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?

In reply to @jeff101 "Thanks." + (show)
@jeff101

Not sure what the tight band is and how it feels, but my knee is still pretty numb. Not a lot of pain, and almost as flexible and rom as my real knee when doing exercises but in actual real life management, it is not exactly good. I can walk fine but when I walk more than a mile, my feet burn and the numbness in feet get worse, much worse. So my knee is progressing, but the other issues from waist down are terrible. But, I wouldn’t really know how knee is doing cause after the operation, I didn’t get the care I expected.

Fast story, when I was in recovery, about 12 hours after, this resident or intern came in and said. “How’s the knee”? He pointed and touched my non-surgical knee!!! It was then that I knew I made a mistake with this operation….

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You share my sympathy. It is beyond extraordinary that this common problem is not understood. My feeling is that the numb area where nerves were severed correlates so well with the band tightness that it must be causal. If I gently touch the area when tight the tightness ease right back. Clue that it is not a functional problem. The brain creates pain – all pain we experience – and it does so to protect. I guess that the lack of sensory data from the nerves is treated as a big unknown so that area is tightened up. A major problem for me is that the tightness compromises movement so creates further problems when I try to play tennis. the brain can be very clumsy and crude with pain – I have had tension headaches for 27 years that for the most part are extremely likely to be just habit.

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Hi I am one of those people who asked about the tight band if it as normal. Well I am now 8 weeks out I had a mua at 6 weeks the tight band went away …after mua was going well for day or two i finally got to 80 degrees going well until inflammation put a stop to it all my knee could not handle therapy everyday after the mua….. my therapist said we needed to back of a little well I might be at 70 now little disappointed thought for sure I be further along. I have a great physical therapist he listens to me we come up with different game plans as we go….I am looking possibly getting another mua but I am going to ask for steroids also maybe help with some of the inflammation….I go dr on Tuesday so we will see.

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@ezas123

Hi I am one of those people who asked about the tight band if it as normal. Well I am now 8 weeks out I had a mua at 6 weeks the tight band went away …after mua was going well for day or two i finally got to 80 degrees going well until inflammation put a stop to it all my knee could not handle therapy everyday after the mua….. my therapist said we needed to back of a little well I might be at 70 now little disappointed thought for sure I be further along. I have a great physical therapist he listens to me we come up with different game plans as we go….I am looking possibly getting another mua but I am going to ask for steroids also maybe help with some of the inflammation….I go dr on Tuesday so we will see.

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Thank you ezas123 for the post about your MUA success. Now you are feeling challenged by the ROM goal. You are lucky to have a great physical therapist. Both my orthopedic PT and my MFR therapist listen carefully to me and then remember everything a lot longer than I do these days. I have been so lucky to have my PT who pushed the new knee beyond my comfort zone so that I was making progress and my MFR therapist who kept my new knee from swelling, eliminated the pain and made sure everything was in alignment.

Will you let me know what happens next Tuesday. I am working hard on balance and better stamina. We can compare notes.

May you have good health and a grateful heart.
Chris

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@artscaping

Thank you ezas123 for the post about your MUA success. Now you are feeling challenged by the ROM goal. You are lucky to have a great physical therapist. Both my orthopedic PT and my MFR therapist listen carefully to me and then remember everything a lot longer than I do these days. I have been so lucky to have my PT who pushed the new knee beyond my comfort zone so that I was making progress and my MFR therapist who kept my new knee from swelling, eliminated the pain and made sure everything was in alignment.

Will you let me know what happens next Tuesday. I am working hard on balance and better stamina. We can compare notes.

May you have good health and a grateful heart.
Chris

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What is MUA. Thanks

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I am 4 1/2 weeks post TKR. I had a tight band feeling across my entire knee just as you describe. It has eased quite a bit yet I still have tightness on both sides of the knee. My surgeon and PT people both reminded there is a lot of trauma involved in this surgery and if you are like me a lot of swelling. Not only is there the usual visual scar up and over your knee cap there is typically another hidden incision the surgeon makes in an arc around the knee cap. Not to mention the necessary retraction of skin, ligaments, etc necessary to expose the knee for the implant itself. In other words, a lot of healing to do.

This band of tightness is your body’s response to pain and an attempt to tell you not to go too far and hurt yourself. However, it IS very important to push your knee every day to an uncomfortable yet just manageable level of discomfort but not so far as to be in severe pain. While my range of motion is only up to 95 degrees it has improved each week by 5-7 degrees with consistent and yes somewhat painful therapy.

This level of discomfort is stretching the scar tissue from taking hold. Gently massaging the tight skin around your knee and the incision itself (only once it is well healed) will also soften the tight band feeling and aid in your mobility. Your persistence will gradually both improve your range of motion and ease the “band across the knee” feeling nearly everyone experiences. Do your exercises at PT and more importantly every day at home…along with rest, healthy food and leg elevation. While I have good and bad days, swelling after therapy, frustration at the slow but steady progress it does seem like I’m headed in the right direction. Best wishes.

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@ginzy53

I am 4 1/2 weeks post TKR. I had a tight band feeling across my entire knee just as you describe. It has eased quite a bit yet I still have tightness on both sides of the knee. My surgeon and PT people both reminded there is a lot of trauma involved in this surgery and if you are like me a lot of swelling. Not only is there the usual visual scar up and over your knee cap there is typically another hidden incision the surgeon makes in an arc around the knee cap. Not to mention the necessary retraction of skin, ligaments, etc necessary to expose the knee for the implant itself. In other words, a lot of healing to do.

This band of tightness is your body’s response to pain and an attempt to tell you not to go too far and hurt yourself. However, it IS very important to push your knee every day to an uncomfortable yet just manageable level of discomfort but not so far as to be in severe pain. While my range of motion is only up to 95 degrees it has improved each week by 5-7 degrees with consistent and yes somewhat painful therapy.

This level of discomfort is stretching the scar tissue from taking hold. Gently massaging the tight skin around your knee and the incision itself (only once it is well healed) will also soften the tight band feeling and aid in your mobility. Your persistence will gradually both improve your range of motion and ease the “band across the knee” feeling nearly everyone experiences. Do your exercises at PT and more importantly every day at home…along with rest, healthy food and leg elevation. While I have good and bad days, swelling after therapy, frustration at the slow but steady progress it does seem like I’m headed in the right direction. Best wishes.

Jump to this post

Great advice! The only thing that might be added is ice, ice, ice – especially after PT and when it swells. It is my go to for up to 6 months after any joints surgery.
Keep it up!
Sue

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