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	<title>Comments on: Bad Adhesion - Need ATR Veteran&#8217;s advice</title>
	<atom:link href="http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/feed/" rel="self" type="application/rss+xml" />
	<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/</link>
	<description>Just another AchillesBlog.com weblog</description>
	<pubDate>Thu, 23 May 2013 19:19:18 +0000</pubDate>
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		<title>By: doryt</title>
		<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/comment-page-1/#comment-54</link>
		<dc:creator>doryt</dc:creator>
		<pubDate>Tue, 19 Jun 2012 21:12:32 +0000</pubDate>
		<guid isPermaLink="false">http://AchillesBlog.com/nickokie/?p=27#comment-54</guid>
		<description>Hi Nickokie,
How is the adhesion now at 56 weeks? Have you been doing any deep massages yourself or get back to the PT therapist for their opionion? I have not been able to have any Graston teechnique at the PT since I am still dealing with a small area of my iincision not completely closed. I am at about 37 weeks now. I do a deep massage myself daily and dig in there with a kitchen spoon as close as I can get without messing with my wound. I did ask my surgeon about doing this and he is OK with me doing my own deep massage. Since I can not push on the center of my wound area it feels like I have pushed all the scar tissue to a head and it wants to pop like a pimple. Once my wound is closed the skin will still be fragile for a time. My surgeon said he could do adhesion and scar tissue removal laparoscopy if I need it. 
Continue with happy healing. I also injured mine on box jumps at Cross Fit. I still shy away from them.</description>
		<content:encoded><![CDATA[<p>Hi Nickokie,<br />
How is the adhesion now at 56 weeks? Have you been doing any deep massages yourself or get back to the PT therapist for their opionion? I have not been able to have any Graston teechnique at the PT since I am still dealing with a small area of my iincision not completely closed. I am at about 37 weeks now. I do a deep massage myself daily and dig in there with a kitchen spoon as close as I can get without messing with my wound. I did ask my surgeon about doing this and he is OK with me doing my own deep massage. Since I can not push on the center of my wound area it feels like I have pushed all the scar tissue to a head and it wants to pop like a pimple. Once my wound is closed the skin will still be fragile for a time. My surgeon said he could do adhesion and scar tissue removal laparoscopy if I need it.<br />
Continue with happy healing. I also injured mine on box jumps at Cross Fit. I still shy away from them.</p>
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		<title>By: Christine</title>
		<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/comment-page-1/#comment-53</link>
		<dc:creator>Christine</dc:creator>
		<pubDate>Thu, 24 May 2012 17:07:46 +0000</pubDate>
		<guid isPermaLink="false">http://AchillesBlog.com/nickokie/?p=27#comment-53</guid>
		<description>My PT also uses the Graston  Technique, and she started it the day I got out of the cast (6 weeks post op.) It hurts very badly, but I feel a noticeable difference as soon as she is finished. I still have some serious adhesions, but she's working on them every time I go. Good luck with your search.</description>
		<content:encoded><![CDATA[<p>My PT also uses the Graston  Technique, and she started it the day I got out of the cast (6 weeks post op.) It hurts very badly, but I feel a noticeable difference as soon as she is finished. I still have some serious adhesions, but she&#8217;s working on them every time I go. Good luck with your search.</p>
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		<title>By: nickokie</title>
		<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/comment-page-1/#comment-52</link>
		<dc:creator>nickokie</dc:creator>
		<pubDate>Mon, 14 May 2012 15:54:45 +0000</pubDate>
		<guid isPermaLink="false">http://AchillesBlog.com/nickokie/?p=27#comment-52</guid>
		<description>Sounds like I need to seek out a knowledgeable therapist and get opinion if it is fixable at this point in the recovery. Thanks for the thoughts guys....</description>
		<content:encoded><![CDATA[<p>Sounds like I need to seek out a knowledgeable therapist and get opinion if it is fixable at this point in the recovery. Thanks for the thoughts guys&#8230;.</p>
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		<title>By: ryanb</title>
		<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/comment-page-1/#comment-51</link>
		<dc:creator>ryanb</dc:creator>
		<pubDate>Thu, 10 May 2012 14:09:58 +0000</pubDate>
		<guid isPermaLink="false">http://AchillesBlog.com/nickokie/?p=27#comment-51</guid>
		<description>I meant to say:  PT sessions with her were 75% Graston massage-</description>
		<content:encoded><![CDATA[<p>I meant to say:  PT sessions with her were 75% Graston massage-</p>
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		<title>By: ryanb</title>
		<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/comment-page-1/#comment-50</link>
		<dc:creator>ryanb</dc:creator>
		<pubDate>Thu, 10 May 2012 14:09:01 +0000</pubDate>
		<guid isPermaLink="false">http://AchillesBlog.com/nickokie/?p=27#comment-50</guid>
		<description>I had 2 therapists - the second one was a big fan of the Graston massage.   I would estimate that the PT sessions with her were about 75%.   She used a plastic scraper tool.

I will say that it was quite painful.   But, I also think it was helpful.   We didn't start this until ~5months post surgery.    I was left with the impression that it could be helpful at any time (such as where you're at - 11months).</description>
		<content:encoded><![CDATA[<p>I had 2 therapists - the second one was a big fan of the Graston massage.   I would estimate that the PT sessions with her were about 75%.   She used a plastic scraper tool.</p>
<p>I will say that it was quite painful.   But, I also think it was helpful.   We didn&#8217;t start this until ~5months post surgery.    I was left with the impression that it could be helpful at any time (such as where you&#8217;re at - 11months).</p>
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		<title>By: normofthenorth</title>
		<link>http://AchillesBlog.com/nickokie/2012/05/08/bad-adhesion-need-atr-veterans-advice/comment-page-1/#comment-49</link>
		<dc:creator>normofthenorth</dc:creator>
		<pubDate>Thu, 10 May 2012 07:14:03 +0000</pubDate>
		<guid isPermaLink="false">http://AchillesBlog.com/nickokie/?p=27#comment-49</guid>
		<description>I don't know that about this (and I've still got a tiny adhesion myself from my first, surgical, ATR). But I do know that many good (or at least aggressive) PTs drool at the chance to break up post-surgical adhesions. Also, I've heard good things (here) about an aggressive (and somewhat painful) technique called Graston (sp?) massage. It's something like deep massage with a spoon-like implement applying pressure, maybe along with manipulation. Probably sooner is better than later, so I'd shop around for a good PT ASAP.

Also, presumably at 11 months post-op, you can be as aggressive as you like with stretches and exercise. Sorry I don't know the odds of breaking up an 11-month-old adhesion.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know that about this (and I&#8217;ve still got a tiny adhesion myself from my first, surgical, ATR). But I do know that many good (or at least aggressive) PTs drool at the chance to break up post-surgical adhesions. Also, I&#8217;ve heard good things (here) about an aggressive (and somewhat painful) technique called Graston (sp?) massage. It&#8217;s something like deep massage with a spoon-like implement applying pressure, maybe along with manipulation. Probably sooner is better than later, so I&#8217;d shop around for a good PT ASAP.</p>
<p>Also, presumably at 11 months post-op, you can be as aggressive as you like with stretches and exercise. Sorry I don&#8217;t know the odds of breaking up an 11-month-old adhesion.</p>
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