Partial knee menisectomy is a very common surgery that involves removing the torn part of the meniscus. The meniscus is a natural shock absorber for the knee. In fact, in America alone, we perform about 700,000 of these surgeries per year, making it one of the most common orthopedic surgeries. While most patients think they’re getting a meniscus repair procedure, the truth is, 96% of these surgeries just remove a piece of the shock absorber, leaving your knee less protected.
There have been many high-quality research studies over the past decade or more that were designed to answer the specific question, “Is surgery necessary for a torn meniscus?” What did they show? All three large studies showed that meniscus surgery was not effective or no better than just physical therapy.
We offer innovative non-surgical procedures that may help decrease pain and improve knee function and mobility without the need for surgery.
Meniscus surgery is traumatic and carries associated risks. Even successful surgeries require months of painful rehab to regain strength and mobility. After surgery, most patients will be on crutches, wear a brace, or some combination of both for several weeks before returning back to normal activity. The recovery time and rehabilitation period may be extended up to six weeks with a knee brace or crutches.
Keep in mind that there may even be some complications associated with meniscus surgery, prolonging the recovery period even more. This includes complications with anesthesia, such as respiratory or cardiac malfunction, infections, and injury to nerves and blood vessels, fracture, weakness, stiffness or instability of the joint, inability to repair the meniscus, repeated rupture of the meniscus, or the need for additional surgeries.
Can you ever truly recover from parts of your knee meniscus being removed surgically? In the long run, almost all meniscus surgeries accelerate degeneration that leads to osteoarthritis and exacerbate the biomechanical problems that initially led to the need for the surgery.
Meniscus tears are like wrinkles; they are unavoidable. Some of us get more of them at a young age and some of us don’t get a lot of them until we’re older. The meniscus gets small tears as we age and as the knee joint begins to wear out. For example, in middle-aged and elderly patients, taking an MRI of patients with no knee pain and those with ongoing knee pain will reveal that both groups have about the same amount of meniscus tears. If these things usually don’t cause pain, why are we operating on them? If our surgeries are no better than fake surgeries, why are we placing all of these patients at the risk of surgical complications?
Recent research shows that some of the most popular orthopedic knee surgeries, including meniscectomies, have no benefit and are not more effective than placebo or sham surgery. But can a meniscus tear heal on its own when left untreated? Non-surgical treatments for meniscus tears for healing on their own include physical therapy, rest, ice, compression and elevation. Interventional orthopedics also provides a non-surgical injection alternative that may prove beneficial in reducing pain and improving function.
Have you been told that invasive surgery is your only option to fix your torn ACL? Getting your ACL replaced permanently alters the mechanics of the knee joint. You have other options when it comes to treating your ACL injury. In fact, about 70% of all ACL tears that currently get surgery could have been treated with a precise injection.
Your body is built to repair itself and our goal is to save your ACL, not replace it. We offer a non-surgical alternative for ACL tears that requires advanced injection skills using X-ray guidance, which may aide the healing of your ACL tear, while reducing pain and increasing function.
Dr. Evans is board certified in Anesthesiology and Pain Medicine. He is an Omaha native and a Central High graduate. After receiving a Bachelor of Arts at Creighton University, he attended medical school at Creighton, graduating with a medical degree in 1982. This was followed by two years of surgical training at Creighton University and then in New York, to complete a residency in Anesthesiology at The State University of New York, at Stony Brook.
Upon returning to Omaha in 1986, Dr. Evans began practice at CHI Bergan Mercy Hospital. During his years there, he served as both Chairman of Anesthesiology and then, Director of Pain Medicine.
Four years ago Dr. Evans moved his practice to Momenta Pain Care, to work with his former colleague, Dr. Peter Piperis, and to allow him to focus on the interventional treatment of spine and musculoskeletal pain.
In addition to his work at Momenta, Dr. Evans serves as the Medical director of The Bergan Mercy Surgery Center.
His past service work includes medical mission trips to both Central America and the Dominican Republic.
Dr. Evans is a member of the American Medical Association, the American Society of Anesthesiologists, the International Spine Intervention Society and the American Academy of Pain.
He and his wife Margaret, have six children and are members of Christ the King Church.
Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine
Dr. Peter Piperis is board certified in Pain Medicine and Anesthesiology and has been practicing medicine since 1990. He grew up in California and attended the University of California at Berkeley before receiving his Pharmacy and Medical degrees from Creighton University in Omaha, Nebraska. After completing his anesthesia residency at the University of Washington Affiliated Hospitals in Seattle, he practiced at Jennie Edmundson Memorial Hospital in Council Bluffs, Iowa, and CHI Health-Bergan Mercy Hospital in Omaha, Nebraska. With the skills developed in residency, Dr. Peter Piperis established pain medicine clinics at both hospitals before fulfilling his desire to dedicate himself to providing comprehensive pain care for patients. As a result, Piperis Interventional Pain Care, now Momenta Pain Care, was founded in 2006.
In addition to his clinical practice, Dr. Peter Piperis currently serves as Chief of Anesthesia at Advanced Surgery Center in Omaha, Nebraska. He and his wife Christina, who is a member of the Momenta staff, have four children.
Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine
*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.
Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.