26 yr old, diag. with pvns , 5 artho surgeries on my right knee. what are my next options? any pvns specialists in tn? pain and swelling back, help please

Open surgery: Pvns is a notoriously difficult problem to address. The disease behaves more like a tumor than inflammation. If arthroscopy has failed then open surgery might be required. A skilled fellowship trained orthopedic sports medicine specialist should be able to manage this. If you want a good academic center either campbell clinic or vanderbilt are good bets.