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

@ruthannejoan

Sounds exactly like me.
No answers from surgeon or PT either
After giving consideration to all aspects of the surgery, I am inclined to think there is a relationship with the tourniquet application and this tight band business.
Immediately after the pressure dressing was removed, I noticed immense pain in my thigh to crotch also the blackest blue in that area all the way down to the ankle. There was a very hard nonpliable feel in the quadricep to the top of the incision. Needless to say swelling also.
Sciatic nerve raged with pain from hip to ankle for 2 weeks then subsided to a semi tolerable level. After the PT course, and the sciatic pain dissisipated, to intermittent bouts but there was a hard-wedge feeling at the upper part of the tibia which about drove me insane. This did leave eventually.
If the tourniquet did trauma to the sciatic nerve, this may explain the band tightness feeling. The sciatic nerve bifercates into the peroneal nerve along the anterior tibialis
And that may be the readson for this band feeling. NERVE TRAUMA
Anyone else have tourniquet residual trauma with this band of tightness we try to describe to our medical specialists?

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I’m pretty sure my surgeon did not use a tourniquet but I still have that tight band feeling. My surgery was 19 months ago.

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Yes, I had the same experience with the tightness right below the knee cap. It did go away around 12 weeks, I believe. It does go away.

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@clbs

I’m pretty sure my surgeon did not use a tourniquet but I still have that tight band feeling. My surgery was 19 months ago.

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Did your sciatic nerve hurt terribly for 2 months ir sio

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@ruthannejoan

Did your sciatic nerve hurt terribly for 2 months ir sio

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My surgery was 8 months ago

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@clbs

I’m pretty sure my surgeon did not use a tourniquet but I still have that tight band feeling. My surgery was 19 months ago.

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I dont think knee replacement surgery can be done without the use of a tourniquet to temporarily prevent the flow of blood into the joint. Google tourniquet for knee replacement.

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@mhort1213

Oh my gosh… I pray it doesn't last that long! What do you do that helps, if anything? I have been doing deep massage which seems to help somewhat. What do the doctors tell you that is causing it? Have they offered any suggestions to relieve it?

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I too am having that feeling with each of my knees. Doctor Both times said it was a normal issue and would go away over time. I am close to 3 weeks out from knee number 2. Last knee was 8 months ago. Outpatient PT did massage and tissue release and while somewhat painful was really helpful. As I recall that tight feeling was gone by week 6. And I already feel it lessening with this knee. I hope this helps you feel less nervous about this. But by all means, keep your Doctor and PT informed so they can help. Good luck!

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@laureenaugust

I too am having that feeling with each of my knees. Doctor Both times said it was a normal issue and would go away over time. I am close to 3 weeks out from knee number 2. Last knee was 8 months ago. Outpatient PT did massage and tissue release and while somewhat painful was really helpful. As I recall that tight feeling was gone by week 6. And I already feel it lessening with this knee. I hope this helps you feel less nervous about this. But by all means, keep your Doctor and PT informed so they can help. Good luck!

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@laureenaugust Hi there. Welcome to Connect. I think this issue of tightness around the knee after surgery is seldom so easily resolved. The massage and scar tissue release seems to have worked for your post TKR issues. Very often it is the build-up of scar tissue which is what happens when the fascia connects and prevents fluid movement. Thank you for your good wishes. Keep in touch and let us know how you make out with knee number 2 in a few weeks. We will be cheering for you.

May you be free and protected from inner and outer harm.
Chris

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@scgraham

I will clarify what i meant by "tight band" and it may not be the same as what other posters mean. It feel like a tourniquet is around my leg just below my knee. And the pain extends to the calf area of my leg, feeling like an extremely tight compression feeling. My muscles are soft, not contracted. My knee cap is not involved. I am 19 months post surgery.

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I'm in my fifth year and it's still bad. Going in today to see my surgeon for my tkr that's hurt for years. Had shots nerve deadening, not has helped. Also talking about my other knee that now needs replacing!

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@doodles418

@mhort1213 I am also 10 weeks post surgery from bilateral TKR and have this banding I continue to be concerned with. I am 2 weeks out from MUA because I could not get pass 90 degrees on both knees at 6 weeks. I am an over creator of scar tissue, nothing to do with how hard I have worked on PT. My PT and surgeon tell me it will get better, but hearing from @scgraham makes we want to seek a second opinion on the tight banding I feel on both knees.

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Mines been almost 5 years and still hurts as bad today as when I had it done. Had all kinds of shots, nerve deadening shots, nothing works. Going into to talk to my surgeon again. Tired of these do tors acting like they have hardly heard of this. Were up to 322 on this site with the same problem. When I signed on 4 months ago it was around 200.
Wish you well.

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@debbie64131

I totally agree! There’s a lot of things that I was not told beforehand. I have not had a day without pain since my surgery! I’m almost 4 months post op. There’s days I can barely walk because of the tight bands. I’m still in PT. I’m tired of taking pain pills!!

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Hate to make your day worse but I'm in for 4 1/2 years and it's still bad!!! Had all kinds of shots, nerve deadening and nothing works. The more I walk the tighter it gets. I've fallen many times as I dont lift my leg high enough and i trip. Brain says pain, then unconsciously i dont lift it any higher and bam a stumble.
Wish you well.

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Had mine done 2014 and its hurts like heck. When I try to excercise the band gets tighter and hurts very much for days then goes back to just plain hurting. Had had so many different shots. I still think it's my ligaments on each side.

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I am having pain in my right knee but I will endure after reading about everyone's botched TKR! I gather it would not be worth having done. But I know all about messes since I have had nothing but regret since my TRHR!

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@sweede536

Mines been almost 5 years and still hurts as bad today as when I had it done. Had all kinds of shots, nerve deadening shots, nothing works. Going into to talk to my surgeon again. Tired of these do tors acting like they have hardly heard of this. Were up to 322 on this site with the same problem. When I signed on 4 months ago it was around 200.
Wish you well.

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I had my first TKR 4/2017. It still hurts like it did right after I had it ! I had 2 surgeons tell me NOT to do the nerve deadening procedure. So I didn’t. I’m thinking of seeing another surgeon about a revision . Don’t want to go through this again- but will if it helps. My 2nd partial knee replacement was 2 years ago today. It is fine- but I still have issues with stairs. I need to return to PT. Build up more strength is what the DR said. Now that I’m on Medicare- I can. But now the Pandemic! I’ve put it off. Was supposed to start back up this past March.

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@artscaping

@laureenaugust Hi there. Welcome to Connect. I think this issue of tightness around the knee after surgery is seldom so easily resolved. The massage and scar tissue release seems to have worked for your post TKR issues. Very often it is the build-up of scar tissue which is what happens when the fascia connects and prevents fluid movement. Thank you for your good wishes. Keep in touch and let us know how you make out with knee number 2 in a few weeks. We will be cheering for you.

May you be free and protected from inner and outer harm.
Chris

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Might be worth seeking out “focused” shockwave treatment to facilitate breaking up scar tissue and to help with decreased pain levels. It is a non-invasive therapy that has virtually no side effects. Somewhat of a challenge to find practitioners using focused shockwave in this country but it has been widely utilized in Europe & Canada for decades.

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Hello everyone.Its Chicken has Lips . TKR a year
ago . Severely bothered by ITBand Syndrome from
eight weeks on . In the last six’s weeks it’s gotten
dramatically better. On the advice of my surgeon,I
rode a bike or recumbent one 2-3 days a week, lifted weights 2-3 times a week to build up the leg muscles.And I have added muscle and strength to balance the knee.Also , I got fitted for orthotics. I think that helped a lot too .Before that regimen I tried stretching,ultrasound and PT . I think strengthening the quads and adductor muscles were critical. Good Luck

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