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How do you treat excess scarring after TKR?
Joint Replacements | Last Active: Jan 22, 2023 | Replies (73)Comment receiving replies
Has anyone had excess scar tissue removed after a tkr? My tkr was august 2021 and I am still in significant pain most of the time, can feel deep pain on outside of knee especially when going up and down stairs, biking, walking, swimming. Am doing myofascial release therapy but don’t think it’s doing much. Tried nerve ablation once and to try again in March. Am not interested in a major surgery again. Can it be manipulated under anesthesia and/or removed arthroscopically? Hopefully someone here can share their experience. Thanks
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Yes i did. Jan 11, 2022 had TKR. Feb 22 had a manipulation. Apr 19 had second manipulation. Significant growth in Scar tissue and bonded back after each manipulation. Aug 9, 2022 scar tissue removal. Scar tissue was 1- 1 1/2 inches thick. 5 months later scar tissue is back. Limited ROM. Recently Saw specialist in Indianapolis. He’s recommending a revision to remove implant, remove scar tissue but to also use radiation on affected scar tissue to slow down or prevent scar tissue from growing back as much. Then put in new implant. Not sure about this so I’m seeing another specialist in Chicago in about two weeks. This guy has used radiation and hinged knee implants for patients with arthrofibrosis. Might be something to talk to your surgeon about. Not a common treatment but from what the Indy guy said and studied I’ve read it can improve ROM.