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After meniscus surgery, problems in various areas of the knee.

Hello,

I had a meniscus surgery a year ago (July 12). A bucket handle tear was repaired in the inner meniscus of my left knee. I am 31 years old and an athlete.
Rehab went well and the stitch has healed. I then did physiotherapy and slowly started cycling. In March of this year, I started running again. Slowly and lightly.
There were hardly any problems, pain, swelling, etc.
Three weeks ago, I did two fast runs (the first fast runs) with a 5.30 pace.
The next day, I had mild pain in my knee, which has not completely gone away since then.

Issues:

1) My fibular head keeps popping out and needs to be popped back in.
2) During exertion (cycling or running), I feel pressure next to the kneecap. Occasionally, it burns slightly. However, it is not painful and does not hinder physical activity.
3) No pain during exertion, climbing stairs
4) I can bend and straighten my knee without problems
5) Approximately 1 hour after exertion, I feel pain in the area of the pes anserinus and also about a thumb's width below the inner joint line. Not in the joint line. At that point, there are two slight swellings that can be felt. When I press here, it pulls slightly (not towards the joint line, but downwards).

Sometimes my knee feels like it's not running completely in line. It also seems like my left leg tends towards pronation.
Of course, I'm now afraid that it's the meniscus again. But after a year, the stitch should have healed, right? Plus, I didn't have any sudden pain like with my first injury.

Could it be that I stopped muscle building too early, leading to this combination of problems? By the way - my cartilage was not damaged after the tear...

Appointment with the doctor in 2 weeks, but an opinion would be great...

Dr. med. Ive Dr. Schaaf

Your actual question can be answered with "no".
The way you have built up the load, you have done everything right.
Also, your assumption that the tear from back then must be healed again after a year is surely correct. However, one must be aware that such healing always leads to scar tissue, which has neither the natural load-bearing capacity nor the natural elasticity. In addition, the spot that was torn once may be exposed to the same load as before. This is especially true if you have not made any changes to your knee and hips after the tear. And by changes, I mean in terms of load zones / muscle traction on the axes / possibly correcting misalignments / misloads.

This is where the greatest chance may lie for you to be able to train without problems in the future.

Sports therapists, sports doctors, naturopaths, and physiotherapists can be helpful in this regard. Finding the right therapist is always difficult - unfortunately.

Best regards,

Dr. Schaaf

Please ask if you would like to know more.

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Dr. med. Ive Dr. Schaaf