Hello! In 2008 I had a lateral release done in both knees, two weeks apart. The left one has been fine ever since. The right has given me problems that has been attributed to the build up of scar tissue. It has had three additional surgeries to remove it, with the last surgery being three years ago via a few different doctors. I have been having pain with it the past year and a half. The PA at the knee doc's office who has done two of the surgeries on that knee gave it a cortisone injection two weeks ago saying it may help with the discomfort (it did not) and did note how thick the knee felt when injecting the needle. He doesn't want to scope it again saying it will just return. This is in conflict with what the knee doc said back in February. I am not sure why the doc and the PA are not on the same page. Only reason I did not have it done in February was due to timing. I was planning on having it scoped again at the end of October, which is why I went back out to the facility (wanted to have a final discussion). I am actually traveling to the Rochester Mayo Clinic for the first time on October 1st for my PKD/PLD and the thought was to have knee surgery once back. Because the PA and the doc are not on the same page I have scheduled yet another appointment mid October to chat with the doc. I don't understand why I should just let it be and continue to deal with the discomfort. I am an active 43 year old and have had to pretty much stop cardio due to the knee issue. I do have some DDD in my lower spine and a small annular fissure and I have to wonder if I am limping some, unknowingly, which has caused discomfort in that area as well. It may be the chicken or the egg…is the limping from the spine hurting or the knee. Anyway, any thoughts on this? I understand another surgery may form scar again but I do have a wonderful physical therapist and she and I already had a game plan in place to help prevent it. Or, do I just accept the discomfort for the next 40ish years?