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?

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@nicelymanifest

Sorry to hear. Sounds grim.

And yet, the medical system tends to see numbness from surgical incision transverse nerve severing as a trivial, temporary problem. They perceive it as just a bit of numb skin – they fail to comprehend that the brain of sensitive people can see it as an alarming loss of feeling and create a tightening around the area as protect. Akin to the initial swelling. following surgery. But the tightness is accompanied with pain and also can damage movement – the brain can then fail to connect this consequence with the tightening it is doing. So it sees a further reason to hold tight.

Chronic pain is often caught in such feedback loops. After partial knee surgery 15 months ago the numbness and tightness and derailing of kneecap when moving persist. But I play tennis – walking not running – and just override my feelings. Then things can calm down. Catastrophising or feeling scare can create an additional amplifying feedback mechanism.

I am tapping and stretching and rubbing the numb area every day multiple times. For sure there is nerve tingling beyond the scar line so I feel that it can hopefully help it extend further.

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I So appreciate your explanation! May I ask you to explain tapping please? I often wish I had just been told about this possibility- sure would have saved some consternation.

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I was not told about this. I noticed one day recently that there was tingling beyond the scar line. SO I sensed that some nerve growth might be taking place. So why not accelerate that? Tapping is literally a simple idea of tapping with finger tips. Soft sometimes hard others. I rub and pull the skin also. Sometimes mid-numb-area it solicits string tingling. I also use a tens device to add to the attack on the numbness.

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My knee hasn't been to bad this week but yesterday and today it seems to be extra stiff, I can feel the knee kinda crunching if that's the correct word, not really painfull just doesn't appear to want to bend much, I'm continuing with everything exercises etc, is this normal will it loosen up tomorrow or soon.?

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@jammyjan123

My knee hasn't been to bad this week but yesterday and today it seems to be extra stiff, I can feel the knee kinda crunching if that's the correct word, not really painfull just doesn't appear to want to bend much, I'm continuing with everything exercises etc, is this normal will it loosen up tomorrow or soon.?

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I find it varies enormously. 15 months after surgery some days I can move more freely others it tightens up and causes mechanical problems.

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@jammyjan123

My knee hasn't been to bad this week but yesterday and today it seems to be extra stiff, I can feel the knee kinda crunching if that's the correct word, not really painfull just doesn't appear to want to bend much, I'm continuing with everything exercises etc, is this normal will it loosen up tomorrow or soon.?

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I am 11 months out and unfortunately knee is always painful. My knee clunks most but not all of time though not pain related. Seeing a new PT tomorrow for myofascial release therapy and anything else he may try to help. Keep up with your exercises as they will keep your mobility.

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@mpirruccel

I am 11 months out and unfortunately knee is always painful. My knee clunks most but not all of time though not pain related. Seeing a new PT tomorrow for myofascial release therapy and anything else he may try to help. Keep up with your exercises as they will keep your mobility.

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Hope you get it sorted

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@mpirruccel

I am 11 months out and unfortunately knee is always painful. My knee clunks most but not all of time though not pain related. Seeing a new PT tomorrow for myofascial release therapy and anything else he may try to help. Keep up with your exercises as they will keep your mobility.

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Sounds similar to myself. I can go a week with tight clicking knee state. And other times a week with much looser knee. See no pattern determining this. I am 65 and still play tennis. I do not dare run. But can read well enough to walk to most shots. Yesterday knee very tight and clicky and painful. Ended up rallying with a man in his 30s with powerful and consistent technique. Was so engrossed in hitting the ball that I found the knee state receded. Rotated – I think off the ground – to get good speed through the ball. And was matching this man's pace even if not the consistency. It was supremely energising and exciting. And the knee at the end seemed much in the same state as at the start but less so. A lot of the psychology of pain is about body image – if we sense all is fine the pain level reduces. If we catastrophise, it can increase. Hope this rambling essay makes some sense.

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@nicelymanifest

Sounds similar to myself. I can go a week with tight clicking knee state. And other times a week with much looser knee. See no pattern determining this. I am 65 and still play tennis. I do not dare run. But can read well enough to walk to most shots. Yesterday knee very tight and clicky and painful. Ended up rallying with a man in his 30s with powerful and consistent technique. Was so engrossed in hitting the ball that I found the knee state receded. Rotated – I think off the ground – to get good speed through the ball. And was matching this man's pace even if not the consistency. It was supremely energising and exciting. And the knee at the end seemed much in the same state as at the start but less so. A lot of the psychology of pain is about body image – if we sense all is fine the pain level reduces. If we catastrophise, it can increase. Hope this rambling essay makes some sense.

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Glad you are able to play! I played tennis for decades but will not play again probably. Cycling became my passion but the pain after riding 20-25 miles at 10-12 mph makes it not worth it yet. Hoping myofascial release will help. Plus have appointment for nerve ablation next month. 50:50 chance it will help per pain doc.

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@mpirruccel

Glad you are able to play! I played tennis for decades but will not play again probably. Cycling became my passion but the pain after riding 20-25 miles at 10-12 mph makes it not worth it yet. Hoping myofascial release will help. Plus have appointment for nerve ablation next month. 50:50 chance it will help per pain doc.

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Gentle social doubles should be viable. But 20 miles cycling is a fair distance. So why not cut back to 10 if that leaves knee OK? Or build up to it?

Please post outcomes of MFR and ablation.

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@nicelymanifest

Gentle social doubles should be viable. But 20 miles cycling is a fair distance. So why not cut back to 10 if that leaves knee OK? Or build up to it?

Please post outcomes of MFR and ablation.

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Will post progress with MFR and ablation. Will see what therapist says about cycling. It’s that I was riding 30-50 miles at a faster speed before this mess. Am willing to be patient.

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@mpirruccel

Will post progress with MFR and ablation. Will see what therapist says about cycling. It’s that I was riding 30-50 miles at a faster speed before this mess. Am willing to be patient.

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Expectation in life, in general, can be unwise. So lowering initial cycling expectation will help, I feel. I too can be impatient. But realise so often it is not wise.

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Im 6 weeks tomorrow TKR someone told me to but some cream to rub over the scar to help it geel more and fad, is that advisable. I don't see my consultant until 13th July I'm using moisturiser to help soften the skin. (I'm in the uk) my knee is still very tight and stiff at times. We appear to do thing different here I haven't seen my physio yes not until 7th July I was given exercises to do, quite basic.

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