Question asked by Laury Klasky 718 days ago

What are the best post meniscus surgery Pilates exercises?

I have a client who, almost two years after surgery, has fluid and pain in her knee. She regularly has to have the fluid removed. I'm looking for specific exercises to include in her plan.

 

Answers (6)

Answered by Natalie Smith 718 days ago
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Hello Laury,

Have you gotten information from her doctors about the cause of the fluid build up? I would concentrate on flexibility and walking with some gentle strength, without knowing any details.

Good luck to both of you.
Answered by Karin Singleton 718 days ago
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Hi Laury,

this question should better be addressed to a doctor and physical therapist who can make appropriate recommendations after having evaluated her situation. the fact that she has both pain and fluid build-up indicates that something is still wrong, and whatever she is doing at this point in time is not working.

Pain should always be an indicator for us to refer out until the cause of it is known.

I would not work with her on any lower body exercises until I have the necessary information.

Karin Singleton
www.meltnc.com
Answered by LaRue Cook 717 days ago
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I agree that TWO YEARS post meniscus surgery and still having pain and fluid build-up in the surgically repaired knee needs medical evaluation. I would refer my client to her physician with this problem before continuing her lower body exercise program, because one of our primary goals as a trainer should be to "do no harm." By referring your client to her physician to try to determine the source of this continued pain and swelling, AND to ask whether what she is currently doing with you is ok to continue, you will have taken responsible steps to ensure that what you are doing with your client is helping, not hurting.

I hope that this helps.

LaRue, CSCS
www.lecfitness.com
larue.cook@lecfitness.com
Answered by Laury Klasky 717 days ago
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Thank you for the great responses! My client is in the care of a doctor who tells her to walk, do Pilates, and that eventually she will need a replacement. His approach is to drain, give her a cort. shot occasionally, and just wait. She is one of those bullish people who wants to push through, which I believe is why she is in this shape-she pushed too hard too soon after surgery. She comes twice a week, and has benefited SO much, but it is getting harder.
Answered by Joanne Duncan-Carnesciali 717 days ago
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Larry,

If you are going to train her here are some things to take into consideration:

Make sure she has

1. Full knee flexion and extension
2. She is able to fully carry her weight
3. She has minimal swelling
4. She has medical clearance
5. She is at least four weeks post-operative
6. She has no anterior knee pain

Having said the above, if you are going to approach training her using Pilates, you'll likely have to utilize the reformer, stability chair and cadillac.

Best to you.
Answered by Jennifer Adolfs 143 days ago
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I have had a torn meniscus myself, as well as several clients. We do very light spring tension for footwork on the reformer, as well as the chair. I focus on the pulling in motion using the hamstrings instead of a heavy push out with the quads. Keeping the feet and ankles strong and flexible is helpful as well. I do trotting and use the foot corrector and a half foam roller to rock forward and back on to improve flexibility and balance. Some of them seem more comfortable doing the standing work. I avoid the long springs and feet in straps and just stick with closed chain exercises.

Best to you!

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