panda said it is "sadly" better to eat unhealthy food during the day than to eat late because "eating later in the evening turns even nutritious food into junk (inflammation)."
    How can this be? As the sun sets our body detects that and prepares for sleep. Melatonin is produced. Organs detect that increasing melatonin in the blood stream and to varying extents adjust for "sleep time". The pancreas stops releasing insulin since we are going to sleep. So if one eats late and especially if one eats sugars, carbohydrates and even meat (which has glycogen which breaks down into sugar) then the excess glucose that results is not able to be distributed and assimilated throughout the body BECAUSE there is no insulin to manage that. So what happens to sugar in a warm wet environment? Inflammation occurs first in the one-cell-thin endothelial lining of all blood vessels. It can spread to surrounding tissue.
    So I told this running friend of this and explained that as I run there is no inflammation because "I NEVER EAT AFTER SUNDOWN". Thus that thin endothelial lining is not inflammed and not impaired. SO the exchange of oxygen from lungs into the blood stream is not impaired and from the blood stream to tissues, muscles, the heart, etc IS not impaired. And in reverse waste products from the muscles, including CO2 also flow OUT the body or to the Lymph system with no impedance. And every night my is not producing inflammation it is healing.
    I told him that I had a frostbite sore about the size of a quarter that never fully healed over 15 years. Multiple doctors, ointments, etc. blah, blah, blah. After I stopped eating after sundown this sore healed PERFECTLY in just several weeks time. There is absolutely NO indication that I had that injury.
    That man in his next race, a 10K, just 2 days later (we had run a 5K race that morning) was concerned he was going too slow in those first miles. He said "It felt effortless. It was too easy." He was trying to run a national qualifying time for a senior 5K and 10K. Two days earlier he had run 20:10 in a flat 5k AND qualified by about 10 seconds faster than the qualifying standard. In the 10K which is hiller in the first 5K, he was shocked to see his time at the 5K halfway mark (there are NO mile markers so he was running on "feel") - his 5K time was the same as his all out 5K two days earlier. He should have been "spent" at that point - since he was running on a tougher course and on "tired legs" from the 5K two days earlier. He kept running and easily qualified for the national competition.
    This man did not eat after sundown JUST ONE TIME before that 10K and could not believe what he was able to do. I told him "Because you didn't eat late (he stopped at 4PM) yesterday you didn't cause any inflammation. So the exchange of oxygen and waste product was not impaired."
    So broaden the possibilities to meniscus tears. If one doesn't eat late then inflammation in the blood vessels (including the meniscus) is not happening. Thus healing is not impaired.
    Last November I ran in a 10K on pavement - fairly hilly with over-passes, etc. There were 6,000 runners - male and female and all ages. My training "mileage" for that year was about 3 miles PER WEEK. My time was 52 minutes - at age 70. I placed about 400th out of all runners and was 3rd in my 70+ age male age group. On 3 miles PER WEEK.
    To your health.

    • @harshtripathi3338
      @harshtripathi3338 10 місяців тому +1

      amazing perpective , i too torn meniscus while playing football but your story inspired me a lot thanks

    • @ankur4140
      @ankur4140 6 місяців тому +1

      ​@@harshtripathi3338 Bro how is the pain now? Actually I tore my meniscus while playing badminton, it's been 3 months, I don't feel any pain while walking, but if I try to run or play badminton again it hurts a bit.
      How are you recovering?

    • @harshtripathi3338
      @harshtripathi3338 6 місяців тому

      @@ankur4140 I tore my acl too along with minscus , recently i underwent aclr surgery where i got to know that minscus tear was very minimal , but you should not run rn as pressure on minscus will increase, you should do proper leg strengthening exercises like training different leg muscles group each time which will absorb a lot pressure from your knee , therefore pain will reduce a lot , i got surgery after 10 months of my injury, between this time i was able to run , jump and do normal exercises because of rehab exercises and physiotherapy , there exercises are a must do even before going into surgery as it also reduces recovery time , you should also consult a doctor for surgery advice , as it may become worse with time due to wear and tear down the years

    • @idc3715
      @idc3715 21 день тому

      i aint reading allat

  • @nateiowa3359
    @nateiowa3359 10 місяців тому +18

    So frustrating!!!! Every freaking time I try an exercise routine I seem to get injured. Sciatic, meniscus, tennis elbow. It’s like the universe wants me to be lazy. I have no pain while running, but lots of pain walking after a run. But if I go right back into a run, zero pain 🤷🏼‍♂️

    • @a.meeeezy9576
      @a.meeeezy9576 5 місяців тому +2

      Hang in there, keep working hard and problem solving! I'm right there with you brother

    • @Barrelhousekjell
      @Barrelhousekjell 4 місяці тому +1

      Sounds like you started with more work load than your body can tolerate. I always fell for the same trap, but have realized I need to start on a much lower level. Then gradually build it up from there. Focus on basic strength movements first using light workload; squats, deadlifts, push-ups/bench press, lat/rowing, plank exercise/core stability etc. Be patient, don’t rush it in the beginning. Do these steps before engaging into any strenous cardio. I would even start cardios on a cautious level too and progress slowly from there.

    • @Butthead1738
      @Butthead1738 4 місяці тому

      Maybe try squats before running? That's what I did everytime before running or cycling, I have torn meniscus too

    • @ThriveAliveJoshua
      @ThriveAliveJoshua 4 місяці тому +1

      Have you tried getting help from a physical therapist? If not, that might be the way to go.

  • @Peev14
    @Peev14 3 місяці тому +1

    I’m a jiujitsu and hyrox racing athlete.
    I’m 3 months post medial meniscus, longitudinal tear, involving the posterior horn.
    I had no idea my meniscus was damaged- I thought it was in my calf; popliteus or posterior tib… I continued to train around my injury and got back into my routine pretty quick (no running though) I just got my MRI last week because I still couldn’t run.
    I was quite shocked to realize I had a meniscus tear as a week before I got the MRI, I pause squatted 3 sets of 3 reps at 315lbs.
    It’s pretty crazy how influential the mind is now that I know it’s been my meniscus the whole time. I’m super guarded about in my jiujitsu now, and I can tell I’m babying it way more. Ignorance is bliss, that’s for sure.
    I pass all the Go’s . I’m going to lay off attempting to return to running quickly.
    Part of my frequent rehab routine involves
    1. cycling
    2. Pool jogging
    3. Cold plunge
    4. Sauna
    5. Red light
    I do this on-top of an array of leg strengthening exercises.
    I hope I and my body can beat this tear without surgery and get back into competition with a peace of mind! Wish me luck!
    Hope this helps someone else. Cheers.

  • @Twobarpsi
    @Twobarpsi 3 місяці тому +1

    I had a meniscus tear last October. I am pain free now in July. I have met your go/no go requirements. Looks like I can start running again!

  • @giuliomonti6332
    @giuliomonti6332 3 роки тому +15

    Very well done! What an injured runner need to hear!

  • @ksteiger
    @ksteiger Рік тому +13

    It's been 2 years since my initial discovery of a torn meniscus but I just ran a half marathon so I'm pretty happy.

    • @РустамТоксаров
      @РустамТоксаров Рік тому

      Скажите пожалуйста вы вылечились без операции? Как вы лечились? Сколько по времени всё это было? У меня у самого такая же ситуация год уже не могу бегать а очень сильно хочу!!

    • @Lung-TaRunner
      @Lung-TaRunner 6 місяців тому

      Did you keep running with the tear (injury) ? Did you do PT ? Any other activities during injury?

    • @olegwiththeknowledge1729
      @olegwiththeknowledge1729 Місяць тому

      Lier

  • @ReR7474
    @ReR7474 4 роки тому +29

    I've been recovering from meniscus...a couple days ago we had lots of rain and cool off quite a bit. It really was discomfort and swelling. It sort of felt when I was about a month after the injury. Weather changed to sunny, template weather and it's been fine. Strange how weather affected the injury.

    • @focusrehab
      @focusrehab  4 роки тому +9

      so true! weather can play a surprising role in joint injuries. good luck with your recovery

    • @freshappleseed6966
      @freshappleseed6966 3 роки тому +3

      I thought that was just me. I went out when it was raining and my knee hurt like crazy. Not nearly as bad in typical sun

    • @ciulabula1
      @ciulabula1 3 роки тому +2

      Totally agree!!! I'm diagnosed with degenerative radial tear, it's raining today and the knee hurts

  • @samuelkohen
    @samuelkohen 7 місяців тому +1

    Simple, clear, conscience . To the point! Thanks for the advice

  • @DS-cf1zc
    @DS-cf1zc Рік тому +3

    Thank you for this sound advice. I did my right meniscus in March - apparently degenerative wear from long distance running, and slowly crept up on me, as in it got worse over successive runs, so I stopped running.
    It was initially painful when I squatted or overdid my walking.
    In May I took up indoor cycling, and built up my resistance threshold, which at each resistance increase was gave little twinges after exercise.
    Today I can do full squats with weight on it, I have used well loaded resistance on my cycle - but there is still a niggle of pain if I squat down on my haunches.
    So while it has improved massively, I will not run until I squat fully with that twinge in the low end of the squat.
    Perhaps there is hope for me running again.

  • @MrOsmanaujiram
    @MrOsmanaujiram 3 роки тому +3

    The best to the point video I’ve seen so far!

  • @OzoneFineArtVentures
    @OzoneFineArtVentures Рік тому +2

    Thanks Burke! Healing up from an injury and cruising the web for some tips and sure enough, you come up! Great video, hope you and A are well, cheers!

    • @focusrehab
      @focusrehab  Рік тому

      K nice to hear from you and thanks for watching! I'm a phone call away if I can be of assistance :-). Happy holidays and hope you are doing great otherwise!

  • @tungstenwhizard4361
    @tungstenwhizard4361 4 роки тому +25

    I have medial knee pain, and while I can walk just fine, even if I just jog a little it hurts.

    • @josejuarez5675
      @josejuarez5675 3 роки тому

      This is what I have right now

    • @josejuarez5675
      @josejuarez5675 3 роки тому

      What did you do too fix it?

    • @tungstenwhizard4361
      @tungstenwhizard4361 3 роки тому +2

      @@josejuarez5675 I took Aleve no joke. I went to the doc and he said it was a meniscal inflammation

    • @josejuarez5675
      @josejuarez5675 3 роки тому

      @@tungstenwhizard4361 Thankyou I will use that,did you recover all the way with it?

    • @tungstenwhizard4361
      @tungstenwhizard4361 3 роки тому

      @@josejuarez5675 Yes. But if you have it with the absence of an injury, chances are there's an issue with your posture or your foot mechanics, so if it keeps reoccurring go see a PT.

  • @khurram2401
    @khurram2401 3 роки тому +5

    HI.Great video. it encouraged me a lot. Leme share my MRI conclusions. Pls give me your opinion as i want to go back running. Here is the conclusion of MRI:
    1)Horizontal tear of bilateral menisci with formation of parameniscal cyst.
    2) Lateral collateral ligament sprain
    3) Mild edma in hoffa's fat pad and trace joint effusion
    Thanks once again

    • @Miss_Rocha
      @Miss_Rocha 3 роки тому

      I had the some diagnostic omg.

  • @mmax92able
    @mmax92able 6 місяців тому

    That was helpful. Thanks. I usually can run without pain (more so than walking actually) but lately it’s been painful running and i’ve had to stop mid-run.

  • @alantay9409
    @alantay9409 3 роки тому +3

    Thank you for the abstract and advise. Much appreciated.

  • @nikvret9544
    @nikvret9544 Рік тому +1

    What i wanted to hear, without seen a 20 min video.

  • @TirnanHealy
    @TirnanHealy 3 роки тому +6

    This was amazing, you deserve more subs!

  • @maxrajputvlogs-official
    @maxrajputvlogs-official 3 роки тому +1

    I am suffering from meniscus tear grade iV.. doctors advised arthroscopy

  • @szvqorwnpstahskypfwmp9821
    @szvqorwnpstahskypfwmp9821 3 роки тому +1

    Wow, this is s great video.
    Thank you!!

  • @taksiobs
    @taksiobs Рік тому

    Thanks. This was kind of helpful

  • @scottjones3702
    @scottjones3702 10 місяців тому

    Super helpful. Thank you.

  • @astroecoandadvancewayoflea5857
    @astroecoandadvancewayoflea5857 3 роки тому +1

    I am 19 years and I have complex tear of lateral meniscus with posterior horn and there is no pain at all but sometimes pains it's been 1 months when will I be able to play football again because I am a good football player

  • @aunshah6478
    @aunshah6478 Рік тому +1

    Sir i have Acl reconstructed knee with some menisectomy. 1 can jogg 1 km in 4.5 mint. But not fully sprints.... I'm working too hard will I ever be able to run at top speed ۔.??? Is it impossible to run fast after the menisectomy???

  • @declanhowley4679
    @declanhowley4679 Рік тому

    great video..thank you for sharing .❤ from ireland.

  • @BeeDingaling
    @BeeDingaling 3 роки тому

    I was told not to run, had an MRI. Based on this video, I can run, but I'll probably do more damage to the tear

  • @viniciusmonteiro2514
    @viniciusmonteiro2514 Місяць тому

    I've been running and playing Basketball with a meniscus tear. I don't feel pain during the activity (brace seems to help a lot),
    but I feel pain afterwards. Also the knee is a bit swollen after the activity. It takes a few days for the pain and swelling to go away (not 100% though).
    And overall, I feel pain if I try to bend the knee fully.
    I wonder if it's OK to continue with the activities (I plan to do it). I see I fail a few of the go/no-gos explained in the video.
    I already had a MRI, I had an injection a few months ago. Before the injection, it was much worse.

  • @farzanepadidaran3022
    @farzanepadidaran3022 3 роки тому

    Hello thank for your help

  • @mobinthomas325
    @mobinthomas325 3 роки тому +1

    3 days back i had a injury in my knee while playing football
    MRI findings :
    1. Subchondral impaction fracture of the anterior of the lateral femoral condyle
    2. Acute partial tear of mid fibers of ACL ligament
    3. Focal radial tear is seen in the posterior horn of medial meniscus
    4. Moderate knee joint effusion
    Could please set me a treatment plan for this … ( including period of immobilization also )

  • @bamidelevictor2959
    @bamidelevictor2959 Рік тому

    Thank you sooo much this was helpful.❤

  • @medicinenews4351
    @medicinenews4351 5 місяців тому

    Have you met such a person who has healed his meniscus? I have seen a lot of videos on UA-cam and most of the doctors advise people to undergo surgery only to make money and people get it done and then suffer pain for the rest of their lives. Can this really be healed or has it happened to someone? Please reply.

  • @annpringle8219
    @annpringle8219 2 роки тому

    Geat video!

  • @MrRbirdy17
    @MrRbirdy17 2 роки тому +2

    I had recently had an MRI and found I have a small radial tear in the posterior horn of my medial meniscus.
    I haven’t ran in 2.5 months as I am seeing a physio. I do not have much pain when I bend my knee, but it has a constant pressure/ tightness/ Around the back of my left knee. Is that a common symptom?

  • @totallyraw1313
    @totallyraw1313 Рік тому

    If a person has pain when they push it into valgus while standing, is it likely a medial meniscus issue alone or something else?

  • @fractalofgod6324
    @fractalofgod6324 2 роки тому

    Running! I'd like to just be able to walk

  • @shobhashekhawat2093
    @shobhashekhawat2093 3 роки тому +1

    Dear sir, I had ACL tear along with posterior horn medial meniscus tear grade 1 before 6 month. I have taken one shot of PRP injection . Now I can stair up and down with running , I can balance on single foot but I try to straight knee against the force of theraband then I feel some pain , what I have to run or not ? Please reply , it's my humble request 🙏 to you.thanks

    • @focusrehab
      @focusrehab  3 роки тому

      hello! in general, 'open chain' exercises can bring out instabilities in the joint, as the joint slides more than when we straighten the knee with the foot on the ground. I recommend closed chain exercises to my patients in the presence of the pain you describe. good luck!

  • @mahmoudqutub7437
    @mahmoudqutub7437 Рік тому

    thanx for the great video. a follow-up to a question previously posted regarding the chances of recovery from a medial mensicus complex tear, an ACL grade 1 sprain and a BM edema. i was diagnosed in early july and have stopped running and a few weeks later stopped cycling. currently, i have pain when i try and sit on the knees (pain typically in the actual movement not the sitting position), pain when i press on that part of the knee and pain during any sudden twists. otherwise all types of physio strength sessions that i have undergone have been pain free. i've currently done about 10 sessions so my question is at which point do i decide that physio simply isn't working and surgery is required. thanks.

    • @focusrehab
      @focusrehab  Рік тому +1

      Thanks for watching! The three pillars are time, maintenance of strength and mobility, and avoidance of deep amounts of loaded knee bend, while the tissues are recovering. The timeframe could be three weeks to three months to see at least some recovery. If it has been longer than that, and things are not changing, then I would consult with a surgeon. Best of luck!

  • @poker_18rs92
    @poker_18rs92 3 роки тому

    What these videos never talk about is how expensive doctor visits are.... I went to an orthopedic & was there 20mins... Got a few hundred dollar bill... was told basically nothing except to get an MRI, in which my insurance denied..... So I just flushed a few hundred down the drain and still no answers. Will PRP help with an MCL tear?

    • @focusrehab
      @focusrehab  3 роки тому +1

      That is frustrating for sure. PRP concentrates growth factors to boost our own body's healing. I am no PRP expert but it does look promising although fully paid out of pocket. I found this and thought it encouraging. good luck "Platelet Rich Plasma (PRP) has been proposed as a treatment method to assist regenerative healing processes in acute ligament injuries. In animal studies, there is some evidence that PRP improves healing and mechanical strength in the early stages of acute medial collateral ligament (MCL) injury [7-11]." www.ncbi.nlm.nih.gov/pmc/articles/PMC3690737/

  • @danielsilva-oe6vj
    @danielsilva-oe6vj 3 роки тому +2

    Your video was amazing thank you, in my case I got diagnose for posterior horn medial menicus tear on my left knee and I've been like this for 6 months now been doing my exercise ect one of my physio said it looks good ect and how I should get back to playing football but I still dont feel comfortable in doing that yet. Walking is fine but still bothers me and standing for long starts to feel uncomfortable. I should I still carry on with a diff physio or I don't know. And I started having symptoms on my right knee but mri shows no signs of tears. What should I do.

    • @adarsh5343
      @adarsh5343 Рік тому +1

      I have been diagnosed exactly the same as ur condition. Did u get a surgery? How's ur knee now? Is it back to normal??

    • @medicinenews4351
      @medicinenews4351 5 місяців тому

      How was you now

    • @medicinenews4351
      @medicinenews4351 5 місяців тому

      ​@@adarsh5343how was your pain now

  • @paraschauhan9769
    @paraschauhan9769 Місяць тому

    What if i dont have any symptoms but knee is making clicking sound

  • @trainingxtrish
    @trainingxtrish Рік тому

    What are your thoughts on the current study of the benefits of PT vs repair surgery of a meniscus tear?

    • @focusrehab
      @focusrehab  Рік тому

      PT is strong - PT and surgery had equal outcomes for pain and disability for the majority of subjects (70% per one such study), however not for all and in that study 30% did go on to have surgery after trying therapy. That has held pretty true in my practice as well. (study: Surgery versus Physical Therapy for a Meniscal Tear and Osteoarthritis). Good luck!

  • @stephenevans6961
    @stephenevans6961 2 роки тому

    Would these rules also apply to someone looking to continue leg exercises like lunges, squats, etc?

  • @JohnDoe-fn7ml
    @JohnDoe-fn7ml 11 днів тому

    Volume on this video is horrible!.. turn it up

  • @highestvirtue1892
    @highestvirtue1892 2 роки тому

    My MRI said I have a tear n my knee pops when i bend it and feel tightness when i extend it. I ice it and it doesnt seem to heal. What should I do? How long will this last?

  • @wheresnoldo4336
    @wheresnoldo4336 3 роки тому

    Ooo I found your meniscus video! Not as climbing-focused as I was hoping, but helpful nonetheless. Sounds like I need to see an actual doctor though :/

    • @crowonthebanjo611
      @crowonthebanjo611 3 роки тому

      Get yourself an mri, and surgery if you have to. I just got one and have surgery scheduled for a torn miniscis and cal.

    • @crowonthebanjo611
      @crowonthebanjo611 3 роки тому

      *acl

  • @wasgudmayn2956
    @wasgudmayn2956 3 роки тому

    Hey Sir, the doc told me he thinks I have a meniscus tear after an injury. I need to be able to walk but can’t at the moment due to a popping at the back of the leg. I can’t get surgery for another couple of weeks/ months and need to be able to walk. Do you recommend any sort of injection or anything that could numb this pain until I get the surgery? Thank you so much!

    • @focusrehab
      @focusrehab  3 роки тому

      sorry to hear about your injury. Normally bracing, taping and gentle exercises as tolerated are the trick, plus a healthy dose of time. That'd be where I'd start generally. Good luck!

  • @nagendranaga7754
    @nagendranaga7754 3 роки тому

    Right knee left side slide pain i thing menicus pain pls solution taping or surge...

    • @burkeselbst1776
      @burkeselbst1776 3 роки тому

      sorry to hear about your. knee problem. in general when the ACL and meniscus are injured a slow progression needs to be taken. gentle strength after 3-6 weeks, no jumping or running till motion is full and stability is good. Always consult locally if you can and good luck!

  • @BushidoBrown117
    @BushidoBrown117 Рік тому

    Do these go for the same after healing from miniscus surgery?

  • @muhammadadeel3434
    @muhammadadeel3434 3 роки тому +1

    I had a miniscus tear of grade 3 injury in my left knee, one year ago. Now, I can walk normal. But feel little pain, if i sit on the knees. I have been using chinese traditional patches since 8 months. It helps me a lot. I wish i could recover without any surgery or menisectomy in next 6 months ,maybe 😭 i am 25 years old so i want to avoid surgery. Plz give your advice in this regard...

    • @focusrehab
      @focusrehab  3 роки тому

      they can be so slow to heal! be patient and stay strong!

    • @sedatari6627
      @sedatari6627 2 роки тому +1

      My frend dont do surgery i hat the same but i didint do it, give your knee time and work you will see it will ve very very ok dont rush dont worry try to workout step bu step and it will be allreight good look

    • @muhammadadeel3434
      @muhammadadeel3434 2 роки тому

      @@sedatari6627 thank you. You are right. I have avoided the surgery. And its getting better everyday. The process is very slow. I still feel pain very little. If i walk more. Otherwise daily normal routine work are fine. But i dont know when i should run, cycling., Still afraid of these things.. for another 1 year perhaps .

    • @sedatari6627
      @sedatari6627 2 роки тому

      @@muhammadadeel3434 brother dont run do soft cykling and trainig smoth your leg to ve sronger yes give your leg minimum 1 year and pleas all the time becaerfull Allah will give you şifa

    • @kimswary6469
      @kimswary6469 2 роки тому

      @@muhammadadeel3434 Thik ho gaya kya Friend? mera bhi same age same problem he.......Ab kaisa ho dost reply me....

  • @vaibhavgupta5771
    @vaibhavgupta5771 2 роки тому

    So it has been almost two months after a painful injury I was so fast and my knee bend like hell now I can run I can lift weight but i played football one day and it was just simple knee bend and it creates pain what should I do?

  • @iamtheonlywilly
    @iamtheonlywilly 3 роки тому

    I couldn't run if I wanted to. I have a MCL/ACL strain.

    • @shauntayb7847
      @shauntayb7847 3 роки тому

      I’m in the same boat, what are you doing to help with recovery?

    • @iamtheonlywilly
      @iamtheonlywilly 3 роки тому

      @@shauntayb7847 not rushing to failure by trying to do things I'm not supposed to do. I have been researching how long the recovery is, what types of things s I can do at home while I wait for a PT opening and lastly trying to eat right so I don't blow up like a blowfish. Lol

  • @khatdubell
    @khatdubell 4 роки тому +2

    What's the advantage of a physical therapist over a personal trainer.
    Just had a minor, supposedly subtle meniscus tear (id hate to see a large one) and I was recommended to see a pt.
    But I figure losing some weight and getting in general good shape would help overall.
    So I'm not sure which is better or why.

    • @focusrehab
      @focusrehab  4 роки тому +8

      Great question. I have many patients who see personal trainers as well, and most of the time our work is extremely compatible. Personal trainers excel at muscle development as they should, whereas therapists excel at staging injuries and developing the right loads through the joint and tissues at the right time in the healing process. When I have to make changes to a personal trainer's knee program for a patient, it's often to eliminate high load plyometrics, jumping and the volume of squats and lunges that are common for typicaly 'knee strengthening' but will potentially aggravate a torn meniscus. I would recommend having both on the team, but maybe 90% personal trainer and 10% PT to catch any training errors early. Good luck!

    • @khatdubell
      @khatdubell 4 роки тому +2

      @@focusrehab thanks for the info and the response.

  • @dchirib
    @dchirib Рік тому

    Could the same concepts be used for playing a sport like soccer?

  • @gustavoromero5790
    @gustavoromero5790 4 роки тому +1

    Thank you for share this content, First of all, I am a 21k to 42k long distance runner in the Marathon. I had an accident on my bicycle and had a meniscus surgery "SUTURE" for radial rupture on the medial body with the anterior horn 1 month ago, I cannot put my foot on the ground at this time, but with in the next 2 weeks I will to start supporting again according to the therapist and orthopedist but to start running again he told me about 6 to 8 months to run again. I understand that the meniscus does not heal easily, but my question is: I'm 29 years old and I don't know if I can run a marathon again and what the risks would be. Thank you very and I really appreciate your comments or suguestions in these times.

    • @focusrehab
      @focusrehab  4 роки тому +4

      Thanks for your question. In any case of meniscus injury associated with a trauma, I will always err on the side of taking a slower and more conservative approach. This is because cartilage injury is very possible even if not documented on imaging, and an extended cartilage recovery window can potentially reduce future risk and complications although it's difficult to predict. I think a 6-8 month recovery before running is conservative but reasonable assuming full recovery of other knee functions such as strength, mobility and proprioception. At that time graded re-exposure to running while monitoring for post run pain, swelling and function will be the way to go. Good luck!

    • @adarsh5343
      @adarsh5343 Рік тому

      I'm 26 and have been diagnosed with meniscus tear. I'm literally on my way for my surgery (which i am skeptical if I'm doing the ryt thing) and reading your comment. Please advice from your experience. How's ur knee now? Did u have any complications post surgery? Is ur knee completely back to normal now?

    • @gustavoromero5790
      @gustavoromero5790 Рік тому

      @@adarsh5343 I haven't had any major complications I was able to run again even in a long distance I have a small meniscal cyst and I am feeling like not giving the 100% despite minor injuries , but with good recovery, strength, and a good therapyst I am good for now, Hope you get better and I wish you a good recovery as well.

    • @adarsh5343
      @adarsh5343 Рік тому

      @@gustavoromero5790 Thanks man 👍

  • @emilyglanz751
    @emilyglanz751 3 роки тому +2

    Thanks for this video! I just hurt my knee 5 days ago. The sports medicine doctor said probably a meniscus tear but unconfirmed. I have pain when I snap it back to straight or bent, but besides that it is just tight. Walking up and down the stairs makes it feel a lot better. Can I run?

    • @focusrehab
      @focusrehab  3 роки тому

      in general 5 days is a little too soon to run. I have my patients do their rehab 3 weeks and when sustained fast walking is good they can do some trial run/walks. good luck!

    • @davidbarry4305
      @davidbarry4305 3 роки тому

      @@focusrehab when do you think it's safe to return to sports where more pressure will be applied to knee with turning forces etc?

    • @focusrehab
      @focusrehab  3 роки тому

      @@davidbarry4305 it really depends on the extent of the injury and is hard to predict. I would recommend to my patients a) minimal/no pain or swelling during or after light jogging and drills (see my hamstring videos), b) no locking or catching through knee motion and c) good tolerance for some short sprints and jumping. If all of the above are met for at least 3 weeks, I introduce cutting but at drill levels - not full return to play unless all checks out. good luck!

  • @intrepid2511
    @intrepid2511 2 роки тому

    Not recovering after operation of 1 yr what should i do

  • @halfmoonrisin
    @halfmoonrisin 3 роки тому +2

    I was diagnosised with a meniscus tear in my right knee at the end of 2019! Due to a initial misdiagnosis and the pandemic I have had NO treatment. I currently have basically NO pain. I only feel pain coming out of sleep from the night before or when climbing stairs repeatedly over a lengthy period when items. I can stand for as long as I need or want too, I can drive my car, I can flex my knee, bend it and kneel w/o pain. The One thing I CANNOT do is WALK my balance and walking is awful. I am scared to have surgery I would like to try physical therapy first as a healing option. Since I did not go for treatment in 2020 do you think I should request that I get a updated MRI on both knees? To decide proper treatment from my new doctor. And generally speaking how long does it take to recover from a meniscus tear

    • @burkeselbst1776
      @burkeselbst1776 3 роки тому +1

      Physical therapy for gait and balance is a great option! In our community our docs don't require repeat MRIs to start PT - your PT should coordinate with your new doc and update them about your progress. Recovery time varies widely and is hard to predict because different parts of the meniscus have more or less blood flow, so you'll have to go by how you feel and how well you tolerate your PT. good luck!

    • @halfmoonrisin
      @halfmoonrisin 3 роки тому

      @@burkeselbst1776 Thank You. Appreciate your advice.

    • @BeeSaucySkateboarding
      @BeeSaucySkateboarding 2 роки тому

      Try looking at your gait cycle ( the way you walk) abnormalities in walking can cause acute pain, and lead to further injury.

  • @cuthbertjolly4859
    @cuthbertjolly4859 10 місяців тому

    How about running with a meniscus injury for three years?

  • @sxpersav1710
    @sxpersav1710 3 роки тому

    I have a displaced tear in the lateral meniscus posterior horn which is a Grade 2 partial tear of the lateral collateral ligament, I was injured last month on the 21st and my recovery has seemed slow I have been able to walk normally for a week now and can slightly jog without pain do you have an idea of how long until I recover because I feel like physiotherapy is a waste of money just telling me exercises but nothing else at all

    • @focusrehab
      @focusrehab  3 роки тому

      I'm sorry to hear about your injury and hope you make a full recovery. The meniscus gets compressed and displaced with impacts when jogging, so really using some version of 'red light, yellow light, green light' to monitor afterwards for signs of increased pain, swelling or stiffness is going to be key. In general, those structures heal slowly, so the timing seems reasonable. Because the blood supply to those structures is limited, I do a lot of general knee stability and avoid impact, jumping, running until those tissues are healed - often a min of 3 months or longer, just to keep from worsening a problem. The physio exercises need to be done but mostly to maintain the general health of your knee while you are waiting for those structures to heal. Good luck!

    • @deepakyadav7502
      @deepakyadav7502 2 роки тому

      Same problem what are you now

  • @tenzinchoeden5252
    @tenzinchoeden5252 3 роки тому

    Hi m 27 years my knee was twist bfor 4 months i rested 2 weeks n after that i can walk n run straight n also kick the ball straight but i cant shuffle n cant kick with the side way it pain to side of knee... i don know what happen to my knee.. can u plz tell me doctor

    • @focusrehab
      @focusrehab  3 роки тому +1

      thx for the view; generally when the mensicus is injured in a sprain, the ligaments that stabilize the knee are also injured. If they are not ruptured, they can recover but it is a long slow process. Rehab helps, time and rehab helps even more. good luck!

  • @sadashiva8921
    @sadashiva8921 4 роки тому

    Running continue or stop

  • @burningtoast6026
    @burningtoast6026 3 роки тому

    I am 14 years old with a radial tear on my lateral meniscus and I have been doing physical therapy for it and I still might need surgery it has been feeling better but I don’t know if I should get surgery or not because if I don’t there is a chance I could tear it worse can you help me?

    • @focusrehab
      @focusrehab  3 роки тому +1

      sorry to hear about your injury. that's a tough question that is best answered by your team - a doc, a PT and you and your parents. good luck!

  • @iliketowatchthis
    @iliketowatchthis 3 роки тому

    I dislocated my knee several years ago. Major pain and swelling for 6 months, but no surgery and I got through it somehow. I can pretty much do everything now, but I get random times where it’s like something gets stuck and trying to even walk normal causes major pain. I have to deep massage the back side of my knee, then whatever was binding is gone and back to normal like a switch. Not sure if running can ever be in my future again, I seem to get aches and pains the more active I am. I average 13000 steps on a daily basis. Curious if you have a suggestion for me for getting serious with a pt to strengthen my stabilizer muscles or if I need to get surgery first to rake care of whatever causes the random binding? Things get worse for me in the summer just because I am much more active

    • @focusrehab
      @focusrehab  3 роки тому

      Sorry to hear about your injury. I find it is well worth establishing a knee strength program - without knowing your case, the GLA:D program out of Denmark is really good and research based and very simple things. My experience with delaying surgery with exercise is mixed - I'll try to do a video on that soon, but still, well worth getting your knee stronger and stable no matter what ends up happening. Good luck!

    • @stephanieguerra8216
      @stephanieguerra8216 3 роки тому

      Not supposed to do deep pressure massage on back of knee. Are you a LMT?

  • @AkshitDuhan-wm9gd
    @AkshitDuhan-wm9gd 3 роки тому

    Sir i had my medial miniscus surgery of bucket handle tear of posterior horn and dr removed 30% of it's portion so is it safe for future Or I'm gonna struggle in future life? ☹️

    • @focusrehab
      @focusrehab  3 роки тому

      runners can often do rehab exercises to improve the knee's stability, so it's hopeful but the knee will need to be really strong and free of swelling/pain with motion. good luck!

  • @harshranjan8593
    @harshranjan8593 3 роки тому

    Sir I have a meniscus tear posterior horn on the medial meniscus and degenerative or contusion, sir can I go back to run in the field because i am athletes please answer me sir

    • @focusrehab
      @focusrehab  3 роки тому +1

      In general, running will be the last element to come back, after strength, flexibility and tolerance for being on your legs/walking and so on. If those are all good without increased pain or swelling, an athlete can try some easy jogs. Mostly it takes time, so hang in there!

  • @satheeshnair7019
    @satheeshnair7019 2 роки тому

    Sir I have a minor miniscus tear is it possible to me to perform mountain climbing exercises

  • @prathmeshdeokar3576
    @prathmeshdeokar3576 3 роки тому

    Hello Sir, I damage my medial meniscus and undergone surgery where they trimmed a little of my meniscus.... it’s been over 4 months from surgery now and I feel small amount of pain while slow jogging and walking .... is it normal ? Plz reply ..thanks !!

    • @focusrehab
      @focusrehab  3 роки тому +2

      Hello and sorry to hear about your knee injury. Although each case can be different, in general it's normal for the knee to be sore for some months after surgery, sometimes as many as 7-8 months during these activities. Most people do see that pain subside in time and can resume their normal activities. Good luck with your recovery!

    • @prathmeshdeokar3576
      @prathmeshdeokar3576 3 роки тому

      @@focusrehab thanks for the info and reply !!

  • @gosnimm7624
    @gosnimm7624 3 роки тому

    I had been running 5 to 6 miles a day. It's been about 6 months since I've gotten a meniscus tear and crepitus (I think) because I still get crunching, popping, and creaking feeling in the knee when I put my hand over it, but there's no pain. Do you think it's safe to run now?

    • @focusrehab
      @focusrehab  3 роки тому

      In general terms I would consider initiating a) long hikes with some elevation/climbing - descending, progressing to b) trial run/walks every 3rd day. if that goes well then my patients can progress as tolerated with precautions to watch for swelling/pain changes. Good luck!

    • @gosnimm7624
      @gosnimm7624 3 роки тому

      @@focusrehab Thank you!

    • @gosnimm7624
      @gosnimm7624 3 роки тому

      @@focusrehab Yesterday was my third day of running and it didn't go well. I ran not even a mile a day and somehow my right knee is somewhat painful. It's not that painful but it just feels weak when I straighten my leg sometimes and when I stand. And sorry for commenting about my worries. Thank you.

  • @nagendranaga7754
    @nagendranaga7754 3 роки тому

    Hi sir my name is nagendra my left knee acl grade 2 damage solution 27years old sir

  • @alantay9409
    @alantay9409 3 роки тому

    Great video. Please clarify if “no go” mean give up running all together?
    I walk, climb up/down stairs, stand with no pain.
    My knees do collapse (sometimes) when I run, but never an issue jogging in place. I can body weight squats. But I cannot do body weight pistol squat at all. Go or no go?

    • @focusrehab
      @focusrehab  3 роки тому +1

      Hi Alan, thx for the question. A few factors to consider - how long has it been? if I was considering challenging it, longer is generally safer (at least 3 months, preferably more than 6); also at least a partial pistol squat would indicate healthier knee function - if it was me, i'd call it a no go :-/ for now. good luck and speedy healing.

    • @alantay9409
      @alantay9409 3 роки тому

      @@focusrehab thank you for your response. Much appreciated. Knee collapsing had been 3 months. I did lots of foam rolling (lacrosse ball) on my TFL, hammy, calves, stretching and glute activation (med and max) all summer to get myself to walk! Then I started running there after and it was last few weeks ago, my knees were giving out when I started to run. MRI shows meniscus tear on both knees, more on the medious (inner knee). I so far I had 2 hyalronate injections. So far so good on the knees with the injections. I have not run yet until my 3rd shot next week. Just wondering if I can ever get back to running if I continue with strengthening and improving flexibility.

    • @focusrehab
      @focusrehab  3 роки тому +4

      @@alantay9409 the long term research supports a return to running. Numerous studies point towards running not worsening knee arthritis and in fact being helpful/protective but up to a point - higher intensity, competitive and ultra distance running is associated with increased knee wear and tear, so the short answer is - a runner can get back to it, but not at a super high competitive level. Hopefully it'll be a healthy and fun outlet for you. I'd prioritize making sure those tears have plenty of recovery time and to return gradually. Here are my references and good luck! www.ncbi.nlm.nih.gov/pmc/articles/PMC5179322/#:~:text=Conclusions%20and%20Relevance,appear%20detrimental%20to%20the%20knees and www.jospt.org/doi/full/10.2519/jospt.2017.0505

    • @alantay9409
      @alantay9409 3 роки тому +1

      @@focusrehab thank you very much. This pandemic has been a blessing in disguise for my knee recovery! Appreciate your advise very much.

    • @aakashpatel9928
      @aakashpatel9928 3 роки тому

      Hey how's your knee now....as you mentioned above yours condition i also have same. but my MRI shows normal..i also have CT scan it also shows normal...my doc said that may be i have pattela maltracking or patella instability...but my Symptom shows that i have meniscus tear.
      Its been last 3 months i can do squats , lunges, rope skipping (1000-2000) but whenever i try to run i feel that my knee pain is Coming back.
      Problem is i had to go for my military training next month and i'm very demotivated now. Please assist me sir if you can.

  • @mohaabu7749
    @mohaabu7749 3 роки тому

    Am 17 and whenever I try to run my knee pops and I won't be able to lift again untill it pop's again 😭 can u plz help me 👏👏

    • @focusrehab
      @focusrehab  3 роки тому

      Popping can be a sign of a more serious Meniscus problem - best to see a doctor to help you come up with a good plan. good luck

  • @jesusgutierrez9705
    @jesusgutierrez9705 4 місяці тому

    I tried to run but then I tripped

  • @quranreciter8571
    @quranreciter8571 3 роки тому

    Squats exercise is harmful or not

    • @focusrehab
      @focusrehab  3 роки тому +2

      generally: no deep squats; no shallow to mid depth squats until stairs up and down are fine; no added weight till swelling does not change with all walking, time on your feet. good luck!

  • @usmanjavid5434
    @usmanjavid5434 2 роки тому

    I had my meniscus tear grade 3 is it possible to heal without surgery???

    • @focusrehab
      @focusrehab  2 роки тому

      i'm sorry to hear about your injury. Many docs will say healing from a grade 3 will be incomplete and surgery is likely. With that said, best course of action is to have a good doc AND physio and work your physio as far as you can take it. If surgery is eventually needed, at least you'll have a good strong knee. good luck

  • @desmondstrnad2070
    @desmondstrnad2070 3 роки тому

    I tore my meniscus about a month ago and the swelling went down and now i can tolerate stairs. My knee locks when I begin running sometimes. Should I be worried or am I okay to run?

    • @focusrehab
      @focusrehab  3 роки тому

      in general i'd have my patients wait to resume running till no locking. good luck!

  • @jeremysearle7634
    @jeremysearle7634 4 роки тому +1

    Great video, thanks for the info. Subscribed!
    I have an MRI confirmed oblique, vertical tear of the posterior horn of the medial meniscus in my right knee. I have good stability, good balance, only a little bit of aching from time to time but that doesn’t change with higher impact or increased load - the only “no-go” criteria I meet is that I have pain at around 125-130 degrees of flexion (no pain with extension), it’s not capsular end feel, it’s more of a painful mechanical block. I can get to a capsular feel, though, if I externally rotate the tibia as I flex at the knee.. I am curious as to your opinion about a person with a meniscus tear and function and symptoms as I described getting back to running..
    I am kind of scared of surgery, and I’m currently uninsured so that’s not an option anyway. My symptoms are tolerable for my hobbies and my goals (except snow sports, I would hate to post hole and land in a hyperflexed position). I’ve actually been doing some running and it’s been feeling good, but I am just not sure if I am secretly doing more damage..
    Any feedback would be greatly appreciated.

    • @focusrehab
      @focusrehab  4 роки тому +3

      Hi Jeremy, thanks for the question and the sub! It's a great question on a few levels. Since every knee responds to injury differently, I'll answer generally - the bad first: meniscus injuries definitely don't heal well (although they can heal slightly especially that outer 1/3rd), and re-injuries and worsening are common over time - not great. The good news - if a runner's post-run 24-48hr time frame doesn't include increased knee swelling, pain with normal non-running activities and worsened ROM, running with the tear is reasonable with caution. Anecodotally it's often when runners CANT run that they seek surgery for this problem, otherwise a cautious "yellow light" approach can be argued. Now how about that cartilage? if that was injured too during the initial injury, then a much more conservative approach is warranted. If the tear was more age/time related and degenerative, the running prognosis will be better. Good luck!

    • @graphics.c17version
      @graphics.c17version 3 роки тому +2

      @@focusrehab Grade II tear at posterior horn of medial meniscus.
      I need advice, what can I do for this problem?
      But I want to play football.
      I hope you give me proper solution.
      Thanks.

    • @flyingtoworld509noorkhan3
      @flyingtoworld509noorkhan3 3 роки тому +1

      I have also grade 1 tear of posterior horn of medial meniscus but orthopaedic surgeon told me don't go upstairs or downstairs for 3months and not need surgery

    • @medicinenews4351
      @medicinenews4351 5 місяців тому

      ​@@graphics.c17versionsame my problem now please reply me how are you now

  • @andrewtaylor2785
    @andrewtaylor2785 Рік тому

    Thanks for the video. Ive had a horizontal medial tear for 7 years. recently got an MRI bit haven't spoken to a doctor. Its nondisplaced.
    Im really getting into my running again and powerlifting and although it doesn't bother me too much, it does hurt when trying to bend my knee so calf is touching my hamstrings or when deep squatting or i get dull bruise lile ache after a run of 5 miles or more.
    My question is, im on a long list in the UK to see an orthopedic, should i push for surgery, when i eventually get seen, or shall i carry on and just build up the muscles around the knee?. I want to choose the way thaat givese least chance of osteoarthritis when im older. Im 39 and had it since aged 33. Thanks

    • @focusrehab
      @focusrehab  Рік тому

      that's a tough call. if it were my knee I would try strengthening stabilizers including core hips and ankles and limit depth of squats, knowing that episodes can still happen and may get more frequent/severe as time goes on. Most docs I work with will say 'patients know' when it's time for something chronic like that. Good luck

  • @danieladominguez9161
    @danieladominguez9161 3 роки тому +1

    I hurt my knee on June 20 and it’s been getting better everyday there was minor swelling and I had to use crutches for 5 days then I could walk but limping, right now I feel way better I’m able to balance on it workout with no pain but when I bend my knee fully my lateral meniscus part hurts 5/10 does this mean I can go back to practice soccer but take it slow or should I wait until it fully heals

    • @focusrehab
      @focusrehab  3 роки тому

      In general I like to take Meniscus injuries slow because the blood supply and healing is more limited. It's hard to wait but hang in there!

    • @medicinenews4351
      @medicinenews4351 5 місяців тому

      How are you my friend

  • @usmanjavid5434
    @usmanjavid5434 2 роки тому

    Hiii

  • @CloseToNature5524
    @CloseToNature5524 3 роки тому +1

    Hi can i walk 8 km in second grade posterior horn of medial meniscus tear...plz reply

  • @louisnolan1509
    @louisnolan1509 3 роки тому

    Hi I was wondering if cycling is an option with a meniscus tear?

    • @focusrehab
      @focusrehab  3 роки тому +1

      great question, and absolutely. It's generally considered very safe for tears and can address the super commonly associated quad/extensor muscle weakness. Always base your progression on how your knee responds - more lasting pain and/or swelling? dial it back. No increase? Continue! Good luck!

    • @louisnolan1509
      @louisnolan1509 3 роки тому

      @@focusrehab alright thank you, imma start cycling again.

  • @micvili7527
    @micvili7527 3 роки тому +1

    Basically told me nothing

  • @half_wolf-half_wrecking_bu1300
    @half_wolf-half_wrecking_bu1300 3 роки тому

    Its painful initially for about a 100m and I doesn't feel any pain or loose of balance afterwards for as much kms I can run... This has happen for two weeks
    What's your take on that and what advice best suited for me??

    • @focusrehab
      @focusrehab  3 роки тому

      generally speaking I like to closely monitor any change in stiffness after running, painful or nonpainful, and adjust based on that stiffness and/or swelling changes. A reduction in pain as an athlete runs is great but only tells part of the story if the joint is working hard to recover afterwards (as noted by swelling, stiffness and pain). Good luck!

  • @youubik
    @youubik 2 роки тому

    Not good advice, somebody who knows little about injury and cares less

  • @yarnotrully9233
    @yarnotrully9233 3 роки тому

    To be blunt this is a super entry level elementary video. It does not impart any type of useful info.

  • @anna-mariabonfanti3673
    @anna-mariabonfanti3673 3 роки тому

    This is rubbish .......takes 5 minutes to get to promotion. Advert watch out.... don't be drawn in

    • @flyingtoworld509noorkhan3
      @flyingtoworld509noorkhan3 3 роки тому +1

      You are ungrateful he is helping but you don't deserve learn respect please atleast he is a Doctor

  • @rebeccabisnovaty7673
    @rebeccabisnovaty7673 11 місяців тому

    Does this apply to all grades of tears I have a Full-thickness radial tear at the posterior root medial meniscus is it possible for me to run as I don’t have any pain when walking

    • @focusrehab
      @focusrehab  11 місяців тому

      It's possible to run with a full thickness tear although the tear is unlikely to fully heal and running will put at least some stress on it. It's a tough call. If it was my knee I'd at least wait till totally symptom free and after a few months of high level knee strength training. Good luck!