How to Massage a Scar After Total Knee Replacement Surgery

1. *Scar tissue:* It's essential for healing, not inherently negative. While it can potentially limit motion, the body's ability to produce scar tissue is crucial for healing after a knee replacement.

2. *Scar tissue mobilization:* It can begin as soon as there is no seepage, bleeding, or leakage from the surgical wound. You need to keep the area clean and avoid using lotions or creams initially.

3. *Techniques:* Use a thumb or finger to gently move and stretch the skin around the surgical incision. The goal is to help the fibers of the scar tissue align in a more organized pattern, allowing for better mobility.

4. *Internal vs. External incision:* The visible incision is the external one, but many patients may feel pain due to the internal incision within the joint. Both can benefit from gentle movement and pressure.

5. *Patellar movements:* Once the knee can achieve full extension, gentle side-to-side and up-and-down movements of the patella (kneecap) can be beneficial. This helps ensure that the patella can move freely in its groove, which is important for knee function.

6. *Time required:* About two minutes of working the superficial incision, another minute on the internal incision, and a minute or so of patellar movements should be sufficient. It's not necessary to spend excessive time on these exercises.

7. *Healing and recovery:* Good rest, nutrition, and stress reduction are crucial for a positive outcome after knee replacement surgery.

This transcription from a YouTube video is a great resource for those recovering from total knee replacement surgery. However, as always, anyone following these steps should first consult with their healthcare provider to ensure these practices align with their personal recovery plan.

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