Etiology — what causes it
Surgical repair of a meniscus tear to preserve tissue. More appropriate for younger patients, peripheral tears with vascular supply, and vertical tears. Healing requires longer protection.
Epidemiology — who gets it
Increasingly favored over meniscectomy in younger patients given long-term outcome advantages.
Clinical signs
Tracked progress includes effusion resolution, gradual range restoration per protocol, strength and gait normalization.
Symptoms
Surgical pain and stiffness; progressive return of function over 4–6 months.
Best evidence for chiropractic treatment
Protocols vary by surgeon and tear characteristics, but generally include weight-bearing and range restrictions for 4–6 weeks to protect the repair, followed by progressive strength and function. RTS often 4–6 months, criteria-based.
When to seek emergency care
Some symptoms need urgent medical attention — not a chiropractic visit. Call 911 or go to the nearest emergency department for: progressive limb weakness, loss of bowel or bladder control, saddle anesthesia (numbness in the groin/inner thighs), severe unrelenting pain unrelieved by position, signs of fracture after significant trauma, chest pain, stroke-like symptoms (face drooping, arm weakness, speech changes), or any rapidly worsening or unusual symptom.
Bottom line
Meniscus repair rehab is slower than meniscectomy — but preserves the meniscus, which matters long-term. Follow surgeon protocol closely.