Yes every incident causing systemic higher levels of inflammation makes the existing weak spots flare up - eeg all l my places of osteoarthritis (including the knee) flared up after my back operation - but I wonder if these temporary flare ups which is part of life can have longer consequences? Guess there is no answer to that..?

What a stressful situation and some interesting perspectives on the connection between stress, inflammation and pain!

Well it's not very painful to stand it's just as the knee/leg doesn't get enough blood circulation so have to move it or to raise it, when I had the inflammation it would start to swell but it doesn't swell any longer- but the "tight band" feeling get stronger and it is a warning saying soon real pain will come. Well and then there's this change in how the veins look and how it get colored efter sauna, and yes the as I wrote I even got blue marks after standing a lot. Writing these details specifically so that others evt will be able to see them selves in my description. I'm sure something in my knee related either to trauma, AF or operation troubles my blood flow in the knee and the leg/shin. And I held to believe it's due to AF because it was so much there when I had my Benders AF periode - but admit AF don't have to be the source. Just imagine that scar tissue is harder to ran through..but haven't any knowledge whatsoever..😉

Thanks!

Hello, I had a severe twisting injury (01.08.2021), got arthrofibrosis within the first 4 days after, and after 3 months with a stiff knee, I had surgery: arthroscopy + brisement. Used CPM several times a day for 3 weeks, cycled with low effort and was on morphine. Achieved good ROM. Researched everything I could (not much) about arthrofibrosis and in the process after I had achieved sufficient ROM was very careful to avoid exercises that triggered the inflammation. None of all the physiotherapists, surgeons and rheumatologists I have met have had any knowledge of arthrofibrosis and often the guidance has been downright harmful. Could feel the artofibros was active as long as the inflammation was active and that was while my bone bruise healed - it took 1 1/2 years. During that time, my bad knee was constantly 1-2 degrees warmer than the other. Now two years after the injury, I do not have an active inflammation, but I am still very careful about provoking pain, as I suspect that I can "wake up" the "sleeping" arthrofibrosis. Also still have a feeling of stiffness that varies. It is worst if I stand still or sit still. Think it has to do with lack of oxygen supply..? Suffers from quad astrophy and finds it very difficult to train as the knee reacts negatively to stress in flexion. I have been recommended Blood flow restriction (BFR) "Blood flow restriction (BFR) training has been found to have significant benefits for skeletal muscle development. BFR uses a belt or tourniquet applied to the proximal portion of an extremity to partially or fully occlude blood flow in order to stimulate muscular adaptations that improve muscular mass and strength" BUT I fear that occlusion will provoke fibrosis-production to start again? I read this under surgery warnings: " No use of a tourniquet during surgery unless absolutely necessary. Hypoxia (lack of oxygen) is a powerful driver of fibrosis" and so I thought taht it could proberly be the case for occlussion pysiotherapy/Blood flow restriction (BFR) training..??? Any one who have tried BFR? Or who have foud other ways to succeed getting muscles back without challenging the knee joint? Kind regards Katrine from Denmark