Scar tissue after knee replacement
I had knee replacement surgery 6 weeks ago . Through PT I have been working on breaking up the scar tissue only for it to regrow by the time I get back to PT two days later. I have been massaging at home, using a hand held massager and roller. It is painful and swollen. I am getting very disheartened. Any suggestions as to what else I can do. Has anyone had laser treatments to break up scar tissue? Were they effective?
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Thanks for the reply. I was threatened with a manipulation, but with very aggressive, painful PT have thankfully avoided that. Now the only thing is my extension, I'm close but keep regressing about every other week. My surgeon and physical therapist think that when that comes the pain should go down, I sure hope so. I have a cruise planned in August and have cancelled the excursion we had planned one day because the description changed and said to expect 2.5 hours of walking on cobblestone roads, which could be uneven. I'm too afraid of either not being up to walking that far or tripping on the cobblestones and hurting myself. I am sad at the thought of not doing something with the rest of my family, but need to look out for myself and my knee too.
I ride my bike a lot as walking becomes painful. When I walk my leg swells and it’s been 5 years. Dr stopped my p/t as was not doing me any good. Just lots of pain. Tend to ignore the pain , ice works somewhat. Golf causes pain and swelling. Comes down to what you are willing to put up with.
Thanks
You will do just fine on the cruise. I am in the industry and leave for Hawaii...on a 6+ hour plane ride. I am optimistic. Will wear a knee brace, take advil and got a seat with extra room. But walking on cobblestones and in August? You should go for it. I will be doing the same in Italy and Croatia the end of May. I am hell bent to do this trip in particular which also involves a 10 day cruise on a small ship with 200+ passengers. No opiods for me. Just OTC stuff. Just do it. You can always cancel a shore excursion 24 hours in advance. Better to have your spot reserved.
You deserve a medal for sure. I am assuming you do home exercises and move around as much as you can?
I agree 100% with you. Had no clue it was going to be this tough after a TKR. Exercises and ice is all I know now after 3 months out. AND my life will be different, next time, too.!
pain management for me is 2 advil every 4 hours with food. I tried 3 different kinds of opiods. Just couldn't do it in light of todays political climate. Ice is my best friend as well as a heating pad. I also have a LED lite therapy wrap I use from time to time on the knee. I truly feel like a warrior.
I’m 53 and had a double total knee replacement 3 1/2 months ago. I knew it was going to be hard work, but it’s been an agonizing winter. My Dr opted to do an early manipulation when I could only get 90 degree flex.
The manipulation allowed me to get to 125 degrees, but progressively my flex lessened even though I did daily, brutal PT. After being treated like a failure by my surgeon and enduring screaming crying PT sessions, I opted to go with a gentler approach. I’m praying I’m making the right decision as everyone has scared the crap out of me that I have a limited time before scar tissue can’t be moved.
I see a massage therapist twice a week who specializes in lymphatic drainage and a PT person who doesn’t force my knees to bend, but has me use gravity to improve flex and strength. I also use theCMS machine even though studies say they don’t help.
Ok- that was a long winded intro to ask if anyone has ever used the pulsating massagers that supposedly can break up scar tissue . Thinking about getting one, but seems to good to be true.
I had tkr on January 29,2018. I had 10 therapy sessions with the Pt. I had my pt manipulate the scar tissue with her thumbs on every sessions, I did my exercises at the gym. She also did dry kneedling when ever she found a tight spot on the thigh that was hindering the bend. The last few days I was instructed to bend my knee every 30 minutes even if I was sitting in a chair. I had a steady progress with many hours of hard work. She finally discharged me yesterday. I was very fortunate to be able to measure at 142 degree bend. I owe my success to lots of scar tissue manipulation by the Pt and the spinning bike. I was also very religious doing all the exercises I was told to do. I still can feel little snapping of the scar tissue in the knee while I’m biking. I had my other knee replaced in 2011 and it has a bend 146 degrees. I just wanted to share my success story so it might be an inspiration for someone.
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That’s an absolutely amazing degree of flexibility! Did you have a steady increase, or was it more towards the end when the swelling went down.? I’ve noticed a shift in just the last couple of days. My walking is almost normal. I’m just coming off of the golf course having played nine holes today and yesterday. I purchased a pulsating massager That I used for the first time yesterday. I really think it made a difference and I was able to sleep for the first time. I’m going to keep up with the Massage and PT and all of the exercises in the hopes that I can get to at least 130. Congrats on your success!