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IT band syndrome after knee replacement

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

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@ilovedaisies

I’ve only just found this board, happening upon it, while doing a google search. I’ll need to take the time to read everything, but thought it might be helpful to share what, so far, I’ve learned. I’ve had an IT band + issue.

I had knee replacement surgery in late July, and while the bend of my knee and mobilization was incredible — they’d never seen anything like it, there was awful pain while lying in bed, attempting the knee ‘slide’ exercise... Something would feel like it was catching — which could be detected by hand — and the pain would drive you through the roof.

Moving on to outpatient PT, however, thankfully, it was suggested not to aggravate it, so slides and some squats — basically any exercise that exacerbated it — were stopped. So, my movement really progressed forward. Soon, I could go up the stairs, too, as well as walk outside with hills, etc.. (Initially, coming down hills would aggravate things...)

While the PT thought it had to be my shortened IT band — I’d been knock-kneed for about three years — I’d learned thru research that the fibula bone in the lower knee, too, was involved. With manipulations by a D.O., whom I’d happened to be seeing, fortunately, for an hip “upslipped innominate” which, also, interfered with walking — everything that happens to be seems to be rare — he noticed that my fibula (we’ve two bones in our lower leg bone) which usually should slip freely back and forth, had resistance moving posteriorly. He mentioned a procedure I could share with PT which might help with that.

More research, however, revealed there was a strapping procedure which could be done — that I shared with both the PT and the D.O — that would help hold the fibula into that posterior pocket. The video had shown that, over time with disuse, the pocket could have filled up with scar tissue, keeping the fibula from being able to slide back-and-forth freely.

It worked! No longer would I feel the pain the the outside, lower knee pocket, when going downhill. Taped, instantly, I had no pain. Without it, I’d struggle, frequently. With repeated tapings, over time, the fibula would move ever more freely. On last exam, it was found that the pocket seems to be open, allowing full freedom of movement. And I have nary any pings of pain in that outer knee area, with normal walking. However, if I try to do a slide, Strangely, as originally, or descend stairs, the pain returns. And here I’d thought, mechanically, the pain might have been due to the tight IT band trying to slip over the fibula, when it had been held, unnaturally, always forward.

Which is what has me researching patellar tendon knee straps, today, so I can apply them myself. Researching those, though, I’ve learned about the IT band syndrome which can follow knee replacement surgery, in addition to being a runner’s knee. My new goal, now, will be to learn more about this syndrome. But I thought it might be helpful to those who might be happening the same front side, outer lower pain that I did, to become aware of the fibula, the taping and how it might help. Three months on, now, it’s time for me to be focusing on descending stairs...

I’d be nowhere near where I am in totally natural movement — with the exception of that slide and descending stairs — if I hadn’t discovered this technique. Hoping some may find it helpful...

Linda

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Replies to "I’ve only just found this board, happening upon it, while doing a google search. I’ll need..."

Hi @ilovedaisies and welcome back to Connect.
Your research really proved fruitful. That's great that you are able to do more now than you could as long as you tape it. I am unclear if you now continue to have the improvements without taping or if you still have to tape. If you do still have to tape, is there any possibility that in time the taping will result in a permanent improvement or do your physical therapist and DO think you will always need to do it for relief?
I have had two TKRs but have been very fortunate in not having any of the problems that many have. I am sure many will be very interested in trying this out themselves. I felt my biggest accomplishment after my TKRs was the stairs -- not having to hold on! I had an injury this past summer though and am now back to holding the rail.
JK