All, thank you again for your previous comments to this thread. My wife and I have some questions about IAA's PT guidance. She is now 3-1/2 weeks post-surgery for scar tissue removal. She has followed IAA's post-op PT recommendations (gentle and passive only, CPM, etc.) My wife continues to have moderate swelling of IFP which has remained steady. She is comfortably at 124 degrees flexion and virtually at full extension.  IAA AF PT guidance indicates no weight-bearing until inflammation has fully resolved, which usually takes 4-6 weeks (acknowledging that every patient is different). if swelling doesn't abate at 6 weeks, is IAA's guidance that she should continue no weight-bearing until inflammation disappears? And, if so, what is a reasonable estimate as to how long inflammation may stick around (absent any weight bearing)? At what point can we assume that she is free and clear? For example, if there is no inflammation at 6 weeks, and then she starts moderate weight-bearing and swelling reappears at Week 7, should that be a cause for concern?  Same question at, say, Week 12? We're wondering if there is a "normal" amount of swelling that, at a certain point, is no longer a concern. Again, thank you so much for sharing your thoughts!

Kayley, Thank you so much for your prompt and thoughtful response. Your recommendations square with our intuition and observations. I will certainly have some follow-up questions after I've done the research you suggested. I do have a pressing question though and that is whether IAA has a list of physicians in the US that are knowledgeable and experienced in treating arthrofibrosis. We live in Boston, but are willing to travel to anywhere to find qualified care. Thank you again, Mark