Scar tissue in knee popping

Scar Tissue Knee Popping Lower Pain In The Back Symptoms, Medical Diagnosis, and Treatment The back spinal column, or reduced back, is an extremely well-engineered framework of interconnecting bones, joints, nerves, ligaments, and muscle mass all interacting to provide support, strength, and versatility Scar tissue is formed by the body as a way to protect the knee from certain movements after an accident, injury, surgery, and/or trauma. Think of scar tissue like your body's naturally forming band-aid It's absolutely amazing to think the body has an automatic mechanism like this kicking in without you giving it a second thought Excessive scar tissues growing on the knee ply the joints and soft tissues around this part of the body, resulting in restricted normal knee motions. This plied joint and scar tissues makes certain or all knee joint movements painful, and in some cases, impossible Arthrofibrosis is a condition in which you have a buildup of scar tissue around a joint, usually after a traumatic injury or surgical procedure. It's especially common in the knee. Arthrofibrosis can be debilitating, limiting your range of motion and causing substantial pain. Jan-Otto / Getty Image Scar tissue after knee surgery or an injury is essentially the body's version of a Band-Aid. Also known as fascia or connective tissue, scar tissue sticks around after an injury because it helps protect the injured area. The tissue can be very sensitive to pain. It can also get tight over time and stay tender

Knee scar tissue develops as a result of traumatic injury to the knee or as a complication of knee surgery. It might form after procedures such as anterior cruciate ligament (ACL) surgery or total knee replacement. Like other types of scar tissue, scar tissue in the knee is a bundling of collagen fibers that develops during wound repair Popping sounds can also occur due to stiffness from scar tissue after surgery. It may take a while for the joint to move smoothly again as the joint heals. Knee snapping or popping can understandably be irritating and uncomfortable Scar tissue after knee replacement. I had knee replacement surgery 6 weeks ago . Through PT I have been working on breaking up the scar tissue only for it to regrow by the time I get back to PT two days later. I have been massaging at home, using a hand held massager and roller. It is painful and swollen. I am getting very disheartened Today while in track after school, she made a sudden stop and felt a pop in her knee. The trainer said it is probably scar tissue and not to be too worried about this. Does this sound familiar to anyone? It's just a little bit swollen, on the side of her knee.... If there is pain as the knee snaps or catches, it can be because scar tissue, a meniscus tear, or a tendon is moving over a protruding bone within the knee joint. Pain or swelling can be a sign of..

Another cause for painless popping in the knee is when the ligaments and tendons catch as they go over a bony lump within the knee —or over scar tissue—and pop when they snap back into place. Most of the time these noises are natural and do not mean that you will develop arthritis or be prone to injury Such is the case with knee or spinal scar tissue, as well as scar tissue formed following surgeries of the face, or from medical procedures like hysterectomies. Pain that comes on years later

Scar Tissue Knee Popping - NJ-Pai

Over time, scar tissue builds up inside the knee, causing the knee joint to shrink and tighten. Scar tissue from arthrofibrosis can severely impact your knee's range of motion. In the most. Crepitus caused by scar tissue after TKR. An_250195 posted: I had both knees replaced one year apart (TKR). I'm 7 months post op on my second knee. About two months ago, I started to develop popping and grinding when I bend the knee. It's become increasingly worse Soft Tissue/Scar Tissue. Surgery or significant trauma can cause soft tissue in the knee to become injured and inflamed. In addition, scar tissue can also develop. Both soft tissue injury and scar tissue can cause knee clicking. It is extremely common during the first year after knee surgery due to these two factors

Normally, scar tissues are formed a while after knee surgery, and some patients develop normal scar tissue, while some others might experience knee pop or click sound produced by adhesive scar tissues Your surgeon can examine your knee, and possibly obtain tests such as an X-ray, to ensure nothing is wrong with the implant. Noises can come from a number of possible sources, including the metal and plastic implants, tendons, and scar tissue around the knee. Determining the source of the noise is something your surgeon can help you with Scar management followingtotal knee joint replacements. Once your incision has healed, usually after 2-3 weeks, using soft tissue massage techniques will help create good knee joint movement and also make the scar tissue more pliable. 1. Small circular motion along vertical incision line - This movement loosens recently formed scar tissue While surgery of the knees, wrists or ankles is meant to improve movement and function, excessive scar tissue around the joints can do just the opposite. Frozen shoulder, which sometimes follows surgery, involves a buildup of scar tissue around the shoulder joint, caused by irritation and inflammation

Clicking (and popping) may also be caused by the catching on soft tissue or scar tissue within the knee. Most of the time, these noises are natural and do not necessarily mean that you'll develop other issues (including arthritis) The scar tissue nodule catches on the anterior edge of the femoral component, typically when the patient extends the knee against resistance, such as getting up from a seated position. The fibrotic nodule releases suddenly with a painful clunk, as the knee extends

Everything You Need to Know About Scar Tissue in the Kne

Another reason is that scar tissue can form in your knee after total knee arthroplasty. It can form a dense fibrous tissue on the back of the kneecap. When flexing the leg this fibrous mass gets trapped in the femoral notch at the end of the femur. When the knee is straightened the fibrous mass pops out of the notch making a clunking sound Scar tissue is a big problem if left unmanaged. Patients overcoming traumatic injury often have to cope with issues presented by scar tissue - things like restricted mobility and range of motion, or lack of flexibility. While scar tissue is part of the healing process, in some cases it's the start of yet another recovery phase.. Scar tissue is broken down within a deep tissue massage. A deep, firm pressure is used during a deep tissue massage aiming to get deeper within muscle fibres and tissues. A deep tissue massage breaks down adhesions and collagen fibres that can be caused as a result of scar tissue Scar tissue forms when the body heals from a wound. However, scar tissue is not the same as skin tissue. It is less elastic, which may lead to tightness, limited movement, and pain for some people http://www.HealingScarTissueSubscribe to this YouTube channel: http://www.youtube.com/subscription_center?add_user=strive4impactHeal Your Scar Tissue And Get..

Snapping medial hamstrings usually occur because one of the pes anserine tendons, either the gracilis or semitendinosus, will get caught in scar tissue and in the course of deep flexion or extension of the knee, and the tendons will slip over each other and often have an audible snap back into place This occurs due to the placement of the new knee cap. Arthrofibrosis or formation of scar tissue after surgery may also lead to popping noises from the knee. You might also be interested in: Workout injuries: types, symptoms, causes, risk factors, prevention, diagnosis, treatment. Knee crepitus treatment. Physiological knee popping does not.

Treatment for scar tissue in knee - Wound Care Societ

The scar tissue can then result in an adhesions - a scar tissue joining two tissue or organs that are usually separate - which can then culminate in pain (when a nerve is pinched), restricted movement, and other symptoms such as bowel obstruction, infertility, and urinary bladder dysfunction to name but a few Other causes of noises in the joint are the snapping of tendons or scar tissue over a prominence or the meniscus clicking in and out of place when it is torn. Most commonly the cracking is either scar tissue or a rough area between the kneecap and the femur where the kneecap rubs In fact, scar tissue is essential to the healing process for the knee to eventually move and function properly again. Through various physical therapy interventions, including massage and other manipulation methods, scar tissue in the knee can be managed. Read more: How To Prevent Scar Tissue Formatio Knee clicking, popping, or crunching sounds are common and typically no cause for concern. Another cause of pain-free clicking may be scar tissue moving over the bones. Knee Clicking with Pain. or if the knee gives out, the following causes may apply: Unnecessary tissue around the knee: After a serious injury to the knee, if it is not. That is scar tissue popping loose. Going to be lots more, you want this. 2 surgeries on left knee and yes, as you get more motion you pop scar tissue. As you pop more scar tissue, you get more motion. All is good unless it hurts. Used to scare me too. Then on second recovery went down a slide and heard a really loud pop, but no pain

Fibrosis is another way to look at scar tissue. It's 'scar tissue plus.' You can kind of think of the tissue surrounding the knee like spider webs. And so we can move the knee joint a little bit, or the shoulder, or whatever joint it happens to be, and we can break those spider webs, and we can get some range of motion back 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

Scar Tissue Formation After Knee Surgery May Cause

  1. Patellar Clunk Syndrome is a painful, palpable clunk that can occur at the patellofemoral articulation of a posterior stabilized TKA caused by a fibrous nodule of scar tissue. Diagnosis can be made clinically with the presence of a painful, palpable pop or catch as knee extends (~40° of flexion). Treatment is observation for patients.
  2. Arthrofibrosis, also known as stiff knee syndrome, occurs when excessive scar tissue forms around a joint, limiting range of motion and causing pain and disability. It can be a complication of knee replacement or anterior cruciate ligament surgery, with infections and bleeding as known contributing factors. Of the roughly 720,000 knee replacements performed every year [
  3. When used in breaking up scar tissue, it is somewhat painful. As you rub over the affected area, you should not exceed a 5 out of 10 on a pain scale where 0 is no pain and 10 is unbearable pain. Generally, the break out that happens is not painful, though it may be sore to the touch
  4. i squats painful popping in the back of the knee. what could be wrong. i had arthroscopic knee surgery removal of scar tissue can't straigh? 1 doctor answer • 1 doctor weighed in. Share. Dr. Pedro Tort-Saade answered. Orthopedic Surgery 23 years experience
  5. The amount of movement can be adjusted to gradually increase how much the knee bends. If stiffness continues to be a problem long term, your doctor may want to do a manipulation under anaesthetic (MUA) where they put you to sleep and bend your knee to break down any scar tissue or adhesions that have formed
  6. Thus, scar tissue is not likely to create adhesions without having had surgery. They are mostly post-interventional problems, except in some instances. For example, females with a prolonged history of pelvic pain may create scar tissue and adhesions around the uterus

Scar tissue: Scar tissue develops as a result of injury to affected area, infection or surgery. Performing surgery for the sake of scar removal is often time not v Read More. Send thanks to the doctor. A 44-year-old member asked And again but i observed that my surgeon forms in abundance, '. Is done to observe the ligaments of your knee should only keep improving gone under the thing. Together, the scar tissue popping after acl surgery scars up followed for optimal recovery if all else fails, it would because

Scar tissue - Scar tissue can build up around the knee joint, causing stiffness and a limited range of motion. This is called arthrofibrosis. Fractures - A bone may break around a knee replacement, which is often caused by a fall or other trauma. Fractures around implants are called peri-prosthetic fractures Scar tissue forms two different ways. First, if a muscle, tendon, or ligament is torn or crushed, the body creates scar tissue to 'Glue' the torn pieces together. This is a necessary part of the healing process. The second, more common way for scar tissue to form is by soft tissue in the body not receiving enough oxygen ( Hypoxia ) A sprain, tear, or stain in your knee will heal with scar tissue; little tiny band-aids that overlap each other on the tissue mending the injury. With the added scar tissue the soft tissue in your knee becomes rigid, less ready to move and unable to recieve the full force of your movements The two menisci in each knee are crescent-shaped pads of cartilage tissue. The main functions of the menisci are tibiofemoral load transmission, shock absorption, lubrication of the knee joint and to improve the stability of the knee joint. Epidemiology . The mean annual incidence of meniscal tears is about 60-70 per 100,000 Wear a hinged knee brace to support and protect the joint, particularly for grade 2 and 3 injuries. A hinged knee brace will have solid metal supports at the sides to protect the knee from a lateral (sideways) movement which would stress the lateral knee ligament. This may help to reduce scar tissue formation and re-align the new healing.

Video: How to Get Rid of Painful Scar Tissue After Knee Surger

This is probably scar tissue tearing. If the pain subsists, you should go get checked out by a physician. Clunks-This is an interesting phenomenon, which is often felt as a shift that may or may not accompany a louder pop. It's often described as distinct from the regular pop that people describe, but it actually may be the same. A glaring scar tissue after a surgery to correct a functional deformity or any other complication is not the idea of fun for most of us. Scar tissue are often painless and of no concern (maybe their location allows you to hide them with ease), but if you would rather not see that ugly or painful scar tissue anymore, read on to get a round up on scar tissue reduction Hi doc, I am a cheerleader an am experiencing knee pain. I was back-spotting a stunt when my flyer came down and hit my knee cap. I felt a pop and then another, my knee started bruising and swelling immediately. It has been about two days now and my knee is still painful to the touch, swollen, bruised and I am unable to straighten it Unexplainable knee pain may follow knee replacement surgery. The popliteal tendon should be evaluated as a possible cause of lateral knee pain and dysfunction after knee arthroplasty. The tendon can snap over or impinge on lateral osteophytes or prominent femoral components and produce mechanical sy Sit bone pain can come from any of the following: Overdoing forward bends in yoga and creating general inflammation at the hamstring attachment. Over stretching (tearing) a hamstring which usually happens with an audible pop. Trigger points that are referring into the sit bone area. Adductor magnus strain

Scar Tissue. When you tear any muscle, your body reacts. It builds scar tissue to bridge the gap. This is good and bad. It reconnects the muscle bits, but scar tissue isn't as flexible as muscle tissue. Scar tissue makes muscles tighter, more prone to re-injury, Moore said. If you get too much scar tissue, you change the joint mechanics I have seen many of these type of injuries result in both SCAR TISSUE and TRIGGER POINTS that can lead to buttock or hip pain, which, by the way, commonly manifests in the HIP FLEXORS as well. OTHERS: Truth be known, there are a number of other causes of Pain in the Butt ( CANCER , tumors, INFECTIONS , WEIRD NEUROLOGICAL CONDITIONS , labral. Damage to the knee joint. Sometimes, however, there is an underlying problem, for example, tissue damage or lesions. In this case, treatment may be necessary. If there is pain as the knee snaps or catches, it can be because scar tissue, a meniscus tear, or a tendon is moving over a protruding bone within the knee joint

Spondyloarthritis refers to a group of connective tissue diseases that cause prominent joint inflammation. Ankylosing spondylitis is a type of spondyloarthritis characterized by inflammation of the spine, large joints, and fingers and toes, resulting in stiffness and pain Scar tissue formation is part of the normal healing process after back surgery. While scar tissue can be a cause of pain, actual scar tissue pain is very rare since the tissue contains no nerve endings. Rather, the principal mechanism of pain is thought to be the binding of the lumbar nerve root by fibrous adhesions, called epidural fibrosis

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What Causes Knee Scar Tissue? (with pictures

  1. The picture below shows the picture of the medial side of the knee that often hurts with Plica Syndrome. Plica Syndrome: Most often plica syndrome causes pain at the medial knee. Picture Reference #3. Plica is leftover knee tissue that didn't reabsorb back into the body since you were a fetus in your mom's belly. Not everyone has a plica
  2. The scar tissue is characterized bundles of fibrous connective tissue as a result of your body's natural healing process. However, scar tissue can limit range of motion and reduce performance in strength and running ability. You can use various treatment options to reduce the scar tissue from a hamstring while regaining range of motion.
  3. Surgical Scar Tissue: a Less-Talked-About Side Effect. When the short-term effects of surgery - such as oozing wounds and incision pain - have long faded, an unseen complication may be lurking.
  4. I too had the pop and pain behind knee just straitening leg in bed. I am 6 weeks post op. I have bruising in the saddle behind knee, and it is sore to the touch. I am so worried that is is the graft. My surgeon does not like to return calls, so I am stuck until this Friday for a appointment. I will report back with my experience
  5. g too much scar tissue along the front and side of the ankle joint. This creates a small mass of tissue called a meniscoid lesion . Dorsiflexing the ankle can trap the tissue between the edge of the ankle joint, causing pain, popping, and a feeling that the ankle will give out.
  6. ation. A radiograph is shown in Figure A
[Ache in knee bone following staph infection

Knee Popping after Meniscus Surgery: What does it mean

Arthrofibrosis of the knee is a condition whereby scar tissue prevents normal knee motion. The decreased knee motion can either be with straightening the knee, bending the knee, or at the kneecap joint. Most cases of arthrofibrosis are due to a previous injury or surgery and having the body form significant scar tissue Scar tissue: After joint injury or surgery, scar tissue, known as adhesions, is formed by the ligaments which are more prone to popping and cracking. Frequency of the noise A popping that occurs only once is sometimes a result of injury to the joint; causes of this type of popping include ligament strains or tears, tendon strains or tendon. When knee snapping or catching is painful, that is usually a result of scar tissue, a meniscus tear or a tendon moving over a bony prominence within the knee joint. The patellofemoral joint — where your knee cap meets your thigh bone, or femur — is typically the source of knee crepitus. Cartilage, the smooth, elastic tissue that covers the. I have been doing therapy twice a week and they have been working on the tracking issues and removing scar tissue around the knee. And also working on the IT band and taping the knee however the tracking issues have been an issue since therapy started a week after surgery. My knee hyperextended and I felt a pop in the knee. I had to.

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Scar tissue after knee replacement Mayo Clinic Connec

However, scars can also develop inside the body, too. Often, this type of scar tissue develops around surgery sites or injuries to soft tissue. For instance, research shows that up to 100% of patients develop scar tissue, called adhesions, after gynecologic surgery. Physical therapy is an option that can help break up scar tissue naturally Looseness: The sensation that the structures within the knee are loose. Knee locking: Feeling that the knee joint is locking or catching. A pop in the knee: Feeling, or even hearing, a popping or clicking from the knee. Finding it impossible to straighten the knee. Pain: This may be mild, moderate, or quite severe Manipulation under anesthesia (MUA) is a noninvasive procedure to treat chronic pain unmanageable by other methods. MUA is designed not only to relieve pain, but also to break up excessive scar tissue. Scar tissue frequently builds up after orthopedic surgery, impeding movement of soft tissue and joints, so MUA is a valuable in re-establishing optimal range of motion

8 Common Knee Pain Diagnosis - Treatments and Exercises

knee pop 6 months after ACL reconstruction Bone, Joint

The MUA is a second procedure after a knee replacement. During the procedure, your surgeon will break-up the scar tissue, fibrous materials and adhesions that are causing stiffness (essentially cleaning up the area around your knee joint). During this procedure, no incisions are made Internal scar tissue, called adhesions, form when the body heals from an accident, fall, surgery, infection, inflammation, trauma, radiation therapy or endometriosis.Like scars that occur on the outside, adhesions are simply scars that form inside our bodies. Acting like powerful straight jackets, adhesions can squeeze nerves, organs and joints - causing internal pain or dysfunction. Stiffness: In some patients, excessive scar tissue may build up around the knee and prevents the joint from moving fully. Wear and tear: This can include loosening or breakage of prosthesis components due to friction over time. Knee revision video. Video: View a step-by-step animation of a knee revision procedur

Crepitus of the knee: Structure, causes, and protectio

Symptoms. If you've torn your meniscus, you might have the following signs and symptoms in your knee: A popping sensation. Swelling or stiffness. Pain, especially when twisting or rotating your knee. Difficulty straightening your knee fully. Feeling as though your knee is locked in place when you try to move it. Feeling of your knee giving way Softening allows the skin and tendons to move more freely. Be careful not to rub the scar with too much pressure, as it may break open, which causes more scar tissue to form. Massage The Scar 2-3 Times Per Day But Don't Overdo It. Massage your scar two to three times per day with lotion for five minutes That is the scar tissue breaking up. It is normal and necessary. Now you can actually take the top layer of skin and start twisting it up and down, side to side, and in circles. You are just trying to move that top layer around to break up the scar tissue from the layer below. Try doing this 3-5 minutes 1-2 times a day Arthrofibrosis is a rare complication that happens when excessive scar tissue forms in a joint following trauma that involves bleeding (e.g. - knee fracture, infection following routine surgery, knee replacement, or a ligament tear). While it can occur in other joints (shoulders and elbows, for instance), for our discussion, I'm going to.

What's happening when your knee goes snap, crackle & pop

I am 1 year postop ACL recon and meniscal repair. I still get cracklings in the knee and sometimes little pain after running. It is never an issue and pain subsides in a day or two. The only thing that can be a problem is the locking of the knee(r.. Stiffness following knee replacement is cause by multiple predisposing factors, but usually manifests in the painful inability to fully bend your knee due to the formation of scar tissue. In other words, stiffness is caused by scar tissue in the knee, which make bending difficult and painful

Scar Tissue Pain: Treatment, Symptoms, Starting Years

INTRODUCTION. The medial collateral ligament (MCL) is one of the most commonly injured ligamentous structures of the knee joint. 1 - 3 The popularity of sports, particularly those involving valgus knee loading such as ice hockey, skiing, and football, has contributed to the frequent occurrence of MCL injuries. 3 - 5 The role of prophylactic bracing has been biomechanically and clinically. Arthroscopic Osteophyte Excision: This surgery involves a small incision in the knee joint where various medical tools are inserted to shave down bone spurs thought to be driving knee dysfunction. This surgery is recommended only in very specific scenarios and does not provide a long term solution. Also, there is a limited amount of research into its effectiveness 14 extensive scar tissue formation as a response to the tissue trauma itself, which occurs during total knee replacement. 2.2 Managing stiff knee involve a thorough clinical exam to rule out any extrinsic contributing factor, ruling out infection and revisiting the surgical notes to identify any surgery related causes They said the scar tissue could have ripped and bled into the knee, hence the swelling. I am very frustrated and tired of being stiff and in pain (especially now chasing a one year old). We have decided to go ahead and try the scar tissue removal. Its the only thing left to try. Any thoughts from anyone who had removal surgery If knee pain is the cause for a locked knee, the goal of treatment will be pain control and reducing inflammation. Rest, ice, compression, elevation (RICE) and anti-inflammatory medications are typically first-line therapies. Ice can be applied in an on-off fashion for 20 minutes increments to help with pain control and to reduce swelling (if.

How Arthrofibrosis can Impact your Knee Replacemen

I am making progress though taking one day at a time. I forgot to mention in October right at 2 months post op, I had lots of swelling and knee wouldn't bend past 90 degrees. Ended up having scar tissue and had to get a left-knee manipulation under anesthesia. That set me back for a little while but knee is bending a lot better now A synovectomy is a surgical procedure used to treat synovitis and some other conditions that affect the synovium, a thin membrane that lines the inside of certain joints (called synovial joints), such as your knee, shoulder or elbow. In a synovectomy procedure, much of the synovium is removed. Painful and swollen joints characterize a number. In cadaveric studies, Mayo Clinic has found that the standard surgical incision used in total knee arthroplasty almost always severs the infrapatellar saphenous nerve. The severed nerve generally doesn't affect the knee's function. But the nerve ending can become trapped in the incision's closure or in subsequent scar tissue, leading to a neuroma Hit Your Peak Performance! Get in Touch Today. Dr. Kiritsis is a board-certified orthopedic surgeon who is one of a few orthopedic surgeons in the Richmond Virginia area to hold a subspecialty certification in sports medicine. Schedule an online appointment or call us today at (804) 379-2414. Make an Appointment

Crepitus caused by scar tissue after TKR: Knee & Hip

If there is room to move, but it is just too painful to do it, then we have more hope as scar tissue has not completely stopped the knee's ability to bend. Standards for Success You will hear a lot of different expectations from surgeons six weeks after knee surgery, and for good reason The problem is essentially two-fold: (1) Cortisone shots in the knee reduce your cartilage's ability to regenerate itself at a cellular level. (2) Increased activity due to the absence of pain strains cartilage, accelerating degeneration. Figure 6: joint cartilage in human hip joint after being injected with cortisone on several occasions Soft tissue crepitus, due to air inside body tissues, is a serious type of crepitus. Crepitus due to arthritis or joint problems can be a sign of chronic disease or joint damage. Seek prompt medical care if you have a popping or crackling sound coming from your soft tissues According to the rating criteria, if the knee can straighten, but can't bend all the way, it is rated under 5260. The different percentages available are 0%, 10%, 20%, and 30%. These ratings are assigned based on how much the knee can bend. So, the less the knee can bend, the higher the rating will be Scar tissue (adhesive capsulitis) in the shoulder can result from previous surgeries and injury (strains) but in some cases there may not be a specific reason . If the lining of the joint becomes inflamed, the body can generate scar tissue to protect itself. This restricts movement and can cause pain

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Scar Tissue, Adhesions. Hip arthroscopy can cause scar tissue. Multiple portals, large internal cuts in the capsule and excessive tightness or looseness can cause adhesions and pain after hip arthroscopy. Improper rehab can also lead to a build up of scar tissue. Sometimes scar tissue growth is genetic and beyond your control, but you want to. This leads to scar tissue building up while you sleep which can lessen your ROM and prevent you from full knee extension due to the scar tissue build up. Watch this video on massaging the knee to remove scar tissue after acl surgery Soft Tissue Release (STR) is a hands-on Deep Tissue Massage Therapy for dramatically speeding up the healing process (and shortening the rehab time) of muscle and tendon injuries. It's different from other methods in that the muscle or tendon is pressed on at the same time the muscle is stretched