Scar tissue after knee replacement

Hi @bill54321 - You are not dumb! Sometimes it is easy for a discussion to be misinterpreted. I was just commenting on the movie poster in the post that you mentioned you didn't get it. If you are not having any problems or pain with your knees then it is not likely that you need a knee ablation. Here is some information that explains a knee ablation.

Could Radiofrequency Ablation Provide Relief for Painful Osteoarthritis in Your Knees?
--https://health.clevelandclinic.org/could-radiofrequency-ablation-provide-relief-for-painful-osteoarthritis-in-your-knees/

Sorry if I added some confusion with my post.

Thank you for the article on Radio frequency for the knee . I thought the original complaint mentioned it Nothing to do with your response. I have been retired too long. Thanks. i do need to look into this again instead of injection type for my back.

I so agree with you. I am 3.5 months out tkr and one month from manipulation. I had multiple surgeries in this knee prior to tkr and developed adhesions very quickly. I still struggle with hot swollen joint and limited mobility . In fact i got a hamstring sprain from PT and lost more ROM. I finally decided i would do my own PT and osteopathic manipulation ( good friend is DO and doing it for me). Very frustrating and i am now back on Walker instead of cane to work better on my gate. I think it would have been much better with less agressive therapy as it set up severe inflammatory reactions and more adhesions ( on blood thinners so no anti inflammatories ). Heres hoping.

@damewocane We are rooting for you. I hope that the needed relief does come. Keep up your optimism.
JK

Dear snowdoc. Your problem is the pits. Should not wish it on a dog. Listen to me. I am 90 yrs old and retired with 40 years experience as a physical therapist. I have 2 total knees after 60 yrs old. They are the most tender surgery ever the first 2-3 days. Movement and walking are essensial. But you must never push to extremes. Manual techniques followed by light progressive weights of 2,3,5 lbs is the standard.. Some old fashion therapies vs sports medicine can often times get you back on the right path. First, gentle quadriceps supine with little movement is best. This is usually done in conjunction with manual passive movement to tolerance. A little vibration and tender loving kneading of the joint helps. Some physical therapist go through the motions. If you are lucky to get one, others have educated hand that can not be taught. I mention this, because trust is so important. If you are slow to adapt, certain simple exercise techniques help. Imagine having your therapist rest your knee as you try to extend. Then, relaxing the leg in his hands as you relax into flexion. At this new position you try to extend the knee without the therapist letting it move. You relax again and let the knee move into flexion with just a little kind help from the therapist. This is repeated until you can not tolerate the flexion help after the active attempt to move against resistsnce. After the session, have the knee wrapped in heat and have Electrical stimuation with 4 electrodes crossed your knee(like an X) usinf Interferential modulated surged current for 20 minutes. Follow the stim with deep friction-kneading massage. Again, supine, use a light ankle wt to do set of 10 (1-3). Walk afterwards for correctness of heel strike and toe of with a walker. At home, use ice(cold) for pain and Use a continuous flexion machine for an hour or tolerance.. You should alway ave a home health service when you go home from the hospital.n After that, medicare covers 12 viisits a pause and another 17 visits. From there you should be in the spa with a recumbant bike, treadmill other core and upper trunk strengthening. This should bring you you about 12 months and 100 degrees flexion and -5-10 degrees extension. and a cane as needed. Avoid squats except into a chair repetative exercise with a hand support. Walking down hill lets the femur gluid forward on the tibia. So. have support when you do so. Going up a hill is not as much trouble. I understand they are doing ablations for some bad TK. I think this should come after 6 months. I hope this helps. You m7ust be active but to tolerance

I have had success with nortriptyline for sleeping at night. It relieves nerve pain. Amitriptyline is another one that is similar. I used just 10 mg.

I am 6 weeks from surgery for TKR and PT has been horrible. I simply cannot get flexion even assisted beyond 96°.
There is NO way I could endure manipulation and intense PT.
Searching for alternate ways to increase flexion I found 10Xtherapy.com. it is a rental unit I am considering in the event my surgeon.presents me the manipulation route.
You may investigate this alternate route.doesnt cost to investigate.

6 weeks is still early. Keep up P.T. Minimize pain pills. Ask for interferential electrical current from P.T

After a few days I should add that the nortriptyline took away the sharp pains, but I still have aching at night. Ice helps a lot. I use a Donjoy clear three cold therapy machine.

How are you doing after your arthroscopic lysis of adhesions? My doctor has recommended that for me. I have had a TKR in November and an MUA in January and still have limited range of motion. I would love to hear how it worked for you.