JOSPT Insights Ep 224: Saving the meniscus, with Dr Arielle Giordano
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May 26, 2025 Dr. Arielle Giordano, a leading expert in sports and orthopedic physical therapy, discusses groundbreaking insights into meniscus rehabilitation. She highlights the collaborative consensus among health professionals from Europe and the US on optimal recovery strategies post-surgery. Key topics include tailored rehabilitation approaches, the significance of educating patients, and advancements in surgical techniques. Dr. Giordano also outlines critical symptoms to monitor during recovery and the importance of personalized exercise protocols to prevent re-injury.
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Prioritize Saving the Meniscus
- Saving the meniscus during surgery and rehabilitation is the primary goal to prevent long-term issues.
- Rehab professionals must understand the specific surgical details to tailor effective rehabilitation plans.
Partial Meniscectomy Rehab Guidance
- Follow criterion-based milestones instead of time-based ones after partial meniscectomy.
- Monitor swelling and range of motion, and use quadriceps strengthening techniques like NMES.
Weight-Bearing After Meniscus Repair
- Use criteria and time to guide weight-bearing after meniscus repair, adjusting for tear complexity.
- Avoid full range of motion and weight-bearing early on to protect healing repairs.