recovery pump Scar Tissue From Mild to Wild

Scar Tissue From Mild to Wild

by Dr. Michael Moon, Pathologist

Editor’s Note: This is a companion article/podcast to The Why’s and How’s of Scar Tissue that you can read here .

Collagen and Elastin

In the normal organism, normal tissues, you have a combination of Collagen and Elastin that allow movement and also stability. Collagen more for stability, Elastin more for malleability or movement. When you have injury, you end up with fibrosis, the result of fibroblasts, laying down Collagen to repair. But you do not have replacement of the elastic fibers that you had previously. This differs in different people to a greater or lesser degree.

Collagen Builds Fibroblasts

And what we’re talking about then is basically scar formation. When you have the Collagen laid down by the fibroblast, you’re forming, “a scar.” You can see the results of that on skin. It also takes place anywhere in the body after injury. Different individuals have different capabilities in terms of this repair. When we see it on skin, we may refer to it as a scar.

Scar Tissue at 10x Magnification

A scar is the marking that remains after tissue damaged from a cut, burn, or other wound has healed. The most familiar scars appear on the surface of the skin, though they also can develop on tissues located inside the body.

Scar formation is a natural process. Scars result from replacement tissue being somewhat structurally and functionally different than the original tissue that was injured.

Produced by fibroblasts, scar tissue is predominantly composed of fibrous connective tissue made of collagen. It is typically thicker, denser, and paler than surrounding tissues. The poor elasticity of scar tissue can limit movement in areas of the body that were extensively damaged. The lack of oil glands in the inferior tissue is sometimes associated with itchiness or irritation. (compliments of NIKON Microscopy )

Hypertrophic Scar (Keloid)

If an individual has an exaggerated ability to do this, to lay down Collagen, to lay down a reparative fibrosis or scar, you can get what we refer to as hypertrophic scars or Keloids. And these can be seen on the scan. And you can tell if an individual is more likely to form a hypertrophic scar or Keloid. When it’s beneath the surface, say from surgery, you cannot necessarily recognize this as easily. However, they all have some of the same effects, as I alluded to earlier.

They do not contain Elastin fibers. So you have some decrease in the resilience, the malleability or the ability to move the area, particularly when we’re talking about a joint. That can be of some concern.

As pathologists we can tell the difference between those two microscopically. Other than being able to do that, that’s really not of importance, because they have the same effect. If you have a very intuitive physician that notices a scar on the surface of the patient, they could be tipped off, “Oh, this person forms Keloids. They are more likely to have an exaggerated fibrotic response, so this is something to look out for.

For a complete look at different types of knee scar tissue, from mild to wild, visit AEDITION’s article on the subject: click here .

Keloids and Keloid Removal

Once you’ve seen it on a person, you know it’s a Keloid. And it’s a difficult problem more cosmetically a lot of times for individuals because you try to remove … the Keloid then is an aesthetic, more so than a normal scar. And so if you try to remove the Keloid, then they form another Keloid, because it’s their tendency to form this exaggerated fibrotic response.

Identifying Hypertrophic Scars and Keloids

You could see it microscopically by taking biopsies and looking at the individual cells. You examine the amount of Collagen that is present and the orientation of that Collagen microscopically. This works well particularly if you have a frame of reference, for example, the skin surface, with respect to the skin surface how that Collagen is being laid down.

But you can also see it clinically by symptomatology. How stiff is the region? How stiff is the joint, or how movable it is? How movable versus stiff immovable the joint is.

You can get an idea as to how much that fibrosis or scarring is progressing, to what degree it’s progressing. And to me, it’s a clinical judgment and something that clinicians can do because of their experience with patients.

The X10 Meta-Blog

We call it a “Meta-Blog.” We step back and give you a broad perspective on all aspects of knee health as with this article on Scar Tissue from Mild to Wild.

In this one-of-a-kind blog we gather together great thinkers, doers, and writers. All our work is related to Knee Surgery, Recovery, Preparation, Care, Success and Failure. Meet physical therapists, coaches, surgeons, patients, and as many smart people as we can gather to create useful articles for you. This is for you if you have a surgery upcoming, or in the rear-view mirror. Or maybe you just want to take care of your knees

recovery pump Scar Tissue From Mild to Wild
2 Likes	2 Dislikes
10 views views	followers
People & Blogs	Upload TimePublished on 20 Aug 2019

Related keywords

knee replacement recovery time 2019,knee replacement recovery problems,knee pathology outlines,knee pain after squats,tka maria,knee manipulation under anesthesia protocol,knee surgery recovery gifts,total knee arthroplasty anesthesia,knee replacement recovery kit,knee pain ddx,x102.3,knee manipulation under anesthesia recovery time,knee manipulation under anesthesia complications,acls pretest,x100 shaft,knee manipulation under anesthesia cost,recovery is not seandroid enforcing,knee pathology radiopaedia,knee manipulation under anesthesia reviews,x10 controller,x100pre tour,recovery traduccion,knee surgery recovery food,recovery management,knee pain treatment,x10 camera,knee surgery recovery machine,acls algorithm,total knee arthroplasty pdf,knee pain exercises,total knee arthroplasty with valgus,knee replacement exercises,tka concert,knee surgery recovery time,recovery girl,x103,knee surgery recovery pain,x100,knee manipulation under anesthesia video,knee manipulation under anesthesia icd 10,knee pain icd 10,acloudguru,pathology knee joint effusion,pathology knee osteoarthritis,knee surgery recovery equipment,knee replacement hardware,recovery samsung j7,knee manipulation under anesthesia rehab protocol,knee pain remedy,tkam themes,knee replacement recovery equipment,knee pain after running,recovery trailer,knee replacement recovery what to expect,knee replacement complications,tka band,knee replacement recovery pain,knee replacement recovery running,knee replacement recovery time for elderly,knee replacement options,knee manipulation under anesthesia risks,pathology knee pain,x10 aha gazelle,tka greatest hits,knee replacement cost,knee manipulation under anesthesia after tibial plateau fracture,x10 lacrosse camp,knee manipulation under anaesthetic nhs,aclu jobs,total knee arthroplasty (tka),tkay maidza,knee pathology list,knee replacement infection,knee replacement recovery tips,knee surgery recovery quotes,knee manipulation under anesthesia youtube,knee pathology mri,knee replacement recovery timeline,recovery eminem,knee replacement recovery,acl tear recovery,recovery mode moto g3,knee pain inside,knee surgery recovery period,total knee arthroplasty indications,knee replacement surgery cost,total knee arthroplasty physical therapy protocol,total knee arthroplasty steps,knee pain relief,knee surgery recovery time off work,knee pathology quiz,tkam,knee replacement recovery swelling,knee pathology differential diagnosis,tkay,knee pain differential diagnosis,knee surgery recovery exercises,knee replacement rehab,tay k age,knee surgery recovery meme,knee surgery recovery wishes,knee pathology physiopedia,knee surgery recovery tips,acl conference,tka meaning,recovery android,knee pain causes,recovery samsung,knee surgery recovery time for dogs,tka louder than love,total knee arthroplasty video,knee pain at night,total knee arthroplasty complications,aclu,tkam broadway,knee manipulation under anesthesia pain,knee pathology treatment,aclj,recovery lp,tkam summary,recovery manager,knee replacement recovery time average,knee replacement recovery youtube,total knee arthroplasty revision,knee pathology arthroscopy,knee surgery recovery kit,knee replacement surgery recovery,knee x ray pathology,knee pain location chart,knee manipulation under anesthesia after acl surgery,x100f successor,aclc,aclu northern california,acls class,tka members,knee pathology pdf,knee replacement parts,acl 2019,knee manipulation under anesthesia cpt,knee manipulation under anesthesia procedure,knee pathology radiology,knee manipulation under anesthesia success rate,acl recovery time,x105.1,acl 2020,tka freestyle,recovery royal canin,total knee arthroplasty guidelines,knee pathology x ray,knee replacement recovery stories,recovery mode,knee surgery recovery time frame,acls certification,knee pain home remedies,knee replacement recovery reddit,x10 archery,total knee arthroplasty orthobullets,total knee arthroplasty procedure,tka surgery,recovery j2 prime,tka one way love,knee surgery recovery time meniscus,knee pain when bending,total knee arthroplasty technique,knee replacement images,knee pain aafp,recovery hair,knee replacement surgery video,knee pain when bent,knee manipulation under anesthesia technique,knee pain diagnosis,knee replacement types,knee manipulation under anesthesia recovery,knee pathology diagnosis,acl tear,tka songs,total knee arthroplasty cpt code,x100t,x100v,acl lineup,total knee arthroplasty rehabilitation,aclibrary,knee pathology ppt,knee pathology physiotherapy,knee surgery recovery swelling,knee replacement video,total knee arthroplasty surgery,recovery twrp,knee replacement pain,knee pain treatment at home,knee replacement recovery uk,recovery windows 10,total knee arthroplasty for severe valgus deformity,x100f,x100f review,acl surgery,knee manipulation under anesthesia after total knee replacement,knee replacement surgery,knee replacement recovery exercises,x107.5,knee surgery recovery at home,knee replacement recovery machine,x100pre,x10 powerhouse,knee replacement recovery gifts,knee replacement surgery time,knee pathology ultrasound,aclima,recovery drink,knee pain when walking,knee replacement xray,tkachuk,total knee arthroplasty protocol,total knee arthroplasty rehabilitation protocol,knee replacement procedure,x10hosting,knee surgery recovery timeline,tkam characters,knee replacement recovery time in hospital,