How To Break Up Painful Scar Tissue To Help Heal After A Knee Replacement

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  • เผยแพร่เมื่อ 29 มิ.ย. 2024
  • Scar tissue after surgery can slow down or even stop you from making progress in your healing.
    It can be painful, lead to swelling, it might grab nerves in the area.
    Breaking up scar tissue requires mechanical forces to make sure you get the parts of the knee that have scar tissue moving more freely.
    In this video, Dr. David shows you how to break up painful scar tissue to help heal after a knee replacement.
    Looking for more help with a knee replacement problem? Check out this playlist:
    “Knee Replacement Pain Help”
    • Failed Knee Replacemen...
    Learn more about the "Failed Knee Replacement Recovery Program" here: www.epmanualphysicaltherapy.c...
    00:00 How to break up painful scar tissue
    00:51 Scar tissue explained
    03:46 Massage technique
    06:14 More help
    #elpasomanualphysicaltherapy #drdavidmiddaugh
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    Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
    Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

ความคิดเห็น • 69

  • @30neshia
    @30neshia 2 หลายเดือนก่อน +2

    This was the FIRST videos of many that I’ve watched that has HELPED me! I’m 16 months post op LTKR and have a lot of scar tissue pain still!!!! I’m choosing to do the exercises that you’ve described on a more regular basis and praying that I get better soon!!! I’m tired of still being in excruciating pain when I stand to walk!!!! THANK YOU Sir!!!!!!

  • @dlainebaxley8224
    @dlainebaxley8224 4 หลายเดือนก่อน +6

    Seeing that simple drawing of the layers somehow resonated with me today. (4 mo sp TKA) I guess I'm a visual person,. I would enjoy listening, too, but the slight 'echo' from the simple sound system that's utilized does make it a bit less likely to follow with my 71y.o. ears.

  • @marie-jonaas5392
    @marie-jonaas5392 5 หลายเดือนก่อน +7

    Thank you 😊 for your videos , very helpful ! I.m 7 weeks after TKR . Nobody told me to care about my scar tissues , but after seeing your video , I will ! Many thanks . 🙏🏽

    • @grandmafullwong6579
      @grandmafullwong6579 5 หลายเดือนก่อน +2

      hi Marie, me too wasn't told anything about scar tissue by my PT all these 5 months even though I have weekly sessions. Now that my knee is stiff n I can't bend m walk with great difficulty then did they say I should have done scar tissue massage

  • @rdmoon4416
    @rdmoon4416 3 หลายเดือนก่อน +2

    6 months later still suffering and inhibited movement. Pain is constant. Fresh hell everyday. Thanks for the lesson, I’ll try harder with self massage.

  • @Jazzy.girl.Sarah2023
    @Jazzy.girl.Sarah2023 12 วันที่ผ่านมา

    3 weeks post op total left knee replacement here. Thanks for this!

  • @memphissong3701
    @memphissong3701 6 หลายเดือนก่อน +3

    Thanks. I am still trying to put it off for a few months. Your info is great encouragement for me.

  • @vivienneblack858
    @vivienneblack858 6 หลายเดือนก่อน

    Great information easy to follow. I love watching your videos . I had my TKR 5 weeks ago now. I look forward to your next vid ! From Australia 🇦🇺

  • @MsRedRum80
    @MsRedRum80 9 วันที่ผ่านมา

    I’m 5 weeks post and never knew. I just massaged that area and OMG that feels good. It’s been so sensitive and just massaging it makes the sensitivity go away. Thank you for this video.

  • @MK-tn6pz
    @MK-tn6pz 7 วันที่ผ่านมา

    Moving into 6 weeks post-op. Still waiting for scabbing to fall off but thanks for preparing me for time when it's ready to be massaged.

  • @Goldifarms
    @Goldifarms หลายเดือนก่อน

    Thank you so much David! The most helpful video I've found so far to help loosen incision site after I had my tendons in my thumbs stitched back together. The scar tissue is still blocking movement. Very appreciative of this video; Gave you a thumbs up, thank you 🙏

  • @robynm7221
    @robynm7221 6 หลายเดือนก่อน +1

    I just sent this video link to my oldest sister. Thank you Dr. David. You are a blessing to so many suffering from orthopedic surgeries & pain that leads to unnecessary surgery.
    God bless you❣

  • @davidsavage8109
    @davidsavage8109 หลายเดือนก่อน

    Thank you for this! 👍🏼👍🏼

  • @shelbylou02
    @shelbylou02 หลายเดือนก่อน

    I had a LTKR 2 weeks ago. I'm going to follow all your advice. Tfs!

  • @Timetravel1111
    @Timetravel1111 4 หลายเดือนก่อน +2

    This is a great thorough video. I think you help people that know don’t regularly know what to do and you started from a lot of aspects. I am a massage therapist, so I was just looking for specific techniques for breaking up scar tissue. My client has a spinal fusion in most of her back my sister. Do you have another video for specific focused massage techniques are tools, etc..

  • @gibbynovak2706
    @gibbynovak2706 6 หลายเดือนก่อน +1

    I just love your videos and this one will help. I had TKR. in August and having the other knee done next week. My new knee has a few issues like, electrical shocks through the knee and leg and soreness/pain on each side of the leg and knee, swelling and stiffness. Fun!!!!

  • @user-pr6it7xz8p
    @user-pr6it7xz8p หลายเดือนก่อน

    Thankyou I will try

  • @tessgrawehr3607
    @tessgrawehr3607 3 หลายเดือนก่อน +1

    Thank you once again for this video. Im on week 4 after partial knee replacement. Ive been doing 2x a week physio and lymphatic drainage massage as well. This week, ill start this scar tissue massage as my wound has closed already. My flexion is at 110degrees and 0 extension. Though,it hurts still when sitting a dining table after 20min. Thanks a lot❤❤❤

  • @lindahughes5781
    @lindahughes5781 2 หลายเดือนก่อน

    This was great information. I am 10 weeks out from a TKR and am having a terrible time with range of motion. I only get to 110, and I still can not get it completely straight. I have had a manipulation, which just made everything worse. More swelling, and I feel a little more unstable. Basically back to almost week 3. I'll try massaging the scar. I go to the doctors PT office, and I really don't think it's as good as a private PT office. They seem to go by what the computer program says and don't deviate for a person who needs different help!❤

  • @maryknightvickers
    @maryknightvickers วันที่ผ่านมา

    I also gently push the patella bone itself in case there’s adhesions under it

  • @he-man3653
    @he-man3653 8 วันที่ผ่านมา

    An important thing to add to this information is that you should be aggressive with the pressure you apply to the scar tissue AND to expect it to be PAINFUL. The pain is worth the end result but, oh man, it HURTS.

  • @smallfootprint2961
    @smallfootprint2961 6 หลายเดือนก่อน +3

    Thank you for the more in depth explanation of what happens. I get keloids, and they're no fun. I thought there was something I could massage into the scars, but apparently not. I recently broke my leg/hip, and they put a rod down into the leg. Not sure about the upper connections, but I have several gashes that have become keloids. Very painful along with Fibromyalgia, and knee problems. I massage it anyway, and am learning to walk again on it. You have helped with every aspect of recovery. I am an old girl, so it's not easy, but I want to walk again, unaided. Thank you for explaining the scar problem. As well as the knee issue.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  6 หลายเดือนก่อน +1

      Hey Smallfootprint2961, we are so sorry to hear about your keloids, fibromyalgia and knee problems :-( Keep massaging them and trying to get some strength back! We are happy to hear we've been able to help so far!
      We would highly recommend talking to one of our experienced doctors, here is the link if you're interested in booking a one on one consultation:
      www.epmanualphysicaltherapy.com/virtual-visit/

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  6 หลายเดือนก่อน +1

      This video might be helpful! Some of these exercises you can do without having to be on your feet:
      "3 Big Reasons Your Glute Muscles Won't Work Well For You"
      th-cam.com/video/TamXorqxCAk/w-d-xo.html
      "Tailgate Swinging"
      th-cam.com/video/0War8DA1Fww/w-d-xo.htmlfeature=shared&t=41

  • @grandmafullwong6579
    @grandmafullwong6579 5 หลายเดือนก่อน +3

    Thank you for your wonderful videos. i m 5 mths post op n still having pain n stiffness

    • @y.h8376
      @y.h8376 หลายเดือนก่อน

      What type of surgery did you do & what graft did they use for your knee ?

  • @MK-tn6pz
    @MK-tn6pz 7 วันที่ผ่านมา

    Thanks!

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  3 วันที่ผ่านมา

      Hey MK! You are so welcome! 🧡 Thank you for your support! 🙌

  • @angelagary9443
    @angelagary9443 3 หลายเดือนก่อน +1

    Thank you so much had a knee replacement 11/23 had to get a manipulation 02/24 appreciate this information

    • @user-br3hg8vz6n
      @user-br3hg8vz6n 2 หลายเดือนก่อน

      How are you after the mua ?

    • @user-br3hg8vz6n
      @user-br3hg8vz6n 2 หลายเดือนก่อน

      How are you after the mua ?

  • @kristinamoro3210
    @kristinamoro3210 6 หลายเดือนก่อน +2

    Would this help if it’s been several years since I have had my total knee replacement? I have a pinching feeling on the right side right next to the scar. I feel like it’s scar tissue.

  • @thomkat3701
    @thomkat3701 4 หลายเดือนก่อน +1

    Thanks for the well communicated information! I recently had a surgery about 2 months ago to "re-lengthen" my femur (femur broke about a year ago), and while I recovered okay the first time meaning, I regained a lot of my mobility back in the leg... this time around, I seem to be stuck at 110 degrees, it's been hard to push past it. I've been at the same degree for nearly 1 month now. I am going to PT, but aside from incorporating massages to the scar itself, what else do you recommend? I also pull my leg in at a point where it is painful yet tolerable and hold it for 30 seconds and release. What more can I do? I will have to have the new pin that was placed in my leg removed in the future, and go through the ROM thing and PT all over again. If this persists, should I just seek out a scar tissue removal procedure for when I have this removal surgery? That would be the 3rd time they go through my knee. I'm 30 years old by the way, and had been fit/athletic/a runner for the majority of my life.

  • @teresaspensley5640
    @teresaspensley5640 หลายเดือนก่อน

    Thanks Dr David🌟 I’m due to have a RTKR in 9 days and this will come in really handy 🙋🏻‍♀️🇬🇧👍🏻👏💜🙏🥇

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  หลายเดือนก่อน +1

      Hi Teresa, You're welcome! We hope that your surgery is smooth and we wish you a speedy recovery.

    • @teresaspensley5640
      @teresaspensley5640 หลายเดือนก่อน

      @@epmanualphysicaltherapy -Thanks a million👍🏻🙏❤️

  • @Bull-litt59
    @Bull-litt59 6 หลายเดือนก่อน +1

    I m still having CAF pain after my surgery, since 2016

  • @judee.baland6526
    @judee.baland6526 3 หลายเดือนก่อน

    What about swollen bursas? I had knee bursitis before my knee replacement and asked the surgeon to remove the bursa when he did the replacement but he didn’t so after standing awhile the bursas swell and hurt some times get infected too. So what do I do?

  • @karirizzo12
    @karirizzo12 2 หลายเดือนก่อน

    I was never told this after my ACL and meniscus repair surgery. My scar tissue is so bad. I can't bend my knee past 90 degrees and it's been 6 years!

  • @andreac.1350
    @andreac.1350 6 หลายเดือนก่อน +1

    Find a massage therapist that does fascia work, rolfing or structural integration. This is what they specialize in :-)

  • @lanastoleyosubs
    @lanastoleyosubs 4 หลายเดือนก่อน +9

    i tore my acl and meniscus and had to get surgery now i have arthrofibrosis in my knee and the scar tissue is extremely painful

    • @truth4366
      @truth4366 2 หลายเดือนก่อน +1

      Same bro, happened month ago

    • @y.h8376
      @y.h8376 หลายเดือนก่อน

      How did your knee get like that ? Did you do prehab/ physio before or after surgery ?

    • @lanastoleyosubs
      @lanastoleyosubs หลายเดือนก่อน

      @@y.h8376 so before my surgery i wasn’t able to bend my knee all the way and it may have been the swelling too. i did physical therapy after the surgery

  • @theearthauger
    @theearthauger 6 หลายเดือนก่อน +2

    My question is hip replacement surgery and painful scar tissue building up. Would this be the same procedure. I just had anterior hip replacement 2 months ago. Thank you very much. Great video 👍

    • @SkyHermit
      @SkyHermit 3 หลายเดือนก่อน

      3 months after this comment, how’s the scar tissue now?

    • @theearthauger
      @theearthauger 3 หลายเดือนก่อน

      @SkyHermit I'm sorry it took me a bit to reach out to you. I'm doing much better. It gets better everyday. It sure was a ruff surgery. Doctor said it could take up to a year for all the nerves to go back to normal. Sometimes it feels numb. That's on and off. I also think weather makes it hurt with being so damp, etc. I was bone on bone. If I didn't do it, I'd be way worse. That was my last chance. Do the surgery or suffer with extreme pain the rest of my life. I'm currently suffering from a broken rib. I hope this helps you. Hang in there it truly gets better. The nerves have to get calmed down after the shock of being cut into. I had my left hip done as well. That was a nightmare. The surgeons use different suppliers. And you can end up with 1stem longer than the other stem. There are 5 parts to your new hip. The stem, ball, socket I forgot the other 2 parts. But you can Google it. And if any one part is defective it can lead to a recall or you have to have the whole hip replacement done over. Had a lady tell me she had 3 redues within 6 months. That was beyond belief. She said they came out of the socket. Wow, I feel blessed. Hope you are doing well. 🇺🇸 👍⭐️

    • @SkyHermit
      @SkyHermit 3 หลายเดือนก่อน

      @@theearthauger Thanks for your reply. It has been 2 years since my hip replacement due to ski accident.
      I would say I am good now and without pain but I could feel the tightness around the scar there and there was a huge lump and surgeon didn't seem concern about it and asked me to massage that area daily

    • @theearthauger
      @theearthauger 3 หลายเดือนก่อน

      @SkyHermit I'm glad to hear you are doing well. I had that lump as well. Felt like a huge lump. I was told to massage the entire area where the incision is and all around it. And to rub in lotion as well. On occasion I will get stabbing pain in and around incision site. It's been approximately 6 months ago for me. Still tender. But, no pain in my hip area. I'm grateful for that. All in all, I'm doing better everyday. That must have been some ski accident. So glad to hear you are doing well and happy you are still hear to share your story. I love to watch people ski on TV. It's awesome. I always wanted to ski. I bought a pair of ski's and I never got the chance to try them out. I donated them. My hope is that someone had a chance to use them. I had my ski poles and all. Well at least someone else had a chance to enjoy them. Thank you for taking the time to respond back. And thank you for sharing your story as well. 🇺🇸👍 ⭐️

    • @SkyHermit
      @SkyHermit 3 หลายเดือนก่อน

      @@theearthauger Good to hear that you are doing well 6 months out! I quit skiing even though I can ski now because I am afraid of falling again.
      Everything is good now except the huge lump near my incision area and I will try to massage everyday and hopefully it will go away

  • @mariewhite1224
    @mariewhite1224 18 วันที่ผ่านมา +1

    I had a knee replacement 2 years ago with 2 MUA’s because of the lack of ROM. IM STILL having issues with pain and swelling and can only bend to 95 degrees. I have tripped a few times because I’m not picking up my foot normally. It’s very frustrating as I went into this procedure to improve my life and now dealing with back pain as well. Is it too late for me to have another MUA WITH INTENSE PT to break up the scar tissue ?

    • @user-fu5uh4hx4i
      @user-fu5uh4hx4i 21 ชั่วโมงที่ผ่านมา

      I've the same situation and have the same question.
      Will MUA after 2 years of surgery help break the scar tissue?

  • @lesleysimpson5793
    @lesleysimpson5793 6 หลายเดือนก่อน +1

    Is it ever too late to break down the scar tissue. I had a hip replacement in May.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  6 หลายเดือนก่อน +3

      Hey Lesley! Thank you for sharing that you had a hip replacement in May with us, we hope that your recovery has been going well. To answer your question, it just really depends and it is subjective for each individual. In order to break down scar tissue you will have to prioritize getting the inflammation and irritation under control so finding the right balance of resting and mobilizing the joint is key. As you can see, breaking down scar tissue is a lengthy process that can take quite some time. so it's important to exercise patience and look for small progress over time.
      Here are some exercises that you might find helpful along the way:
      “Top 3 Exercises To Do To Start Helping A Hip Strain Or Sprain”
      th-cam.com/video/pcu5ymyVPCY/w-d-xo.html
      “Top 5 Exercises That Actually Help Cure Hip Impingement”
      th-cam.com/video/4InXk1XVt9w/w-d-xo.html
      “3 Exercises To Naturally Treat AND Heal Painful Hip Tendonitis”
      th-cam.com/video/__gaDykwZUk/w-d-xo.html
      We wish you the best on the road to recovery! 🙌

    • @lesleysimpson5793
      @lesleysimpson5793 6 หลายเดือนก่อน

      @@epmanualphysicaltherapy Thank you very much Dr. David.

    • @asmambiradar
      @asmambiradar 2 หลายเดือนก่อน

      Can you please show how to break down scar tissue after back surgery .. lumbar microdiscectomy, please. It's touching my nerve internally causing pain and spasms .😢

  • @Matete88
    @Matete88 2 หลายเดือนก่อน

    Can a massage gun help?

  • @88Uniform
    @88Uniform 6 หลายเดือนก่อน

    How about recovery from back surgery you seem to know a lot about the legs.

  • @user-ov4wr5yu4r
    @user-ov4wr5yu4r 6 หลายเดือนก่อน

    Oh, this isn't the video I was hoping for, which would be muscles and tendons. So far I got that you need to eat vitamins E and C, and protein, and keep stretching gently, but it was still too painful for a year. I had to reduce my level, and I never fully recovered.

  • @lsblovey68
    @lsblovey68 6 หลายเดือนก่อน

    I know someone who had a knee replacement, was starting to get better and then he got in an accident and his knee became worse. The doctors say they cant find anything wrong.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  6 หลายเดือนก่อน

      Hey Laura, thanks for sharing that story with us! Sadly, accidents happen and they are often out of our control :-(

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  6 หลายเดือนก่อน +1

      Just in case you need it, here is a playlist with all of our videos on knee arthritis:
      “Knee Arthritis Pain Help”
      th-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html

  • @vuho2075
    @vuho2075 5 หลายเดือนก่อน +1

    Doc, you do realize there is a skeleton staring at you, right?

  • @B_radASMRlab
    @B_radASMRlab หลายเดือนก่อน

    Im almost 2 years after my acl maddicis surgery i did not perform properly in pt and my scar tissue is still built up causing loss of movement and pain how can i still remove this scar tissue