Who has experience with very tight hamstring and painful hamstring aft

Posted by jps1313 @jps1313, Mar 5 11:14am

My hamstring was very tight before surgery. The surgery was supposed to address this issue but it's very tight and painful.
I'm 15 days out from surgery. I have a PT evaluation in 12 days. I have not seen anyone from Mayo since surgery which is kind of troubling but is apparently their approach.
Any insights?

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I did reach out to my team via the portal and they called me in about 2 hours. I set up a PT session at hat time . That was about 8 days ago.
I kind of expected more contact and a very personalized road map to my recovery. I should have asked more questions leading up to and on the day of surgery.
I don't think I was mentally sharp after surgery. Obviously Mayo knows what they're doing. I expected more detailed guidance post surgery.

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I have not had TKE, but I did have part of my left knee's meniscus removed. Had lots of pain mainly in the rear of my knee. The source was actually caused my an issue in my hamstring, not by the knee itself. I hope this will help you. Please keep this in mind when speaking with your physician.

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My hamstring indy right leg has been an issue since I had my meniscus removed in 2020.
I went to PT for it but all the stretching wouldn't change it.
I just got used to it.
After this surgery it's worse.
Thanks for your insight.

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Did you have all of your meniscus removed or was only part of it removed. There is a difference.

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Profile picture for jps1313 @jps1313

I did reach out to my team via the portal and they called me in about 2 hours. I set up a PT session at hat time . That was about 8 days ago.
I kind of expected more contact and a very personalized road map to my recovery. I should have asked more questions leading up to and on the day of surgery.
I don't think I was mentally sharp after surgery. Obviously Mayo knows what they're doing. I expected more detailed guidance post surgery.

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@jps1313 I expected the same personalized follow up at Mayo’s as well. I have not gotten it. That has made my road to recovery a lot harder.

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I had TKR 6 months ago. Starting about 2 weeks after surgery I developed very tight calf muscles and pain. It developed further to thigh muscles, funny feelings in feet, whole leg grabbing, etc. Long story short, problem is coming from my back, with pinched nerves and stenosis. This is just fyi as maybe the tight hamstrings have another root cause. Good luck!

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Profile picture for heyjoe415 @heyjoe415

My apologies @jps1313. You did mention the surgery was only 15 days ago at the time of your comment.

Please ignore my comments on dry kneedling. I think this can be effective as a long-term treatment for muscle tightness, but not during rehab from a knee replacement.

Why did your surgeon say that a knee replacement would help with tight hamstrings? I've had both knees replaced, primarily to relieve pain caused by osteophytes and no cartilage left in my knees. The surgery and rehab gave me that relief.

Anyway, just wondering about the comment on your hamstrings. Also, please keep in mind that a large tourniquet is placed around the thigh before and during surgery. My surgeon didn't tell me and 3 days after surgery all my quads turned black and blue. I freaked out! I didn't know they did that, apply a tourniquet, but it certainly makes sense to stem blood flow during surgery. Anyway, over time, all the bruising disappeared.

I hope you get some answers when you have your firt post-op visit.

Joe

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@heyjoe415
A tourniquet is not always used and is becoming less and less common as research indicates it is not necessary and can even be harmful:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8094224/
My surgeon did NOT use a tourniquet but controlled the blood with tranexamic acid. I had zero post surgery pain. My brother had a replacement around the same time but his surgeon used a tourniquet and he had substantial pain as a result during the first month or so of recovery.

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I have spinal stenosis that affects my right leg. I take Gabapentin to control periodic pain and constant numbness and tingling.
I never connected the hamstrings with that.
I need spinal fusion surgery but first I have to take care of my knees. That's my tale of woe.
Thanks for the heads up.

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My surgeon used tourniquet.
I never considered there might be alternatives.
Orthopedic surgeons don't seem that interested in patient suggestions.

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