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IT band syndrome after knee replacement

Joint Replacements | Last Active: Feb 20, 2023 | Replies (164)

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@scgraham

I am 19 months post TKR surgery. The surgery went well. I have great ROM. But, from the beginning I have had a tight band feeling just under my knee, and a compressed feeling in my calf muscle. Feels like I have on the tightest knee sock imaginable with a tourniquet for a top band. I was prescribed gabapentin, didn’t help. I went through PT 3x trying different things to treat this, including astym and dry needling. I still have bruised areas on my leg and it’s been 7 months since the last session. My surgeon and PT have not been able to explain the what or why of this phenomenon. But was told at my one year appointment that there was a good chance I would just have to live with this. It takes a great deal of mental energy to rise above this pain to have a productive day. I am a 65 yr old female. Anyone else out there have any information or tips for dealing with this?

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Replies to "I am 19 months post TKR surgery. The surgery went well. I have great ROM. But,..."

I wanted to reply to you as today I went into see my OS as I am now 6 weeks post op for a TKR. I have been is severe pain since my surgery and it was getting worse since I started Out Patient PT so I called as I can’t sleep, the pain is a dull ache, throb, and some sharp pain all coming from below the knee cap, behind the knee, along the side of my calf and thigh. My Surgeon told me after seeing an X-ray and examining me that I have IT Band Syndrome, I mean this pain brings me to tears. I think he felt so bad for me as this was my 6th surgery, 3 Cervical neck, 1 Back surgery and I first had a Meniscus tear repair that was a failure. He suggested that we try Cortisone injections in the areas that were so painful. It has been 10 hours and the pain is finally subsiding. He told me to rest my knee, ice it and elevate it. I was wondering if your pain finally went away as having to live with chronic pain is much harder then most people understand as I do with my neck pain. I feel sad reading your story when you stated that it takes so much mental energy to rise above the pain, I can relate so much as I try on a daily basis to do just that. I go to pain management for my chronic neck pain, but this TKR has really got me down. I am praying everyday that This to, shall come to pass, I pray that there will be a light at the end of the tunnel. My 36 lb. dachshund pulled me down with her leash 11/2/2017, I had my first knee surgery in January 2018, I lived in constant pain, it was so much worse from the surgery so having no choice, I went to another surgeon for the TKR, it took 48 hours in the hospital to get my pain under control, it was hell and I was forcing myself to do the PT from day one. I was told my range of motion is very good, I think that I over did myself and that is what caused the IT Band Syndrome. I read that sometimes you can go beyond where you should and cause an injury to those bands. I am hoping that the Cortisone will help me as there is no way I want to go in for anymore surgeries. I just wanted to touch base and see how you are doing after all this time has gone by. I really do hope that you were able to get out of pain. Thank you for sharing your story, God Bless you.