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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Ask the new surgeon if they will spin rhe serus exudates from the wound in a centrifuge and re-introduce the product at closure. It will increase wound healing and reduce the scare tissue.(Reference: Dr Junik's Orthopedic group in Alburquerque, NM)

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@mwatts91757

I had a TKR the summer of 2018. Also I had a plethora of scar tissue. Just recently I was given a CAT scan and bone scan of my knee and a knee aspiration to be done also. My flexibility is horrible I’m at about 85°. I have trouble with stairs carrying my grandchildren and standing on my feet for any great period Of time. Arthroscopy is planned. But I’m not sure that that will resolve it.

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It will give more information about what went sour with your knee.

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@bill54321

Ask the new surgeon if they will spin rhe serus exudates from the wound in a centrifuge and re-introduce the product at closure. It will increase wound healing and reduce the scare tissue.(Reference: Dr Junik's Orthopedic group in Alburquerque, NM)

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Hi there
They can spin the exudate while doing an arthroscopy?
I will certainly mention it to my surgeon thank you

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Yes. The team spins the exudates during surgery and pours it back into the wound at closure. Since this was part of a grant study, over 5 years ago, your Surgeon needs to talk to Dr. Junik. I am well known by Dr. Junik, so refer to William D. Monlux the Physical Therapist from Taos,N M and that will jog his memory. He can tell your Physician about the data on success of the procedure and the particulars on the preparation and centrifuge of the exudates. I will give you a lot of information. He moved his office. New Location: 2100 Lousiana Blv. Suite 410, Alburquerque, NM 87110. Main Office-1-800-339-5161 (505-724-4300) After Hr: 505-724-4300-WorkLink Wed. Only-505-724-3232--Fax 505-324-3299 Text: 505-724-4300. If I copied these wrong, just Google Daniel Junik MD in Alburqueque. You can get more information. Please be aware. I have -personally had excellent results. I asked very few questions because I was knowlegeable. I had only One follow up visit because I followed up with home health and out patient Physical Therapy. Target a year. Those that go home and do nothing have less results than I did. So, when you read comments on Dr. Junik, most are good but some are poor. He has a number especially for people who ask questions after surgery. Be aware. This is one of the most tender surgerys you can have for the first 2 days. After that, the daily P.T.,0.T. and personal nursing care shines through;. I have virtually no pain any time. I have full ranges of motion. I have paper thin scars.Do what your Physicians says. Do not do Sucker deep bend on you T-K knees and extreme movements in yoga, or other sports. Use a good castered walker with a seat. Stand at your sink and put the walker behind you. Do squats hanging onto the sink and squat down until you touch your walker seat. Do this the rest of your life. Case in point. Something like a piece of anything falls on the floor. Lock your walker or stabilize by hanging onto something. Keep your head up to keep from falling forward. DO MOT KEEP YOUR LEGS LOCKED AND REACH FOR THE FLOOR..The sink training is enough to allow you to reach the floor, The straight leg reach is poor mechanics and may induce back problems. The daily semi-squats will keep your quadriceps at good-good +.. Standing heel and toe 2 sets of 10 in your walker or at the wall should be done daily. Sitting quads with 10# or more ,if in good shape, helps. Walk a block each day. Up and down your hall if necessary. Remember, you eat to survive. You exercise daily to be actively..These two things are necessary. I know you will be your own care giver after one year. I am 90 yrs old with beautiful total knees. Good Luck! Contact me at this place at ant time. If I am still alive, I will answer you. Ha!

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I’m having the same experience, it’s been 9 weeks and I’m still having pain and problems bending when I walk.
So depressing that I’m having all this pain.

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@bill54321

Yes. The team spins the exudates during surgery and pours it back into the wound at closure. Since this was part of a grant study, over 5 years ago, your Surgeon needs to talk to Dr. Junik. I am well known by Dr. Junik, so refer to William D. Monlux the Physical Therapist from Taos,N M and that will jog his memory. He can tell your Physician about the data on success of the procedure and the particulars on the preparation and centrifuge of the exudates. I will give you a lot of information. He moved his office. New Location: 2100 Lousiana Blv. Suite 410, Alburquerque, NM 87110. Main Office-1-800-339-5161 (505-724-4300) After Hr: 505-724-4300-WorkLink Wed. Only-505-724-3232--Fax 505-324-3299 Text: 505-724-4300. If I copied these wrong, just Google Daniel Junik MD in Alburqueque. You can get more information. Please be aware. I have -personally had excellent results. I asked very few questions because I was knowlegeable. I had only One follow up visit because I followed up with home health and out patient Physical Therapy. Target a year. Those that go home and do nothing have less results than I did. So, when you read comments on Dr. Junik, most are good but some are poor. He has a number especially for people who ask questions after surgery. Be aware. This is one of the most tender surgerys you can have for the first 2 days. After that, the daily P.T.,0.T. and personal nursing care shines through;. I have virtually no pain any time. I have full ranges of motion. I have paper thin scars.Do what your Physicians says. Do not do Sucker deep bend on you T-K knees and extreme movements in yoga, or other sports. Use a good castered walker with a seat. Stand at your sink and put the walker behind you. Do squats hanging onto the sink and squat down until you touch your walker seat. Do this the rest of your life. Case in point. Something like a piece of anything falls on the floor. Lock your walker or stabilize by hanging onto something. Keep your head up to keep from falling forward. DO MOT KEEP YOUR LEGS LOCKED AND REACH FOR THE FLOOR..The sink training is enough to allow you to reach the floor, The straight leg reach is poor mechanics and may induce back problems. The daily semi-squats will keep your quadriceps at good-good +.. Standing heel and toe 2 sets of 10 in your walker or at the wall should be done daily. Sitting quads with 10# or more ,if in good shape, helps. Walk a block each day. Up and down your hall if necessary. Remember, you eat to survive. You exercise daily to be actively..These two things are necessary. I know you will be your own care giver after one year. I am 90 yrs old with beautiful total knees. Good Luck! Contact me at this place at ant time. If I am still alive, I will answer you. Ha!

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Thank you so much. This is a lot of information! I copied all the phone numbers and will call them this week. I will follow with you about calls. TY Bill 54321. I had my surgery with a stryker titanium prothesis and am told MRI will not show the knee. But..there were a few people here that swear they had MRI's on their new knee. Dunno. I went to a very prestigious ortho hospital but he DID NOT WANT to take me thorough the follow-up
imaging so I said ENOUGH IS ENOUGH. I diligently did 40+ weeks of PT and 2 MUA's.CPM machine and the brace with the hand crank at 3 months. IT WAS TOO LATE. The arthrofibrosis had already set in. Once again thanks.

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That happened to me as well two MUA at 2+3 months. The PT told me on day 4 after 4 days in a row of PT that I was stiffening up. For some reason some of us grow it faster than others.

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Sorry for your trouble. They do not do a standard MRI on any metal joint. They have a modified procedure. Check with your physician on what his care plan will be. Stiffening up is not a good answer. Interferential Electrical Current with heat and and some deep massage will help.along with contact, relax,stretch and repeat and recombant bike for 5-ten minutes to tolerance. It is old fashion, but it is comfortable and pain relieving.(Cross he knee with a modulated surge.) If they won't do it, go some place that will.

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I said I would report back after my experience in my elusive search to End this scar tissue pain (see prior threads)... Underwent ablation of genicular nerves of knee last week, so far, no relief, want to beleive that it will still "kick in"... Anxiety and never ending pain prevails, I was informed that many patients find relief after 2 weeks, time appears to going backwards...

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@damewocane

I said I would report back after my experience in my elusive search to End this scar tissue pain (see prior threads)... Underwent ablation of genicular nerves of knee last week, so far, no relief, want to beleive that it will still "kick in"... Anxiety and never ending pain prevails, I was informed that many patients find relief after 2 weeks, time appears to going backwards...

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@damewocane I hope you will have improvement by the end of the two weeks. “Never ending pain” is tough to deal with.
Please let us know how you are doing next week.
JK

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