Diagnosis Explanation:

A meniscectomy is a minimally invasive surgical procedure where damaged meniscus tissue is removed via arthroscopy (knee scope). This is performed when a meniscus tear causes persistent pain, swelling, and mechanical symptoms (locking, catching) that do not improve with conservative treatment. Recovery time depends on the extent of meniscus removal and individual healing ability but generally ranges from 4 to 8 weeks.

Specific Work Modifications:

• If your job requires standing or walking: Use crutches (if prescribed) for the first 1-2 weeks, then transition to a knee brace as needed. Take frequent seated breaks.
• If your job involves lifting: Avoid heavy lifting and deep knee bending for at least 4-6 weeks. Use proper body mechanics.
• If your job is desk-based: Elevate the leg when sitting to reduce swelling. Perform gentle mobility exercises every hour.
• Avoid: Deep squatting, kneeling, prolonged standing, and repetitive knee stress.

Specific Activity Modifications:

• If you run or play sports: Avoid high-impact activities for at least 6-8 weeks. Begin with low-impact exercises like swimming or cycling.
• If you hike: Stick to flat trails for the first few months. Use trekking poles for extra knee support.
• If you do weightlifting: Avoid deep squats, lunges, and leg presses initially. Gradually add controlled strength exercises as tolerated.
• Avoid: Jumping, pivoting, running on hard surfaces, and any activity that worsens swelling or pain.

Recommended Supplements:

• Collagen Peptides – 10g daily for cartilage and tissue repair.
• Glucosamine & Chondroitin – 1500mg/1200mg daily for joint health.
• Omega-3 Fatty Acids – 1000mg daily to reduce inflammation.
• Vitamin C – 500mg daily to promote healing and collagen synthesis.
• Turmeric (Curcumin) – 500-1000mg daily for natural pain relief.

Recommended Nutrition and Hydration:

• Increase Lean Protein (chicken, fish, eggs, tofu) to aid tissue healing.
• Eat Anti-Inflammatory Foods (berries, leafy greens, turmeric, nuts) to reduce swelling.
• Consume Hydrating Foods (cucumber, watermelon, citrus) to maintain joint lubrication.
• Limit Processed Foods & Sugars to minimize inflammation.
• Hydration: Drink 8-10 cups of water daily to promote circulation and recovery.

Home Exercise Prescription (Post-Meniscectomy Rehabilitation)

Early Phase (0-2 Weeks, Reducing Pain & Swelling):

• RICE Protocol – Rest, Ice (15-20 min, 3x/day), Compression (brace as prescribed), Elevation.
• Ankle Pumps – Move ankle up and down to improve circulation, 10 reps, 3x/day.
• Heel Slides – Gently slide heel toward buttocks to improve mobility, 10 reps, 2x/day.
• Quadriceps Sets – Tighten thigh muscle, hold for 5 seconds, repeat 10 reps, 3x/day.

Strengthening Phase (2-6 Weeks, Regaining Function):

• Straight Leg Raises – Keep knee straight, lift leg, hold for 5 seconds, repeat 10 reps, 2x/day.
• Seated Knee Extensions – Slowly extend knee, hold for 5 seconds, repeat 10 reps, 2x/day.
• Glute Bridges – Lie on your back, lift hips while keeping hamstrings relaxed, 10 reps, 2x/day.
• Stationary Cycling – Low resistance for 10-15 minutes/day to improve mobility.

Advanced Phase (6+ Weeks, Stability & Return to Activity):

• Mini Squats (No Deep Bending) – Slight knee bends while keeping weight on heels, 10 reps, 2x/day.
• Step-Ups – Step onto a low platform, push through the heel, repeat 10 reps, 2x/day.
• Balance Exercises – Stand on injured leg for 10-20 seconds, increase as tolerated.

Helpful Books:

1. The Knee Injury Bible: Everything You Need to Know About Knee Pain, Prevention, and Treatment – Kevin R. Stone, MD.
2. Heal Your Knees: How to Prevent Knee Surgery and What to Do If You Need It – Robert Klapper, MD, and Lynda Huey.

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.