General Discussion Triathlon Talk » Running after menisectomy Rss Feed  
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2007-11-25 4:28 PM

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Czech Republic
Subject: Running after menisectomy
Hi to all, is there anybody here having experience with running after menisectomy (partial removal of meniscus), in my case part of both left and right knee medial menisci were fractured and repaired. Does running lead to the further damage of the knees, i.e to arthrosis, in long term perspective? I know that swimming and bike are rather like therapy but how about running? Thanks for response. Pavel


2007-11-25 6:41 PM
in reply to: #1067384

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Champion
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Subject: RE: Running after menisectomy
DId you have a partial menisectomy or a meniscus repair?  If you had a partial how much was removed?
2007-11-26 4:09 AM
in reply to: #1067497

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Czech Republic
Subject: RE: Running after menisectomy
As far as I know, approx. 1/3 of each meniscus was removed (corners of those). The left knee surgery is 3-year-old matter and I have no troubles so far with it, with exception of steep downgrades in mountains while hiking - then it reacts, swells, a bit of pain.
What I'm afraid of is total displacement because of arthrosis in my fifty
2007-11-27 9:41 PM
in reply to: #1067384

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Master
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Sunny Southern Cal
Subject: RE: Running after menisectomy

I have no experience with your condition.

Personally, if I were in your situation, I would not take up running.  Maybe an elliptical machine, but only maybe.  Whatever you do, if anything, ease your way into it.  Running is not good for the knees, despite what some people might tell you to the contrary.  If you can walk and hike with causing further knee problems, I'd stick with walking and hiking.

Supposedly the aquabike (swim-bike) events are growing in popularity.  If you want to do something competitive, keep an eye out for those.

2007-11-29 8:56 AM
in reply to: #1071388

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Subject: RE: Running after menisectomy
Thank you for the opinion. I feel you are right but I somehow don't want to give up running. I'll try it, in support with chondroitine and glucosamine + involving some practice helping to keep motion apparatus in a balance, until first troubles appear. Then I'll stop. I read some medical articles on that (abstracts actually) and it's pretty clear that osteoarthritis is almost inevitable after meniscectomy. It's just question of time. P.
2007-12-01 9:18 PM
in reply to: #1067384

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Subject: RE: Running after menisectomy

You don't necessarily have to give up running.

Background, I've had 3 meniscectomies (2 left, 1 right, both partial medial and lateral).  I'm also a physical therapist, and when I was going through school, my own professors said don't run.  At that time, I had 2 past knee scopes.  Ran anyway, ended up with a 3rd torn meniscus.

Fast forward to 2005, I finally get a clue and start working with an ortho specialist in our field, which opened a whole can of worms.  My arch was collapsing on my left foot, I've got the tightest hip flexors you've ever seen (I had no hip extension), I couldn't fire my right glut, etc.

I've gotten serious with stretching, orthotics in my running shoes,  dynamic functional  exercise in multiple planes for stabilization.  I've now been running for 2 years and have had no knee pain.  And I NEVER could run without symptoms.

Every person is different, but don't think that you have let your body decide for you.  Just look at the great stories at Kona (bilateral below knee amputee?  awesome).  Find a qualified physical therapist to look at your structure and functional movement, and go from there. 

FYI look for therapists that have OCS (orthopaedic certified specialist) and FAAOMPT after their name (Fellow of the American Academy of Orthopaedic Manual Physical Therapists, or international equivalent...long I know).  These are the cream of the crop.  And one more thing, when calling the PT office, ask if utilize Gary Gray.  He's one of the foremost authorities on functional exercise.  Hope this helps.



2007-12-02 8:05 AM
in reply to: #1078845

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Czech Republic
Subject: RE: Running after menisectomy
Thank you for the response! It sounds optimistic for me. Actually I intend to go the same way. Since I am Czech I have to search for the qualified therapist in my country and I think I know already where to go. And similarly, I will use orthotics in shoes (I suffer from deficient pronation = O-shaped legs) and do a lot of stretching and exercises. I have always applied stretching but neglected orthotics and also corrective exercises. That could serve as a warning for all those who feel good now but know that suffer from some kind of disbalance (such as O legs mentioned above). The negative processes inside the body (in the leg joints in this case) proceed slowly but inevitably.
Thank you all for the advices!
2008-05-20 9:50 AM
in reply to: #1067384

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Subject: RE: Running after menisectomy
I had a partial menisectomy in 1985 and have continued to run for the past 23 years and yes, I have recently developed some pain in the joint due to the wearing down of the repair site. Having said that, I wouldn't trade the enjoyment of all those years of running for anything. Stick with softer, even surfaces, do the exercises necessary to strengthen the knee joint, get a high quality cushioned running shoe and you'll be fine. By the way, there have been a lot of advances in treatment of meniscal injuries such as growing new cartilage from a sample of your own so repair of the joint and a return to running is more likely every year. Enjoy!
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