knee manipulation

Adhesions, internal scarring, fat pad syndrome, infrapatellar contracture, patella infera (baja)
Post Reply
ChrissyB
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 4
Joined: Thu May 22, 2008 11:04 pm
Contact:

knee manipulation

Post by ChrissyB »

Hello All..

I was wondering if anyone has similar experiences and can maybe give me a little insight. I had a partial menisectomy and a partial synovectomy on April 9th. Also have a history of Rhematoid arthritis and i am 25 years old. I was told just this past tuesday by my OS that i will possibly need to have my knee manipulated. I lost alot of flexion and extension and experience a lot of pain and have a wicked hard time walking. Has anyone out there had any good reults from such a procedure?
User avatar
chaos
SuperKNEEgeek
SuperKNEEgeek
Posts: 578
Joined: Mon Nov 05, 2007 3:22 pm
Contact:

Re: knee manipulation

Post by chaos »

i have had two manipulations on both knees. the results were incredible. if it truly is scar tissue holding you back there is no way you can break thru that yourself. they can during the manipulation and if you folllow their instructions exactly afterwards you will get your motion back. they really can do wonders. i hope your results are as good as mine have been.

good luck
beauty always comes from within.  the outside doesn't matter.
ChrissyB
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 4
Joined: Thu May 22, 2008 11:04 pm
Contact:

Re: knee manipulation

Post by ChrissyB »

That is good to hear that it gave you such good results. The doc did tell me that it was the excessive scar tissue blocking me from my normal ROM. never did i imagine that it would be this tuff to recover from....

thanks for your input!
starpolisher
SuperKNEEgeek
SuperKNEEgeek
Posts: 511
Joined: Mon Jan 01, 2007 3:47 pm
Contact:

Re: knee manipulation

Post by starpolisher »

I've had 2 manipulations on one knee (surgery on the other) and yes, it helped. but I had a revision with one and the other must come out as I am so crooked with having scar tissue in themanipulated one.....it's hurting the new knee....the revision. Having it done this Friday, May 30.
willp
Forum Faithful
Forum Faithful
Posts: 197
Joined: Sun Oct 30, 2005 3:18 pm
Location: London
Contact:

Re: knee manipulation

Post by willp »

Hi Chrissy,

Sorry to hear that you're having such problems. I developed scar tissue after surgery as well, so I've been there.

I never had a MUA, but if you read around on this board, you'll find that many people with a lot of experience advise against them, because it's possible to damage cartilage during the procedure. Many top doctors with experience in AF suggest a surgical removal of the scar tissue (they call it lysis of adhesions - this is what I had).

Please get a second opinion if you can. Many OS's around the country have limited experience with AF, and your Dr may not have encountered it. Why does he suggest a MUA rather than a surgical procedure?

Good luck,

Will
Medial plica removal 4/12/06. Not referred to PT. Increasing pain and quad weakness. Diagnosed with scar tissue by Dr Steadman 10/12/06, LOA and AIR in Vail 12/15/06. Returned to high level activities 4 14 years.
2020 - flare up with medial joint line pain and occasional collapse. Currently baffled
golforlife
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 1
Joined: Thu May 22, 2008 2:54 am
Contact:

Re: knee manipulation

Post by golforlife »

I recently had lysis of adhesions and manipulation under anesthesia in the same surgery. I went from 60 degrees ROM to 130 degrees after 5 weeks. My understanding is that if they do both procedures together it is less risky than just doing the MUA alone.
Shine
Forum Faithful
Forum Faithful
Posts: 235
Joined: Mon Feb 19, 2007 4:27 am
Contact:

Re: knee manipulation

Post by Shine »

Hi Chrissy,
I had a manipulation and although I got my flexion back. It caused damage to my cartiledge and a chondrol defect. A year later I had to fly to a specialist to get an LOA. I might have to get a microfracture due to the defect. I am not trying to scare you, but if I could take back time I would have gotten an LOA with the specialist from the very beginning. Good luck! Summer
Janet
SuperKNEEgeek
SuperKNEEgeek
Posts: 3337
Joined: Mon Aug 05, 2002 4:47 pm
Location: Detroit, MI
Contact:

Re: knee manipulation

Post by Janet »

A gentle MUA can be effective if it is done AFTER the arthroscopic removal of scar tissue. A forceful MUA is very traumatic, and depending on how "mature" your scar tissue is, can cause damage. Also extremely important is the rehab protocol so the scar tissue doesn't return.

Janet
Torn quad tendon repair & VMO advancement 4/99, MUA with LOA 10/99, Patella baja and arthrofibrosis, LR & medial release & LOA 5/01, LOA & chondroplasty 6/03,TKR on 11/06, MUA 12/06. From perfect knees to a TKR in 7 years, all from a fall on a wet floor...and early undiagnosed scar tissue.
User avatar
Bumleg
MINIgeek (20-50 posts)
MINIgeek (20-50 posts)
Posts: 20
Joined: Fri Mar 28, 2008 1:27 am
Location: Michigan
Contact:

Re: knee manipulation

Post by Bumleg »

I just saw this post today and had to respond!!! Absolutely get a second opinion. I had two MUA's on my left knee after a scope to clean out torn cartilage and bone fragment, a subsequent fall, and bad OS left my knee stiff and swollen. The first MUA got my leg moving for about one day and I did everything my OS asked of me including physical therapy every day for two weeks, meds, ice, and hours on recumbant bike. After two weeks I was worse off than before the MUA. I stupidly allowed my OS to do a second MUA because he promised me I just had a tough case of adhesions that weren't all broken up in the first MUA. The second MUA left me truamatized to say the least. He tore my quad muscle and badly injured everything else in my knee!!! I couldn't walk for a week and my leg was black and blue and severely swollen from ankle to thigh...In addition, my motion was even worse. I lost more flexion and extension... Both MUA's did more damage than good. Many OS's who have experience with arthrofibrosis are not using MUA's anymore for scar tissue unless the scar tissue has formed after a knee replacement. I don't want to scare you by any means but I had a horrific experience and would absolutely not recommend it to anyone.
Post Reply

Return to “Soft Tissue Healing Problems - Arthrofibrosis”

Who is online

Users browsing this forum: Georgie and 0 guests