Physical Therapy Evaluation and Treatment Meniscus Tear [Case Study] : FPF Show Episode 26

By dpope2020

March 26, 2022

conservative management, dan pope, fitness pain free, knee injury, knee pain, medial meniscus tear, meniscal tear, meniscus exercises, meniscus injury, meniscus rehab, meniscus rehab exercises, meniscus surgery, meniscus tear, meniscus tear exercises, meniscus tear recovery, meniscus tear rehab, meniscus tear rehab exercises, meniscus tear symptoms, meniscus tear test, meniscus tear treatment, meniscus tears, physical therapy, torn meniscus, torn meniscus symptoms

Physical Therapy Evaluation and Treatment Meniscus Tear [Case Study] : FPF Show Episode 26

In today's episode we go over Physical Therapy Evaluation and Treatment for Meniscus Tears [Case Study] | Traumatic | Non-operative | Conservative Management:

  • 0:00 Intro
  • 1:48 Subjective Evaluation: History taking, aggravating factors, patient goals
  • 9:04 Objective Examination: Manual Muscle Tests (MMT), range of motion (ROM), swelling, quad contraction, regional interdependence, functional tests, imaging, palpation, special tests
  • 17:40 Should this patient undergo surgery? Meniscectomy, meniscus repair
  • 19:50 Plan of Care: range of motion, quad function / strength, swelling management, hypertrophy, return to sport / work, treatment frequency
  • 26:33 Physical therapy treatment of meniscus tears: Loading / strengthening parameters, programming, frequency, exercise selection, muscles targeted
  • 29:03 Home exercise program: Gym program
  • 31:14 What a clinic session looks like: Reassessment, manual therapy, exercise
  • 33:41 How to progress exercises and physical therapy over time
  • 39:49 Return to running, plyometrics and sports progression (plyos, change of direction, acceleration)
  • 45:24 Communication with the physician
  • 48:28 Discharge planning
  • 50:47 References

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    1. Persson F, Turkiewicz A, Bergkvist D, Neuman P, Englund M. The risk of symptomatic knee osteoarthritis after arthroscopic meniscus repair vs partial meniscectomy vs the general population. Osteoarthritis Cartilage. 2018 Feb;26(2):195-201. doi: 10.1016/j.joca.2017.08.020. Epub 2017 Nov 14. PMID: 29146386.

    2. Skou ST, Lind M, Hölmich P, et al. Study protocol for a randomised controlled trial of meniscal surgery compared with exercise and patient education for treatment of meniscal tears in young adults. BMJ Open. 2017;7(8):e017436. Published 2017 Aug 21. doi:10.1136/bmjopen-2017-017436

    3. Wijn SRW, Rovers MM, Rongen JJ, Østerås H, Risberg MA, Roos EM, Hare KB, van de Graaf VA, Poolman RW, Englund M, Hannink G. Arthroscopic meniscectomy versus non-surgical or sham treatment in patients with MRI confirmed degenerative meniscus lesions: a protocol for an individual participant data meta-analysis. BMJ Open. 2020 Mar 8;10(3):e031864. doi: 10.1136/bmjopen-2019-031864. PMID: 32152157; PMCID: PMC7064080.

    4. Logerstedt DS, Scalzitti DA, Bennell KL, Hinman RS, Silvers-Granelli H, Ebert J, Hambly K, Carey JL, Snyder-Mackler L, Axe MJ, McDonough CM. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Revision 2018. J Orthop Sports Phys Ther. 2018 Feb;48(2):A1-A50. doi: 10.2519/jospt.2018.0301. PMID: 29385940.

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