Knee surgery has improved over time. At one point when someone injured their knee it was not uncommon fo the surgeon to remove the “diseased” or damaged structure. However, with what we know now, knee ligament surgery is still far too common.
The cushions in the knee are called meniscus. They pad and absorb the forces exerted by the leg during walking, running and skiing.
The knee is divided into two principal sections: the inside and the outside. In each of these compartments there is a meniscus. Like a disc in the lumbar spine they supply support and structure. When arthroscopic knee surgery is performed often it removes and trims the meniscus. In removing or trimming this vital structure the stability of the knee if often affected as well a pain after knee surgery.
Four Principle Ligaments
There are four principle ligaments:
- Anterior Cruciate,
- Posterior Cruciate,
- Medial Collateral, and
- Lateral Collateral Ligament.
The collateral ligaments provide stability. After meniscal knee surgery or arthroscopic knee surgery the medial or lateral collateral ligaments are often weaken and lax which can give rise to pain after knee surgery.
The medial and lateral colleral ligament can be repaired without knee ligament surgery. The most common approach is prolotherapy in which a sclerosing agent is injected to strenghten as well as tighten the ligament. Alternatively the use of autologous mesenchymal stem cells can be used via Regenexx.com.