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?

Posterior stabilizer. Posterior cruciate ligament is removed and a post is in a groove in between components. I also had a tibia stabilizing post placed into my tibia. I basically had a radical knee placed when I expected a minimal cut/removal of my bone. My knee arthritis wasn’t even very bad.

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@kanaazpereira

Welcome to Connect, @yogigirl. I’m tagging @kibe75 @babette @medinafive @lizzyisme since they’ve written about the nerve ablation procedure. Have you talked with your ortho surgeon about the possibility of having it?

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I only just heard about it TODAY, after discovering this Q & A link. I would really appreciate hearing from people who have had it for the knee & where they went. It may be just what I’ve been desperately hoping for!

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@kanaazpereira

Welcome to Connect, @yogigirl. I’m tagging @kibe75 @babette @medinafive @lizzyisme since they’ve written about the nerve ablation procedure. Have you talked with your ortho surgeon about the possibility of having it?

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I am a little over 2 years post partial knee replacement. In August I had "Coolief" procedure done as I was still in daily pain (20 months post op at that time). The procedure itself was very painful, but after about 2 weeks I had about 80% pain relief, so I'm calling it a success. I still have pain, but am able to walk with my friend again and go to the gym. At 44 yrs old I'm happy that this will hopefully prolong the need for a total knee replacement. (As a side note, I had been on prescription diclofenac for about 2 years because of knee pain and it killed my stomach to the point that I needed to have gastrectromy and bypass. Now I can only take Tylenol or opiods for pain.)

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@kibe75

I am a little over 2 years post partial knee replacement. In August I had "Coolief" procedure done as I was still in daily pain (20 months post op at that time). The procedure itself was very painful, but after about 2 weeks I had about 80% pain relief, so I'm calling it a success. I still have pain, but am able to walk with my friend again and go to the gym. At 44 yrs old I'm happy that this will hopefully prolong the need for a total knee replacement. (As a side note, I had been on prescription diclofenac for about 2 years because of knee pain and it killed my stomach to the point that I needed to have gastrectromy and bypass. Now I can only take Tylenol or opiods for pain.)

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I am sorry to hear about your pain but I was in the spot as you . I had 2 years of extreme pain not able to walk and had 2 other surgeries to try as and fix the problem. Finally found a new orthopedic surgeon and had a total knee replacement done I am 9 weeks out and doing 100% percent better

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This is abnormal. Return to your surgeon. You may need injections. For those getitng TKR investigate having the surgeon spin the serus exudates(Juices) in a centrifuge and pour it into the wound at closure. My scars are pencil thin.( use coconut butter during massage of the scar) If connectiv tissue under the scar, use dry friction to tolerance. This problem needs solving immediately. You may have to call for a tech to see you from the surgeons office (retired PT with two total knees

Liked by mclgracie

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@yogigirl

I only just heard about it TODAY, after discovering this Q & A link. I would really appreciate hearing from people who have had it for the knee & where they went. It may be just what I’ve been desperately hoping for!

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Dr. Kunik in Alburqueque , NM does Total Knees all day long . His group of Orthopedic Physicians are listed in google. I had two by this Physician. He spins the serous exudates (juices) from the wound in a centrifuge and pours it back into the wound on closure. His group has a large supply of tools, cadavia tissue and a trained team. Study cruciate ligaments. His reputation of stable surgery with or without them a remarkable. I had one done in 2000 and the other done in 2004. My scars are the with a a felt pen. line. I am 100 % free of knee pain, I have full range. It is very tender surgery the first 3 day. But, immediate movement and walking with a Physical Therapist decreases symptoms.. Plan home follow up with Home Health that evaluats nursing, Physical Therapy and Occupational use of whatever to continue progress. Then, schedule out patient treatment with a Sports Medicine facility that has gym equipment. This is important because follow up with recumbant bikes,treadmill, total thrust units, upper trunk and core training, ballet bar for balance, ball for sitting work and raised mat work can established a carry over routine. Plan one year of recovery. Plan the rest of your life for home exercise or spa, and walking. If you don't want to do that, don't have the surgery I am a 90 yr. old retiired Physical Therapist. Part of your self improvement may be healthy living (diets do not work) Learn to eat what is good for you, exercise 3 times a week, walk daily and try to increase you communication with other, time from home and improving communication at home. Solomon, Job and others in the bible lived to 140 yrs. olld. They had to drink some wine( because of poor water) but drunkiness was not a virtue in the bible.They are levin bread, grain,s Lamb, vegetables. Their soil was not full of chemicals. So learn( apple cider vinager, Honey with garlic, himalyan salt for hydration, Coconut and Avacato oils for cooking, cottage cheese ,flax seed oil, for free radicals, Eat other omega cancer food like oatmeal with 3 type of berries, mashed 3 -4 types of nuts, more oat meal and 2% milk at 185 mirocwave. added. Eat enough red meat in small amounts for testosterone. Thyroid problems in old age can increase the wroneg chemical in the brain barrier. The wrong diet can increase neurotransnitters to sensory nerves resulting in all sorts ot tremors or jecks. I mentional all of this because I want to live a more productive life. The day of relying only on your physician is gone. Your now have the internet and patients are better informed. What better use of your time than to learn how to escape fast food, smoking, drinking and doing drugs. Sound like a dull life It beats a casket any time.
t

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@bill54321

Dr. Kunik in Alburqueque , NM does Total Knees all day long . His group of Orthopedic Physicians are listed in google. I had two by this Physician. He spins the serous exudates (juices) from the wound in a centrifuge and pours it back into the wound on closure. His group has a large supply of tools, cadavia tissue and a trained team. Study cruciate ligaments. His reputation of stable surgery with or without them a remarkable. I had one done in 2000 and the other done in 2004. My scars are the with a a felt pen. line. I am 100 % free of knee pain, I have full range. It is very tender surgery the first 3 day. But, immediate movement and walking with a Physical Therapist decreases symptoms.. Plan home follow up with Home Health that evaluats nursing, Physical Therapy and Occupational use of whatever to continue progress. Then, schedule out patient treatment with a Sports Medicine facility that has gym equipment. This is important because follow up with recumbant bikes,treadmill, total thrust units, upper trunk and core training, ballet bar for balance, ball for sitting work and raised mat work can established a carry over routine. Plan one year of recovery. Plan the rest of your life for home exercise or spa, and walking. If you don't want to do that, don't have the surgery I am a 90 yr. old retiired Physical Therapist. Part of your self improvement may be healthy living (diets do not work) Learn to eat what is good for you, exercise 3 times a week, walk daily and try to increase you communication with other, time from home and improving communication at home. Solomon, Job and others in the bible lived to 140 yrs. olld. They had to drink some wine( because of poor water) but drunkiness was not a virtue in the bible.They are levin bread, grain,s Lamb, vegetables. Their soil was not full of chemicals. So learn( apple cider vinager, Honey with garlic, himalyan salt for hydration, Coconut and Avacato oils for cooking, cottage cheese ,flax seed oil, for free radicals, Eat other omega cancer food like oatmeal with 3 type of berries, mashed 3 -4 types of nuts, more oat meal and 2% milk at 185 mirocwave. added. Eat enough red meat in small amounts for testosterone. Thyroid problems in old age can increase the wroneg chemical in the brain barrier. The wrong diet can increase neurotransnitters to sensory nerves resulting in all sorts ot tremors or jecks. I mentional all of this because I want to live a more productive life. The day of relying only on your physician is gone. Your now have the internet and patients are better informed. What better use of your time than to learn how to escape fast food, smoking, drinking and doing drugs. Sound like a dull life It beats a casket any time.
t

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@bill54321, and all other Connect members facing TKR. Note the following in Bill's post that I think to be essential for successful TKR
rehab. "Plan one year for recovery." Very, very good advice before trying to return to all of your pre-surgery activities. Thanks for the reminder. Chris

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@babette

Good God! Are you able to walk? I suppose sometime in the future people will look back and talk about barbaric joint replacements. I'm so sorry for all you've gone through. Btw, you're a good writer.

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How is your knee revision doing Babette?

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@yogigirl

I had my TKR 2+ years ago. They gave me a knee with a PS stabilizing post, which is notorious for causing scar tissue. I had the latest, greatest robotic procedure: I did not expect THIS type of knee. I did develop “patellar clunk syndrome” and had arthroscopic removal of the plethora of scar tissue filling up the space between all the parts. I watched the surgery on a screen as it was being done: it took two hours to remove all the tissue! It has been 8 months since then. It seems to have resolved the clunk problem, but I still continue in pain. I have been in pain EVERY day since the original surgery. I am very interested in this nerve ablation procedure, as I have had RFA on my lumbar facet joints with great success for my back pain. I would love to hear from anyone who has had it for the knee & where are good medical centers to find the right doc to see. I am within driving distance to the Cleveland Clinic, btw.

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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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Mel, Your post resonates strongly with me. My first TKR was in 2011, and it went great. Then 6 months later I had to have it taken out because of a staph infection that made me really sick really fast. I went 3 months in the summer of 2012 without a knee. After the infection cleared and they went back in to give me a second TKR the surgeon told me later that a lot of scar tissue had accumulated. Since then it has progressively returned and my range of motion has declined steadily. I also learned about a year ago that the implants are loose, which may be exacerbating the scar tissue. I'm at about 45 degrees now and I hear you about the challenge of stairs. No grandkids yet but just getting myself up and down stairs is a pretty awkward affair. My new surgeon says the next step is another TKR and that he is confident he can correct the loose implants with a new glue they are apparently using now. But he says he can't guarantee anything with regard to the scar tissue. Gave me a 60% chance I'd see improvement and a 20% chance it would actually turn out worse. I've gone for a year now with those percentages steadily looking better. I'm now scheduled for a second opinion in 3 weeks but have gotten to the point with pain, loss of mobility, and a couple scary falls, that I feel like I have to do something. Even if there is arthroscopy or laser treatment for scar tissue I still have the loose components. Some days I just feel like it would be best to cut off my leg and get a prosthesis, but I know its best to try this first. How much can one joint take anyway? Here's hoping I have a success story to tell sometime in the coming year! Best wishes to you!

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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.

Liked by mel 726

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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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