Scar Tissue After A Total Knee Replacement And What Do We Do With It
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- Опубліковано 30 кві 2019
- Scar tissue after a total knee replacement can limit range of motion and increase pain. In this video we can discuss what scar tissue actually is and how you can continue to improve range of motion for months and years after surgery.
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Prior to surgery doctors need to tell us about the scar tissue issue. And the need for movement of the skin area. No one told me anything like that before or after until I went into therapy almost actually a week after surgery although I had in-home therapy. I even had one place I called want to put me With a therapist one month later after surgery. If a friend of mine had not mentioned the scar tissue issue, I probably would have gone with that. Somehow doctors need to understand we need to know those things. It’s not a question we would even think to ask!
SOOOO HELPFUL. Especially the end. Get up and down. Thx
This dear man encourages me like no other.❤️⚓️
Wonderful presentation. Thank you!
Thanks for being the Light at the end of the tunnel! Your videos are great and You are an awesome teacher! Again, thank you for doing what you do!
Thank you for this video cause I thought something wrong!!! Your videos be so on point Tony!!! Love it😍
Thank you for being here my therapist I had with my right knee did not do this and I had a real hard time stretching my knee out and I'm fixing to have my left knee replaced on July 19th so I am watching all of these and trying to see what I can add to the therapy that possibly another therapist may not use
Thanks for all the great info. I always benefit from your videos. It’s almost like if you are talking directly to me.
Thanks so much for the kind words! I speak to the camera like it is a real patient sitting in front of me.
Excellent, thank you!
Great information at the perfect time!
Many thanks 👏🏼👏🏼👏🏼👏🏼
Thanks for watching.
Thank you very much for your recommendation. Your videos have been very helpful.
I really appreciate your time and effort.
You are welcome!
Excellent presentation this is exactly what am going through my knee cap is not moving I don't have much pain but my range of motion is limited due to that I also still cañnot walk up my stairs properly
Hi Tony. Thank you for all great information about tkr.
When should i start pt after a manipulation?
I heard i have to go 5 days a week to pt for one month .
Thank you for your help.
Hi Tony. Great explanation on P.T. on UA-cam.. I have a question. I had total knee replacement 22 days ago. Can not bend my knee to 90 degrees yet. It’s very tight and stiff. Also swelling. Is this scar tissue already. Thank you for your time. Monty
Hi , i am happy for your detailed information on subjected post TKR issues. I recently had lateral tibial plateau surgery ( ORIF with site plate and screws to cover up depressed plateau) . I have completed 6 weeks and have good extension and struggling for knee bending, kindly suggest if active skin moment with finger over the incision helps me or other best ways.
Iam Raju, India
I have had 2 Unicompartmental knee replacements in one knee lateral 6 months later medial then flash forward to now Sep 22 revised to a tota knee all in a span of 3 years because I am a busy worker lol, plus I had a really bad car accident years ago mixed with degenerative arthritis. Both times I strengthed before surgery which led to fast recovery. Same this time so far one week post I'm achieving 95° degree bend quad activation by day 3 after nerve block but skin tighten, oh my i could just scream! You my sir just saved my life!. I was never taught how to massage across my scar by my PT team! ❤️❤️❤️
Admire you, very Stoic. Great advice I'll remember when I have TKR 24/4/24, as like you proud work hard, love exercise as want to keep fit/healthy & have best out-come, lots to do in life. All best you in your recovery.
@@jangriffin-fi1yx you got this!! Just keep going! I’m running again! Still get mild pain here and there! Just know your recovery is based on you take your time don’t rush but move day one keep that knee working! Ice ice and more ice it works better than any drug on the market good luck and keep me posted!
@@emaluvsjra Thanks so much for such positive words of encouragement you are inspirational. How good are you running that is something special. Orthopaedic Surgeon told me TKR can last 15 - 20 yrs & longer, some can last 30 yrs usually person light weight.
I cannot wait to have op & once done can't wait to start moving & be dedicated to get back to good quality of life. I know have to do hard work, go PT & not give up. Will certainly use ice. Did you use an ice machine? My health cover doesn't cover told yesterday would have to upgrade if wanted it included, but was thinking could maybe hire it along with anything else like crutches; wedge pillow. Not sure maybe hospital advises. Think I would like some sort of brace to sleep in as I'm rotten sleeper & fear part about keeping leg straight. Thanks appreciate your thoughts good advice, as most helpful. I am taking all on board what you say & others, plus find these videos wonderful. I love walking, swimming riding & can't wait to do more, so enjoy fitness & moving, want to live healthily till 100 or more, love life not wasting it, out time to fly 😄
🤗 🤗 💖
@@jangriffin-fi1yx I lost weight, I weight 130 and I am 40. I used ice machine yes, my insurance did a pre authorization and I found one on Amazon for cheap. I still have here at home. Just listen to your body, everyone heals on their own pace. Don’t get discouraged and don’t rush yourself. Do the exercises they do hurt in the start but you will feel so much relief after week one sometimes even after day 1. I did mine and still do. I reached out for extra support. Walker first use it don’t skip it! It’s a vital part. Then move to next walking device. Getting that ROM back is important as well. I don’t run in marathons just enough to keep fit and healthy and I trained to learn to do it safely. I use braces when running, always talk with your doctors. Your orthopedic will advice you how to sleep properly the first couple of weeks it’s very important to listen for healing. I found sleeping in my recliner more comfortable than my bed. You got this, I know deep down you do!!!! Don’t let fear get to you just think new knee soon and part of the TKR club we are a special team ❤️
@@jangriffin-fi1yx and your so very welcome my regards and prayers to you on your TKR journey!! You got this I know you do!!!
You are so awesome!
Thank you! Thank you! Thank you! I was using lotion to massagecmy knee because I thought that would help. Now I'll start with the horizontal messaging to loosen the skin.
Thank you! :)
I had TKR 6 weeks Every time I bend my knee it is so tight like I am breaking the scar How long will this go away Tony you are great
Thanks for the through explanation and yes this speech : ) should be given to use either by the Surgeon or the PT's.
Glad it was helpful!
Good day Tony. I am 10 weeks post opp but are battling with pain behind my knee and now my upper leg are swollen. Any advise please. Thanks for all your info.
Thanks for your help. My question is around Clicking poping and crunching sound after TNR. I am 18 mos in and have had an arthroscopy to remove the crepitus, but it did not go away. I also have a new stabbing pain in the joint. Have had many opinions everyone says something different from live with it to get a revision. My flex is about 120, just very uncomfortable swelling and pain with a fluid sound. Do you have any thoughts?
You’re tali’s are better than anyone I’ve heard on site about TKR
Thanks so much.
I was told I would need a second surgery at the time of my replacement. A medial release and imbrication to help with the years of dislocated knee cap. I worry the tightness the doctor wants to achieve will impact my flexibility. I really would hate to go through an mua. Currently my flexion is around 115/120. More if my patella tracked properly. What’s your opinion on this? Thank you!
Thanks for this mat which time after. The TKR should one started to move the patella ,and suppose it don’t want to move ,or is pain full ,should I still try to move it ,thank you
Thank you for your information. I have watched a lot of your videos and i am following the exercises recommended by you. I had my femur facture (near knee) and had surgery about 8 weeks ago. I am doing exercises recommended by my PT from day one but still i am not getting more than 70 degree of bending . Passively my PT makes it upto 80 to 85 but actively i am not getting it. Could you suggest me anything that might improve my range of motion?
I am sure your therapist is doing a great job. It is impossible to make specific recommendations on this platform but keep working with your therapist and talk to your surgeon. I am sure you will get there.
@nabinpaudel9966 I’m at week 4 and stuck at 76 degrees. How are you doing now? Are you able to bend?
2 years since tkr. Still having issues with scar tissue. They want to do surgery again to clear up the scar tissue. Pt was so hard, are there any exercises you can recommend?
My knee is stuck like your knee was bent when you had it on the table. My doctor said that there is nothing more that he can do for me because it’s too much scar tissue. He has put me on prednisone and prone hangs. He won’t go in and remove the scar tissue because there is a 3rd that I can get an infection and lose my leg but I want it done because I CANNOT live my life with my knee bent like this! What would you do in this situation?
Sir at what stage of a total knee replacement can one start to move the patellar and would it hurt ,thank you
I had a car accident on March 29 and had multiple tibia fractures and a fracture across the bottom of the knee cap. All along my orthopedic doctor was telling me at a certain point, I would have physical therapy. I have been wearing a brace since the accident and it as 4 bands that you tighten and wheels on the side of the knee that I eventually was able to release and bend my knee. My last appointment was June 11 and that was when he said he was going to arrange for the PT. But at that appointment, he said I didn't need it. I think I need it. I'm also having ankle difficulties and he x rays that at each visit along with the knee, but he never comments on it. It has lots of swelling. And my foot hurts. This doctor specializes in knee and shoulder. Should I go to another doctor who specializes in foot and ankle? My insurance will cover everything. I am 76. I have some osteoporosis. Will some of your knee surgery exercises be good for my knee. I would appreicate any help you can give. Thank you. Your videos are very informative. My brother, who had knee surgery, sent them to me. Thanks a bunch.
My husband just had a TKR and right out of the hospital his Quad tore in 2 different places resulting in 3 falls and had to go back to have Quad repair. He has to be in a leg brace for 2 weeks. Will this affect his ROM or will PT help improve this. It's such an unfortunate situation and has been stressful but any advice or answers would be appreciated.
I cannot find your group on FB any longer.. did you move it? I want to rejoin but can’t find it. Please help!
I am 3 weeks post op, my skin down my whole leg is very sore, and particularly worse under the knee . It feels as if it is on fire. Will this pass or is it a problem. Due to Covid restrictions, my physician and physiotherapist are not available, and I am unsure whether to refer elsewhere
No one told me about this not even my pt thank goodness that you are there to show us. Thank you
I have no cartledge in my right (non op) knee. Is that why I don´t have any movement in the knee cap like the movement that you demonstrated in the video?
Tony,
Thanks 🙏 for answering my ultrasound question,
2nd ?
I have a inversion unit, I love using for my back I am 8 weeks out of surgery
Is it ok to use it again, if not now when.
Thanks again 🍻
How inverted do you go?
Well at this point I wouldn’t go vertical, which I do for only 3 minutes a day
I would go little by little, but was curious is it bad for new knee at this point 7 wks
Great information. I had tkr surgery (right knee) 2 years ago on 11/05/19 and still have swelling & stiffness but no pain.
I do at home therapy on my own along with roller skating. Thanks for the info.
Wow! Roller skating. That is cool.
I had tkr 5/4/22, and today is 6/6/22. I pray I'm able to rollerskate again. I'm only at 90 on my flexion currently. I'm still a little swollen and stiff. Hoping to break up ad much scar tissue as possible before my 6 week check-up. Thanks for your videos. ❤
Do you recommend ultrasound on scar tissue Tony thanks
Ultrasound over the replacement should be contraindicated the last I checked.
I wouldn’t let anyone do it.
Thank you, so a good PT must know that and show us how to do it, right?
I am having problems bending my knee my skin is real tight money will not be in at all I’ve been out of surgery for leash 5 1/2 weeks of money will not be at its real tinder should I need to do
Your videos are awesome! Thank you for clearing that up. I totally underestimated this surgery. I'm an athletic 55 year old, and this has been so hard. My kneecap is still swollen, and most times tight and painful, especially if I stand or sit too long. I'm 14 weeks post op tkr. Please tell me it gets better!
It absolutely will get better. Staying in any position for too long is hard. Having a history of enjoying activity is a huge advantage, but it can also be a challenge. I find that younger clients like yourself have a hard time giving your body adequate time to recover. You tend to want to get back to doing everything a little too fast, but you will get to where you want to be.
I am 55 too and i am seriously impatient to get back to LIFE
@@bt9124 Betsy, ha!! I totally understand. 😀😀 Keep doing therapy movements, and listen to this wonderful therapist!! He shares great info. And Betsy, keep the faith, you WILL get back to life, WE will get back to life! 😀
Hi, I just had my knee surgery a week ago and I'm about to begin physiotherapy soon. But I am wondering if I start bending my knee, the scar surface will be stretched out and get bigger right? Or somehow the motion will help reduce scar tissue underneath the skin? I'm feeling a bit of contradiction, hope you can help explain. Thanks!
I broke my knee cap actually and had a surgery to connect the broken pieces
The way I would describe it is your body will lay down scar tissue as it heals the incision both in the skin and deep into the joint. The motion will keep the new scar tissue mobile and possibly help the new fibers better organize. The more you can maintain mobility through an increasing range of motion toward normal the more pliable that new tissue will be.
@@maichinguyen3160hi is it patella surgery with k wire. My knee is immobilized for more than 45 days and now zero flexion
For a repair of patellar fx how many weeks post op that you can bend your knee and to what degree?
Nancy Hsia great question. What did your surgeon say?
Here is a great site with info www.physio-pedia.com/Patellar_Fractures#Phase_1:_0-6_weeks
Thanks for the video, I had TKR 8 weeks ago 11/25/20 i have pretty good range of motion, but my problem is, (according to my PA) she had to use a special type of suture at the beginning of her interior stitches. Apparently she used some type of little tab to start the stitches. I have excruciating pain at that point, so much i will walk stiff leg just to move about. Any suggestions to relieve that type of pain??? and if its scar tissue how do i break up that little tab scar tissue.
How soon does scar tissue form after TKR?
Mom has knee replacement n her Orthopedic told her she build lots of scar tissue and is having lots of pain to get it bend. Can you please tell me what’s the best therapy to be able to break the scar tissue so she can bend her knee. Surgery was almost done 4 months ago and her Therapist says she should now be at 90 degree angle
I had knee surgery dur to tibia nail removal can I use message gun to break down scar tissue
Hi sir I had knee surgery on 3rd april 2023 now five weeks completed but my leg is not bending properly and around the is swelling it’s very painful doing exercises what can I do
Can you show how to use a suction cup? And the other types of mobilization?
I got my tkr on oct 6, 2020 and my range of motion is really very less. Can I try gentle squats? Is it safe for me? I live in Ontario, Canada.
Pl reply if you read my msg.
I had total knee replacement. The journey with PT was very long. About 2 months after finished with PT I have what my surgeon calls a Patella Clunk. It is annoying and very painful every time I get up from a sitting position and when I pedal my bicycle. He says it is scar tissue under the knee and gives me no solution. What can I do?
Thank you very much for your video. It is very helpful.
I broke my patella to seven pieces three month ago; unfortunately, I can only bend my knee to about 65 degree on passive ROM.
My concern is whether I could get full flexion eventually and how long it takes.
Thank you,
Fractured patella is frustrating. Focus on function over range of motion. Don't get hung up on the numbers. If you can do what you want to do then the numbers don't matter. Best wishes and thanks for commenting.
Hi. I fell at work and fractured my right knee cap back in February. I had surgery on it to repair the damage. I've been in physical therapy sessions since February. I'm having a very hard time getting full range of motion, balance and strength back in my right knee because of the painful scar tissue. Any suggestions on breaking up scar tissue to get full range of motion in my knee...any suggestions are greatly appreciated!!
Hi I have undergone patella fracture surgery two months ago. I just started flexion and it feels like a rock. Could you help me explain how did you achieve ROM
Laser? Red light?
I had knee operation and i am having problem with scar tissue. Because no one told us about this thing happening . No am doing work hard on but if its not happening any thing what happens to my knee? I am so depress and worry.
I did my knee replacement last year sept 2020 I've been to pt several times i developed the scar tissue i am using the split to help bending i still have tightness and it's not 90 percent it only 74 % i had to retire from my job because of the bending i am so stress
What cream is best to use?
I use sad my surgeon suggest victim E and try organic coconut oil.
Well...I'm 2 months post-op on July 4th and I'm still miserable. Knee WILL NOT BEND!!! I FEEL IM DOOMED!
I have a real hard time on my back and bringing my foot to my back side, I'm pretty sure he said a 95 and then he forces it and he got 100 but very painful to get those numbers and I've been in therapy for 5 weeks and the same knee with same numbers only after his forcefully bending makes it hard for me then to walk due to pain. I got knee replacement to due away with pain not to live with new pain
midnight runner sorry to hear that. Some therapists believe in that kind of aggressive approach while others believe in a more gradual approach. We honestly don’t know which is best.
Personally, as a therapist, I prefer less intensity but greater frequency. Light stretches ever couple hours instead of heavy stretching followed by increased pain and decreased function.
Do you feel more comfortable when you do your stretches at home?
Amen, amen, I’m going through the same thing!
I have the same problem and into my sixth week. Starting to get concerned because I have a low pain threshold. Pt is going to put me in a device that will bend my knee. It’s very painful. Are there any less painful options for knee flexion?
I am 6 weeks post dual knee replacements and I can barely get to 90 degrees with both legs. The skin in my incision does seem adhered to my patella and I don’t have much patella movement. I am going on for a manipulation under a spinal but what will free my skin and why wouldn’t. The adhesions come back. One other issue I should note is that I have Ehlers Danlos syndrome with is a connective tissue problem. I had hyper mobility but now I have the opposite problem. Will a manipulation help the adhesions in the skin above my patella? You mentioned a suction devise what is that and how do I use it?
lynne, just wanted to tell you how i hurt for you. i know it won't help, but for me, just getting anyone to understand how how hard and upsetting TKR can be is helpful. saying a prayer for your improvement and so hope you overcome these problems ASAP - like right now, lol.
Lynn, I hope you contacted your surgeon's office to share this problem with them. Please take care, and DO be an advocate for your own health!
Thank you for your videos! I'm 6 weeks post surgery but injured my knee 1 week ago on my stationary bicycle (with approval to begin).😊
I failed to check my seat position and at the first turn out, put my knee in about a 140-150 angle. EXTREME pain and I'm sure injured much tissue.
Will stop PT for a week for healing. Any words of wisdom?
Oddly enough my right knee started with major issues a couple weeks prior to my surgery and now dealing with pain from it on a constant basis. Watching this video, I tried moving my knee cap (unlocked position) and it doesn't budge in any direction. What does that indicate?
Can you give me the Facebook group name ..I find your videos very needed
Once a singel muscle is cut, it is filled with low quality tissue and voila that tissue will limit you and you ll lose ROM due to muscles around athropies
So in essence, a surgery is rather a permanent change that will affect you.
7 weeks post op got to 107 so far doctor is suggesting a manual which I did with last TKR. The manual took me from a 95 bend to a 75 I basically had to start over. I say another manual won’t be happening I’ll work through it this time.
it feels loke a pea size cyst under my knee scar- i am massaging it- is this normal?