Has anyone had a tight band feeling after total knee replacement?

Posted by mhort1213 @mhort1213, Feb 28, 2019

I am 8 weeks post TKR and have had this very tight band around my knee since week one. My Dr at 6 wks says it is normal and will go away. Has anyone else had this and did it go away and when?

Liked by ssbionicknee

Yes, I experienced the same thing

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I get a
tight band on the left side of knee after 14 weeks run hot water from the shower on the knee when taking shower it helps use vid -e oil helps losing skin my knee slides from left to right like its lose when in shower bend knee back skin well loosen up.dr could tightening skin to tight when putting stitches in some skin is loose from the beginning some people don't have any fat on knee put cocoa butter with v-e hydrate skin drank lots of water .and v-e tabs if knee to dry dr can put lubrication in the knee
rub knee a lot.

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skin too tight when stitching knee you had tight skin put v-e oil on a knee and run hot water on knee once a day helped me

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Will have to try that, everything else has failed!

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@sierrashopper

To doodles 418: Doesn't make sense to me. I have a friend who kept going back to her surgeon with pain for a few years and she could not straighten the leg. He said there was nothing to be done and that the implant was fine. She went to another local practice and the surgeon there said he was amazed she could even walk because everything had loosened and become separated. She underwent a revision a few months ago and is doing very well. Don't know where you are located but there are some great surgeons here at the Hospital for Special Surgery in NYC which is where I went for my surgery because I had issues that the locals would not address. You need to find someone else.

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Hi – I just feel I should say something. I guess it is true each knee is individual and no hospital/surgeon is perfect (although, I expect them to be!). I had TKR at Hospital for Special Surgery Nov. 2019. Result is quite good, BUT NOT PERFECT. I have had the tight band across the knee for over 1 year now; it has improved maybe 40%. But also, I have numb areas on leg (especially calf). I can run and play a racquet sport, but if I just run 100 feet to go somewhere, the numbness prevents a full stride. Can't figure that out. I think surgeon(s) damaged the nerves. I am in NO PAIN, and never was in ANY TOUGH PAIN and I can get around well, but I also think my legs are a different length now?? I still have a little swelling around knee. I am less "balanced" than I was pre-surgery (but, not that bad – I just feel a bit "uneven" when walking). The good news:- walking and sports are good and going downstairs is 95% easier as my knee was unstable. And I can now do elliptical trainer since my knee no longer hurts!! Great! BUT, I compare this to my first TKR Nov. 2015 in my local hospital and I had a much better result: the bend is better, no "nerve" damage and numb spots, even more stable, no swelling, even the scar is much neater. My surgeon at HSS is very personable and I am not shy, but I cannot seem to insist that he take a SERIOUS look at the bend, numbness, length of leg, swelling, He has taken xrays, but is there something else that can be done? I go to gym 4 times a week for a year and always work on legs using different machines – and it has helped. Shall I just accept this less-than perfect result? Would PT leg massage help the numbness? Thanks to all. And, best wishes to all.

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I still have that tight band feeling 14 months after surgery…😟

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@tennisgolf

Hi – I just feel I should say something. I guess it is true each knee is individual and no hospital/surgeon is perfect (although, I expect them to be!). I had TKR at Hospital for Special Surgery Nov. 2019. Result is quite good, BUT NOT PERFECT. I have had the tight band across the knee for over 1 year now; it has improved maybe 40%. But also, I have numb areas on leg (especially calf). I can run and play a racquet sport, but if I just run 100 feet to go somewhere, the numbness prevents a full stride. Can't figure that out. I think surgeon(s) damaged the nerves. I am in NO PAIN, and never was in ANY TOUGH PAIN and I can get around well, but I also think my legs are a different length now?? I still have a little swelling around knee. I am less "balanced" than I was pre-surgery (but, not that bad – I just feel a bit "uneven" when walking). The good news:- walking and sports are good and going downstairs is 95% easier as my knee was unstable. And I can now do elliptical trainer since my knee no longer hurts!! Great! BUT, I compare this to my first TKR Nov. 2015 in my local hospital and I had a much better result: the bend is better, no "nerve" damage and numb spots, even more stable, no swelling, even the scar is much neater. My surgeon at HSS is very personable and I am not shy, but I cannot seem to insist that he take a SERIOUS look at the bend, numbness, length of leg, swelling, He has taken xrays, but is there something else that can be done? I go to gym 4 times a week for a year and always work on legs using different machines – and it has helped. Shall I just accept this less-than perfect result? Would PT leg massage help the numbness? Thanks to all. And, best wishes to all.

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@tennisgolf This is a tough question. I have generally stayed out of this discussion because although I have had two TKRs, neither caused a tight band feeling. The Hospital for Special Surgery is supposed to be the best from what I have heard but even the very best hospitals can have a doctor or two who are not quite up to par with the rest of the doctors, and even the best doctors sometimes have less than perfect results. They are human, after all.
I don't think any TKR is perfect. Everyone has some limitations after a TKR. I can't really fully kneel both because it is uncomfortable and I don't have quite the flex to allow that without toppling forward. I hate that, but it is what it is. I seriously doubt that I could do racquet sports.
I think before accepting the limitations you are experiencing you should get a second opinion from another orthopedic surgeon who is very highly regarded. It is possible that you may have to live with the limitations but I would not settle until I had explored all avenues. I had a friend who went through agony for two years before finding a doctor who diagnosed the problem and fixed it. If you don't explore further you will always wonder if it could be better. I hope you are able to find a great doctor who can look at your knee and advise you well.
JK

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@tennisgolf

Hi – I just feel I should say something. I guess it is true each knee is individual and no hospital/surgeon is perfect (although, I expect them to be!). I had TKR at Hospital for Special Surgery Nov. 2019. Result is quite good, BUT NOT PERFECT. I have had the tight band across the knee for over 1 year now; it has improved maybe 40%. But also, I have numb areas on leg (especially calf). I can run and play a racquet sport, but if I just run 100 feet to go somewhere, the numbness prevents a full stride. Can't figure that out. I think surgeon(s) damaged the nerves. I am in NO PAIN, and never was in ANY TOUGH PAIN and I can get around well, but I also think my legs are a different length now?? I still have a little swelling around knee. I am less "balanced" than I was pre-surgery (but, not that bad – I just feel a bit "uneven" when walking). The good news:- walking and sports are good and going downstairs is 95% easier as my knee was unstable. And I can now do elliptical trainer since my knee no longer hurts!! Great! BUT, I compare this to my first TKR Nov. 2015 in my local hospital and I had a much better result: the bend is better, no "nerve" damage and numb spots, even more stable, no swelling, even the scar is much neater. My surgeon at HSS is very personable and I am not shy, but I cannot seem to insist that he take a SERIOUS look at the bend, numbness, length of leg, swelling, He has taken xrays, but is there something else that can be done? I go to gym 4 times a week for a year and always work on legs using different machines – and it has helped. Shall I just accept this less-than perfect result? Would PT leg massage help the numbness? Thanks to all. And, best wishes to all.

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Hello! I got very excited when I heard about your symptoms after TKR Surgery because I have the exact same symptoms as you after 11 months post surgery. I have been to a neurologist who has suggested that there was some nerve damage during my surgery. When I woke up the nerves in my foot felt like pins and needles but of course when I was in the hospital they said that feeling would go away. Not true! My surgeon denies it was him but could have been whoever stitched me up left the band around my quad on for too long and therefore damaged some of the nerves which is in my foot. I have the same balance problems as you and the same running problem as well as the swelling still exists to the right of my right knee. I can't bend it all the way back and I can't bike although I am able to bike on my recumbent bike just not my outside bike because of the flexion problem. The neurologist has had me on Cymbalta and Gabapentin but neither has worked. I am getting to the point where I may just have to accept that there was damage done down there and I have to live with it. I am able to play tennis but the pins and needle feeling are there all the time and I have that balance issue because of it. I don't think PT leg massage would help because I believe it is a nerve issue. Also been through four different nerve tests which showed there was nothing wrong with my back or my arteries in my legs to cause this problem.

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My doctor diagnosed it as I T Band syndrome.He says it will take time for the muscles to stretch out specifically the quadriceps. I’ve had it 4-5 months
I do have good range of motion but still have this nagging discomfort. I can ride a bike 7-8 miles . But the tight feeling is almost always there . Worse at night. I try stretching. Heat ,cold and topical NSAID . Any one out there with some advice

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@chickenhaslips

My doctor diagnosed it as I T Band syndrome.He says it will take time for the muscles to stretch out specifically the quadriceps. I’ve had it 4-5 months
I do have good range of motion but still have this nagging discomfort. I can ride a bike 7-8 miles . But the tight feeling is almost always there . Worse at night. I try stretching. Heat ,cold and topical NSAID . Any one out there with some advice

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Welcome to Mayo Clinic Connect, @chickenhaslips (I love your Username choice). Here is another discussion about TKR and IT band syndrome that you may be interested in
– IT band syndrome after knee replacement https://connect.mayoclinic.org/discussion/it-band-syndrome-after-knee-replacement/

I haven't had a knee replacement, but I have had IT band issues. My doctor suggested foam rolling for me. I won't lie. It hurts getting started, but gets better. I only apply as much pressure as is comfortable.

In this video, the therapist from Mayo Clinic's Healthy Living Center explains, you have to keep at it. Not all of the exercises are for IT band in the video. You'd have to choose the foam rolling exercises that might work for people who have had a knee replacement.

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@colleenyoung

Welcome to Mayo Clinic Connect, @chickenhaslips (I love your Username choice). Here is another discussion about TKR and IT band syndrome that you may be interested in
– IT band syndrome after knee replacement https://connect.mayoclinic.org/discussion/it-band-syndrome-after-knee-replacement/

I haven't had a knee replacement, but I have had IT band issues. My doctor suggested foam rolling for me. I won't lie. It hurts getting started, but gets better. I only apply as much pressure as is comfortable.

In this video, the therapist from Mayo Clinic's Healthy Living Center explains, you have to keep at it. Not all of the exercises are for IT band in the video. You'd have to choose the foam rolling exercises that might work for people who have had a knee replacement.

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@artscaping — What are your thoughts on Foam Rolling for self MFR? I think I may be able to do some of these (except the planking stuff). Today is my 1 year TKR anniversary and I do feel fortunate to not have any major issues. These exercises look really helpful. Thanks @colleenyoung!

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@colleenyoung

Welcome to Mayo Clinic Connect, @chickenhaslips (I love your Username choice). Here is another discussion about TKR and IT band syndrome that you may be interested in
– IT band syndrome after knee replacement https://connect.mayoclinic.org/discussion/it-band-syndrome-after-knee-replacement/

I haven't had a knee replacement, but I have had IT band issues. My doctor suggested foam rolling for me. I won't lie. It hurts getting started, but gets better. I only apply as much pressure as is comfortable.

In this video, the therapist from Mayo Clinic's Healthy Living Center explains, you have to keep at it. Not all of the exercises are for IT band in the video. You'd have to choose the foam rolling exercises that might work for people who have had a knee replacement.

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@colleenyoung Thanks, she really demonstrates the use of a foam roller well, I do wish she had specified what each of the various positions would be good for – I can be rather dense when it comes to that.
My knee and thighs have been bothering me from walking so I wonder which if any would help with knee pain. I’m not walking as much as I was doing on a treadmill before all of this but it’s hurting more, probably because there’s more impact. Treadmills are fairly low impact.
JK

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@sierrashopper

Hello. I had a total left knee replacement May 2018. I had a very profound tight band feeling for a long time which would fluctuate in intensity from day to day and caused difficulty with PT. Big improvement after 4 or 5 months but reoccurred very badly at 8th month while on trip to Europe. Increased mobic dose during the 10 days of trip and pushed through it and the tightness/pain was gone after increasing the anti-inflammatory. By the time I returned from trip the tightness and pain was gone—almost seemed like I had to break the inflammatory cycle and keep MOVING. My surgeon said that complete healing takes 1 full year and 13 months out the knee is perfect and playing golf etc. Keep the faith.

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I have the same sensation on left lateral knee after replacement. Sometimes feels like it pulls my knee cap laterally. I am nearly 3.5 months and it never goes away. Even seem to tighten when I go for long walks. Very annoying. I was going to try medical message, but after one visits, they were all cancelled due to COVID 19. Some thought it was tight IT band, however I don’t have the symptoms associated with that. My Dr. Didn’t name it but said it will go way but could be months. I was off Meloxicam post op but asked to add it back, can’t say this helped much. Let me know if you have a cure. Ellenka

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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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Well this is discouraging. I have this tightness as well, 3.5 months post bilateral knee replacement Its only in my left knee. I’m looking for a cure. My surgeon thinks it will go away. It never gets better although sometimes it can get tighter. I tried medical message, one session, she thinks it is IT band. However my symptoms don’t fit the profile for what people report with tight IT band such as pain when heel strikes ground and pain at lateral knee. THis is a persistent disco for that makes bending a bit harder but I would nnot call it painful, just feels Very thought and nothing seems to make it better. I will pursue medical message when the corona virus lifts as the therapist cancelled all my appointments. Ellenka

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So, I had 2 TKR.  One in 2015 that was PERFECT.  Never any trouble or serious pain and still good.  The other was 16 months ago by a different surgeon (both had good reputations).  This one is also good, BUT NOT AS GOOD IN MANY WAYS as #1. Good news: The tight band across the knee has improved.  It took 6 months for some small change; maybe a year for even more change.  I have never had "real pain" with either knee surgery or recovery.  But, again, I have high expectations due to my prep etc.  Two things bother me now:  I think one leg is a tad shorter than the other (although I can play racquet sports!!) and I still have numbness in many parts of my leg.  I do not think that is good and it has not really changed at all.  I keep thinking I wonder if I will lose my leg?  Crazy, I know.  That is why I was thinking that continual massage maybe for a year might help?  I cannot get detailed explanation from this "successful" surgeon on why it is – but think it must be nerve damage???  So, then the question is WHY and WHAT CAN BE DONE??!! So, based on my experience, maybe your tightness will decrease, as you are only 3.5 months.  That is really a short time. Interesting you had bilateral (brave of you) and that results of each knee is different.  I assume you had the same device used in each knee?  I have 2 different devices.  If only the professionals would be more forthcoming with info, it would help. BEST WISHES TO YOU.  (Also, I use stationary bike several times a week and also elliptical.  I do think they helped.)
Take care.

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