An Advanced Look Into Causation, & Possible Conservative Treatment Options for The Meniscus
A Large Number of our Clients Have:
- Decreased Inflammation in their Knee quickly.
- Decreased Their Pain Quickly and Significantly
- Increased the Range of Motion (ROM) in their Knee joint (reduction of atrophy)
- Decreased the Incidence of Overcompensation Injuries
- Decreased their Chance of Re-Injury due to Increased ROM and enhanced Blood Flow.
- Decreased their Chance of Re-Injury by Learning About What Caused the Injury in the First Place.
...they simply decided to read and learn about their injury, try our home treatment recommendations and committed themselves to a daily treatment protocol.
Before going further, an understanding of the three major stages of the healing process is critical. With the right knowledge and the right treatment options, you can accelerate your recovery without the fear of re-injury or setbacks (which unfortunately, happens a LOT with knee meniscus injuries - we will explain why further down the page).
Stages of Healing for a Torn Meniscus
Step 1: Get a Diagnosis & Use Cold Therapy to Reduce Inflammation
Blood supply to your injured meniscus is critical to healing, as your body uses blood flow to heal. The blood supply to a meniscus tear is determined by 2 factors:
- a persons age (a younger person has more blood flow in the meniscus), and
- tear location (white zone vs red zone)
Tears located on the inner rim of meniscus are known as white zone tears and tears located on the outer rim are known as red zone tears. White zone meniscus tears receive little to no blood flow, whereas red zone tears receive good blood flow. Basically, this means that the ability of your meniscus tear to heal itself reduces as the tear location moves inward.
The first thing to do is speak with your doctor. Only your doctor can give you a proper diagnosis and from this, determine a course of proper treatment. Once your doctor determines the information about the tear - tear type, tear size, tear location and tear pattern, they will know whether you need surgery on your meniscus tear. If surgery is not recommended, your doctor will almost always advise conservative treatment options - conservative treatment options for a medial meniscus tear typically means rest, icing the injury, elevating the injury, reducing load on the injury (crutches or brace) and taking anti-inflammatory medication.
If possible, avoiding surgery is typically the best option. However in some some cases meniscal repair or even a meniscectomy is advised - or in some cases necessary. Surgical removal of a meniscus (a procedure called a meniscectomy) may be necessary if the meniscus is worn down too much and/or is damaged beyond repair. Artificial meniscal implants might be used following a meniscectomy but the success rate of meniscal implants is not always great (reference: boneandjoint.org.uk).
Inflammation is the body's natural response to a soft tissue injury and is a normal part of the healing process - helping to reduce tissue infection in the early stages of injury. Swelling, pain, heat sensation, redness, and loss of function are the main symptoms experienced and it is your bodys way of telling you there is something wrong.
For certain soft tissue injuries of the knee, there may be no other option than surgery. As an example, if you have a full tear of a ligament, tendon, muscle or meniscus- attachment surgery will be required to sew them back together; in some cases, graft surgery (moving soft tissue from one site to another) is utilized when reattachment success is improbable.
Step 2: Enhance Blood Flow to Injured Soft Tissue
The meniscus is a unique, rubber-like, fibrous cartilage and is considered to be dense soft tissue. As stated earlier, the meniscus receives very limited blood flow and the inner portion of the meniscus receives little to no blood flow at all; this is the precise reason why damage to a meniscus can take a long time to heal - and in some cases, not heal at all. Knowing that enhanced blood flow is a critical necessity for accelerated healing of soft tissue, the challenge becomes this: How do you effectively increase blood flow to dense soft tissue (the meniscus) that normally receives very little blood flow?
- Rigorous exercise is out of the question as it will lead to further injury.
- Visits to the clinic are helpful, but that only happens a few times a week.
It is through the blood the body carries the oxygen, nutrients and water that injured tissues rely on for recovery.. It is well known that increased blood flow helps your body accelerate the healing process.
When you have a meniscus injury, there is reduced blood flow to the injury site. Inflammation and reduced movement (lack of activity or on-going immobility) will reduce the flow of blood - and if you think about it, this makes sense. Moving the joint(s) where your meniscus it torn is very painful, so it is very common for sufferers to have significantly reduced mobility; over time, this leads to atrophy - a shortening of muscles, tendons and ligaments of the joint. As the meniscus heals, you run a high risk of straining your muscles and tendons as they have become shortened due to lack of use - leading to more soft tissue injures and possibly putting you into a chronic soft tissue injury cycle.
This is why the Knee T•Shellz Wrap® is such an important tool. The whole purpose of the wrap is to accelerate blood flow to soft tissue in the treatment area. The end result; you relax the blood vessels within soft tissues of the treatment area. The vessels will naturally expand and allow for more blood flow to reach the very tissues you are trying to heal. In addition, this process will help clear the area of toxins and excess fluid build up, thereby reducing inflammation.
Step 3: Recognize That Healing is a Process
With dedication, the right tools, and the right information - you may be able to achieve your goal of a sustainable recovery. A combination approach of cold compression, T•Shellz Wrap® treatments, and functional movements is intended to make it happen much more quickly.
In our experience, soft tissue repair rates via conservative home treatment methods using a dedicated, comprehensive approach have surprised many of our clients, but will differ from person to person. In nearly all cases, however, it is very important to stop whatever you were doing that created the injury in the first place (ie. running, jumping or any activity that involves significant load on the meniscus).
If you have questions, we welcome you to call our office toll-free at 1-866-237-9608 (Continental US), or Internationally at +1-705-532-1671.
What is a Meniscus?
Terms Used in this Section:
- "Femur" = thigh bone in upper leg connecting from hip to knee
- "Tibia / Shinbone" = the largest and strongest of the 2 lower leg bones that extend from the knee to the ankle
- "Menisci" = plural form of meniscus
- "Meniscal" is a term relating to a meniscus
The menisci play a very important role in the proper working of the knee - they serve as cushions to decrease the stress caused by load-bearing and shock forces on the knees. They work like shock absorbers, supporting the load by compressing and spreading the weight evenly within the knee. Even while walking, the pressure put on the knee joints can be 2 - 4 times your own body weight; when you run these forces increase up to 6 - 8 times your body weight and are even higher when landing from a jump. By increasing the area of contact inside the joint by nearly 3 times, the menisci reduce the load significantly (dispersing between 30 and 55% of the load).
By increasing the area of contact inside the joint by nearly 3 times, the menisci reduce the load significantly (dispersing between 30 and 55% of the load).
This is an extremely important point to understand about the meniscus - if you lose your meniscus, you not only lose the meniscus shock absorber, but you also lose the "expanded area" of absorption. This means that this same load that was once handled by the meniscus is now borne mostly by articular cartilage over a much smaller contact area. Articular cartilage is what is on the ends of your bones that meet in the knee joint, and without the meniscus, your articular cartilage is almost 100% guaranteed to wear and break down (termed "osteoarthritis of the knee") as it is not capable of handling large loads over such a small contact area.
As weight is applied to a meniscus, it becomes compressed and is forced to extend out from between the femur and tibia; it is much like what happens when you press down a rubber ball - it squishes out on the sides. However, the circular design of the menisci provides circumference tension (referred to as 'Hoop Stress') to resist this extension and provide stability as the load compresses. If the meniscus is torn at the peripheral rim, circumference tension is compromised and the meniscus loses its ability to transfer the load and the joint begins to suffer. In fact, if part of the peripheral is removed or the tear extends to the periphery, the load on the knee joint may increase by up to 350% causing stress and pain. However, if the tear remains on the interior without disrupting the periphery of the meniscus, the meniscus is still able to disperse the load without stress and pain.
The menisci also assist with the proper movement (arthrokinematic) of the femur and tibia during flexion and extension. They help stabilize the knees when in motion, reduce friction within the joint, and lubricate and protect the articular cartilage surrounding the tips of the bones from damage due to wear and tear.
Medial Meniscus and Lateral Meniscus
The soft tissue structure in the knee includes 2 menisci, the medial meniscus (located on the inside of the knee) and the lateral meniscus (located on the outside of the knee). Menisci are crescent-shaped pads of fibrocartilage that sit on the end of the tibia bone (tibial condyles) and form a concave surface for the rounded ends of the femur bone (femoral condyles) to rest on. They cover approximately 2/3 of the tibia surface and are thicker on the outside and thinner on the inside appearing triangular in cross section. The 2 menisci fill the space between the leg bones and cushion the femur so it doesn't slide off or rub against the tibia.
Torn and damaged meniscus injuries are common knee injuries. The menisci, named the lateral meniscus and the medial meniscus are two tough pieces of cartilage that rest between the upper leg bone and the shin bone. Combined, these 2 menisci bear all of your body weight when you are standing and because of the incredible stress put on the menisci combined with low blood flow, healing can take a long time - especially without utilizing conservative treatment options on a daily basis.
Blood flow to knee menisci comes from the inferior genicular artery. This artery supplies blood to the perimeniscal plexus which provides oxygen and nutrients to the synovial and capsular tissues around the menisci and within the knee joint. The coronary ligaments attached to the meniscus, transport the blood from the perimeniscal plexus (network of blood vessels) into the peripheral of the menisci. The anterior and posterior horns of the menisci also receive a good amount of blood as they are covered by a vascular synovium. The interior part of the meniscus is avascular, having NO direct blood supply. Tears in this region will typically require surgical intervention.
So I Think I Have a Knee Meniscus Injury - What Should I Do?
If you suspect you may have a torn meniscus or some other form of meniscus injury, go consult your physician. Only your physician can truly diagnose if you are experiencing a meniscus injury, and from this, determine a course of proper treatment.
After seeking medical advice, your physician may recommend surgery or a course of conservative treatment options. There are many factors that are considered in such a decision, most of which are outlined on our web-page Do I Need Meniscus Surgery?
How Long to Recover from a Torn Meniscus?
This is a difficult question to answer as healing time will depend on so many factors! Some meniscus tears will not heal on their own without surgery, especially if the tear is located in the inner portion of the meniscus where there is little to no blood flow. If the injury or tear is on the outer peripheral of the meniscus (where there is a relatively good blood supply) - healing time will be shorter than if the injury is in the central part of the meniscus. The outer one-third of the lateral and medial menisci are termed as "vascular", meaning there is an abundance of blood vessels that allow some blood to flow in the area. The central part of each meniscus has fewer blood vessels and the inner third does not contain any. As a result, a tear on the outer peripheral of the meniscus can heal faster than one on the inner portion. It is important to deal with meniscus tears fast as atrophy (reduced range of motion), strains and secondary injuries due to overcompensation will proliferate very quickly.
Meniscus Injury healing time will differ for everyone but it is safe to say that cartilage generally has a slow healing rate due to low blood flow. The healing times for meniscus injuries will span months in more favourable cases (small tears near the outside periphery) and will span years in less favourable cases (large tears in the inner and central portions of the meniscus or sometimes not at all unless surgery is undertaken.
Pre-Surgery & Post-Surgery
If surgery is undertaken, you will find we have effective home rehab solutions for post-surgery recovery. You can read more about effective options for pre/post surgery here.
Why is Fast Healing Important for Meniscus Tears?
Once you experience a meniscus tear, you will find recovery time is lengthy, requiring a reduction in activity for a long period of time to allow the meniscus to heal. This is why many chronic (long term) sufferers start experiencing muscle atrophy and range of motion issues in both knees - your knees are much less active due to the injury as typically every time you use your knee, you will experience pain. The immobile joints will lose more and more flexibility as unused muscles shorten over time (atrophy), leaving you more prone to secondary issues such as knee strains and tendinitis. This is why it is important to heal your meniscus injury as quickly as possible - you need to avoid the vicious cycle of decreased Range of Motion and re-injury that will occur with chronic (long term) meniscus tears.
A Torn Meniscus Should Not Normally Persist as Long As It Often Does for Many
Recovery from even minor meniscus tears can take a very long time, especially when less effective, traditional treatment methods are used. This is simply because typical treatments either focus on the masking of pain or are too inconsistent to provide sustainable improvement. Here are 4 main reasons why Meniscus Tears can take far longer to heal than they should:
Meniscus Tears Are Painful, Persistent & Can Lead to Other Conditions and Injuries
Every time we use our knee where there is a meniscus injury, tendons and muscle tissue move; when they disturb the injury, every movement hurts. With injured soft tissue, pain happens - sometimes a LOT of pain, so we try not to move it. So, when doing something we need to use our knee for (climbing stairs, getting up from the sofa, getting in a car, walking to the mailbox), we start to use the other knee more.
A couple days later (after purposefully avoiding movement of your bad knee), the pain has gone down (as well as the swelling) and this is where the trouble begins! The pain disappeared with the swelling but we still aren't fully healed! Not knowing this, we start using our knee again and then the pain and inflammation show up again like it did before - all because the injury wasn't fully healed in the first place.
Eventually, we use the other knee more and more, over a lengthy period of time. This is why the other joints start to hurt - they are being overused and taking the load that your bad knee once did. Soon, aches and pain can become commonplace elsewhere in the body - all as a result of the original meniscus injury and the body's instinctive nature to "protect" it - all because the injury wasn't fully healed in the first place!
We continually re-injure ourselves through our daily activities and now we are dealing with long term chronic injuries due to atrophy and overcompensation.
Muscle imbalances result, placing tension on bone and softer tissues - leading to a misalignment within the lower body. The extra stress on the opposite side of the body will also result in weakness and fatigue of soft tissue - increasing the chances they can eventually be injured or gradually degenerate. This is a textbook example of how you get an overcompensation injury. In some cases, physical therapists warn that overcompensation can be very dangerous as it has the capability of affecting gait or alignment on a permanent basis.
An injury to a meniscus in the knee can easily lead to straining in other areas, making an overall recovery hard to initiate. For example, a small meniscus tear in right knee can often lead to over-straining of the left knee and even hip. Most commonly, the injury occurs on the dominant side, so the risk of straining the other (weaker) side increases. The longer the injury (and corresponding pain) persists, the greater the chance that you will sustain more strain from overcompensation, eventually leading to issues in those areas as well. To minimize potential secondary injuries, know that it is important to deal with your original injury quickly and completely.
Truly, meniscus pain can trigger a vicious overcompensation and re-injury cycle - which is why it is absolutely critical to focus on methods that improve and strengthen the injured meniscus in a timely manner - this means getting to the doctor and if conservative treatment options are prescribed, make sure you listen and do these treatments as frequently as they advise. The faster you truly heal, the less chance you have of sinking into a downward spiral of re-injury, scar tissue growth, atrophy and overcompensation injuries.
The Good News: the Body uses Blood to Repair Itself
Before we go further, it is important to understand that your body designed to self heal. Your blood flow carries oxygen and much needed nutrients to injured tissue in the body while also flushing away toxins and waste at the same time. When you have a knee injury, however, you are resting and generally your knees are not active. Why? Well, if you are walking (or even worse - running or jumping) around with a meniscus injury, you greatly increase the risk of increasing the severity of the injury. If there has been some healing, you could re-injure you knee all over again. Blood Flow - the natural healing process in your body needs assistance for a meniscal injury because blood flow is greatly restricted in these areas - especially when your knees are not moving. If there has been some healing, you could re-injure yourself if your joint is not immobile. Blood Flow (the natural healing process in your body) needs assistance for such injuries because blood flow is greatly restricted when you are immobile. When treating soft tissue injuries such as a meniscus tear, an effective therapy will increase blood flow to the injured area while the joint is immobile. The increased blood flow will accelerate the body's own ability to heal itself.
Being a Pro Athlete Has Advantages
A pro athlete with a knee injury has the luxury of being attended to by athletic trainers and physical therapists. The objective of the therapists is to get the athlete healed as fast as possible. They use a combination of therapeutic tools, exercise and stretching to stimulate blood flow to the injury on a constant basis. Even once they return to the sport, they continue this therapy to heal any recurring tendon or ligament damage before it can build into something big. For professional athletes, having the right tools means all the difference. Often, a professional athlete can be back in competition in weeks while regular patients with the same injuries can take months to heal. By utilizing methods and tools that professional athletes use, we can all recover from our knee injuries much more quickly.
Promoting blood flow around an injured area to help the body heal itself is a concept that has been utilized for centuries. Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time.
Even though the concept is simple, improving blood flow can be difficult. When the injury is knee related, the challenges are even greater. Traditional methods require your knee to move to promote blood flow, but that same motion that promotes blood flow can also lead to making your pain and condition worse.
- Have you re-injured your knee doing light exercises/stretching?
- How many times in the past have you aggravated your knee just trying to perform basic tasks around the home?
- Is your knee injury preventing you from activities you love to do?
Most people we deal with tell us these scenarios have happened to them many times in the past. The real challenge is how to promote blood flow to the knee without causing further injury This goal is further complicated by the fact the knee is involved in the majority of the physical movements we perform each day. Hip, upper leg and knee pain can be interconnected and are often experienced in conjunction with one another. Many of the muscles that surround the knee are connected to muscles in the hip and foot; because of this, knee pain can be very debilitating from the hip down.
An injury to the knee can easily lead to straining in other areas, making an overall recovery hard to initiate. For example, a pain in the right knee can often lead to over-straining of the left knee. The longer the injury (and corresponding pain) persists, the greater the chance that you will sustain more strain from overcompensation, eventually leading to issues in those areas as well. To minimize the potential for secondary injuries, know that it is important to deal with your knee injury quickly and completely.
Okay, So I Have A Meniscus Injury ...What Should I Do Now?
If you suspect you may have a meniscus tear, the first thing to do is consult your physician; only your physician can give you a proper diagnosis and from this, determine a course of proper treatment. After seeking medical advice, your physician will determine the degree of severity; in some cases surgery may be advised in which case a conservative treatment protocol would be recommended after your skin heals up from surgery.
In many cases, depending on the severity and location of the tear, your physician will recommend conservative treatment options. A general outline of our conservative home treatment recommendations follow..
Stage 1: If the meniscus injury is very recent - use a good quality cold pack and Arnica Pain Relief Cream. If the injury has been going on for awhile and inflammation is reduced, then skip to Stage 2 below.
If you are experiencing pain and swelling in the very early stages of the injury (first 48 to 72 hours), the first step in a conservative treatment protocol would be to focus on reducing the discomfort by applying a Cold Compress or Ice Pack to the knee along with a high quality pain relief cream such as our Arnica Infusion Cream.
Not only will you use your Cold Compress or Ice Pack for the first 48 to 72 hours after the injury, but you should also use it during other stages of the healing process. Some examples include...
- after any activity that puts stress on your knee (and surrounding soft tissue) in a moderate way. It is wise to quickly apply cold therapy to not only reduce the pain, but to also minimize tissue damage that may have occurred during the prior event.
- If you have a job that requires you to place some demands on your injured knee. If that is the case, use cold therapy immediately following work and if the opportunity allows - use it for 15 to 20 minutes during lunch or another break time.
- If you are in a post-operative situation where cold compression would be utilized heavily for at least the first few weeks following the procedure. Similarly, if you are scheduled for upcoming surgery, then you will need a cold therapy device to use.
Having a Cold Compress or Ice Pack available at home to use if and when the need arises is helpful. Many of you already do so. However, too many people over-focus on cold therapy while ignoring the most critical aspect to healing - nourishing the injured tissues with a healthy supply of blood flow needed to repair and rebuild the injured tissues.
This leads to the most important recommendation for Stage 2...
Stage 2: Focus on Increasing Blood Flow To The Knee - This is How the Body's Healing Process is Stimulated
Even though the concept is simple, improving blood flow to soft tissue can be difficult; in some cases - such as the inner third portion of the meniscus there is NO blood flow and in such cases, you will most likely require surgery for repair. When talking about the vascular portion of the meniscus (the outer two thirds), challenges are still substantial as this portion of the meniscus receives very little blood flow. Traditional methods require your knee to move to promote blood flow (exercise/stretches), but that same motion that promotes blood flow can at times lead to making your pain and condition worse.
- Have you succumbed to re-injury by returning to work too quickly?
- Have you aggravated your injured meniscus just trying to perform basic tasks around the home?
- Is your knee trouble preventing you from work or activities you love to do?
Most people we deal with tell us these scenarios have happened to them many times in the past. Perhaps it has already happened to you.
Promoting blood flow within a soft tissue injury to help the body heal itself is a concept that has been utilized for centuries. This is where the focus has to be if you are seeking long-term improvement.
Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time.
The real challenge is how do you promote blood flow to the deep soft tissue (meniscus, tendons, ligaments) in your knee without causing further injury?
Heat energy generated by the T•Shellz Wraps® operate by increasing blood flow in our injured soft tissue. This means ligaments, muscles, and tendons. The objective of the T•Shellz Wrap® is to increase blood flow in these targeted areas, resulting in relaxation of the vessel walls. The vessels then gently expand, allowing for more nutrient rich blood flow along with extra oxygen to reach the damaged tissues. Plus, the enhanced blood flow helps in flushing waste and fluid build-up from the injury site - further enhancing the ability of the body to heal.
More blood now begins to flow effectively to tissue in the body; this tissue uses the added blood flow to heal as it is through the blood that the body carries the oxygen, nutrients and water needed for proper and long-term healing.
Now, on to recommendation number two in the journey to heal your meniscus...
The Knee T•Shellz Wrap® - A Healthy Knee For The Long Term
The best option we came across in our research to accomplish effective blood flow to soft tissue in the knee at home is the Knee T•Shellz Wrap®. Use of this device results in an increase of blood flow to the treatment area - all in a non-invasive manner.
Have you seen what happens when you add water to a flower wilted from drought? In essence, your meniscus injury is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood brings new life to your tissue by delivering healing nutrients and oxygen that are vital for their growth and survival. In addition, the blood carries away toxins and waste - cleaning the area and healing it faster. Without a good supply of blood, your meniscus simply won't heal properly.
Using a T•Shellz Wrap® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The T•Shellz Wrap® accomplishes the goal of indirectly stimulating blood circulation without the need for intensive exercise and as such reduces your risk of re-injury.
The T•Shellz Wrap® - Accelerated Blood Flow for Your Knee Soft Tissue
The intention of a Knee T•Shellz Wrap® is to ease pain by blood vessel dilation, decrease stiffness by elongation of soft tissue, improve blood circulation, and boost metabolism and enzyme activity. In stimulating localized blood flow to damaged soft tissue, you provide needed oxygen, nutrients and water to grow strong healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on blood vessels.
Using the T•Shellz Wrap® is truly a unique experience. Within moments of applying a treatment to your knee, you can feel the healing sensation due to the increase in blood flow within the area. During a treatment, and for quite some time after you finish, the treated area will feel relaxed and less painful. It's a very soothing sensation and extremely effective.
Who Should Use the T•Shellz Wrap®
We recommend the use of a T•Shellz Wrap®:
If you are experiencing atrophy in the area and want to reduce the chance of re-injury while stretching - this is a perfect treatment to use every time before you stretch.
- If you have injured your knee joint or other soft tissue in your knee, then the T•Shellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
- If you are dealing with conditions affecting your range of motion such as a torn meniscus, bursitis, an impingement, or even arthritis.
- If you have a chronic knee condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen the surrounding and supporting tissues. Many of our past clients had suffered for years, then were completely amazed at the results they achieved after consistent, regular treatments.
- If you are still working with an injured meniscus, the T•Shellz Wrap® will help relax injured soft tissue prior to work.
- If you are still trying to enjoy your favorite activities such as gardening, hiking, or golf, etc - use the T•Shellz Wrap® prior to activity to help reduce chances of re-injuring or re-aggravating those targeted tissues.
- If you are experiencing atrophy in your knee and want to reduce the chance of re-injury - this is a perfect treatment to use on a regular basis, by enhancing blood flow and elongating soft tissue.
- If you have been to physical therapy for some form of soft tissue treatment (stretching, massage, strengthening, etc) and your physical therapist or physician has recommended conservative treatments for home.
- If you have injured your knee and need surgery, then you will find a blood circulation booster to be a powerful tool after surgery to help surgically repaired tissues rebuild for long-term health. (once the surgery wound has healed and your physician has given the ok)
Increased Blood Circulation = Increased Healing Rate
T•Shellz Wraps® contain a unique, flexible Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in your knee and opens blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to accelerate the healing of soft tissue and this is why we recommend the Knee T•Shellz Wrap®.
Consistent Treatments = Consistent And Long Term Health
What Else Makes the T•Shellz Wrap® So Special?
We believe the use of T•Shellz Wraps® for boosting blood flow to soft tissue in the knee is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in soft tissue.
We can promise that you will receive a product that is designed to be safe and does what it is supposed to do...quickly relieve pain and aid stimulating blood flow to soft tissue. The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.
It has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long so you can sit or lie comfortably and watch TV, read or surf the net while you're using it. Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.
A Recap of the Benefits of the T•Shellz Wrap®..
- Can be used ANYWHERE on either Knee (back, side, front) - very versatile
- Targeted applications for most areas of the body
- It can be used before exercise to warm up your knee to reduce the risk of injury
- FDA Registered medical device for use in home or clinics - very high quality
- Increases temporary flexibility and length of soft tissue (reducing the re-injury factor)
- It soothes pain and whisks away toxins
- Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
- Enhanced blood flow provides an accelerated healing rate that will save time and money when associated with doctor or physical therapist visits
- In most cases, a boost in blood flow will accelerate the bodys ability to recover. This can be beneficial in post-surgery rehabilitation, getting you back to work faster
When Should I Use My TShellz Wrap During the Day?
The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my knee wrap and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.
- Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).
The Knee T•Shellz Wrap® would then be used:
- Right after rising from bed in the morning (as this is when it is most stiff)
- Prior to going to bed at night (to relax the knee, allowing for better sleep)
Stage 3 - In Between Treatments With T•Shellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSION
Dealing with aches and pains affecting the leg, knee, hamstring or hip? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area.
Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, knee pain, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation.
This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market.
You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are mass marketed and even found in most department stores now.
Well, we are here to say that Arnica Infusion goes many steps beyond what they offer.
Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005.
The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin!
Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without.
Arnica Infusion Ingredients
The Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities.
The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits.
The notable ingredients in the Arnica Infusion formula include:
- Arnica - powerful anti-inflammatory, speeds recovery, enhances circulation
- Menthol - provides deep penetrating pain relief with a nice cooling sensation
- Vitamin B6 - promotes normal nerve function
- MSM - supports healthy connective tissues, anti-inflammatory
- Ilex Leaf Extract - increases circulation, skin conditioner
- Vitamin E - anti-inflammatory, enhances circulation, hydrates the skin
- Aloe - anti-inflammatory properties, soothes the skin
- Tea Tree - enhances penetration of ingredients
Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best.
When Do I Apply the Arnica Infusion?
While At Work
Apply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result.
Before Or After Work, Sports, & Activity
If you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain.
Chronic Pain Suffering
Application of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches.
In-between Treatments With the T•Shellz Wraps®
Follow up your T•Shellz Wrap® treatments and Cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the healing benefits of the wraps to make your recovery go much more smoothly.
Do not apply Arnica Infusion within a 2 hour time-span before a T•Shellz Wrap® treatment.
Whether you decide to use the Arnica Infusion in conjunction with the T-Shell and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it.
Stage 4: Passive Knee Stretching...
an Essential Tool for Complete Knee Injury Recovery
Before making the transition to crutches, physical therapists prescribe gentle stretching of an injured knee. They don't prescribe this to annoy you - it is in fact the most important part of knee injury recovery. You probably know of someone that chose not to do these stretches as it is common - and they paid a high price for it. By not listening to the therapist (ie. not stretching), there is a huge chance of re-injuring your knee or even sustaining an injury greater than the original injury ever was.
Incorporating passive knee stretches into your treatment routine (when your physician or physical therapists says you are ready to do so) not only helps minimize the growth of scar tissue, but it also increases the elasticity and strength of the joint. After utilizing passive knee stretches over time, your knee joint will be better prepared to handle higher and higher loads. Eventually you will reach a stage where your knee joint can handle crutches or standing for longer and longer period of time. This is the final stage of recovery and depending on age, the nature of the injury, your weight and many other factors, it can take the longest time to complete. But remember, for knee injuries, it pays to be patient! Rushing your knee injury recovery almost never pays.
We Guarantee That If You Use Our Products on Your Meniscus for 60 days as Directed, Your Pain Will be Greatly Reduced or Eliminated and Your Joint Flexibility will Increase. If This Does Not Happen, We Will Refund Your Money.
The T•Shellz Wrap® is an FDA Registered Medical Device suitable for use in hospitals and therapeutic clinics. Since it is deemed safe for patients to use themselves, the T•Shellz Wrap® can be used for home treatment.
A Note On OverCompensation
Since you are reading this, you probably know that serious meniscus injuries do not just disappear. Over time, they usually wreak havoc on other joints in the body due to lack of movement and over-compensation. Recovery takes a longer time for such chronic (long term) injuries, but proper healing is essential to regain strength and get you back to the activities you enjoy.
The longer your injury endures, the greater the risk of running into serious overcompensation injuries.
To Stop Re-Injury & Reduce the Risk of a More Serious Overcompensation Injury, You Need to Heal Quickly & Completely!
Anyone in need of rapid recovery and complete healing must consider a comprehensive treatment plan that includes an effective means to minimize swelling and inflammation yet also stimulate healing and tissue elasticity. We have found no better set of tools that can be used at home than this:
Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage & Boost The Body's Soft Tissue Repair Process at Home:
- A Cold Compress or Ice Pack to reduce inflammation and swelling in the knee joint (as soon as possible).
- A Knee TShellz Wrap to increase blood-flow to the injured knee (Circulatory Boost).
- MendMeShop Arnica Pain Cream for temporary relief of pain due to meniscus pain.
- An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons. A proper plan will increase elasticity and strengthen the muscles and tendons of the affected joint.
Conservative treatment tools just like these have been used successfully by thousands of knee injury sufferers - - just like you.
T•Shellz Wrap® = Greatly Increased Blood Flow
Increased Blood Flow = Increased Healing Rate
We believe the use of T•Shellz Wraps® for boosting blood flow to soft tissue in the knee is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in soft tissue.
With regular use of the Knee T•Shellz Wrap®:
- Your pain will be reduced.
- Due to increased blood flow, soft tissue in the knee will recover at an accelerated rate.
- Your corresponding knee will have a larger range of motion and increased extensibility of collagen tissue due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue becomes more flexible.
*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.
Reduction of Swelling (and Swelling Associated Pain)...
Would you know you injured yourself if there was no pain? Probably not! Pain and swelling perform a useful role in letting you know that you did, in fact, injure yourself. Pain and swelling are what get you to seek out medical attention in the hopes of finding a way to reduce the pain and heal your injury.
Meniscus tears are not always a source of extreme pain, but they can be quite debilitating and are degenerative in nature - this means they get worse over time and are well known causal factors for knee osteoarthritis (degradation of articular cartilage). We all know that if a torn meniscus was healed, the pain and swelling would disappear but what about the opposite situation? If the pain was gone, does that mean your meniscus tear is better? NO. Pain is not a good indicator is meniscal damage. Just because pain and swelling are gone does not mean the meniscus tear has healed - this is why you need to keep treating the injury with Circulatory Boost. When used in combination, (cold therapy when there is swelling, T•Shellz Wrap® treatments before activity and when getting out of bed, & a good home stretch routine) these become a complete conservative home treatment regimen that will help reduce pain, swelling & scar tissue while promoting increased knee flexibility (range of motion) and soft tissue healing via enhanced blood flow. If you find the meniscus is not healing despite these efforts, then your physician will most likely recommend surgery.
Sufferers of both acute and chronic soft tissue injuries will recover more quickly if they treat their injury correctly. This means:
- Getting a proper diagnosis so you know exactly what the problem is
- Listening well to the physician and learning about the injury
- If the physician prescribes conservative treatment options, follow the directions and use them correctly. If the conservative treatment protocol does not include a T•Shellz Wrap®, talk with your doctor about adding it (once swelling is down)
- Do NOT skip treatments - use the recommended therapies every single day. In the majority of cases, the biggest problem lies in having the determination and discipline to use these treatments as often as you are directed to.
Our Devices Are Not Only Used To Help Deal With Active Injuries - They Can Also Be Used Post-Operative
Doctors and Surgeons are always improving the techniques used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from surgery can be disappointing and take longer than anticipated.
If you do wind up getting surgery, know that rehabilitation at-home while attending regular physical therapy or doctor appointments is vital for your overall recovery.
Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor or physical therapist is key. This is why you should seriously consider maximizing your advantages by using the T•Shellz Wrap® at home once you are approved for physical therapy.
The more consistent you work at enhancing blood flow to surgically repaired soft tissue, the more consistent the healing process will be. Nourishing the tissues will more oxygen and nutrients (which are carried through the blood stream) will give the body a better ability to produce new, healthy collagen. In effect, you will help the body produce stronger soft tissue while potentially reducing the number of setbacks that can occur following surgical procedures.
T•Shellz Wraps® and Joint Atrophy
Shortened muscles and tendons due to lack of use is a real problem during recovery. When you start to feel better and use the joint, the shortened muscles and tendons get over-strained, introducing small micro tears. These micro-tears start the formation of scar tissue, which unlike muscle or tendon, is completely inflexible. Once there is scar tissue in there, the tears will continue; eventually you've got a serious problem with a joint that does not flex as much as it did before and this becomes a chronic condition. You'll know you have scar tissue when you get shooting pain if you stretch your joint too far... it is something that physical therapist's often deal with (ie. shoulder manipulation).
To prevent this, use the TShellz Wrap before undertaking any significant activity, as heat from this treatment will actually increase the flexibility of muscles, tendons and ligaments. This is why we advise plantar fasciitis sufferers to treat themselves with a Plantar TShellz Wrap first thing in the morning before walking (walking stresses the plantar ligament on the bottom of the foot). After treatment, the plantar ligament is more flexible and can handle higher walking stresses before it starts to micro-tear. The ability for soft tissue to stretch further before micro-tearing will allow you to gently stretch your recovering joint without re-injuring it yet again. This is a huge boon for recovery. We also advise you speak with your physician about using the T•Shellz Wrap® for post surgery recovery, as surgery will always introduce scar tissue and TShellz Wrap treatments in post-op recovery is intended to increase soft tissue flexibility and as such help reduce scar tissue growth.
Key Points To Keep in Mind When Treating Your Meniscus Injury
Make Sure That Complete Healing is Your #1 Goal
We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.
Too many people only focus on suppressing pain symptoms while providing less attention to the true healing aspects of the body. Experiencing less pain, while obviously a good short-term goal, never equates to underlying healing. Scar tissue can remain for months after one gets to a point of being relatively pain-free. However, as long the weak and brittle scar tissue remains, you are susceptible to re-injury or re-aggravation. Certain motions or movements can cause the weaker tissue to easily tear - resulting in some reversal of the recovery up until that point.
This is why we recommend for people to continue with their doctor or therapist recommended exercises and to continue with mild treatments of the T•Shellz Wrap® for a period of time - to better ensure complete healing.
Ongoing treatments to enhance circulation are intended to soothe, relax and promote healing of your damaged knee muscles and tendons. Knee T•Shellz treatments will also allow your soft tissue to extend further due to the deep warming sensation created by the enhanced circulation to the treatment area. The more extensible your tissues are, the less likely they are to strain or sprain.
Resting Your Knee Will Help, But Only Temporarily
People tell us all the time, "I was told that if I stay off my feet for a few weeks, my knee pain will disappear for good."
The truth is, knee pain is usually a culmination of numerous factors, which include repetitive stress, short leg syndrome, poor running gait, and overcompensation issues resulting from other muscle and soft tissue ailments.
It may take weeks or months for these knee pain triggers to surface, but when they do, merely resting will not solve the underlying issues. You need to utilize options that actually treat the source of the pain and help reverse the damage that has been done.
Resting has a role to play, but it is only one small factor in a recovery plan.
Every Single Day We Receive Calls From Customers Who Simply Want To Thank Us For Introducing Them To Our Amazing Products!
Let me tell you, we appreciate all the feedback we have received over the years. We have had many medical professionals, athletes and everyday people call and write to tell us about their positive experiences with our devices and the company in general. It never gets old hearing about the successes and it provides us with the motivation to continue doing what we do best - provide individuals with options to heal from the comfort of their own home.
Below is a small sample of some of the Customer Service comments we have received from customers...
The Best Service by Far!
The service from the Mend Me Shop is by far the best you could ever hope for. I have spoken to Paul on numerous occasions and his knowledge is very much appreciated.
Do not hesitate to order from this company. Their products are made well and work. Their customer service is the best you could ever hope for.
Charlie, North Carolina, USA
I have called the office and received helpful guidance. Really appreciate the help and so glad I found your products!
D. McBride, USA
I really appreciate y'all emailing and responding. I'm in business myself so I know the importance of customer service. Your company has done a superb job and it's really appreciated. I know it takes a lot of time but it's very well worth the time you spend.
C. Vickers, USA
Thank you, too, for the personal attention to your customers. A rarity, in today's world!
L. Anderson, USA
You guys are tremendous. I was overwhelmed by your speed and thoroughness regarding my problem.
T. Kienlen, USA
Thanks again for your wonderful products and support.
J. Sese, USA
The fact that you guys are there for us every step of the way matters as well. Your company is wonderful and that's a rarity these days.
M. Callahan, USA
The cost seemed minimal compared to what I had already spent at the doctor and physical therapist.
P. King, USA
Thank You so much superior service as well as unprecedented guarantee.
D. Hunzicker, USA
If you're tired of being told that resting, drugs and surgery are the only answers to your tendon injury.... Be optimistic, because there are effective alternatives for you.
The Reasons For Our High Success Rate - Our Customers!
We will never claim our products will work for everyone. That is simply impossible to achieve. Everyone has a different capacity for healing and different circumstances behind their injuries and/or conditions.
In addition, some people may have a hard time sticking with recommended protocol in order to achieve benefits from our devices. Quite simply, our clients that have had successful outcomes have made a small effort to invest 60 minutes a day into the program. If you do the same, chances are you will be very happy with the outcome.
Right after you place an order, email us and we will have a plan developed immediately so you will be able to get started upon arrival of your parcel. We can't promise you miraculous results, however, we do promise to do everything we can to help you with your condition.
Everything you have read up to now has hopefully given you some hope.
However, words are meaningless unless a company stands strongly behind the products they sell. This is what sets us apart from others...we offer people a comprehensive, 60 day, full 100% money back guarantee. We take on all of the risk because we know our products work well for the overwhelming majority of people who purchase them.
We Will Support You Every Step of the Way
You are never alone when making a purchase from us. When we say we stand behind our products, we truly mean it!
If any question or concern arises, simply send us an email at any time (we check our emails constantly all throughout the day and night - even on holidays!). We will respond as soon as possible.
Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.
Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.
North America Toll Free
Outside North America
We Stand Behind All Our Promises With An Iron-Clad Guarantee
Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If not, I encourage you to send back the items for a no-hassle 100% refund.
You will not be left in the dark after purchasing any product from us. AidMyMeniscus Advisors and Product Specialists are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.
Your order is guaranteed to be shipped within 24 hours on every business day.
All purchases receive a one year, full replacement warranty with guaranteed, prompt service.
You could save hundreds of dollars and possibly more, by getting back to work sooner.
We Can Get You Started For Less Than The Cost Of A Few Physical Therapy Treatments
Think about it – you can now have the ability to treat your pain from the comfort of your own home while saving money in the process. Best of all, you are fully protected when making a purchase from us as we offer a no-hassle 60 day, full money back guarantee.
The fastest option you have to get our product into your hands as soon as possible is by placing your order online - at this very moment..
Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer questions about how our products may be helpful in your particular circumstance - ensuring you only receive the products you need.
North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671
If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.
As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.
We Guarantee That If You Use Our Products on Your Knee for 60 days as Directed, Your Knee Pain Will be Greatly Reduced or Eliminated and Your Joint Flexibility will Increase. If This Does Not Happen, We Will Refund Your Money.
Based on feedback from our customers, we have found that treatments for the meniscus are often incredibly successful.
Are you still unsure about placing an order? let me address some questions that may be causing some hesitation...
What is the success rate of the Knee T•Shellz Wraps®? Do they really work?
We try and keep in touch with a large percentage of our customers, and we encourage them to do the same. In doing so, we have received a lot of feedback as we have been in the business since 2008.
We can say that the return rate on our products is only around 5 to 10% any given month. That is exceptional by anyone's standards.
Therefore, we can safely indicate that the overwhelming majority of people who purchase from us do achieve benefits with our products.
The energy from the T•Shellz Wrap® ultimately will gently warm soft tissue, improve blood circulation, and boost metabolism and enzyme activity. This is why it works so well - because the body responds very well to this energy. In stimulating blood flow to damaged tissue, you provide the tissue with the oxygen, nutrients and water to grow strong healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on vessels.
How much time do I need to dedicate for treatments? Are the products easy to use?
The T•Shellz Wraps® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.
In regards to the T•Shellz Wrap®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the T•Shellz Wrap® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an hour or two after work.
A Cold Compress or Ice Pack is primarily used following activity that stresses injured soft tissue (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage. Treatments are 15 to 20 minutes in duration.
How long has MendMeShop been in business
We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.
What is your return policy? Is it the standard 30 days?
We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.
AidMyMeniscus advisors do not work on commission, so be assured you will only receive fair and objective information.
Living with pain is never easy and we encourage you to call us with any questions you have related to how our products can aid your meniscus tear, articular cartilage or damaged ligaments in the knee. We will do our best to help.
Available Monday to Friday
Learn More About Meniscus Injuries & Treatments
I want to learn more about Post-Surgery Recovery
I want to learn all about Types, Patterns, Shapes & Severity of Meniscus Tears
I want to learn more about T•Shellz Wrap® Circulatory Boost
I want to learn more about Ice & Heat: Which Is Better For Treatment?
I want to learn more about Meniscus Treatments
I want to learn more about different types of Meniscus Surgery
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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!