At PT this morning, she took measurements. Unlike inhome PT which took measurements EVERY TIME, out patient does this every 2 weeks. Today -- I am 11 weeks post op -- I was 93 with assist, and 3 for flexion. I have been going 3 times per week: Mon and Fri are land PT, and Thurs is pool PT. My initial assessment at this facility was 70 and 12, so I am improving.
She asked me if I could live with this; while not thrilled I said yes. I have 3 more weeks of PT and then see OS.
I also have been reading up on MUA and keloids. Seems an MUA is NOT recommended if you develop keloids, for a few reasons:
1. keloid tissue is denser, more fibrous, than regular scar tissue. This makes it harder to break in an MUA, and increases the risk of breaking a bone instead.
2. if the keloid tissue DOES break during the MUA, now you have all these fibers with breaks, aka 'wounds' even though they are internal, and those heal up with yet MORE keloid tissue. No scar tissue.
I've been through this before; when I was age 5 and starting school, had to have the polio vaccine; and I developed a keloid. It was large, raised from my arm, and itched like crazy. And of course, I was teased by school mates. I didn't wear sleeveless tops for close to 40 years. My folks took me to a doctor who gave me injections IN the keloid . . . I remember screaming as it hurt so much. After almost a year of this and no change, he advised me folks he wanted to cut it out, so they agreed. And of course it grew back larger. Finally my folks took me to another doctor, highly regarded, out of town, and costly. He told them just leave it alone, it will slowly break down and disappear. Now 52 years later, it is flush with my skin, though still quite noticeable.
Since then, various things resulted in 2 other keloids. I ignored them. Within 5 to 7 years, could not even be sure where they had been.
I am not willing to approve an MUA (if my OS suggests it) and risk losing what ROM I have due to additional build up of keloid tissue.