Right Knee Meniscal Tear Day #91 post-prolotherapy Friday, August 27, 2010
had hoped that my visit with Dr. Fullerton today would be my last.
Turns out that although a good portion of the meniscus tear
has healed, there's a part on the back side, where it connects to the
femur, that's a little loose. Under ultrasound, you can see it shift
when he tugs and twists my knee.
This may explain why it's
sometimes painful to bend my knee past a certain point or to perform a
deep squat. The meniscus is being tugged from the angle of pressure.
what's next?" I ask.
"Well, we could get an MRI. Get a clearer
picture of what's going on," said Dr. Fullerton.
Seriously? I really
don't like MRIs.
"And so would a clearer picture change the course
of action? Seems like I'm really not a candidate for surgery."
point. No, it wouldn't change the options. We could do another round of
prolo or use PRP and since we haven't hit that area of your tissue with
prolo, that might be the thing to do first."
"I'm good with
prolo. I would rather try that, see what happens and since I've had a
good result thus far, I suspect I will in that area of the knee too. And
if it doesn't work, I could then go to PRP," I said.
to me," said Dr. Fullerton as he shook my hand and then left the room.
are few things I can't do right now. Run is one of them but that's
mostly because I haven't tried it. At least full body weight. I've done
some intervals in my Kangoos. No problems.
Well, I did try one
round of running
this past weekend while visiting my mother in Daytona Beach. The call of
the beach was just too much. Early morning. Sunny. Warm but not too
warm. A nice breeze. Desolate. Perfect. I jogged 30 second intervals for
20 minutes and felt great. Knee held up well.
Now, if you had a
chat with my right Achilles tendon, it might say, "Whatchu' talkin'
bout?" Yeah, the Achilles was sore and I stopped. It's almost recovered
now so no serious issue that I can tell but the run was worth the fall
out. I can still do all of my training drills and my daily activity is
unimpaired. But for now, running will wait.
Some people wondered
why I wouldn't just get the surgery - a partial menisectomy. It's quick.
Relatively few post-op complications. And you go on with your life.
There are three.
First, I think we, as a society, take surgical procedures for
granted. Like driving to the grocery store to buy a gallon a milk. No
big deal. But every time you're in surgery, there's always significant
risk. Risk of infection, stroke, and bunch of other stuff that's on all
that paper work you sign off on before you have surgery.We think it can
never happen to us but it does happen. So, if you have less invasive
options and can pursue those, do. Sometimes you can't. Tear is to large,
unstable. Or, your lifestyle and other demands just won't allow for the
Second, whenever you can preserve your meniscus, whether by repair or
otherwise (prolo or PRP) you should do it. In a recent study of
patients who had partial menisectomy, 60% had detectable changes of
osteoarthritis of the knee compared to 20% of the repair procedure. 1
I had a partial menisectomy in my left knee in '94 and I have to work a
lot harder at keeping that leg fit than my right leg - until recently
Turns out, your mensicus is a very important component of optimal
Keep it if you can.
And, third, I like to try new and different things. I wanted to know
what the prolotherapy experience was like, how it worked, did it work,
how would I respond. Thus far, I'm happy with my progress. It's not an
easy or quick road, (and did I mention that it hurts?) but I think when
it's done, I'll have a much more
So, my next prolo appointment is in the third week of September.
Until then, I train.
1. Stein, T., A. P. Mehling, et al. "Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears." Am J Sports Med 38(8): 1542-8.