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?

@bill54321

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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Thank you so much. This is a lot of information! I copied all the phone numbers and will call them this week. I will follow with you about calls. TY Bill 54321. I had my surgery with a stryker titanium prothesis and am told MRI will not show the knee. But..there were a few people here that swear they had MRI's on their new knee. Dunno. I went to a very prestigious ortho hospital but he DID NOT WANT to take me thorough the follow-up
imaging so I said ENOUGH IS ENOUGH. I diligently did 40+ weeks of PT and 2 MUA's.CPM machine and the brace with the hand crank at 3 months. IT WAS TOO LATE. The arthrofibrosis had already set in. Once again thanks.

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That happened to me as well two MUA at 2+3 months. The PT told me on day 4 after 4 days in a row of PT that I was stiffening up. For some reason some of us grow it faster than others.

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Sorry for your trouble. They do not do a standard MRI on any metal joint. They have a modified procedure. Check with your physician on what his care plan will be. Stiffening up is not a good answer. Interferential Electrical Current with heat and and some deep massage will help.along with contact, relax,stretch and repeat and recombant bike for 5-ten minutes to tolerance. It is old fashion, but it is comfortable and pain relieving.(Cross he knee with a modulated surge.) If they won't do it, go some place that will.

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I said I would report back after my experience in my elusive search to End this scar tissue pain (see prior threads)… Underwent ablation of genicular nerves of knee last week, so far, no relief, want to beleive that it will still "kick in"… Anxiety and never ending pain prevails, I was informed that many patients find relief after 2 weeks, time appears to going backwards…

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@damewocane

I said I would report back after my experience in my elusive search to End this scar tissue pain (see prior threads)… Underwent ablation of genicular nerves of knee last week, so far, no relief, want to beleive that it will still "kick in"… Anxiety and never ending pain prevails, I was informed that many patients find relief after 2 weeks, time appears to going backwards…

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@damewocane I hope you will have improvement by the end of the two weeks. “Never ending pain” is tough to deal with.
Please let us know how you are doing next week.
JK

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@bill54321

Sorry for your trouble. They do not do a standard MRI on any metal joint. They have a modified procedure. Check with your physician on what his care plan will be. Stiffening up is not a good answer. Interferential Electrical Current with heat and and some deep massage will help.along with contact, relax,stretch and repeat and recombant bike for 5-ten minutes to tolerance. It is old fashion, but it is comfortable and pain relieving.(Cross he knee with a modulated surge.) If they won't do it, go some place that will.

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That is good to know. I actually have two people that have reported to me that they had MRIs and their knee following a TKR that went poorly

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@damewocane

I said I would report back after my experience in my elusive search to End this scar tissue pain (see prior threads)… Underwent ablation of genicular nerves of knee last week, so far, no relief, want to beleive that it will still "kick in"… Anxiety and never ending pain prevails, I was informed that many patients find relief after 2 weeks, time appears to going backwards…

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Abatment after two weeks is unusual. The regular home health followm up from the hospital is more nomal. After 6 weeks and continuous machine at home, out patient PT can use, interferential current under heat, deeo massage. and contract, relax stretch techniques, recumbant bike, treadmill, upper trunk strengthening and treadmill and core exercise. Some people do better in the pool with float devices and progressive weight, and laps, etc to get ready along with the ES, hear, deep massage. to prepare for the gym.At two weeks, you are are much to early for shots(as a Retired PT, that is my opinion) Gentle considerate comprehensive manual work is the norm. Are you on a home motorized unit? Stick with that first. How old are you?. Did you do exercise before surgery.? Two weeks and some pain is normal. Usually the progressive program and the normal early limited use of opiate s pills are the norm.Something does not sound right???

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@contentandwell

@damewocane I hope you will have improvement by the end of the two weeks. “Never ending pain” is tough to deal with.
Please let us know how you are doing next week.
JK

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It has been 2 weeks since the ablation-Sadly/no relief Iam awakened numerous times nightly by stabbing pain around the knee and there are tiny gray scars where the instruments were applied that appear to lightly protrude so that when i run my hand over my knee I feel these tiny bumps-Oh how I wish it had worked! Don't know if perhaps it still might "take" will throw another $hundred away on Friday to ask the PA-Doesn't look good from here: {

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@damewocane Good evening, I can feel your disappointment that you are waking up to the same pain after your ablation. Ya, know….some things work for others that don't necessarily work for us. I even smiled at your positive anticipation….just give it some time, maybe something didn't work right, I wonder if anyone else found relief this far out on the calendar.

It is so discouraging when we look for a snippet of joy in our daily journey only to have it disappear with the pain. And so I will just mention ever so lightly that the only thing that works for me day after day, and now, year after year, is medical cannabis. It takes time and patience. It doesn't have side effects, enables custom dosing, has many choices and isn't addicting. Have you or would you ever try it? What would you give the biggest cheer for to be pain-free? Be content and at ease tonight. Chris

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@damewocane

It has been 2 weeks since the ablation-Sadly/no relief Iam awakened numerous times nightly by stabbing pain around the knee and there are tiny gray scars where the instruments were applied that appear to lightly protrude so that when i run my hand over my knee I feel these tiny bumps-Oh how I wish it had worked! Don't know if perhaps it still might "take" will throw another $hundred away on Friday to ask the PA-Doesn't look good from here: {

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Oh, @damewocane I am so sorry that things have not improved. I can imagine how discouraged you must be. I hope something positive will come out of your appointment on Friday.
JK

Liked by damewocane

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Steroids, 6day blister pack-Felt major relief. All is temporary. Advised it will be 6 weeks before I know if knee ablation worked. 3 weeks and counting.

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I don't get it?

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In reply to @bill54321 "I don't get it?" + (show)
@bill54321

I don't get it?

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Hi @bill54321,

Are you wondering about Pollyanna? I thought I’d chime in with an explanation:“Pollysnna” is often used to describe a person who has irrepressible optimism and a tendency to find good in everything–an internal optimist in the face of adversity:)

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@kanaazpereira

Hi @bill54321,

Are you wondering about Pollyanna? I thought I’d chime in with an explanation:“Pollysnna” is often used to describe a person who has irrepressible optimism and a tendency to find good in everything–an internal optimist in the face of adversity:)

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Nailed it Kanaaz! I think the saying came out of the movie in 1960 – https://movies.disney.com/pollyanna.

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@johnbishop

Nailed it Kanaaz! I think the saying came out of the movie in 1960 – https://movies.disney.com/pollyanna.

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Thank you John. I am dumb. what i knee ablation?My knees are so good the term has never come up.

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