I had microfracture surgery Feb 05. But, my knee hurt so much I could barely walk. Patients are given pain relievers and will be able to leave the hospital on the same day. Dr. Behr reviewed the results of the MRI and the options I had. No, microfracture is a technique to help form a new surface to cover chondral defects. We may earn commission if you buy from a link. Microfracture is an outpatient surgical procedure used to treat damaged areas of cartilage in the knee joint. Both of these options put less strain on the joints. Working with a physical therapist can help you fully recover. How we test gear. It is important to initiate range of movement exercises early therefore you may be put on a continuous passive motion (CPM) machine which will help maintain range of movement after the surgery. 17 Of these, 19 players (76%) returned to pro football after surgery for an average of 4.6 years with reported improvements in pain, swelling, running, cutting, and squatting, though no game performance data were analyzed. What is Microfracture Knee Surgery This surgical option is used in the treatment of areas where small amount of damaged cartilage of the knee joint is present, on the underside of the kneecap. PHASE 1: 0 – 2 weeks after surgery . The surgery may cause pain, swelling, loss of range of motion, and impaired strength in your knee and leg. Knee microfracture surgery is a common procedure used to repair damaged knee cartilage. Microfracture and drilling are minimally invasive surgeries (key hole surgery) that promote bleeding from the bone to create a clot in the cartilage defect. But, my knee hurt so much I could barely walk. The surgeon first makes a 1/4-inch-long surgical cut (incision) on your knee and examines the inner side with the help of a long, thin device called an arthroscope. Cartilage. After the surgery, motion of your knee joint helps to keep the joint surfaces gliding and sliding past one another. I was on crutches, NO weight bearing for 6 weeks. Athletes should not rush into running after knee replacement–or really, after any kind of surgery. Gordon had microfracture knee surgery, expects full recovery (1:22) ESPN Chargers reporter Eric D. Williams discusses Melvin Gordon's expectations in his second season after knee surgery. Sizemore was re-activated as the Indians center fielder in April 2011, ending an 11-month stretch of being disabled due to his injury. Def ask your doctor and see what he thinks. If successful, it minimizes pain and swelling and helps joint function. Despite these numbers, it’s still entirely possible that Jadeveon Clowney goes on to have a successful career. In his distant past he had a patellar tendon rupture which lead to a surgical repair, but his knee arthritic pain … Knee microfracture andrewarthurmd.com 1 Overview ... • Physical therapy is generally needed after surgery to strengthen your knee and surrounding muscles. If you are an athlete, return to sports after knee microfracture surgery can occur about 12 to 16 weeks after surgery. Short arc quadriceps exercises are another great way to strengthen the quads after microfracture surgery. So even after rheumatoid arthritis forced him to have knee replacement surgery in 2011, he continued logging miles. A microfracture is an arthroscopic (small incision) knee surgery technique which involves making multiple small holes in the bone. Your knee may feel a bit abnormal or painful as you initially start the weight shifting exercise. ... Running/jumping after cleared by MD. Was on crutches for 6 weeks, PT for several months. Full recovery often takes four to six months after the microfracture drilling procedure. You will go home with crutches, cryocuff cold therapy unit and a CPM machine.. A study of 24 NBA players who underwent the procedure showed that only 58.3% returned to play for more than one season after the surgery. Here is how you do it: The quad set can be done several times each day to improve quad function and contraction. Patients formed less scar tissue and more “normal” cartilage. Sometime it doesnt work and sometimes the cartilage that is produced is not able to withstand the vigors of running. Release the contraction and repeat 15 times. Nerve Flossing in PT: What Is It and Why Is It Done? No amount of subsequent stem cell or other injections will bring back a complete, healthy structure of bone and cartilage. Ask the Doctor: Can I Run With Bruised Ribs? Lie on your back with your operative leg out straight. I agree about keeping the knee moving, and my Consultant wants me to run as theis helps (Boy so many conflicting stories about post Microfracture surgery) I plan to build on my running, but mix with bike. Also depends on your progress from the surgery. To make straight leg raises more challenging, you can add a 2- or 3-pound cuff weight to your ankle. Your PT can help you decide on the right exercises and intensity for your specific condition. Walking Aftеr Microfracture Knees Surgery. Small "cartilage clots" then form, and those clots heal and create a smooth surface on your knee's cartilage. Any other damage present in the joint will also determine your ability to return to running. Your PT Can Help. I am at 8 months post surgery and have progressed to 3-4 miles a day and can do so with most pain in the first mile and then after that it lets up, mostly. Exercises should be started gradually with a focus on basic motion and strength. However, if the area of the microfracture treatment is the patella or … Hamstring sets are great to do in the initial post-operative period after microfracture surgery. You should place no more than 20 percent of your body weight on the surgical leg. Articular cartilage acts as a cushion and has a very smooth surface which normally allows for very fluid and pain-free motion of joints. You will likely be using crutches for a few weeks after surgery. I have been carrying on with exercises and incorporating plenty of low-impact cardio (bike/elliptical). It’s just as likely, though, that Clowney’s career follows the trajectory of former NBA number one draft pick Greg Oden. When the microfracture is on the top of the shin bone (tibia) or the end of the thigh bone (femur), weight is limited by having a patient use crutches. Frehner F, Benthien JP. It is an arthroscopic procedure in which the surgeon will typically remove the deepest or calcified layer of cartilage in the … The only time I've had a problem with my knee since surgery was once after skiing, ... and I was able to start running again 10-12 days after surgery. After microfracture, your PT can evaluate your condition and prescribe treatments that can help decrease pain and swelling and improve knee and lower extremity strength and motion. However in young pts., most are able to return to light running @3 months. Sports medicine specialist John Hill, D.O., 61, has run since high school. Microfracture surgery is a procedure done to correct problems with the articular cartilage of your knee. During the procedure, a series of deep holes, or microfractures, are completed into the bone around the area of damaged cartilage. Balance exercises that your PT may prescribe may include: Balance exercises should be challenging, but you must remain safe while performing the exercises. In a small clinical trial, the gel, injected into a defect after microfracture, significantly improved results of the procedure. Microfracture knee surgery, which is used to address chondral defects, was originally developed to decrease pain while restoring mobility to high-demand athletes. I have continued stretching 4-6 days a week, just trying to get range of … wrote: Just saw this question 3 years after it was posted. I’m 25 having my first surgery ever. I know every case is different though so we'll see. Hold your leg up for 3 seconds, and then slowly lower. Microfracture: State of the art in cartilage surgery?. Place a small towel underneath your heel so it slides easily on the floor. In June 2010, Grady Sizemore of the Cleveland Indians underwent microfracture surgery after injuring his left knee while diving back to first base earlier in the season. Alex – Soccer – Knee Microfracture. Within a few weeks after microfracture surgery, you may be able to start physical therapy. Microfracture If the damaged articular cartilage is more severe where bare bone is exposed, a surgical procedure known as Microfracture may be performed. Your physician may have you use a continuous passive motion (CPM) machine after microfracture surgery. Getting your quads to work properly after knee microfracture surgery is important to regaining normal lower extremity function. The procedure began to gain popularity with the general public after successful outcomes were seen with several prominent athletes. Simply pedal around as far as you can, and then pedal backward as far as possible. I am at 8 months post surgery and have progressed to 3-4 miles a day and can do so with most pain in the first mile and then after that it lets up, mostly. Articular cartilage covers the ends of our bones in all of our joints (hip, knee, shoulder, fingers, etc.) Do you have knee pain after microfracture surgery? After microfracture surgery, your PT may have you ride a stationary bike. 2-3 months: Microfracture surgery is not foolproof surgery. The quad set exercise is an important first step in quad strengthening. Because your knee cartilage has been damaged, consider continuing to cross train once you return to running.-- Dr. Cathy Fieseler, He Overcame Addiction and Ran Off 216 Pounds, The Best Affordable GPS Watches for Runners, Social Media Helps 92-Year-Old Find Lost Jacket. Multiple knee surgery research studies provide the reason & offer alternatives ... the temporary repair provided by the microfracture process often breaks down after a few years of playing on the joints. Performance suffered greatly after players returned, with average points, rebounds, assists and minutes played dropping after microfracture. Each position will work a different part of your hip and thigh musculature. Do not do any exercise until instructed by your physician or physical therapist, and stop any exercise that causes pain in your knee. 3 years after a basic knee surgery to clean out my knee, I was waiting on the results of an MRI. By using Verywell Health, you accept our, Physical Therapy After Microfracture Surgery, Safely Progress Your SLR Exercise After Injury or Surgery, Back It Up: Benefits of Reverse Walking in the PT Clinic, PT Exercises to Rehab Your Knee After a Meniscus Injury. Some athletes may find that running and elliptical machines are enough to keep them active. Weight should not be put on the leg for six to eight weeks. I then had a debridement about 18 months after the chondro and have spent the past 18 months still in regular pain even after doing a lot of exercise to build up the quads etc. Dr. David Trettin answered. To do this exercise: If the heel slide exercise causes significant pain, stop it and check in with your PT or physician. The surgery is quick (typically lasting between 30–90 minutes), minimally invasive, and can have a significantly shorter recovery time than an arthroplasty (knee replacement). 32 years experience Orthopedic Surgery. For the time being I am doing a lot of cycling, swimming  and deep water running including interval training with no pain.What are my chances of returning to running successfully?-- Ran, IsraelA: Grade 4 articular cartilage injury means that the damage was down to the bone. Dr. David Trettin answered. How to limit weight on the area of the microfracture depends on the location of the injury. The machine slowly and rhythmically bends and straightens your knee. look inside the knee and one or two instruments are inserted for the surgical procedure through small ‘key – hole’ incisions. Cartilage helps cushion and cover the area where bones meet in the joints. Trying to return to previous running form after having microfracture knee surgery in July 2008. Hopefully this gives others hope that you can return to running following microfracture surgery. Limited strength training also begins immediately after microfracture surgery. A: Grade 4 articular cartilage injury means that the damage was down to the bone. 2-3 months: Microfracture surgery is not foolproof surgery. There are not standardized schedules for returning to impact activities because there are a multitude of factors that need to be considered – the site of the injury (weight bearing surface, patella, etc.) Steadman et al reported on 25 National Football League players with full chondral defects repaired by microfracture. To Learn more, please visit: http://hlevymd.com/index.php?option=com_zoo&view=item&Itemid=82 Orthopedic Surgeon in New York City, Dr Howard J. A successful outcome and the time it takes to return to activity is dependent on the patient’s age, patient’s body mass, lesion size, duration of symptoms prior to surgery, presence of arthritis, previous surgery and post- orthopaedic surgery fractures joint replacement sports medicine jewish hospital medical plaza 100 e. liberty street, suite 600 louisville, kentucky 40202 telephone 502-587-1236 fax 502-587-0126 southend medical center 5120 dixie highway, suite 103 louisville, kentucky 40216 telephone 502-449-0449 fax 502-449-3277 microfracture protocol Exercise should be your main tool to use during the recovery process after knee microfracture surgery. Thank you, {{form.email}}, for signing up. look inside the knee and one or two instruments are inserted for the surgical procedure through small ‘key – hole’ incisions. Your surgeon will be the only one to answer that as only he knows what he saw and did exactly. Ask the Doctor: Returning to Running After Hernia Surgery, Ask the Doctor: Returning to Running After Herniated Disk Injury. Your PT may prescribe the heel slide exercise to gently increase knee range of motion after microfracture surgery. Gently and rhythmically shift your weight to one side and then back to the other. I had a microfracture surgery in early 2009 to repair a torn meniscus in my left knee and that was the worst decision of my life. Your physical therapist may have you perform a straight leg raise (SLR) progression after knee microfracture surgery. Dig your heel into the floor as if you were bending your knee, but do not allow your knee joint to move. oted3. They should weigh all the pros and cons to determine if it’s the right sport for them. I have 2 friends who had microfracture surgery who have been told not to run or do any high impact activities, don't know any one who has had an OATS procedure. The spin classes have been great for building the quad muscles back. Microfracture Knee Surgery. Microfracture If the damaged articular cartilage is more severe where bare bone is exposed, a surgical procedure known as Microfracture may be performed. Options for knee pain two years after microfracture surgery Zenjedi. Chondral (pronounced kon-drul) is the medical term used to refer to articular cartilage or cartilage of the joint. You will go home the day of surgery to begin your recovery. Your surgeon will have you follow up at regular intervals to check on your progress. . After microfracture surgery, you may benefit from physical therapy for rehabilitation. They progress for eight to1 2 weeks or until you have regained full mobility and functional use of your knee. Limited strength training also begins immediately after microfracture surgery. Gaining and maintaining knee range of motion after knee microfracture surgery is a priority. I had checked out the knee guru forum too and got a little discouraged after reading a number of posts that warned against running after these surgeries. At 32, I was too young to be looking at major knee surgery. All of the options involved surgery with a … Long-Term Running Goals: Enjoy running and racing at whatever level I am able to. He loves discussing and writing about sports & exercise injuries, and has been featured in major media publications over 1,200 times throughout his career. Personal: I'm in the Army. After your knee microfracture surgery your knee will feel very stiff and you will experience a significant reduction in range of movement in your knee. 2-3 months: Microfracture surgery is not foolproof surgery. Joints, particularly hinge joints like the elbow and the knee, are complex structures made up of bone, muscles, synovium, cartilage, and ligaments that are designed to bear weight and move the body through space. Your physician may have you use a continuous passive motion (CPM) machine after microfracture surgery. Magnetic resonance imaging (MRI) may also be done prior to surgery to assess the cartilage damage and to see if other problems, like a ligament or meniscus tear, may also be affecting your knee. The machine slowly and rhythmically bends and straightens your knee. Blowing Rock Master! This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. For the first few weeks, the CPM will only bend your knee about 50 degrees. Stationary biking without resistance and a deep-water exercise program begin 1 to 2 weeks after surgery. Although several articles have reported outcomes for microfracture surgery and patients’ subsequent return to activity, there is a paucity of data on competitive performance after surgery, especially among professional athletes whose knees are subjected to high joint forces from running, jumping, landing, pivoting, and sliding laterally. Micro-fracture knee surgery is done to treat chondral defects of the knee joint. Progress has been slow but steady. Most protocols after microfracture surgery call for progressive range of motion. When the microfracture procedure was performed in a group of athletes, improvements in function were initially seen. It wasn’t an option. The technique was frequently used in athletes after they injured their joints. Microfracture Knee Surgery FAQ Is microfracture a “cure” for osteoarthritis? How to Prepare for Knee Replacement Surgery, Physical Therapy Before ACL Surgery Can Help, Improve Your Quad Strength with the Simple Short Arc Quad Exercise, Strengthen Your Quads and Minimize Your Joint Stress, Neuromuscular electrical stimulation (NMES). Not bad as I … You can always get the other procedures if you run into issues down the road. This can help to strengthen your quads, hamstrings, and gluteal muscles. If you still can, then I say go for micro and see what happens. to surgery, presence of arthritis, previous surgery and post-operative rehabilitation program.2-4 Because of this, there are some patients that may not be candidates for the microfracture procedure. Microfracture: State of the art in cartilage surgery? 32 years experience Orthopedic Surgery. It's now been 11 years since I had microfracture surgery and the knee is still going strong. How long does it take the average person to start running after knee microfracture surgery ? Topic Title: Running after microfracture Created On: 04/27/2004 09:51 PM 04/11/2006 05:21 PM. How Do Fartlek, Tempo, and Interval Runs Differ? Read our, Medically reviewed by Erin Pereira, DPT, OCS, Medically reviewed by Jonathan Cluett, MD, Medically reviewed by Mohamad Hassan, PT, DPT, Medically reviewed by Laura Campedelli, PT, DPT, Medically reviewed by Stuart Hershman, MD, Verywell Health uses cookies to provide you with a great user experience. Lie on your back with your surgical leg bent about 45 degrees. Is the new tissue that forms after the microfracture identical to the original articular cartilage? Walking After Microfracture Knee Surgery. Slowly bend your knee us by sliding your heel towards your buttocks. Microfracture of the bone at the site of the defect causes bleeding with the hope that fibrocartilage scar will fill the deficit. Microfracture is a surgical technique used to repair damaged articular cartilage by making multiple small holes in the surface of the joint, which stimulates a healing response. During the procedure, a series of deep holes, or microfractures, are completed into the bone around the area of damaged cartilage. Lysholm knee scores improved from 56.8 to 87.2 after surgery while Tegner scores rose from 3.2 to 6 at the two-year follow up. Arthroscopic knee surgery or “knee scope” surgery is a minimally invasive knee surgery that aims to preserve tissue and in turn speed up healing time compared to an open procedure, if possible. Recently, retrospective review by Cerynik et al7reported quantitative return-to-play data on 24 National Basketball Association (NBA) players who underwent microfracture surgery … Arthroscopic Microfracture Rehabilitation Protoc ol . The procedure is performed by making tiny drill holes through damaged cartilage and into the underlying bone of your knee joint. Your other knee can be bent about 90 degrees. Cartilage helps cushion and cover the area where bones meet in the joints. Regain full motion Begin muscle strengthening Brace and Crutches: For patellar and trochlear groove lesions, you Will wear a knee brace, which is set to allow your knee to bend only 30 degrees and straighten fully. I am married with four children (20/17/13/8 years old). You should feel your quad muscle contracting. Your recovery will require patience and time, however, and you should not rush into an activity that could damage your knees or hinder your recovery. Damage to the cartilage of the knee can be very challenging to treat due to the very limited capacity for articular cartilage to heal on its own. Protect the cartilage transfer – avoid weight bearing if instructed to do so Description . Any condition that causes damage to the articular cartilage of your knee may benefit microfracture surgery. Short term results looked promising, though the results often deteriorated over time. Ask the Doctor: Can I Run a Marathon After a Meniscectomy? Mosaicplasty is an osteochondral transplant in which tissue is harvested from a less-demanding area of the knee to cover a cartilage defect in a more important area. I regularly did therapy but cut it short in exchange for working my knee independently at a gym (they were interconnected). By the … With the ball under your knee, lift your heel off the ground and straighten your leg out all the way. This may include: A simple X-ray done by your surgeon can determine if the cartilage in your knee is torn or worn enough for microfracture surgery. Short term results looked promising, though the results often deteriorated over time. You may have to start out slow on the stationary bike; if your knee range of motion is limited to 90 degrees or less, you may not be able to pedal full revolutions on the bike. Knee microfracture surgery is a common procedure used to repair damaged knee cartilage. Microfracture surgery is performed arthroscopically. 344 shares “Don’t worry, you’ll run again, just be patient”. When I was 13 years old and playing for Match Fit Academy at the FC Delco Players Cup Soccer Tournament, I was running after a ball at full speed and fell to the ground and landed hard on my knee. 1 doctor answer. Following the surgery I moved back in with my parents (from CA to NJ) for rehabilitation. 1 doctor answer. Because of this, microfracture surgery is sometimes warranted to reduce pain and improve function. To do this, simply stand up with your crutches and both feet on the floor. I had checked out the knee guru forum too and got a little discouraged after reading a number of posts that warned against running after … Hold the end position for 3 seconds, and then slowly lower your leg down. Surgery is usually performed as an outpatient procedure. By the fourth week, your knee should be bending 90 degrees on the CPM machine. I started on a stationary bike, then started spin classes. Knee microfracture andrewarthurmd.com 3. Your PT can provide strategies to decrease pain and swelling and help you return to normal walking and running. This occurs passively while you simply lie down on your back. All of the options involved surgery with a long, length recovery. For the first few weeks, the CPM will only bend your knee about 50 degrees. GOALS: 1. Running After Microfracture Knee Surgery. after a microfracture procedure is more difficult than the return to non-impact sports and activities of daily living. If you have had microfracture surgery on your knee, you may benefit from physical therapy to help you fully recover. how long does it take the average person to start running after knee microfracture surgery ? Place a soccer ball, volleyball, or large coffee can underneath your operative knee. 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