Your diagnosis is portal hypertrophy.


It is caused by scar tissue created by your body at the arthroscopic incision sight. This condition is due to your good healing properties.


Typical symptoms include pain (especially with kneeling), burning sensations, tightness, clicking/popping and/or lack of full ROM.


Standard treatment includes:

  1. Fill a paper cup with water and freeze overnight. Tear the lip of the cup off creating an ice wand.
  2. Gently move the ice wand over your incision sights for 3-5 minutes, or until the area is numb.
  3. Vigorously massage the incision site, pushing down and across the area.
  4. Repeat 2-3 x daily until symptoms subside.


Important precautions:

  1. Avoid over-icing, as this may cause frost nip. Only ice until the area is numb (no more than five minutes).
  2. A significant amount of pressure must be applied in order to break up scarring. However, avoid skin breakdown from massaging too vigorously too often.
  3. Popping and snapping at 4-6 weeks post-op is typical and indicates adhesions are releasing.
  4. It may take 2-3 months for the condition to completely resolve.

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