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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@klarnold

Yes agree with Lori!
It takes time, l went on the same path intense exercising over did it, first l had to reduce swelling elevation less exercising, worked gained better range.
7mths later still trying to get there Pool daily, PT exercises & 3klm walks. Range is now 115
It takes time & definitely patients.
My leg still burns or swells if l over do it.
Pool is gentle best best & gentle.
All the best with your journey & recovery Janette definitely keep both side equal strength = good balance too.

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@klarnold. If you have access to a recumbent bike, that’s great for post-TKR PT. My orthopedic surgeon wanted me to do the bike 5 consecutive days each week followed by two consecutive days of rest. He is also a big fan of pool jogging.

I hope you will be able to get back to a flex closer to where you want it.
JK

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I’m a year out of TKR on both knees. Im age 62 and wanted to plan for a painless retirement, however it didn’t work out that way. 2 diff doctors performed replacement on my knees. One was chief of Ortho in Baltimore and another who Ive seen before with area Sports Medicine Group, Cornell Grad. He said before surgery my flexion was 90 degrees, after the same and this us usually the way it ends up and reason he didnt do manipulation and submitted an article about it for patients like myself who is a year out. He felt there would be no improvement. My other Dr. head of ortho read my submission, manipulated the knee he replaced to see how things went. My knee surprisingly manipulated easily after a year out, started therapy and no improvement. My knee still tight, can only get to 90 degrees although manipulation got to 120 degrees. Surgery does not seem like a viable answer fir scar tissue grows back, blood and trauma to the knee
Not a good thing. I’m told I need to learn to live with them. I feel worse off now than before i had them replacec and I can no longer take advil or any NSAIDS unlessI want to end up on dialysis. I use a massagers on my knees and lidocaine patches and rubs. Life basically sucks. My knees get uncomfortable and stiffens up. I have type 2 diabetes, now weigh 300 and think it may be biological as my uncle also has issues with his knee replacement. Weight prob just a little cause and possibly diabetes as well. Only thing left fir me to try is losing weight and get my A-C sugar levels to normal as it can affect your muscles, otherwise no one has any answer for me.,

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@buickturboman

I’m a year out of TKR on both knees. Im age 62 and wanted to plan for a painless retirement, however it didn’t work out that way. 2 diff doctors performed replacement on my knees. One was chief of Ortho in Baltimore and another who Ive seen before with area Sports Medicine Group, Cornell Grad. He said before surgery my flexion was 90 degrees, after the same and this us usually the way it ends up and reason he didnt do manipulation and submitted an article about it for patients like myself who is a year out. He felt there would be no improvement. My other Dr. head of ortho read my submission, manipulated the knee he replaced to see how things went. My knee surprisingly manipulated easily after a year out, started therapy and no improvement. My knee still tight, can only get to 90 degrees although manipulation got to 120 degrees. Surgery does not seem like a viable answer fir scar tissue grows back, blood and trauma to the knee
Not a good thing. I’m told I need to learn to live with them. I feel worse off now than before i had them replacec and I can no longer take advil or any NSAIDS unlessI want to end up on dialysis. I use a massagers on my knees and lidocaine patches and rubs. Life basically sucks. My knees get uncomfortable and stiffens up. I have type 2 diabetes, now weigh 300 and think it may be biological as my uncle also has issues with his knee replacement. Weight prob just a little cause and possibly diabetes as well. Only thing left fir me to try is losing weight and get my A-C sugar levels to normal as it can affect your muscles, otherwise no one has any answer for me.,

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I’m sorry you have stiffness in both knees. I had one TKR and ended up with limited range of motion and a diagnosis of arthrofibrosis. I belong to a Facebook group of about a few hundred people who have this condition. You may want to join it. You will learn of a few doctors who sort of specialize in arthrofibrosis. You will also find support from this group. Dr. Henry Finn of Chicago might possibly be able to help you with his hinged knee replacement. Personally, I’m going to go to the mayo clinic in April and see what they can do for me. I wouldn’t give up if I were you. Another thing I can say is I think it is hereditary also because my mother had a frozen elbow, and after my kidney surgery I was told my abdomen was full of scar tissue from previous surgeries. Now that I have one kidney I can no longer take NSAIDs by mouth but I have been told I can use the topical one, Voltaren gel. You may want to look into that for some minor relief. The best of luck to you.

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@contentandwell

@klarnold. If you have access to a recumbent bike, that’s great for post-TKR PT. My orthopedic surgeon wanted me to do the bike 5 consecutive days each week followed by two consecutive days of rest. He is also a big fan of pool jogging.

I hope you will be able to get back to a flex closer to where you want it.
JK

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Thanks JR, appreciate your kindness
It's been along road like everyone else. 19mths L hip & R knee. Working hard & sensible towards 125% range of movement needing to get back to work, funny l'm a Rehab Nurse extra compassionate now, learnt alot to support my Pt's.
Thankyou all!

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@sharonbrenna

I’m sorry you have stiffness in both knees. I had one TKR and ended up with limited range of motion and a diagnosis of arthrofibrosis. I belong to a Facebook group of about a few hundred people who have this condition. You may want to join it. You will learn of a few doctors who sort of specialize in arthrofibrosis. You will also find support from this group. Dr. Henry Finn of Chicago might possibly be able to help you with his hinged knee replacement. Personally, I’m going to go to the mayo clinic in April and see what they can do for me. I wouldn’t give up if I were you. Another thing I can say is I think it is hereditary also because my mother had a frozen elbow, and after my kidney surgery I was told my abdomen was full of scar tissue from previous surgeries. Now that I have one kidney I can no longer take NSAIDs by mouth but I have been told I can use the topical one, Voltaren gel. You may want to look into that for some minor relief. The best of luck to you.

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I used Voltaren diclofenac sodium successfully before surgery and got relief. I dont seem to get any after surgery for some reason. My two doctors said scar tissue can grow back and blood and trauma to the knee not helpful. The one dr said i had only 90 degrees flexion before surgery and not surprisingly same after surgery. Big difference I could easily flex my knees no stiffness before, now miserable stiffness.
I cant take nsaids any more. I am worse after surgery and had two top doctors perform surgery and xrays and healing looks good. I do have type 2 diabetes
Snd dugar not hood for muscles, I just cant understand it. I had manipulation weeks ago and he got it to 120 under anesthesia, then right to therapy but only get 90 degrees knees stiff as before manipulation,

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@sharonbrenna

I’m sorry you have stiffness in both knees. I had one TKR and ended up with limited range of motion and a diagnosis of arthrofibrosis. I belong to a Facebook group of about a few hundred people who have this condition. You may want to join it. You will learn of a few doctors who sort of specialize in arthrofibrosis. You will also find support from this group. Dr. Henry Finn of Chicago might possibly be able to help you with his hinged knee replacement. Personally, I’m going to go to the mayo clinic in April and see what they can do for me. I wouldn’t give up if I were you. Another thing I can say is I think it is hereditary also because my mother had a frozen elbow, and after my kidney surgery I was told my abdomen was full of scar tissue from previous surgeries. Now that I have one kidney I can no longer take NSAIDs by mouth but I have been told I can use the topical one, Voltaren gel. You may want to look into that for some minor relief. The best of luck to you.

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Please, Please tell us the name of the FB group-- as many of us suffer with this as well as well, after continually botched surgeries I have only 62 degrees flexion and never ending chronic pain!

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@damewocane

Please, Please tell us the name of the FB group-- as many of us suffer with this as well as well, after continually botched surgeries I have only 62 degrees flexion and never ending chronic pain!

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Arthrofibrosis Support is the name of the Facebook group. Please join us!

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@sharonbrenna

Arthrofibrosis Support is the name of the Facebook group. Please join us!

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I joined the Facebook group yesterday, although it is a private group and they took a couple of days to approve my application.

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@exflyer

I joined the Facebook group yesterday, although it is a private group and they took a couple of days to approve my application.

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I think you will like it.

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@cheris

Hi I had total knee replacement 10 months ago. Lots of swelling. Went to PT had deep tissue massage. VERY painful I felt like I had a very tight band around my knee making it hard to move.. I used a recumbent cross trainer which helped a lot. Getting into the pool and walking had an immediate effect on bringing down the swelling. After 3 months I did fairly well. I was bothered for a long time with sciatic pain making it hard to sit and ride in a car. I had second knee replaced 8 weeks ago. Almost no swelling very good range of motion right after the operation. Doing exercises twice a day and icing 3 time a day. This time around so much better. Some stiffness in knee but nothing compared to last time. My only problem is the hip/butt pain is back but not as bad. Has anyone else had this problem???

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.husband just went to our ortho about the hip/sciatica pain and he said it was the ischial tuberosity where the hamstrings connect, bone right under the glutes. Doc is sending him to pt. Also discovered some curvature of spine which would also cause an imbalance of muscles. He has pain when driving long distances as well.

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