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?

@sarastafford

you might be right . Any familiarity or advice. In who to use? I live in Tacoma
Wa

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if you know any local lawyers, ask one. Or go online. Doing 8 TKR is just unbelievable ! All by the same doctor???

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@zakcat

if you know any local lawyers, ask one. Or go online. Doing 8 TKR is just unbelievable ! All by the same doctor???

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20”9. Hit knee on coffee table
1st doctor Arthroscopic surgery ( torn meniscus). Would not get better. Very slow to heal plus swelling.
3 weeks later he says I need a TKR. Hind site 3 weeks not long enough recovery time. Performed TKR. Scar tissue poor range of motion . Got second opinion. Was told last doctor gave me a Volkswagen implant. He would give me a Cadillac. His exact words. The rest is history TKR surgery every year ,manipulations etc. same doctor . Had one get infected spent two months in wheelchair with pic-line. Last surgery was a hinged knee surgery.

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Responsible Orthopedic surgeons don't use terms like 'volkswagon' and 'Cadillac' to describe implants. You should look into medial malpractice . find a Lawyer !

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@sarastafford

20”9. Hit knee on coffee table
1st doctor Arthroscopic surgery ( torn meniscus). Would not get better. Very slow to heal plus swelling.
3 weeks later he says I need a TKR. Hind site 3 weeks not long enough recovery time. Performed TKR. Scar tissue poor range of motion . Got second opinion. Was told last doctor gave me a Volkswagen implant. He would give me a Cadillac. His exact words. The rest is history TKR surgery every year ,manipulations etc. same doctor . Had one get infected spent two months in wheelchair with pic-line. Last surgery was a hinged knee surgery.

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@sarastafford Oh my goodness, I can't believe what you have been through! I sincerely hope you are able to find a great doctor who can help this whole situation. I am not a litigious person, but that doctor should be sued, in my opinion.
JK

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You may want to find a new surgeon because it doesn't seem like you are having much luck with this one. I am not sure how a lawsuit will work for you since you elected to use the same surgeon over and over again but it's worth a shot. I am hope you are feeling better soon!

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Just had an appt with os at 12 weeks post op. He says he wants to do closed arthroscopy in 2 weeks to remove scar tissue. My patella is now fixed, immovable, surrounded in scar tissue. I have a lot of pain. I’ve tried to schedule 2nd opinion appts. but now the surgery is before any of them. My surgeon is adding a new partner who will see me before the procedure. If he disagrees with my initial surgeon, then he will refer me to yet another surgeon. All this is maddening, but I can almost not continue if I do nothing. My scar tissue causes so much pain. I’ve done a lot of research and made a list of drugs to help reduce adhesions. I asked my surgeon to consider them. He said he may consider collagenase. In the hospital, he wants me to have an epidural for 2 days while I use a cpm, followed by 3 consecutive days of pt. Thanks to a member of this group who shared this idea, I will use my stationary bike every 3 hours round the clock or some way to maintain constant movement. I think he will prescribe the cpm for home use too. But he warned me that he has patients who show up 6 months, 4 years, and even 8 years after tkr with new scar tissue growth. I want to give up, but I can’t. I know many of you have worked much harder along this scar tissue road than I have. I pray for you all.

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Gee. I wish you well. I feel so badly when I read your efforts and sounds like you are almost guiding your surgeon. My best wishes TO GET THIS RESOLVED. I thought medicine in the U.S. is supposed to be amazing…..but sounds like they have more work to do to realize the amazement!
My gallbladder surgeon always says "You're fine". I find that to be such a meaningless and unsophisticated statement when noone can solve my situation.
Namaste!

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@tennisgolf

Gee. I wish you well. I feel so badly when I read your efforts and sounds like you are almost guiding your surgeon. My best wishes TO GET THIS RESOLVED. I thought medicine in the U.S. is supposed to be amazing…..but sounds like they have more work to do to realize the amazement!
My gallbladder surgeon always says "You're fine". I find that to be such a meaningless and unsophisticated statement when noone can solve my situation.
Namaste!

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Interesting, I just had a second doctor who would not look at my knee for a second opinion until my one year anniversary! So patients are forced to return to the initial surgeon when things go wrong, when there is tremendous pain. Only the initial surgeon can request a second opinion with another physician. This is very disappointing. Anyone have a better experience? Worse?

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@katp

Interesting, I just had a second doctor who would not look at my knee for a second opinion until my one year anniversary! So patients are forced to return to the initial surgeon when things go wrong, when there is tremendous pain. Only the initial surgeon can request a second opinion with another physician. This is very disappointing. Anyone have a better experience? Worse?

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@katp I have never been in the position of needing a second opinion after surgery but this just does not seem right to me. It must be a courtesy between doctors, but not fair to the patient.
JK

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@contentandwell

@katp I have never been in the position of needing a second opinion after surgery but this just does not seem right to me. It must be a courtesy between doctors, but not fair to the patient.
JK

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I was told the reason for not seeing a patient until after a year is because you are still healing for a year.

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@kibe75

I was told the reason for not seeing a patient until after a year is because you are still healing for a year.

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@kibe75 Ahhh, maybe that’s why then, although I think there is a certain level of pain that exceeds what is within range of healing pain.
JK

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I am so very sorry for what you are going through. Had TKR almost 7 mths ago. Problems too, but I work the heck out of it to keep from getting scar tissue. Its still swollen and feels like it moves the wrong direction and a doc here said he thought the implant was to large as I am petite. I think he is right. My surgeon keeps saying "Its fine" so I have seen two others for second opinons. One doc on a recent trip to Mayo….but I had to fight to get to see the ortho I wanted and that will be the one who does my other knee….not staying in my state and letting them screw up the other knee! I had a surgeon friend tell me the "won't see you for a year, its still healing" line is because most states have 1 year statute of limitations if the patient has to have other surgeries due to first not being done correctly. I talk to many others who have had TKR and are back out playing tennis in 6 mths and others who tell me horror stories. It all comes down to you, the patient, not accepting their excuses and being a tenacious advocate for yourself. I would not be walking today, if I hadn't refused the 15 surgeons excuses, "Oh you are in pieces after your surgery and none of us know how to put you back together again. Sorry but you will have to live in a wheelchair." My response was, "oh no I won't because I'm going to find a surgeon who knows how to put the pieces back together again!" And, thank the Lord I did find two ortho trauma surgeons at Mayo who had ideas of how to do it and, even tho the said the odds were stacked against me, they agreed to give me a chance to get my life back again. We had many hurdles to climb, but I refused to give up because I knew I would walk, hike, swim, travel and take care of myself again. Don't give up, keep researching to find a doc who might have other ideas and can help you. Good luck friend.

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