https://allphly.com/joel-embiid-meniscus-injury-orthopedic-surgeon-explain/This is a great article.
So from what it sounds like, the Sixers are being responsible and doing their due diligence. If it may not get much better with surgery, and could only ruin your long term prognosis, might just be better to rest and see.
In his case, he tore his meniscus. So one, whatever portion of it that’s torn is not really going to work anymore. And the reason I start with that is because then one of the options is surgery, which is to go remove that flap, that tear of the meniscus.
The best analogy I give patients is that it’s sort of like a hangnail, right? You have a hangnail, a little flap. Sometimes it’s sitting exactly where it’s supposed to sit, and not going to bother you. If you push away from your nail, you pull against your nail and you irritate it, it hurts. So that’s likely what’s going on with that flap.
He could have had that for a while now, that could have been his ongoing injury. And he’s been playing through it, it’s bothering him now and then. Sometimes the flap is sitting where it’s supposed to sit, and everything’s fine. Other times, it’s flapping around in there, and it’s going to cause a lot of irritation, pain, and swelling.
Based on what you said, there seem to be multiple recovery paths. How do you determine the appropriate recovery plan? How often is surgery typically recommended?
The gold standard mainstay of treatment is non-operative. So if it was you who walked into my office, I’d say, “Hey, non-operative treatment is the way to go. Give it six weeks, do some physical therapy, try to strengthen the muscles up around your knee, and give your body a chance to calm down.” And that’s been shown to lead to a course of being symptom-free.
The meniscus doesn’t have a good blood supply for the most part. So it doesn’t necessarily heal. People will ask, “Well, am I going to heal in six weeks?” I’d typically say, well, you’re not really going to heal. You’re just not going to be symptomatic in six weeks. Right? There’s a difference there.
So that meniscal tear for the most part, once it’s torn, it’s torn. It’s not mending back together. It’s not like cutting your skin. Torn is torn. It’s just that in some patients — we know because we study it — with physical therapy given six weeks, the pain goes away and they go on living life and participating in sports and don’t have any trouble.
Apparently this is their logic...Which I actually get, and don't fault them for. You rest it, but then you come back, and it's bad, then no chance at the playoffs. You cut a little out, you're back in 4 to 6 weeks at worse. It's not out 6 monhts like some are speculating because that's a repair and according the the article 98% of these are unrepairable. Problem is if he gets it done, it could be problems later on in life.
On that timeline, you’re probably talking about a return in the middle of the second round.
That’s their dilemma, right? They’re probably looking at that same timeline saying alright, we go non-operative, and if that doesn’t work, he’s basically done and he’s not coming back. And then you throw in, I say six weeks, that’s just you can go back and play. But you’re likely not going to be at a pro level. It’s tough to keep your cardio up when you can’t move your leg. You can do upper body and all that, but cardiovascularly, he’s going to have trouble.
So I think that’s their big dilemma, is they wait and it doesn’t work, and then he does surgery. Good chance the season’s probably scrapped. Versus saying hey, let’s jump in and take care of it in six weeks, eight weeks on a very conservative timeline, and then they make a run at the playoffs.