Scar tissue after knee replacement

Posted by leithlane @leithlane, Jan 31, 2017

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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@JustinMcClanahan

@melcpa86, you may noticed I moved your recent discussion and combined it with an existing discussion titled "Scar tissue after knee replacement." I did this so all of the members discussing scar tissue, or arthrofibrosis, would see your message and share their thoughts with you. I also had a really rough time with scar tissue after my knee replacement. I had two additional manipulations to try and break up the scar tissue and those were unsuccessful. Fortunately, after about 18 months, I was able to pop the scar tissue loose on my own. My initial movement after surgery was extremely limited, about 15-50 degree ROM. I eventually, through lots of pain, managed to get to 0-110 or so. I was not a candidate to have the scar tissue removed because they thought the risk of infection was not worth the 50/50 gain I may or may not get.

@melcpa86, here is another discussion on metal allergy you may find interesting too, https://connect.mayoclinic.org/discussion/need-tkr-and-had-positive-allergy-testing-bone-cement-and-metals/. If you don't mind me asking, is the lysis surgery something you are considering, or has it been ruled out by the professor?

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I have not had the trouble with scar tissue. I look back on my operation which occurred in the morning and i never had a bed until evening and no manipulation took place until the next day. My knee has had problems for the past 6 years. Right now i have pain biking so i had it X rayed but no problem shows up. Nothing can be done the Dr says so i am working on exercises on the quad etc. I do not take pain pills as most kill stem cell and i spent money to do my back and other knee with stem cells.

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@JustinMcClanahan

@melcpa86, you may noticed I moved your recent discussion and combined it with an existing discussion titled "Scar tissue after knee replacement." I did this so all of the members discussing scar tissue, or arthrofibrosis, would see your message and share their thoughts with you. I also had a really rough time with scar tissue after my knee replacement. I had two additional manipulations to try and break up the scar tissue and those were unsuccessful. Fortunately, after about 18 months, I was able to pop the scar tissue loose on my own. My initial movement after surgery was extremely limited, about 15-50 degree ROM. I eventually, through lots of pain, managed to get to 0-110 or so. I was not a candidate to have the scar tissue removed because they thought the risk of infection was not worth the 50/50 gain I may or may not get.

@melcpa86, here is another discussion on metal allergy you may find interesting too, https://connect.mayoclinic.org/discussion/need-tkr-and-had-positive-allergy-testing-bone-cement-and-metals/. If you don't mind me asking, is the lysis surgery something you are considering, or has it been ruled out by the professor?

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I am still considering arthroscopic surgery to remove scar tissue, but am waiting till new year for insurance
However someone mentioned cold laser therapy as being helpful. Does anyone know about this?
I am also planning on getting deep tissue massage to help with scar tissue and surrounding muscles, etc.

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@cobweb

I have not had the trouble with scar tissue. I look back on my operation which occurred in the morning and i never had a bed until evening and no manipulation took place until the next day. My knee has had problems for the past 6 years. Right now i have pain biking so i had it X rayed but no problem shows up. Nothing can be done the Dr says so i am working on exercises on the quad etc. I do not take pain pills as most kill stem cell and i spent money to do my back and other knee with stem cells.

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Why stop at x-ray Justin? Boswell Hospital (Sun City AZ) took x-ray, CAT scan - with me screaming in pain to b put on those machines. Next day they said - we don't see anything so we "won't do an MRI". THEY SENT ME HOME to suffer IN PAIN FOR 2 WEEKS. WENT to PCP - he said I should not b in SOOooo much pain for that long - ordered MRI, his office called me the next morn. said get to ER/ had a fractured hip - everything i did those 2 weeks would make fracture worse.

Had a new hip / surgery. For 2 weeks, used walker, could only go to bathroom and bed. It was too difficult / painful to make cereal, mostly took a banana back to bed w me.

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@JustinMcClanahan

@melcpa86, you may noticed I moved your recent discussion and combined it with an existing discussion titled "Scar tissue after knee replacement." I did this so all of the members discussing scar tissue, or arthrofibrosis, would see your message and share their thoughts with you. I also had a really rough time with scar tissue after my knee replacement. I had two additional manipulations to try and break up the scar tissue and those were unsuccessful. Fortunately, after about 18 months, I was able to pop the scar tissue loose on my own. My initial movement after surgery was extremely limited, about 15-50 degree ROM. I eventually, through lots of pain, managed to get to 0-110 or so. I was not a candidate to have the scar tissue removed because they thought the risk of infection was not worth the 50/50 gain I may or may not get.

@melcpa86, here is another discussion on metal allergy you may find interesting too, https://connect.mayoclinic.org/discussion/need-tkr-and-had-positive-allergy-testing-bone-cement-and-metals/. If you don't mind me asking, is the lysis surgery something you are considering, or has it been ruled out by the professor?

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@JustinMcClanahan i did go ahead and have the lysis surgery. The professor said no , but the other 3 surgeons said it was my best shot at relieving the pain

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@mylynn

I am still considering arthroscopic surgery to remove scar tissue, but am waiting till new year for insurance
However someone mentioned cold laser therapy as being helpful. Does anyone know about this?
I am also planning on getting deep tissue massage to help with scar tissue and surrounding muscles, etc.

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@mylynn I tried deep tissue massage and ASTYM to try and address the scar tissue non-surgically. I got no improvement from either in the long run. The deep tissue massage was helpful on the day I had it done- as long as I limited weight hearing. The ASTYM just bruised my entire leg and the practioner recommended stopping as it wasn’t helping

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@briard

I am still in PT being massaged and do some myself - having problems with the patella tendon - doing exercises in the pool - it seems to get a little better very slowly !!! - Maybe there is hope after 2 years ? So don't give up just keep on pushing through the pain !!

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What does script say (in order for me to get massage therapy) I know that if i could reach and get massaged - it would really help. Are u getting it from a PT? Please answer completely.

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@melcpa86

@mylynn I tried deep tissue massage and ASTYM to try and address the scar tissue non-surgically. I got no improvement from either in the long run. The deep tissue massage was helpful on the day I had it done- as long as I limited weight hearing. The ASTYM just bruised my entire leg and the practioner recommended stopping as it wasn’t helping

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Thanx for your repky

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@mari

What does script say (in order for me to get massage therapy) I know that if i could reach and get massaged - it would really help. Are u getting it from a PT? Please answer completely.

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I am getting deep tissue massage fr a pt for ab an hour. Completely out of pocket sorry to say
It helps on the day of and then nothing dramatically changes after that

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@mylynn

I am getting deep tissue massage fr a pt for ab an hour. Completely out of pocket sorry to say
It helps on the day of and then nothing dramatically changes after that

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I would suggest dry needling, rather than deep tissue massage. It uses acupuncture needles, and a tens unit to get deep in the muscle to relax them, and retrain them on proper use.

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@sunshine1124

I would suggest dry needling, rather than deep tissue massage. It uses acupuncture needles, and a tens unit to get deep in the muscle to relax them, and retrain them on proper use.

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Hi is this for scar tissue?

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