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

@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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Curious, what do you consider good ROM?

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@tennisgolf

Curious, what do you consider good ROM?

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Im at 0 for full extension and although I haven’t had it measured in a while,my flexion
is almost what my good knee is
So my TKR was 6 mos ago and I have ITBand problems ,what exercises or stretching
has anyone found really helpful.I wasn’t crazy about foam rollers but have found biking at a low gear for 8 Miles helpful
Also new sneakers may be helping

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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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I am your age and 3.5 months out bilat knee replacement. I have tight band over left lateral knee and feels like knee cap gets pulled to the left with bending. It’s always there and while I can walk 2.5 miles near the end the band sensation is worse and have to increase effort and push with my hands on upper knee area to get it to bend to get in a car. I can get 123 for bend on that side with effort and stretching. Still do daily exercises by PT was going to try massage but canceled after 1 session due to COVID. PT told me to bend it and massage-above knee from knee to thigh to try and stretch the fascia. Can’t say anything has worked. Surgeon says it will go away. I’m beginning to think nerve damage. I hope it goes away but hearing from you and others not sure I trust that it will go away. Happy I can walk though and I can garden but not the way I used to. Takes more effort to find a position to do things and then getting up is very difficult. On the plus side I have built up my arm strength. Very disappointed that surgeon is not more up front about this type of outcome for some patients and is not aware that this problem doesn’t go away for some as I learned on this site. I wonder if the nerve block or the tourniquet used during surgery caused permanent damage.

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@ellenka

I am your age and 3.5 months out bilat knee replacement. I have tight band over left lateral knee and feels like knee cap gets pulled to the left with bending. It’s always there and while I can walk 2.5 miles near the end the band sensation is worse and have to increase effort and push with my hands on upper knee area to get it to bend to get in a car. I can get 123 for bend on that side with effort and stretching. Still do daily exercises by PT was going to try massage but canceled after 1 session due to COVID. PT told me to bend it and massage-above knee from knee to thigh to try and stretch the fascia. Can’t say anything has worked. Surgeon says it will go away. I’m beginning to think nerve damage. I hope it goes away but hearing from you and others not sure I trust that it will go away. Happy I can walk though and I can garden but not the way I used to. Takes more effort to find a position to do things and then getting up is very difficult. On the plus side I have built up my arm strength. Very disappointed that surgeon is not more up front about this type of outcome for some patients and is not aware that this problem doesn’t go away for some as I learned on this site. I wonder if the nerve block or the tourniquet used during surgery caused permanent damage.

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Ellen’s , I had the tourniquet and block also .I am six and a half mos.post TKR .I don’t think it’s that. I’ve done all the reading I can on I T Band and I really believe it’s tension on the ITBand which is a ligament running from hip to beyond the knee.I don’t like foam rollers but do recommended stretching esp. for the quadriceps. I have also found biking in a lower gear helps .I do 7-8 Miles ,flat surface. I think it’s getting better. At night I put 1% diclofenac
gel liberally on my knee.Then wrap it in Saran Wrap and put an ace bandage around that.
In the AM it feels great which tells me it’s probably still inflammation. I do a few quads strengthening exercises too . I think as time goes on and ALL swelling resolves we’ll get better. Lot’s of articles on IT Band post TKR
surgery. Good Luck. Ralph

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@ellenka

I am your age and 3.5 months out bilat knee replacement. I have tight band over left lateral knee and feels like knee cap gets pulled to the left with bending. It’s always there and while I can walk 2.5 miles near the end the band sensation is worse and have to increase effort and push with my hands on upper knee area to get it to bend to get in a car. I can get 123 for bend on that side with effort and stretching. Still do daily exercises by PT was going to try massage but canceled after 1 session due to COVID. PT told me to bend it and massage-above knee from knee to thigh to try and stretch the fascia. Can’t say anything has worked. Surgeon says it will go away. I’m beginning to think nerve damage. I hope it goes away but hearing from you and others not sure I trust that it will go away. Happy I can walk though and I can garden but not the way I used to. Takes more effort to find a position to do things and then getting up is very difficult. On the plus side I have built up my arm strength. Very disappointed that surgeon is not more up front about this type of outcome for some patients and is not aware that this problem doesn’t go away for some as I learned on this site. I wonder if the nerve block or the tourniquet used during surgery caused permanent damage.

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I had surgery 15 months ago with a nerve block but no tourniquet use. I still have a really tight, uncomfortable, gripping feeling especially on the inside of my knee and around the back. My doctor still thinks it will get better, that it’s due to the severe valgus correction he had to make, but I’m not so sure. It’s not exactly painful but it’s uncomfortable enough that I think about it every step I take.

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Yes, but it improves with time and PT

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@clbs

I had surgery 15 months ago with a nerve block but no tourniquet use. I still have a really tight, uncomfortable, gripping feeling especially on the inside of my knee and around the back. My doctor still thinks it will get better, that it’s due to the severe valgus correction he had to make, but I’m not so sure. It’s not exactly painful but it’s uncomfortable enough that I think about it every step I take.

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Well I had similar and i have been unable to sleep more than an hour before waking in horrible pain. My orthopedic doctor basically patronized me and said it would take a year to heal come back then. I said no one I know after 6 months is unable to sleep or walk. I said I think it’s loose. He still patronized me morning. I am quite disillusioned with Mayo. I went to another group, that doctor examined me and agreed something was wrong (my Physical therapist had also said he thought there was a problem). The new doctor ordered a nuclear bone scan and it was determined “I was not crazy!” The total knee replaced had mechanically failed and I needed revision surgery. Unbelievable that my doctor impressed me. It’s been a year now and
I’m still waiting for the surgery (postponed due to covid19). This all could have been fixed six months ago and I’d be on my way to healing.

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@coloradotkr

Yes, but it improves with time and PT

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Ha! It improves for some people but not all. 15 months later, I still have that issue.

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Common for many.

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Hello @mhort1213. I just wanted to circle back to you. How is your knee? Are you still experiencing the tight band?

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@chickenhaslips

Ellen’s , I had the tourniquet and block also .I am six and a half mos.post TKR .I don’t think it’s that. I’ve done all the reading I can on I T Band and I really believe it’s tension on the ITBand which is a ligament running from hip to beyond the knee.I don’t like foam rollers but do recommended stretching esp. for the quadriceps. I have also found biking in a lower gear helps .I do 7-8 Miles ,flat surface. I think it’s getting better. At night I put 1% diclofenac
gel liberally on my knee.Then wrap it in Saran Wrap and put an ace bandage around that.
In the AM it feels great which tells me it’s probably still inflammation. I do a few quads strengthening exercises too . I think as time goes on and ALL swelling resolves we’ll get better. Lot’s of articles on IT Band post TKR
surgery. Good Luck. Ralph

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Ralph, the massage therapist thought it was IT band. However, that is typically a overuse symptom and pain when heel strikes ground and pain located lateral knee. That’s why I’m not convinced it’s that. But I thing the nerve that connects to that IT band could be affected. I also ride stationary bike daily. I’m gonna try the difclofenac wrapped in Saran plus a knee wrap. I have some that I used presurgery. I use Willow balm now. It’s basically 3 % menthol. It’s a diversion! Like a band aid for a boo boo.
Thanks,

Ellen.

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@kellyhahn1

Hello @mhort1213. I just wanted to circle back to you. How is your knee? Are you still experiencing the tight band?

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It has been 15 months since my surgery and the tight band has improved somewhat but still exists but to a lesser level. It doesn't bother me or hinder me like it did before except when climbing stairs, etc. Since that surgery, I had the right knee done in September 2019 with robotic assisted surgery and a different surgeon. That knee now 7 months out is still a little tight, but I don't notice it for the most part. The difference is noticeable and I would recommend robotic assisted surgery over traditional Total knee replacement as it is more precise.

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@mhort1213

It has been 15 months since my surgery and the tight band has improved somewhat but still exists but to a lesser level. It doesn't bother me or hinder me like it did before except when climbing stairs, etc. Since that surgery, I had the right knee done in September 2019 with robotic assisted surgery and a different surgeon. That knee now 7 months out is still a little tight, but I don't notice it for the most part. The difference is noticeable and I would recommend robotic assisted surgery over traditional Total knee replacement as it is more precise.

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@mhort1213 there are a number of participants here on Connect who like yourself have been very satisfied with Mako surgery. My second TKR was with a Conformis knee which also had a very high degree of satisfaction. I would highly recommend either, but the single most important factor to have a good experience is having a truly expert surgeon.
JK

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@ellenka

Ralph, the massage therapist thought it was IT band. However, that is typically a overuse symptom and pain when heel strikes ground and pain located lateral knee. That’s why I’m not convinced it’s that. But I thing the nerve that connects to that IT band could be affected. I also ride stationary bike daily. I’m gonna try the difclofenac wrapped in Saran plus a knee wrap. I have some that I used presurgery. I use Willow balm now. It’s basically 3 % menthol. It’s a diversion! Like a band aid for a boo boo.
Thanks,

Ellen.

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Hi Ellen, I think it’s important to understand how the ITBand happens after TJR .With Knee
degeneration the bone is resorbed and the cartilage also is compressed. This all leads to a shorter leg in some degree. Joint replacement lengthens the leg back to normal
All through the years the ITBand tightens to keep the joint tight. After the replacement there is tension on the band .Think of it as a leather strap. The best way to lengthen it is to strengthen the gluts and hamstrings and adductor muscles.You can also stretch the gluts .
I’m biking, stretching and trying to build up muscle. I think it’s gradually helping. But at the end of the day it’s tight and uncomfortable but getting better
Ralph

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@mhort1213

It has been 15 months since my surgery and the tight band has improved somewhat but still exists but to a lesser level. It doesn't bother me or hinder me like it did before except when climbing stairs, etc. Since that surgery, I had the right knee done in September 2019 with robotic assisted surgery and a different surgeon. That knee now 7 months out is still a little tight, but I don't notice it for the most part. The difference is noticeable and I would recommend robotic assisted surgery over traditional Total knee replacement as it is more precise.

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I've had the tight ban for over 4 years. More I walk the worse it hurts. Almost feels like fluid in it.
The pain center has tried burning nerves but nothing happens. I have cancer and my damn knee keeps me from excercises. It's bad enough having one problem but both is a nightmare!

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