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Scar tissue after knee replacement

Joint Replacements | Last Active: Oct 10 8:31am | Replies (1550)

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@babette

@gator1965

I'm interested in your comment about aggressive PT triggering scar tissue. Especially early on, my gut told me that PT was causing more inflammation and pain/problems than it was helping. I persevered, and still go (though to a new therapist) but I would have to be much better educated to understand how over-traumatizing a replaced body part repeatedly is really going to help things.

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Replies to "@gator1965 I'm interested in your comment about aggressive PT triggering scar tissue. Especially early on, my..."

My understanding is that physiotherapy needs to be aggressive enough to restore movement in the joint, but not so aggressive that it triggers an inflammatory reaction. My physio explained that it is a fine balance. I am learning to listen to my knee after this surgery, and avoid the temptation to push it to the limit.
I believe that given time the arthrofibrosis tissue remodels itself, but this can take a year or longer.

I agree with gator . There is a balance . At first pt pushed so hard that my swelling increased and made everything worse.