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?

@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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I too have developed sciatic pain after my knee replacement , My knee is doing good as it is only been five weeks however the pain in my butt and down my legs also makes it hard for me to sit for long times or stand for a long time. Going to therapy to see if there’s anything they can do for it to help me along

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There is no legal action to be taken if your surgeon performed and operated to the best of his abilities. There is no legal recourse for his judgement of wrong sizing, this is left to the surgeons discretion at the time of surgery. Only if he was was grossly negligent and you can get your 2nd opinion to go on record stating this will you have a case. Good luck with your 2nd opinion, I hope you get answers too and share them with us.

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If any of you try to sue, I wish you luck. The woman I knew who went through two years of agony tried to, to no avail. If it hasn't impacted your life beyond being in constant pain there was nothing that could be done she was told. I don't understand this, what about pain and suffering? Maybe she just did not have a good lawyer. I think doctors should be held accountable for things like this.
JK

Liked by damewocane

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@sandie2749

I too have developed sciatic pain after my knee replacement , My knee is doing good as it is only been five weeks however the pain in my butt and down my legs also makes it hard for me to sit for long times or stand for a long time. Going to therapy to see if there’s anything they can do for it to help me along

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I found a really good chiropractor who had bee recommended by a friend who used him after her knees. He saved my butt … literally!! It made a huge difference!! Maybe your PT can recommend someone.

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@dduke

It is an arthroscopic procedure in which they cut out much of the scar tissue. They will usually do a manipulation at the same time as you are already under anesthesia. I had a manipulation planned and my Dr. wanted to scope me while I was out. He said there was so much scar tissue that I would not have been able to overcome it with P.T. So he performed the lysis procedure and it helped quite a bit.
https://www.arthroscopytechniques.org/article/S2212-6287(17)30061-0/fulltext

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I asked my surgeon about surgery for my scar tissue and he told me it was too late (14months) to take care of the surgery. How long after the TKR was your surgery for scar tissue?

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@kmart

I asked my surgeon about surgery for my scar tissue and he told me it was too late (14months) to take care of the surgery. How long after the TKR was your surgery for scar tissue?

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My Lysis was 40 weeks post-op. I have noticed (what seems to be) some of the scar tissue coming back a year later.

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My new revision surgeon confirmed that the wrong size was inserted thus I couldn't get the bend but Now, after 7 weeks-am told, there was probably Never nothing wrong with your knee-You kneed a hip replacement-ASAP (sufftering tremendous pain) Two weeks away -It's daunting. Can I consider Malpractice against the original surgeon now???

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@damewocane

My new revision surgeon confirmed that the wrong size was inserted thus I couldn't get the bend but Now, after 7 weeks-am told, there was probably Never nothing wrong with your knee-You kneed a hip replacement-ASAP (sufftering tremendous pain) Two weeks away -It's daunting. Can I consider Malpractice against the original surgeon now???

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You can always consult an attorney. I would obtain copies of all your medical records pertaining to your knee and review them. It is very difficult to claim malpractice. You must prove your current outcome would have been different before the care. A friend of mine tore his quad muscle after his second knee replacement. Put the cast on over a small opening with drainage and never tested that drainage. To shorten this year-long story, after multiple surgeries, the Dr. not removing his prosthetic when there was an active infection and saying "I thought it would be OK left in", multiple debridements and ultimately an amputation, he still is fighting his case. Now, if he pursued it he would lose his disability for his seizure disorder and all insurances associated with it because his income bracket would be too high. How is that fair? What is your bend? My ortho says 90 degrees is what they want for success and anything higher is a bonus. The release you sign before surgery saying you understand any and all risks makes them safe from malpractice.

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@damewocane

My new revision surgeon confirmed that the wrong size was inserted thus I couldn't get the bend but Now, after 7 weeks-am told, there was probably Never nothing wrong with your knee-You kneed a hip replacement-ASAP (sufftering tremendous pain) Two weeks away -It's daunting. Can I consider Malpractice against the original surgeon now???

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@damewocane As @bonzobear72 said, it is very hard to sue for malpractice. The doctor really has to be proven negligent, and generally, they want other doctors to testify against the doctor being sued, and often doctors stick together, except in rare cases when the doctor being sued has really botched things a lot. That happened here with a woman ob/gyn doctor. She is no longer allowed to practice that specialty but can practice general medicine. Actually I don't think she was being sued by a patient but the other doctors pushed to get her out of the department and succeeded.
JK

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@bonzobear72

You can always consult an attorney. I would obtain copies of all your medical records pertaining to your knee and review them. It is very difficult to claim malpractice. You must prove your current outcome would have been different before the care. A friend of mine tore his quad muscle after his second knee replacement. Put the cast on over a small opening with drainage and never tested that drainage. To shorten this year-long story, after multiple surgeries, the Dr. not removing his prosthetic when there was an active infection and saying "I thought it would be OK left in", multiple debridements and ultimately an amputation, he still is fighting his case. Now, if he pursued it he would lose his disability for his seizure disorder and all insurances associated with it because his income bracket would be too high. How is that fair? What is your bend? My ortho says 90 degrees is what they want for success and anything higher is a bonus. The release you sign before surgery saying you understand any and all risks makes them safe from malpractice.

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Wow what a sad story, Thats insane. Thanks for your input. I have all my med records for the knee and an attorney friend says that I must wait until after the hip surgery and pt to see how much I have improved before any law firm will consider my case- the thing is-When is that? How do you know When you will be as good as it gets? I can't get a bend of more than 80 degrees and i'm in big pain but off the opioids as I will need them for recovering the hip…

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At 6 weeks orthopedic doctor did a manual manipulation under anesthesia to break up tissue.

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@damewocane

Wow what a sad story, Thats insane. Thanks for your input. I have all my med records for the knee and an attorney friend says that I must wait until after the hip surgery and pt to see how much I have improved before any law firm will consider my case- the thing is-When is that? How do you know When you will be as good as it gets? I can't get a bend of more than 80 degrees and i'm in big pain but off the opioids as I will need them for recovering the hip…

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@damewocane You sure have been through a lot with your knee. If you do get to the point of suing, I hope you are successful. If it was a case of negligence then the doctor should be sued. Does he have a good reputation, otherwise? I do think that negligence has to be proven because even doctors are human and just trying to do the best they can overall.
JK

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Thanks- We'll see- by pure chance I was in a store last week and a young lady asked me what was wrong with my knee as she was in orthopedics- i told her the sad story- she asked,"Would you mind telling me who the surgeon was?" I did and she stated earnestly,"Oh wow this is the third botch I've heard about him lately."Random encounter, my stomach churns and my knee screams.

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@rmeddings

Almost two years after bilateral TK surgery, I still have constant burning pain, and sleepless nights. I’ve tried every suggestion my surgeon, and pain Dr have suggested, to no avail. I would like to get a second opinion from an orthopaedic surgeon. However ,no one wants to see me. Anyone suggestions, as to how I might accompolished this ?? I am really desperate for help.

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how are you doing now? I hope you've found relief. I had my TKR 6 weeks ago, and I still have painful nights. I'm thinking of trying the new CBD oils that everyone talks about.

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@killerbees

Hi Cheris. I had my TKR 5 mths ago. Same results as you had…swelling, tight banding, stiffness and extreme locked spams of IT band, hip and SI joint in my butt. I've gone to PT for 5 mths now and I do the exercises on my own as well. I have had numerous "extreme" surgeries with instrumentation on my spine and rt. pelvis which went through total reconstruction at Mayo in 2003. I have never developed scar tissue and always diligently done my PT, and insisted on more to full range of motion was achieved. My knee surgery has also left me with a inbalanced state and I've fallen a number of times. I have a "popping' sound and feeling between my knee and my hip and it's constant when I take a walk. Knee and lower leg still very swollen and I ice 2-3 X day. Years ago, I locked my shoulder with a fall, and was scheduled to have the scar tissue broken by a surgeon. I was moving a very large painting and frame begain to twist and I couldn't just let it go so I held on. As my arm raised up and slightly back, I heard and felt a loud pop. That was it and I then had free range of movement in my shoulder again. I would do the same to break the scar tissue in my knee if I knew it would solve my full range of motion issue and was safe, but not certain how to accomplish. My surgeon is an older surgeon and he offers no advice on how to manage with the scar tissue and hasn't mentioned lazar treatments. Has anyone else experienced this and if so how did you rectify the situation and regain your full movement? Thank you for your suggestions….my life is on hold and I live alone and must manage caring for my home, dogs, property as well as my health. I'm very discouraged at this point and it only seems to be getting worse with the falls. I appreciate any advice. Thanks so much.

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Has your doctor offered to do a scar manipulation under anesthesia? (MUA)

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