Author Topic: Recent scar tissue diagnosis - any advice?  (Read 1311 times)

Offline spannerwingnut

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Recent scar tissue diagnosis - any advice?
« on: May 11, 2017, 03:50:52 PM »
Hello,
I have been diagnosed this week with "scar tissue & adhesions" in my left knee, following a ski injury in Jan, where i suffered a grade 2 tear to both my MCL & MPFL.
I had an MRI three weeks after the accident in the UK and it was clear for cartilage damage, has been double checked by a private specalist and the conclusion is scar tissue limiting my extension. I am stuck at 28 degrees. But can flex to 110.
I am not able to work (my job is physical, and they have said i am a health and safety risk while i cannot walk properly) so i have been signed off since February, getting a bit frustrated. I am now on the waiting list for Arthoscopy & manual manipulation hopefully in around 7 weeks.
Does anyone have any advice on dealing with this? I wasn't able to get on a bike until my ligaments had healed, which they now have. So we have borrowed a stationary bike to have at home, which i will use on-top of my exercises and swimming.
Any advice would be great, this injury seems to be never ending and i haven't even had surgery, the scar tissue must have developed in the weeks waiting for the MRI, and my physio hasn't helped with my extension so far (almost 15 weeks, 112 days today)
Any advice would be great!
« Last Edit: May 15, 2017, 07:43:35 PM by spannerwingnut »
Grade II Sprain of MCL & MPFL & bone bruising
Ski accident 30th Jan 2017. Xray of knee in Austria.
19th Feb - MRI done in UK
26th Feb - 1st Physio appointment, 16th March 2nd physio
24th March 2017 - consulatation with orthopaedic surgeon
29th June - MUA under spinal nerve block

Offline Vickster

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Re: Recent scar tissue diagnosis - any advice?
« Reply #1 on: May 11, 2017, 03:56:02 PM »
Can you get / pay for some hydrotherapy, you might find doing the exercises in much warmer water with an expert useful, in addition to 'land' physio :)

After the surgery, make sure you get in asap with a physio, several times a week if possible.  I developed thickening of the tissue in my shoulder after the first surgery and had to go back under the knife.  I was in physio 3 days later, which happened to be Christmas eve!  Make sure you discuss the post op protocol with surgeon and physio before the op

Good luck :)
« Last Edit: May 11, 2017, 04:03:20 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline Bronwen

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Re: Recent scar tissue diagnosis - any advice?
« Reply #2 on: May 13, 2017, 10:23:52 PM »
Arthroscopy and manipulation under anaesthetic got my leg back to full range of motion. Until then I'd been stuck on crutches, off work and not driving for three months. The hospital kept me in overnight on a passive motion machine. I found a little foot pedal cycling type machine useful at home - the sort aimed at older people. I started with my chair further away from it and gradually moved it closer. I was cleared to swim after about a month. Am now on waiting list for ACL reconstruction unless I can strengthen it enough through Physio. It truly is the injury that keeps on giving..! :)

Offline spannerwingnut

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Re: Recent scar tissue diagnosis - any advice?
« Reply #3 on: May 14, 2017, 01:10:28 PM »
Hi Bronwen,
Its a relief to hear the procedure worked for you! That gives me some hope. I hope the rest of your journey goes well, crazy isn't it how long everything takes. I am starting to realise i will likely have to change career and find a desk job. 4 months and counting!
Grade II Sprain of MCL & MPFL & bone bruising
Ski accident 30th Jan 2017. Xray of knee in Austria.
19th Feb - MRI done in UK
26th Feb - 1st Physio appointment, 16th March 2nd physio
24th March 2017 - consulatation with orthopaedic surgeon
29th June - MUA under spinal nerve block

Offline Clarkey

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Re: Recent scar tissue diagnosis - any advice?
« Reply #4 on: May 15, 2017, 10:56:53 AM »
I am 10 years older then you aged 38 going through a similar scenario to what you are going through thanks to scar tissue in my right knee. I can longer take part in physical activities as I cannot run since January 2013. Just been offered a job supporting autistic kids as a playworker and have been told my knee injury could be a safety concern for the autistic organisation.

It is also having a negative impact on you job, without sounding too personal counselling sessions can be really helpful. I am lucky having a sister that works in orthopaedics as a nurse, she is great listener giving good advise. She works in the pre-op clinic so knows how to deal with patients that are about to go ahead with surgery. If you know someone you can trust to talk over how you are feeling is a big stress release that saves you paying out for professional counselling sessions if you wanted them.

Keeping your mind active also helps greatly, while I have been out of employment volunteering for local charities in my region led to me hopefully getting a job supporting young people with autism. If you have the whole day with nothing much to do then you are going to think negatively worrying about your knee. Hope you can get it sorted out soon so you can return to work again, good luck please give updates how you are progressing.

[email protected]
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

Offline spannerwingnut

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Re: Recent scar tissue diagnosis - any advice?
« Reply #5 on: June 03, 2017, 08:20:04 PM »
Surgery scheduled for July 4th!
No improvement with my extension despite now having a stationary bike at home and cycling for an hour each day. So am hopeful will get some answers after the surgery! I still can't work but i am feeling much more upbeat now there is a date booked!
Grade II Sprain of MCL & MPFL & bone bruising
Ski accident 30th Jan 2017. Xray of knee in Austria.
19th Feb - MRI done in UK
26th Feb - 1st Physio appointment, 16th March 2nd physio
24th March 2017 - consulatation with orthopaedic surgeon
29th June - MUA under spinal nerve block

Offline Clarkey

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Re: Recent scar tissue diagnosis - any advice?
« Reply #6 on: June 03, 2017, 11:04:31 PM »
Good luck with your scheduled surgery on July 4th Independence Day giving you the independence to overcome the excessive scar tissue post-op.

[email protected]
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

Offline Aly0108

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Re: Recent scar tissue diagnosis - any advice?
« Reply #7 on: June 05, 2017, 08:34:14 PM »
Hello,

I would like to ask some experts of fat pad issues, Can I do leg raise exercises for quads?

Offline Clarkey

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Re: Recent scar tissue diagnosis - any advice?
« Reply #8 on: June 05, 2017, 10:58:58 PM »
Hi Aly,

I had my fat pad trimmed and medial plica excision during scope #1 in November 2009 followed by AIR surgery in July 2014 for scar tissue build up. My fat pad is inflamed again showing an increase in joint effusion around the patella tendon. Accessory pole of the patella and Fat pad resection and a diagnostic arthroscopy might be the next stage of my treatment plan.

I managed to do leg raises pre-op and post up after my 2 scopes as long as you do it slowly and gradual,do not force it through pain and tightness! When I do leg raises the higher I raise my leg the more pressure and tightness against the quads.

Hope it makes sense tried to say it as I feel it at this present time nearly 3 years post-op after scope #2 of anterior interval release surgery.

[email protected]
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

Offline Aly0108

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Re: Recent scar tissue diagnosis - any advice?
« Reply #9 on: June 06, 2017, 03:21:02 AM »
Hi Aly,

I had my fat pad trimmed and medial plica excision during scope #1 in November 2009 followed by AIR surgery in July 2014 for scar tissue build up. My fat pad is inflamed again showing an increase in joint effusion around the patella tendon. Accessory pole of the patella and Fat pad resection and a diagnostic arthroscopy might be the next stage of my treatment plan.

I managed to do leg raises pre-op and post up after my 2 scopes as long as you do it slowly and gradual,do not force it through pain and tightness! When I do leg raises the higher I raise my leg the more pressure and tightness against the quads.

Hope it makes sense tried to say it as I feel it at this present time nearly 3 years post-op after scope #2 of anterior interval release surgery.

[email protected]

Nick,

Did you check you cartilage? Maybe that is a problem of cartilage?  I do exercises hamstring, calf, glutes, but when I have to do my quads that is very hard for me.  my quads are  weaks.
What method of taping do you use and that help you?
how about that?

https://www.youtube.com/watch?v=Xy7CibqEUtQ

 

Offline Clarkey

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Re: Recent scar tissue diagnosis - any advice?
« Reply #10 on: June 06, 2017, 11:08:07 PM »
Hi Ally,

You may be right that the scar tissue has built up and hardened causing damage to the kneecap with a meniscus tear from softening of the cartilage of chondromalacia that often caused by patella tendonitis (runners knee) that's been an issue since scope #1 back in November 2009. I want to have a diagnoses arthroscopy and not just accessory pole of the patella and fat pad resection. I have 100% trust in my OS and know he will be very thorough once he can examine my right knee during surgery.

http://www.healthline.com/health/chondromalacia-patella#overview1

Tapping has been done by a few PT's that does not really make any difference as I am not able able to run since January 2013 due to knee pain around the tibia and patella tendon. My quads are strong that's helped reduced the anterior knee pain going up and down stairs. Large strides and trying to speed up my walking pace causes pain straight away around the tibia.

[email protected]
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

Offline Aly0108

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Re: Recent scar tissue diagnosis - any advice?
« Reply #11 on: June 07, 2017, 02:23:16 AM »
Hi Ally,

You may be right that the scar tissue has built up and hardened causing damage to the kneecap with a meniscus tear from softening of the cartilage of chondromalacia that often caused by patella tendonitis (runners knee) that's been an issue since scope #1 back in November 2009. I want to have a diagnoses arthroscopy and not just accessory pole of the patella and fat pad resection. I have 100% trust in my OS and know he will be very thorough once he can examine my right knee during surgery.

http://www.healthline.com/health/chondromalacia-patella#overview1

Tapping has been done by a few PT's that does not really make any difference as I am not able able to run since January 2013 due to knee pain around the tibia and patella tendon. My quads are strong that's helped reduced the anterior knee pain going up and down stairs. Large strides and trying to speed up my walking pace causes pain straight away around the tibia.

[email protected]

Nick,

Can you help me about exercises, you say your quads are strong, what kind of exercises do you do?

Offline Clarkey

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Re: Recent scar tissue diagnosis - any advice?
« Reply #12 on: June 07, 2017, 02:20:38 PM »
Hi Ally,

You may be right that the scar tissue has built up and hardened causing damage to the kneecap with a meniscus tear from softening of the cartilage of chondromalacia that often caused by patella tendonitis (runners knee) that's been an issue since scope #1 back in November 2009. I want to have a diagnoses arthroscopy and not just accessory pole of the patella and fat pad resection. I have 100% trust in my OS and know he will be very thorough once he can examine my right knee during surgery.

http://www.healthline.com/health/chondromalacia-patella#overview1

Tapping has been done by a few PT's that does not really make any difference as I am not able able to run since January 2013 due to knee pain around the tibia and patella tendon. My quads are strong that's helped reduced the anterior knee pain going up and down stairs. Large strides and trying to speed up my walking pace causes pain straight away around the tibia.

[email protected]

Nick,

Can you help me about exercises, you say your quads are strong, what kind of exercises do you do?

I do 20 one leg wall squats and 20 lunges in the morning when I wake up with my right knee, there is some pain and discomfort doing wall squats in the area sensitive my tibia. I did isomectric hold exercises while having three sessions of ESWT for patella tendonitis, holding the kneecap at a fixed position for 20 seconds, I could feel the quads burning as it took on the strain. Only do PT exercises that are not too painful to do and comfortable doing, the pain I feel is not too bad while doing wall squats it is when I put weight onto it doing large strides that brings on the intense anterior pain and discomfort.

[email protected]
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

Offline Aly0108

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Re: Recent scar tissue diagnosis - any advice?
« Reply #13 on: June 07, 2017, 06:25:12 PM »
Hi Ally,

You may be right that the scar tissue has built up and hardened causing damage to the kneecap with a meniscus tear from softening of the cartilage of chondromalacia that often caused by patella tendonitis (runners knee) that's been an issue since scope #1 back in November 2009. I want to have a diagnoses arthroscopy and not just accessory pole of the patella and fat pad resection. I have 100% trust in my OS and know he will be very thorough once he can examine my right knee during surgery.

http://www.healthline.com/health/chondromalacia-patella#overview1

Tapping has been done by a few PT's that does not really make any difference as I am not able able to run since January 2013 due to knee pain around the tibia and patella tendon. My quads are strong that's helped reduced the anterior knee pain going up and down stairs. Large strides and trying to speed up my walking pace causes pain straight away around the tibia.

[email protected]

Nick,

Can you help me about exercises, you say your quads are strong, what kind of exercises do you do?

I do 20 one leg wall squats and 20 lunges in the morning when I wake up with my right knee, there is some pain and discomfort doing wall squats in the area sensitive my tibia. I did isomectric hold exercises while having three sessions of ESWT for patella tendonitis, holding the kneecap at a fixed position for 20 seconds, I could feel the quads burning as it took on the strain. Only do PT exercises that are not too painful to do and comfortable doing, the pain I feel is not too bad while doing wall squats it is when I put weight onto it doing large strides that brings on the intense anterior pain and discomfort.

[email protected]


Wow, squats and lunges. Maybe because that you have issues. If i do squats SECOND day I will feel inflammations.

Offline Clarkey

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Re: Recent scar tissue diagnosis - any advice?
« Reply #14 on: June 07, 2017, 08:42:11 PM »
True might agitate the kneecap with all my years of experiences with scar tissue issues my right knee is worse now than it was pre-op to scope #1 and #2 and even if I ease or stop the lunges and squats it will make no difference. My physiotherapist is specialised in patella tendon problems and said you have to go through some pain and discomfort in order to feel the long term benefits.

Signing the consent form cannot come soon enough when I have my consultation in 5 weeks time today on July 12th. It took a while until my OS was happy to do a 3rd scope after my physiotherapist ruined my surgery that my OS has highlighted on my latest consultation report.

Pages 80 to 81 in my post-op diary shows how he made me do too much 5 weeks post-op.

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=43471.1185

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=43471.1200

25/08/14 Day 38 Post Op

I have had a brief chat with my sister who is an orthopaedic nurse and say it important to keep on top of the PT to get the quads firing again.

I do think my new Physio made me do too much in one session. I know he was overworked as he was overbooked seeing other patients while I was at the gym and doing 5 sets of 30 squats and leg raises 5 times was too much! Ending the session lying on my front and lifting my right leg right up to my buttock!

I can take pain well with a higher pain tolerance and forcing my leg by bending it through uncomfortable pain was a bit drastic and less then 5 weeks post op! I know he was under pressure as he was going away on holiday on Friday as it the Bank Holiday weekend in the UK and does not like to turn away patients.

It a great shame that my usual Physio is away overseas as he was less aggressive when I had problems with scope #1 doing friction massage therapy and massaging quads with oil and using a ultra sound machine with gel and not a full gym workout.

I think many Physios out there do not know much about Arthrofibrosis and not to overwork the knee if the patient is prone to scarring! I think forcing my knee through the pain has not helped, I hope it has not caused scar tissue to return!

Pain is more intense around the medial portal and my mum thinks I should see Mr Snow, I am happy to wait as I am visiting my sister on Wednesday. She is working next day at the hospital and could maybe could ask her OS during a break my type of surgery and brief history and my symptoms and if I should get it checked or will it go away with rest?

nickwclarke2014BhamUK 

The physiotherapist was given a 3 year caution by the The Health Professions Council (HPC) in 2012  for swearing at colleagues and putting patients at risk at a private hospital. He then set up his own clinic independently and was left unsupervised while he attended other patients when I paid privately for the session.

[email protected]
« Last Edit: June 08, 2017, 07:14:23 PM by Clarkey »
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

 

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