Skip to content

Uncommon Physical Therapy

Physical Therapy and Sports Medicine for Birmingham, AL

×

Home
Learn More
- About
- E-learning
- Testimonials
- FAQ
The Uncommon Blog
Schedule Now
Merchandise
Cart
Contact Us

Private: Shop

Showing 1–12 of 21 results

ACL Rehab Presentation – January 4, 2023
$50.00 Add to cart
AOP Fashion Hoodie
$46.02 Select options
AOP Fashion Hoodie
$46.02 Select options
AOP Fashion Hoodie
$46.02 Select options
Beach Towel
$32.03 Select options
Blackwater Outdoor Bluetooth Speaker
$29.73 Select options
Ceramic Mug 11oz
$7.72 Select options
Copper Vacuum Insulated Tumbler, 22oz
$28.84 Select options
Pet Bandana
$20.40 Select options
Round Stickers, IndoorOutdoor
$6.32 Select options
The Runner
$150.00 Add to cart
Uncommon Crimson & White Unisex Softstyle T-Shirt
$15.02 – $21.83 Select options

1
2
→

Copyright © 2023 Uncommon Physical Therapy. Theme: Himalayas by ThemeGrill. Powered by WordPress.

Facebook
Instagram
TikTok

7350 Cahaba Valley Road · Suite 104 · Birmingham, AL 35242
phone: (507) 358-9993 · fax: (205) 490-1065 · Privacy & Terms
© 2023 · Uncommon Physical Therapy

Manage Cookie Consent

To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.

Functional Functional Always active

The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.

Preferences Preferences

The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.

Statistics Statistics

The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.

Marketing Marketing

The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.

Manage options Manage services Manage vendors Read more about these purposes

View preferences

{title} {title} {title}

What is arthrofibrosis?

Arthrofibrosis (AF) is abnormal internal scarring inside the knee joint and surrounding structures. It may begin with sticky adhesions that can gum up the surfaces that are close to one another, such as the suprapatellar pouch above the patella, the anterior interval behind the patellar tendon, the area around the cruciate ligaments and the capsular ‘gutters’ at the side of the joint.

The abnormal ‘gumminess’ of these normally mobile tissues leads to painful knee stiffness. Attempts to bend the knee result in sickening pain above the knee in the region of the suprapatellar pouch. Aggressive physiotherapy tends to make the knee hot, swollen, red and painful, and instead of mobility improving it tends to worsen. Lack of understanding about the arthrofibrotic process may lead to doctor and physiotherapist berating the patient for not trying hard enough, and the patient may feel demoralized and angry.

Manipulation Under Anesthesia

The objective of manipulation under anesthesia (MUA) for the knee is to break sticky adhesions gumming surfaces together before these adhesions turn into proper scar tissue. To this end, the procedure should be done early once it is appreciated that physiotherapy is no longer improving range of motion (ROM) or that ROM is getting worse. During the procedure the patient needs to be fully anaesthetized and under the influence of true muscle relaxants. The hip should be bent to 90 degrees and the surgeon hold the thigh near the knee and apply a gentle rocking motion of the lower limb through flexion and extension while observing improvement.

Not every practitioner will perform the manipulation in exactly the same way. By having the patient under anesthetic or deep sedation, the clinician is able to gently but firmly take the knee through as much of a range of motion as possible in order to free any adhesions. A danger of course is that the inexperienced practitioner may be too rough and cause damage to the tissues.