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23.04.2024 | Kasuistiken
Adapting RegentK principles for nonsurgical meniscal tear management: an innovative case report
Erschienen in: Manuelle Medizin
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Introduction
Meniscal tears are common knee injuries, often requiring surgical intervention, particularly in young, active individuals. However, nonsurgical approaches, including manual therapy and exercise, can offer an effective alternative. This case study explores the outcomes of a nonsurgical treatment for a meniscal tear in a 41-year-old male patient, emphasizing patient-centered care.
Case presentation
The patient, a professional engineer, suffered a meniscal injury in 2019. Initial treatment with the RegentK technique resulted in full recovery. In 2023, he experienced a recurrent injury. Due to the unavailability of the initial treatment method, a customized manual therapy approach was applied, targeting acupuncture points and using friction massage from the ankle to the knee. Concurrently, the patient was prescribed knee-focused exercises, including flexion, extension, and sit-to-stand movements, performed multiple times daily.
Clinical discussion
Posttreatment, the patient reported significant improvement, with a decrease in pain from 8/10 to 2/10 on the numeric pain rating scale (NPRS) scale and resolution of knee locking. His Western Ontario and McMaster Universities Osteoarthritis (WOMAC) score improved dramatically from 35 to 0 at 1‑month follow-up, indicating no disability or pain. The patient expressed high satisfaction, particularly valuing the avoidance of a surgical intervention.
Conclusion
This case illustrates the potential of manual therapy and exercise for effectively managing meniscal injuries, challenging the conventional preference for surgery. Personalized nonsurgical approaches can lead to excellent outcomes, aligning with patient preferences and promoting rapid recovery. Further research is warranted to explore the broader applicability of such treatments in similar cases.