I was told that the risk of infection is the reason to wait. After six months, the TKR is more healed and not as prone to being infected?
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My biggest therapy was walking a lot, doing stair lunges, wall crawl, I had cortisone but not until after about four months. It is a struggle and a lot of pain. You will get through this. What was discouraging for me was to see people who had the same surgery, never exercised, did not do much P.T. and had excellent results. I thought, what in the hell am I doing wrong? We were just blessed with this scar tissue problem. It just makes you a stronger person.
Arthroscopic lysis minimizes the chance of infection. How else are you going to get rid of the scar tissue? The only cases I have heard of is when someone fell and had a traumatic injury which broke the scar tissue. Constant personal and professional PT is crucial to making it work.
I had to wait six months before arthrolysis. My DR. was concerned about infection. Outpatient, lasted about two hours because there was so much scar tissue. Aggressive PT (I even used my exercise bike for 10 minutes every three hours, set the alarm during the night). I had an MUA scheduled, Dr. wanted to scope me and if he found a lot of scar tissue he would perform lysis. Well, he found a lot of scar tissue and told my wife, while I was still under, that there was no way I would have broken through all that myself. Got 110 right away, had to work hard to get to 120. Some of the scar tissue has come back after a year.