Knee Replacement Scar Massage - Scar Mobilization
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- čas přidán 2. 06. 2024
- Knee to Know Ep. 127
Knee Replacement Scar Massage or Knee Replacement Scar Mobilization is an important part of physical therapy after knee replacement surgery.
In this video, physical therapist Luke discusses appropriate scar management, important information regarding scar massage, and demonstrates how to perform scar massage yourself.
Check us out online at kneereplacementtherapists.com
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00:00 Intro
00:28 Scar Management
04:38 Scar Massage Techniques
Sometimes you have to talk a lot to be able to explain what needs to be done,and done correctly.
That comment about too much talk is out of line to say the least .
I enjoy your videos. Very informative for a first time knee replacement receiver. Cleared some of the unknown.
Thank you for watching and the kind words! Everything I say in my videos is planned out and is included to be of benefit to the viewer. Sometimes folks just want one very specific demonstration or piece of info...that's okay, it's hard to please everyone. Best wishes!
@Knee Replacement Therapists After three months of a knee surgery replacement, I am still in pain when I walk, it's a little swollen and nump at the exterior side of the knee. I am still doing my Phisioterapy at home, it helped me to gain an excellent elasticity in my leg, so it's not a problem for me anymore.
How long do you think it's gonna take to get away the swollen and the numb state?
Thank you so much for the recomendaciones and techniques to help us to feel much better after the surgery.
Thank you so much for this video. I’m a week and three days post op from TKR. I’m so glad I found this channel, it has helped me immensely. Your detail of explaining is extremely helpful, I appreciate it a lot. Thank you.
You are very welcome, I'm glad you've found the videos so helpful! Best wishes with your continued recovery from surgery!
Three weeks post surgery and the tightness is killing me!! Glad to know I can massage it to help myself heal!
Yup, thanks for watching and best wishes with your continued recovery!
I am 8 weeks post surgery. Thank you so much for explaining and demonstrating the scar tissue massage. Your videos have been extremely helpful. Again, THANKS!!
You are very welcome! Thank you for watching, all the best!
Once it got to the actual massage demo, it was a pretty helpful video.
Thanks for watching! We'll be sure to 'cut to the chase" next time 🙃
VERY informative video. Just found out this was even a thing. Had surgery 12/23/22, and just started having this horrible tearing/pulling pain at some of the suture sites. I seriously thought my knee was going to split open. I can't believe my Dr never mentioned this. Had to find out from my PT. I have to agree w others, cut to the chase on next one 😘 Thank you for what you do!!!
Thank you for sharing, I'm very glad you found the video helpful and informative! Best wishes!
Good tecniques
Glad you found them helpful!
Thank for sharing i loved it
You are very welcome! Thank you for watching!
My knee was replaced 2 months ago and the availability of physio is limited. So I have been following your recommendations on many of your videos. As a trauma nurse I have been very impressed with your explanations and knowledge. I look forward to continuing your entire knee program to get me back on track. Thanks for the excellent work. P.S. finally found the subscribe button.😁
Thank you very much for watching and commenting! I'm very thankful the videos have been helpful and appreciate your kind words. Please let me know if any questions come up as you continue to rehab and recover and watch any of the videos.
How about massaging back of the knee also? My most pain is back of the knee
This video is discussion the actual scar from your surgical incision, but you can absolutely perform massage for all of the soft tissue muscles and other tissue around the knee joint and leg
Realy thanks a lot for your vedio ❤
My pleasure 😊
Almost 7 weeks post op, thank you so much for explaining and demonstrating scar massage techniques. I was told to massage my scar area, ok fine, but how. Finding this very helpful!
I'm very happy you found the video helpful! Best wishes with your continued recovery after surgery!
thanks. 8weeks post op. l've just had manipulation under anesthetic as was very stiff. l will do massage. back of knee also sore & stiff. Thanks anne
I just found your channel and appreciate the detailed explanations and instructions that you give. I'm 3 weeks post op tkr and am doing fairly well due to following your videos. Thanks!!!
You are very welcome, I'm glad you have found the videos so helpful!
Thank you very helpful video. Explained very well
You are welcome!
Knee replaced 6/13/22. PT told me this morning to massage the incision area due to scar tissue building up. Great examples. Thank you.
Thank you for watching, and best wishes in your continued recovery!
I'm 7 weeks post surgery - thank you for this video very helpful!
You're welcome and thanks for watching!
I'm 7weeks post surgery. Thanks so much for this video and your in-depth explanation.🙌
You are very welcome! Thanks for watching and best wishes with your continued recovery after surgery!
Thank you so much! I’m 16 months post op LTKR and still have scar tissue pain.
You are very welcome, hope the advice and demonstrations in the video help!
Informative video! Will definitely use it on my tkr patient, she's currently 5 weeks post op
Glad to hear it!
@@KneeReplacementTherapists hi I wanted to ask something as no one is able to help.
Can we put TENS electrode near the suture/over the replaced joint? or is it contraindicated?
You can explain all of the reasons while showing us the actual techniques! We now live in the age of short TikToks..very true about staying well hydrated!
Thank you for the feedback, many others have shared similar feelings, I'll definitely take this into consideration for future videos!
I really appreciate the extra information that teaches us about our bodies..! He is very conversational and knowledgeable.. and forgive me, but do you have somewhere else you need to go? My knee certainly isn’t allowing me to run around and I love listening to his videos… Very informative and he does show you the exercises as well! Peace. be with you!
Thank you for your kind words, I'm very glad you are finding the videos helpful!
4 weeks out and hauling pumpkins,I housing this and my trusty Ben Gay- Thanks and bunch !!
Thanks for watching and commenting! Best wishes in your continued recovery from surgery!
I'm 5 weeks and 3 days out. I had a setback with the kind of bandage they used. I had a bad allergy reaction to it. I had home health PT I was beginning to do pretty good. I had requested the outpatient physical therapy. It took almost a week for the doctor to put the request in. My appointment is on the 25. I was discharged from home health on the 12th. So I have been watching videos on the different ways to get back to 100 to 110. I have been doing this on my own. Any would a tense unit work on the area as well. Or it it better to massage before and after working out.
Hi Cindy, yes and yes... TENS units can be used as an effective pain management strategy and there are many affordable home units available. I recommend using a TENS unit in addition to your exercises and definitely not in place of them. Massage is another good pain management strategy that can be used both before and after exercises. Before exercises it can be helpful to promote blood flow and relax the muscles for greater mobility and after for pain relief and potentially reduce soreness afterward.
Thanks for your help. I am over 9 months out and still have a lot of pain. Im still icing too. A light touch is painful even but stairs and getting up and down and walking is stiff and painful. Im very discouraged.
Sorry to hear this. Everyone progresses at different rates and it can take over a year or more to feel fully recovered for a small percentage of people. Hopefully you are still on some sort of consistent exercise routine as this will be most beneficial for your knee stiffness and building strength to tolerate things like stairs and walking. Hope you see improvements soon.
Agree with last comment
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I had right TKR 06/19/23.
7 wks Post-Op at this point, and my knee flexion is 90° degrees, unfortunately. My P.T. told me that I'll probably need the MUA, and I want to avoid it cause I've been in the worst excruciating pain, and swelling. I'm going to do the massages that you showed us, and hope to break off the scar tissue. Thank you so much.
Hope you see the improvements you need. The MUA can be a very beneficial procedure and often greatly improves range of motion and mobility. If you do end up needing an MUA understand that it will likely be very helpful for you!
Awesome info thanks soo much. I'm 7 weeks post-knee revision. Had both done on the same day in 2005. Had the rivision done 3 yrs.ago and at NO time before, during or after was i ever told how to deal with the scar issue, not by the dr. Or pt. I will do this everyday since I'm still recovering and the knee is still pliable. One must really get all the important info.about the SURGEON, the implant that will be used and how to best recover. Not everyone heals the same way. I've seen so many videos just today on CZcams showing some exercises that my pt. person did not show me or he was too aggressive. Thank you so much.
You are very welcome, there is a lot of info out there and sometimes you don’t get it all from your healthcare providers. Glad you found the videos helpful and best wishes with your continued recovery.
are these surgeons just careless andnot getting itdone right the first time, tto msny revisions bei g done!!!
I'm 8 weeks out and don't use any cream and go hard trying to break up the scar tissue and wow its working well.
I'm glad it is working well for you... the cream / lotion can sometimes make the massage more tolerable and allow you fingers to move along the skin easier.
I had TKR a couple of months back. After surgery I developed huge hematomas up and down the leg which, for the most part, have cleared up. There does remain a residual resolving hematoma on the posterior part of my lower leg. It looks like the place the blood pooled post op. The stain does not seem to be resolving. I have tried massage at the same time as I massage the knee but there isn't a large change in the stain running from my heel up to the top of the calf. Quite ugly if I want to wear a dress where my legs show. Any suggestions or do I need to accept that this is permanent? Thanks for the great videos you have provided. Just what I needed to get motivated.
You may just need more time… most of the time this clears up but it just takes longer than we wish. The massage is good, you can also try elevating the leg throughout the day and ankle pumps throughout the day to try to flush it out, it can take a long time though
Doctor, I just came across your video on the Scar Massage Techniques only after my 3rd month post surgery, do you think it is too late now for me? thanks.
You can absolutely try these strategies still and you may find them beneficial. As the video states, often the best indicator of the outcome of your scar after surgery is genetics and just giving it time.
I am scheduled for TKR next month and I am worried about the scar it might leave because I am a keloid former. Watching this video lessened my anxiety. Any more tips to prevent keloid formation? Thank you!
I'm glad to hear this video has helped relieve some of your worries. These are really the main suggestions I would make. The one other thing I would say is just to have a good mindset: focus on what is within your control and accept the rest... such as genetics and the physiology of your body. Best wishes to you!
Thank you so much. Do you think silicone gel/patch will help too?
I had a ACL reconstruction and MCL repair, my scar is tuck to my muscle were it was harvest I can’t really move my skin , how long will it take for my skin to get loose after massaging ?
I’m stress I been massaging for 3 weeks
The loosening and mobility of the scar will really vary and it is hard to give you a definitive timeline. I can take a very long time.. many weeks to months to notice an improvement. The massage helps but you still have to give the soft tissue time to heal.
After hiw many weeks it is safe to start the massage after bilateral TKR
At about 2 to 4 weeks after surgery is the recommend time to safely start scar massage without damaging the underlying tissue that is still healing
So would you consider this as lymphatic massage?
No, lymphatic massage has a very specific technique and is usually incorporated with other treatment interventions. I would search for a certified lymphedema therapist.
I will also suggest working the ITB, to loosen the fascial bag of the quads.
Good advice! Thanks!
Can you explain ITB ? And what about the quad. I have no idea what you are talking about.
"Loosen facial bag ??? In English.
@@lydialedbetter2041 ITB stands for iliotibial band. It is a thick band of connective tissue that runs along the outside of your leg from the hip to the knee and can often be tight and uncomfortable. Quad stands for quadriceps, the four big muscles of the front of your thighs
@@lydialedbetter2041 Fascia is a connective tissue that surrounds most all structures of your body, including muscles. When you perform massage and soft tissue techniques such as demonstrated in this video, you can also perform techniques that are good for this fascia that can become stiff.
This technique could be applied to any scar I guess? I'm 4 weeks post TLHR and my scar is quite painful.
That's correct, essentially all of the advice would be applicable to any scar. Best wishes in your recovery!
How long does it normally take for scar tissue to breakdown?
Scar tissue is still remodeling and undergoing changes months to even up to 2 years after surgery. To see noticeable changes I would give it at least a few months.
@@KneeReplacementTherapists Doctor i had a CUT caused for a knife in my knee It was deep but the Doctor at hospital Said It dont affect any important tissue...ligament....know the scar os finisshing tô close.....do you think It Will affect my moves on knees...i AM doing slow...small movement...like self-phisioterapy....what you can say tô me....
how long should i wait to do this after a TTO?
I recommend wait until about 2-4 weeks after your surgery. This ensure that the tissue has some time to heal and you aren't disrupting the early healing process.
After knee replacement surgery is it beter to go for rehabilitation or go home immediately after the surgery ???which is best??
This depends on a lot of factors and will differ from person to person. There is some research showing those who go home on average do just as well if not better than those who go to an inpatient rehab facility. However, keep in mind that individuals who go to inpatient rehab often have more limitations, complications, and challenges, which is why the are probably discharged to an inpatient facility in the first place. So the short answer is it depends on your individual circumstances.
Hi, I am 3.5 months post bilateral knee replacement surgery and have developed scar tissue across the pateallar area which is causing restriction when I'm trying to bend my knees. Will these techniques still work to soften the scar tissue???
These techniques over time have the potential to be beneficial for the superficial scar tissue from your incision. If you have developed deeper scar tissue or more advanced restrictions, you may have to utilizes other strategies. Typically the first line of defense with range of motion restrictions in intensive therapy and exercises working on knee range of motion bending and straightening.
Thanks for the reply. I am still in PT and doing stretching exercises. My flexion ranges from 110-113 degrees but I constantly feel the constriction across my knees. Do you have any information on shock wave therapy and it's value ??
Hi, Im 6 months post surgery knee replacement, im also 14 months post surgery after knee replacement my first Knee is great apart from a little stiffness but the most recent i still have pain on the left side of the knee and only have 80 degree of knee bend and also fully I cant fully staighten my leg , i did exactly the same excersise routine as the first knee replacement am I wasting my time now carrying on with the excersise and has the scar tissue now formed Thanks
Thanks for your question. I don’t believe it is a waste of time because it is still important to maintain good range of motion and muscle strength. There is still a possibility of increasing your range of motion but it will definitely be more challenging as scar tissue has started to form at this point. With consistent effort some improvements are possible.
Ok@@KneeReplacementTherapists
L
Should I ice or heat after a massage?
Really whichever feels more comfortable. I would say heat as it will help to further relax the muscles and bring blood flow to the area
@@KneeReplacementTherapists
Thank you!
I cannot massage mine as I have a dvt,what can I do?
I would wait until the DVT clears and then consult with your doctor and physical therapist about when you can return to massaging your knee / leg.
A lot of those natural test things become inconclusive wink wink because the pharmaceuticals want their money! Great video! I still have the butterfly stickers on mine but I am definitely going to come back to this video many times for I do not want scar tissue which causes you not to have your full range of motion. THANKS For this video!!!😊
Thank you for watching and commenting! I hope you find the video helpful throughout your recovery!
I am going into my 4 th week post TKR. Thank you for all the explanation in regards to what to expect and how soon after surgery I am expected to achieve certain tasks--PatricianMcHale
You are very welcome, thanks for watching! Best wishes with your continued recovery after surgery!
Does this work on actual scars as well?
Yes, these techniques are applicable to any type of scar. This information is for the scar from the incision after knee replacement surgery.
Did you really just ask that question ❓❗❓
You better do massage from down to up your knee, because lymph’s flow direction, otherwise its not healthy to run all down!
It is not a bad idea to direct distal to proximal to bring fluid out of the leg, but the goal of these techniques are really more focused on the incision itself and mostly likely won’t dramatically alter swelling and lymphatic fluid
What kind of lotion or oil would you suggest?
I don't have a specific brand to recommend. There is potentially some benefit of coconut oil or lotions with vitamin E in them, but there is a lack of solid research to say these help diminish the scar tissue any more than just using a regular lotion.
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Bottom line please
Thanks for the feedback
7:17 massage techniques starts
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Please show how to do it with less talk
Thank you for your feedback, hope you were still able to find the video helpful!
Video starts at8:00 min
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Thank you my hero
Dear Sweet Mother of Jesus.. show us what to do and stop all the unnecessary talking 😮
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Hi Kathy talk to Jesus not he’s mama
@@Legendaryautotransporter hi kathy, speak to albertbarsan7733 and don't mind his mother.
I agree he should get to the point. Marlene, Geneva, Switzerland
I'm 6 weeks post op and I appreciate the in-depth analysis of these videos that my own therapist doesn't provide or I might not think of asking. Additionally, not everyone can afford extra PT sessions depending on insurance coverage. With KRT approach, it's like getting a free one-on-one session. Thanks KRT for taking the time to share.
Yes, don't tell us what you are going to show us and why, tell us while you are actually doing it !
Thank you for the feedback 🙂
@@KneeReplacementTherapists And thank you for your video, it's the best instruction for scar massage that I' ve seen, will use it.
@@jstwntmusic you’re welcome!
Would it kill people demonstrating scar massage to do it on a real scar? Videos like this are like demonstrating how to play the accordion without using an accordion....
I agree there are certainly some benefits to demonstrating with a real scar after surgery, but I do think this video still offers some useful insights and advice. Thank you for watching and commenting.
@@KneeReplacementTherapists Oh, don't pay me no mind.... I have quite a lot of scarring from various escapades over the years, and I have found massage therapists consistently very reluctant to get stuck into massaging it. Even when they advertise that as their specialism. Like a lot of people, I watch massage videos for vicarious comfort, but the lack of IRL relief can make a chap grumpy.
This is good without a real scar. I dont see why you would need a real scar.
@@sharonwalton6129 You're quite right. And why are they using a real knee as an illustration? Why don't they just wave their hands around in the empty air? Or better still, not use their hands at all? And remain absolutely silent all the way through the video?
@@hugojames85 Absolutely. Silence is golden. However, they could AND should take this even further by telepathically transmitting this info to the viewers. 😼✌️
Jesus is the way the truth and life
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Get to the point bro
Thanks for the feedback.
Get to the point..!
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Dang he talks way too much
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