Cyclops lesion removal 10 months afte...

Cyclops lesion removal 10 months after TKR

Posted in the Knee Replacement Forum

Melinda

United States

#1 Feb 2, 2011
Hello fellow knee sufferers,
I had a "sand paper sounding" issue that started in my knee approx. 8 months ago.(Note: I had a TKR in April 2010-- my leg was functioning absolutely fine and surgery was very successful) I let my OS know of this "sandy sound" that had started approx. 8 months post op...and he said it could be scar tissue of sorts but wanted to wait a bit further before really addressing this possibility.
Long story short: sandy turned to gritty....gritty turned to crunchy...and before you know it I couldn't straighten my leg comfortably but however, I cold walk just fine. I am very physically fit and trim athlete.... and did my exercises and therapy religiously after TKR. Since then I had developed a "cyclops lesion".(fancy word for a heck of alot of scar tissue) It has now been two weeks since I've had this removed and I feel much better and can straighten leg just fine...go up and down the stairs...walk...everything "seems fine". The doctor showed me the before and after photos of the surgery and it looks nice and clean etc.
BUT...here's the deal/my CONCERN!: I STILL hear a subtle "sandy sound" in my knee when I bend.(but does not hurt at all.) So what I'm concerned about is; Is this "starting over" again with scar tissue? The "sand paper sound"? Did the doc "miss a spot"(sigh..!!) Or is this perhaps "normal" and I may expect to hear "something"and it may not go further than that anyway ..and not to panic? Anyone out there that this has happened too and maybe lend some advise on this? Thanks
Jan

Aurora, CO

#2 Feb 2, 2011
I am not sure I am putting this in the right space, but I hope so. Melinda, could your knee sound be more like a crackling sound? Even if light. It is called CLunking Knee, and I have it. But perhaps yours is different. The clunking knee is also due to scar tissue. Jan
Melinda wrote:
Hello fellow knee sufferers,
I had a "sand paper sounding" issue that started in my knee approx. 8 months ago.(Note: I had a TKR in April 2010-- my leg was functioning absolutely fine and surgery was very successful) I let my OS know of this "sandy sound" that had started approx. 8 months post op...and he said it could be scar tissue of sorts but wanted to wait a bit further before really addressing this possibility.
Long story short: sandy turned to gritty....gritty turned to crunchy...and before you know it I couldn't straighten my leg comfortably but however, I cold walk just fine. I am very physically fit and trim athlete.... and did my exercises and therapy religiously after TKR. Since then I had developed a "cyclops lesion".(fancy word for a heck of alot of scar tissue) It has now been two weeks since I've had this removed and I feel much better and can straighten leg just fine...go up and down the stairs...walk...everything "seems fine". The doctor showed me the before and after photos of the surgery and it looks nice and clean etc.
BUT...here's the deal/my CONCERN!: I STILL hear a subtle "sandy sound" in my knee when I bend.(but does not hurt at all.) So what I'm concerned about is; Is this "starting over" again with scar tissue? The "sand paper sound"? Did the doc "miss a spot"(sigh..!!) Or is this perhaps "normal" and I may expect to hear "something"and it may not go further than that anyway ..and not to panic? Anyone out there that this has happened too and maybe lend some advise on this? Thanks
Jan

Aurora, CO

#3 Feb 2, 2011
I am not sure I am putting this in the right space, but I hope so. Melinda, could your knee sound be more like a crackling sound? Even if light. It is called CLunking Knee, and I have it. But perhaps yours is different. The clunking knee is also due to scar tissue. I had TKR in July, 2009 and also did all of my therapy to the enth degree. Docs all proud. Knee problems exsisted, though. Good luck on other answers, perhaps more to your particular problem. Jan
Melinda

United States

#4 Feb 2, 2011
Thanks Jan. Its not crunchy...just sandy sounding. But thats what first started and Im hoping it wont progress (again)and then I have to yet again have another scoping done. I just hope that perhaps its "nothing". Just alarmed because I thought once it was scoped I wouldnt hear anything at all except the subtle "clicking" of the prothestic because I know THAT is normal. Brother...massage and exercise is all I can do...and hope nothing more comes of it.
Jan

Aurora, CO

#5 Feb 2, 2011
Melinda, I am confused. You mention that it is just a "sandy sounding" and later you say it is "subtle clicking". Perhaps you do have some of the "Clunking knee syndrome" that is starting. This is something that can stay at a low level and probably doesn't hurt. However, for me, it got worse,(not trying to sound depressing on this as most people say it doesn't hurt),and when it did get worse, I did have pain with it. I had an MRI which showed that I had arthritis degenerative problems, and that could be some of the cause of my problems.(I had other complications which I finally got relief from and won't go into here).
It was suggested to me to strengthen my quad muscles. It is beginning to help and may help you.
Good luck and if you want any further details about the above, just let me know. How old are you? I am 67, and have had a lot of health problems all of my life, lucky me...but I look at it, that at least it isn't my kids, grandkids, siblings or parents that have had to deal with this stuff...Jan
Melinda

United States

#6 Feb 2, 2011
Hi again Jan. Perhaps I wasn't clear enough. I already HAD a total knee replacement. What I was referring to was that the "soft clicking" is very normal because of the prosthestic and was told to expect this. So my knee is replaced and THAT particular "clicking" is normal for a knee replacement..
What I was speaking of, was SINCE my knee replacement....8months in...I heard this "sandy/gritty sound" that started to develop ...and then into a very audible crunchy sound....and that then turned into a "cyclops lesion" and painful. Well anyway...this was removed 2 weeks ago and I feel fine. BUT...BUT... now Im starting to hear the sandy sound all over again..!(hence my concern..!)....so now I'm worried that this scar tissue lesion may be starting ALL OVER AGAIN.(?). I was hoping (and expecting) that I wouldnt hear ANY sandy sound ...or ANYTHING...after I had this scoped out 2 weeks ago. So that's why I'm inquiring and concerned.Maybe nothing more will come of it...but I'll keep investigating. Thats why I was wondering if anyone out there has an answer for me.(??)
My quads and body in general is quite strong.(Im 49) Ive been a martial artist for 20 years.. so exercise and weight have not been the issue. My recovery(s) have been remarkable by all accounts.(my flexion is 135!)
That's why I'm hoping someone out there can give me an answer as to why I still hear a subtle "sandy sound" 2 weeks after I was scoped to "clean it up". I may be overreacting...but thats why I'm on this forum. Thanks for your input though. I appreciate it. I'll keep looking and asking. Good luck at your end too with your health and knees!
notfunstuff

Saint Paul, MN

#7 Feb 2, 2011
Melinda, I am 42 and also athletic...which is why I needed a TKR. I am 2 weeks shy of 1 year since my surgery. This was my 5th surgery on this knee, the first 4 were scopes. I have a lot of scar tissue causing all sorts of grinding, cracking, etc. this doesn't hurt, but is very bothersome to me. This really affected my rehab. ROM was tough to get through all the scar tissue but my last flexion was 138 and I can get straight, not hyperextend but more then functional (thanks to my kids and husband pushing and sitting on to get the ROM). My Dr. told me that removing the scar tissue will only lead to more scar tissue. Every time you go in surgically the body forms scar tissue, some more then others. Now for me after 5 surgeries, my incinsion is about 1/2 wide...not pretty! But, per my dr. it is because of all the previous surgeries and my genetic make up. So, to answer your question...it may be more scar tissue forming. Good luck!
notfunstuff

Saint Paul, MN

#8 Feb 2, 2011
I just had to look up Cyclope lesions. Melinda, it appears that these lesions are mostly associated with ACL tears/reconstruction. Did you have this prior to your TKA? Funny thing is, I had ACL reconstruction when I was 16 and straightening was the biggest issue for me then and now. Cyclope lesions mainly affect knee extension. I was never diagnosed with it, but it definitely could have been my problem 25 years ago. Never heard of it before today. If you do not have ACL issues, I would guess your issue would be straight out scar tissue.
Brenda

AOL

#9 Feb 3, 2011
I would just like to know what causes the heaviness in the knee and down the front of the leg. Its like carring around a telephone pole. It feels like a rubber band tied around my knee really tight.By the time I get up and start doing anything, if feels like my leg is going to burst.
Melinda

Wheaton, IL

#10 Feb 3, 2011
Hi Jan...thanks for responding. Here's my deal: before my TKR (total knee replacement in 2010) I had a menoscopy (torn meniscus) in Jan 2003 from a martial arts injury.When you have a TKR pretty much everything is "gutted out" if you will. ACL's are gone now and stuff. I, like you, have looked up this "cyclopse lesion thing" to death in Google. And feel like I dont get enough info to help me on MY situation other than stuff I already know and do.I mean....I will do whatever it takes to help avoid this scar tissue build up. DOES ANY ONE HAVE AN ANSWER OUT THERE??? I'm doing soft bends, taking C's and Omega 3's...soft massages with lotion on my knee to keep the blood going...etc. Just WANT TO KNOW WHAT TO DO AND NOT TO DO you know? Im hoping that the scar tissue will NOT escalate any further and just "stay-at-the-sand-paper-s ound-level" if that makes sense. And I would be fine with that.)I'm glad you're also a female athlete in her 40's and can offer insight on your experiences. In fact my OS said I dont need physical therapy (because I'm getting around just fine!) and to go ahead to the gym. But he said to NOT do everything (yet) that I'm used to doing, because even though I "feel fine" I need to give it a few weeks. But meanwhile I live in fear and concern of "here we go again". Thanks for your response and any input and experience that you had.
Ann

Tryon, NC

#11 Feb 4, 2011
How long has it been since your TKR? I had a TKR almost 6 mos ago and I feel like you do. I called the dr more than once and only got to see his PA who told me to give it a year, keep stretching and maybe it may not go away completely. This was not acceptable to me and I don't know what to do. I really feel there is something wrong because my activity is now restricted more than before surgery. I have good flexion and straightening and walk fine so that's all the PA and dr seem to care about.
Brenda wrote:
I would just like to know what causes the heaviness in the knee and down the front of the leg. Its like carring around a telephone pole. It feels like a rubber band tied around my knee really tight.By the time I get up and start doing anything, if feels like my leg is going to burst.
Brenda

AOL

#12 Feb 5, 2011
Ann, that is all the dr.s will tell me. Give it 6 months to a year. They don't ans. the question. I know of a lady that had both of hers done and its going into the 4th year. Both of hers is heavy. I can walk but gosh does it ever hurt. It has changed my life completley.
doristhefaust

Carbondale, CO

#13 Jan 4, 2013
I had a smith and nephew TKR 5 years ago, it works o.k., but the crunchy feeling when I put my hand on it and bend it, is terrible. Anybody else having these side effects?
Arlene

Chatsworth, CA

#14 Feb 6, 2013
I had both knees replaced at the same time in January of 2011..

My right knee has the crunchy sound,Sometimes it is quite loud,especially when straightening my leg or going up stairs.

I am aware of my knees 24/7.. Not the pain I used to have ,just an awareness. Somedays,my legs feel heavy and my knees get sore..According to the Drs. it is from the change in the barometric pressure.
I work out(bike,treadmill etc)but find that has no bearing on the sound or the feeling..

Good Luck to everyone.

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