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Posts (15)

Tue, Nov 26 1:17pm · scar tissue after knee replacement in Joint Replacements

I had a TKR in both knees almost four years ago and have been suffering from persistent pain and stiffness for at least three years and was diagnosed with arthritis fibrosis. A good friend of mine is a physical therapist and she has been researching this condition. She recently discovered a trial that dealt with persistent pain following TKR:
Persistent pain after total knee arthroplasty (TKA) has been speculated to be a result of central sensitization5. The authors of 1 randomized controlled trial (RCT) found that, of 464 patients with primary osteoarthritis scheduled for elective TKA, 80 demonstrated signs of central sensitization6. These 80 patients were randomized to treatment with duloxetine (30 mg daily for 6 weeks) or no duloxetine (control group). The duloxetine group demonstrated significantly greater improvement from 2 to 12 weeks in all pain outcome measures assessed (p < 0.05). The 2 groups did not differ significantly with respect to adverse events6.

I presented this information to my family doctor and he has given me a prescription of duloxetine (Cymbalta) to try. Has anyone else tried this approach?

Wed, Nov 13 9:46am · scar tissue after knee replacement in Joint Replacements

I agree, unfortunately in my case I had the second TKR before I was having problems with second!

Wed, Nov 13 8:42am · scar tissue after knee replacement in Joint Replacements

I feel sorry for you after reading this post because my condition in both knees following TKR is exactly like yours and I literally feel your pain. If you decide to have the scar tissue removed I hope you will share your progress and let us know if the scar tissue returns.

Wed, Nov 13 8:34am · scar tissue after knee replacement in Joint Replacements

I am suffering from the same issue with scar tissue following TKR in both knees. I have consulted with three different orthopedic surgeons following my diagnosis of arthrofibrosis and all three have advised against removing the scar tissue because they say the scar tissue will simply come back and will possibly be worse than now. I am following your progress and hope you will keep us informed on your status as time goes on.

Fri, Jul 26 9:24am · scar tissue after knee replacement in Joint Replacements

Are you happy with the results of your arthrolysis procedure? I too am severely impacted by excessive scar tissue in both knees three years post TKR. I have tried laser treatments with no relief and have revisited PT twice after my initial recovery, but the scar tissue comes back stronger and tighter than ever. I just consulted with an Orthopedic surgeon who specializes in treating failed knee replacements but after he reviewed my history and examined my knees he said that he did not recommend undergoing lysis because everything in my knees was normal except for the scar tissue and undergoing lysis increased the risk of infection and the fact that the scar tissue would probably return following a lysis procedure. My scar tissue has severely limited my range of motion and causes constant pain, so I really don’t want to accept my current condition as the best I can hope for!

Wed, Jun 19 9:11am · scar tissue after knee replacement in Joint Replacements

Thank you. It took about a year after my TKR surgery before the scar tissue started really limiting my range of motion. Others who have undergone the lysis procedure have reported that the scar tissue returned shortly after the surgery which has made me hesitant to undergo the procedure, but now I have tried everything else without any improvement and your results give me hope for a positive outcome!

Tue, Jun 18 6:48pm · scar tissue after knee replacement in Joint Replacements

That is very encouraging! How long ago did you have the lysis procedure done?

Tue, Jun 18 4:56pm · scar tissue after knee replacement in Joint Replacements

If I was at 115 degrees I would also not consider undergoing a lysis procedure, but my ROM is bad and getting worse, and lysis is about my last option.