FAQ: What Happens If I Don’t Get A Knee Replacement Manipulation?

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When is knee manipulation needed?

Approximately 5% of patients undergoing total knee arthroplasty experience loss of motion or arthrofibrosis. Manipulation under anesthesia (MUA) is generally indicated for patients who do not achieve >90° of flexion by 6-12 weeks postoperatively. Complications from MUA are rare but can be devastating.

Should I have a knee manipulation?

A manipulation under anesthesia (MUA) is something that is recommended as a last resort to fix knee stiffness and range of motion issues. When dealing with post-op stiffness, physical therapy and continued at-home range of motion rehab exercises usually fix the problem.

What happens to scar tissue after knee manipulation?

Knee manipulation is a procedure to treat knee stiffness and decreased range of motion. After trauma or knee surgery, scar tissue can form in your joint. The scar tissue does not allow you to fully bend or straighten your leg. Knee manipulation breaks up the scar tissue that has formed.

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What if knee manipulation does not work?

You can try the conservative route with exercise and manual therapy under the supervision of a physical therapist. If that doesn’t work, then surgery is advised. The surgeon must choose among three choices: 1) manipulation under anesthesia (MUA), 2) arthroscopic exam and debridement, and 3) open incision with revision.

Is knee manipulation successful?

When knee stiffness is confirmed, it can be treated with manipulation under anesthesia, which is successful 85% of the time.

Is knee manipulation painful?

It is done as an overnight procedure so that a CPM machine can be used to maintain range. Once home, it is thought useful to hire a machine to use at night, so that range is not lost. Surprisingly, it is usually not painful, and it makes the knee feel freer and more normal.

Why is my knee so tight after TKR?

Arthrofibrosis is also known as stiff knee syndrome. The condition sometimes occurs in a knee joint that has recently been injured. It can also occur after surgery on the knee, such as a knee replacement. Over time, scar tissue builds up inside the knee, causing the knee joint to shrink and tighten.

How do you break up scar tissue after knee surgery?

Mild cases of arthrofibrosis may be resolved with intensive physical therapy alone. Other treatments include manipulation under anesthesia, when a physician manipulates the knee in a controlled fashion to break up the scar tissue.

Is manipulation under anesthesia painful?

Less force is applied during the procedure making it painless and often effective. MUA is performed by trained and certified doctors who work in chiropractic medicine, rehabilitation, osteopathy, or orthopedics. It is considered to be a subspecialty which means it may not be available in every clinical office.

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How do you massage a scar tissue to break it down?

Here’s how we recommend you massage your scar tissue at home:

  1. In early healing phases, try and massage your scar for 10-15 minutes a day (2-3 times a day for 5 mins).
  2. Apply a non-perfumed Vitamin E lotion or oil to your scar area.
  3. Using the pad of your thumb or finger, firmly massage in a circular motion.

How do you loosen up a stiff knee?

Wrap your hands behind your left knee and gently pull your knee toward your chest. You should feel a stretch in the back of your right leg. Hold this stretch for about 30 seconds and then slowly release. Change sides and repeat this stretch with your left leg crossed on top of your right knee.

What does scar tissue in the knee feel like?

For some people, scar tissue may cause pain, tightness, itching, or difficulty moving. Due to the way that scar tissue matures over time, these symptoms may occur years after an injury.

How long does it take to recover from knee manipulation?

This is because during MUA the body undergoes a strenuous exercise session, even though the exercise is passive, performed by others. Rehabilitation should begin as soon as possible after MUA, typically within a week to 10 days, with a program of physical therapy appropriate to the individual patient.

Is Mua painful?

Most patients notice an immediate reduction of pain and a fuller range of motion after only one session. While some temporary muscle soreness may be experienced, it is generally equivalent to that encountered after a vigorous workout.

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How long does manipulation under anesthesia take?

MUA takes 15 to 20 minutes, and after recovery from anesthesia, the patient is discharged with instructions to remain active and use heat or ice for short-term analgesic control. Some practitioners recommend performing the procedure on three or more consecutive days for best results (serial manipulation ).

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