It’s ackward to use, but feels better after use. He is still complaining about a tight band around his knee like a rubber band. If either of these is what you are experiencing, I have been having this pain since about week 8 and I am now about 16 weeks out and still have it. 2) I only notice my partial when I kneel on that knee or when there is … Very uncomfortable while it lasted. My pain is behind my knee toward the outer side. @mhort1213 I have had 2 TKRs but I do not recall a feeling like a tight band. The pain can feel like a burning or like a bad ache and it tends to get worse at night, when you lie down to sleep. You have brand new hardware in your knee and it will loosen up. That may help relieve that tight feeling and help with your range of motion. Knee replacement: 6 months after total knee replacement, swelling should be resolved. Painful, try to ignore it. I have been doing deep massage which seems to help somewhat. I am wondering if that is what you mean by having a tight band on your knee, because it did feel like that. It did not move around at all. I will have to ask my PT more about how this happens. Use steam, visit the sauna. This one is...", "Hi @collielady, I'd like to invite back @tmeurer, @strokemyoak and @lynnmorgan0916 who...", "Is the pain behind your knee associated with the IT Syndrome? They’ll describe feeling … My knee continues to be pain-free with very minor soreness around the knee. I am staying in therapy for straight aggressive stretching. It takes a great deal of mental energy to rise above this pain to have a productive day. Has anyone else had this and did it go away and when? I am wondering if others have had this problem and how it was handled and how long it took to get better. HELP! Roll out your tight spots around the knee with a foam roller. I was prescribed gabapentin, didn’t help. But, from the beginning I have had a tight band feeling just under my knee, and a compressed feeling in my calf muscle. Baker’s cyst is alleviated by treating the underlying cause, as well as draining the knee with a syringe or needle. It takes a great deal of mental energy to rise above this pain to have a productive day. Doctor has suggested IT band release surgery. Iliotibial Band Syndrome develops when the IT Band gets irritated and inflamed due to friction. A swollen knee occurs when excess fluid accumulates in or around your knee joint. I hope your issue resolves soon. I went through PT 3x trying different things to treat this, including astym and dry needling. I think what you are describing is normal. I will check out those videos. What she … How is your range-of-motion going? No help, but they tell me of people who have it worse. Before surgery, my knee was extremely loose, moving all over the place, locking up, and causing me to fall. It might be worth asking your surgeon or physical therapist if your problem might be IT band inflammation. If it persists, there are several possibilities, including infection, irritation from the components, scar tissue formation, or instability of the knee. Knee feels Heavy and tight after a total or partial knee replacement? In any case, this is not the usual recovery scenario for a knee replacement and it needs futher investigation. hard to straighten leg. I have great ROM. What surprises me is that IT band syndrome is caused by overuse which would not be the case after knee replacement surgery. Inflammation shows up as swelling, warmth, and pain. I was prescribed gabapentin, didn’t help. Arthrofibrosis, also known as “stiff knee syndrome,” occurs when excessive scar tissue forms around a joint, limiting range of motion and causing pain and disability. I want to clarify what you mean by tight band....". I was wondering if one of the two pains could be IT problems. – https://connect.mayoclinic.org/discussion/it-band/. My left knee was a dream compared to this. I pray it doesn't last that long! The answers ranged from two weeks to three months after the initial replacement surgery. Anyone else out there have any information or tips for dealing with this? There is a possibility that this is due to muscle spasm around the joint. What do you do that helps, if anything? To determine the cause of the swelling, your doctor might need to obtain a sample of the fluid to test for infection, … Baker’s Cyst. I became afraid of falling after it loosened up. I am wondering if that is what you mean by having a tight band on your knee, because it did feel like that. I have been pleased with my progress but over the last week a tight band around my knne is bothering me. It mainly hurts when I am walking making me walk with a stiff-legged gait. PT put a strip of K-tape down the side of my leg and suggests ice massage to the area. I will have to ask my PT more about how this happens. Either it manifests as the inability to move your hips to a healthy degree (a decreased level of movement), or it arises when you're active (e.g., walking , running). But was told at my one year appointment that there was a good chance I would just have to live with this. very painful. I had my rt knee replaced Dec 4th 2018. I need to have my other knee done as well and am fearful now of having the same issue. You have obviously spoken to your doctor about this and he/she does not seem concerned. How is your range of motion with...", "@mhort1213 I have had 2 TKRs but I do not recall a...", "I am 19 months post TKR surgery. I still have bruised areas on my leg and it’s been 7 months since the last session. Right on 6/4 and left on 6/13. Has anyone had surgery to resolve this problem or got any other tips please? Hi @collielady, I'd like to invite back @tmeurer, @strokemyoak and @lynnmorgan0916 who also discussed IT band pain in the past as well to share their experiences. Any advice is welcome! And then that will feel strange. I know I need to be patient, it just gets a little frustrating dealing with pain all the time. He has been doing the regular total knee exercises to gain ROM..he is now currently only at 80 degrees but had a hx prior to surgery of decrease ROM in the knee secondary to old … Shoulder shrugs. Over the past several years, however, there have been some new developments to treat pain after knee replacement surgery. People who have stiff knees heading into knee replacement surgery, tend to have stiffer knees after knee replacement surgery. Now i am told it might be lose. I have IT band pain ever since getting partial knee replacements. I ride the bike, do the ARC (gazelle), step-ups with a weight, and all the stretches. This is a form of manual stretching and massage and works great for tight fascia. With total knee replacements, however, “it’s very rare that somebody tells you, ‘I don’t even know it’s in there,’” Tarlow says. I have been doing all the stretches and exercises recommended but no improvement. This could be iliotibial band syndrome, but usually that resolves with rest and, if not, a cortisone injection may help. My recovery was long and hard due to scar tissue, so I can empathize the struggles of rehab with you. I am a 65 yr old female. It also happens when I walk. Several different causes, including arthrofibrosis or scar tissue formation, can contribute to the development of stiffness after a total knee replacement. I can't get my range past 100. After surgery, my knee cap felt very tight. @collielady @tanner82 I am wondering how you are getting on now and if your problems are resolved yet. 1995 upper tibia osteotomy, 2004 total knee replacement, 2006 total knee revision, 2017 total knee revision. I have great ROM. It can be a complication of knee replacement or anterior cruciate ligament surgery, with infections and … It is unusual that this feeling is persisting even after surgery. When I walk or try to pull my knee in to bend I keep feeling a catch. "knee gets very stiff at night. My knee was red and hot last weekend so I saw my specialist and he has me on a massive dose on Penicillon incase of infection. What I have learned though is we all just tend to have different post-op problems and discomforts. Have you spoken to your surgeon about this? The surgery went well. They want to do another replacement. “This is a slow process. It feels very stiff there as well when I bend it to walk and catches at about 30 degrees which makes me walk with a straight leg. That said, this may not be that at all but a problem with the collateral ligament or a chronic bursitis. Has anyone had they done and how do you feel since? What surprises me is that IT band syndrome is caused by overuse which would not be the case after knee replacement surgery. What do the doctors tell you that is causing it? Doctor has suggested surgery to loosen IT bands. As the leg bends and straightens, the IT Band glides over a bony lump on the side of the knee that sticks out slightly, called the lateral epicondyle. Did he/she indicate how long before that would improve? Osteoarthritis and rheumatoid arthritis are two common … Have you tried water therapy @mhort1213? version 3.3.6.2.3.2Page loaded in 0.359 seconds, "@mhort1213 : Yes, initially it felt like someone hat put a really...", "I also have that problem and it has lasted 6 years", "Shoulder shrugs. After a few months of therapy, it loosened up and began to move around like a normal knee cap. This is normal and expected. Pain Level 7 Months After Knee Replacement. What do...", "Hi @mhort1213. “A small retrospective study examined 13 patients who’d had hip replacement,” continues Dr. Peck. I also have pain behind my knee when I walk that feels like a tendon, ligament or something is being stretched to its limit and then pops, then with my next steps it starts again. I am 8 weeks post TKR and have had this very tight band around my knee since week one. Arthrofibrosis is also known as stiff knee syndrome. But for the rest of us, we may still have it after months or years post TKR. PT would loosen it with a rolling and stretching, but every night it tightens again. @tanner82, You may notice I moved your discussion on IT band pain after knee replacements to a discussion also titled, "IT band syndrome after knee replacement." I will fight like crazy not to do it. You mentioned your surgeon recommended another surgery to loosen the IT bands, but I can understand why opting for another surgery could cause some stress. Oh my gosh… I pray it doesn't last that long! The pain and limitation of movement are only with walking/weight-bearing. How many revisions can i have with Osteopena and RA. I had my TKR (right Knee) in May 2018, so I am 10 months out. The calf muscle and the one behind the knee are swollen and tight. The K tape seems to be helping and I can get some bend in my knee now when walking. Your knee may begin feeling tight and warm. But the left has had issues. Loosening of the implant: This is most often the cause of pain years or decades after the knee replacement; however, it is seldom the cause of persistent pain right after surgery.… I have to image the IT band syndrome is really affecting your ability to progress in your flexing and straightening of your joint. Has anyone had experience with that surgery? My knee continues to click when walking up stairs and when hiking up hills. My PT and surgeon, reassured me that it was normal and that my knee cap would hold steady and it has. It felt like it had been cemented in place and was stuck in that spot. I am a 65 yr old female. This most commonly occurs at the bottom of the band where it inserts on the outer side of the knee. The right knee has done great. I want to clarify what you mean by tight band. I get medial, I get lateral and I get the "It feels like there's a band around my knee" comments. I really think it is going to help. But was told at my one year appointment that there was a good chance I would just have to live with this. Because the IT Band runs from the hip to the knee, there are many areas that can cause trouble. I have pain behind my knee that feels like it is full of liquid and when I bend it is squeezing that liquid and that hurts like crazy. But it will be much more stable. @bonzobear72 I have come to realize that it is not unusual to not get the range you would like, but at this point, I do not believe there should still be swelling. Feels like I have on the tightest knee sock imaginable with a tourniquet for a top band. It is very uncomfortable and painful at times. Hi @mhort1213. When I move from a straight leg position to a bent knee it feels like the skin is being torn in one spot. Has anyone had a tight band feeling after total knee replacement. This week both PT and the surgeon’s nurse said I have IT band syndrome. extends down front of calf. Answered by Dr. Stuart Hickerson: Effusion: This most likely due to swelling on the knee. IT band knee pain (also known as iliotibial band) feels like pain on the outside part of knee. I went through PT 3x trying different things to treat this, including astym and dry needling. My surgeon and PT have not been able to explain the what or why of this phenomenon. I am 10 weeks post surgery and I just went to the doctor yesterday who once again reassured me that the band feeling and the fluid on my knee would go away in time and that is all normal. Some people call this condition \"water on the knee.\"A swollen knee may be the result of trauma, overuse injuries, or an underlying disease or condition. The pain behind my knee prevents me from raising my leg while walking. A lump at the back of your knee could be due to Baker’s cyst which can be caused by torn cartilage or fluid accumulation around the knee. I still have bruised areas on my leg and it’s been 7 months since the last session. Feels like tight rubber bands around the knees. tight rubber band feeling. Feeling Of Tightness Or Stiffness In The Hip: In 26% of reported cases, it seems like people experienced the same feeling of tightness in their hip, as well as their knee. Wow, that's certainly not encouraging. JK. Is the pain behind your knee associated with the IT Syndrome? After TKR, most of us will experience a tight band feeling across the knee. version 3.3.6.2.3.2Page loaded in 0.619 seconds, "I have IT band pain ever since getting partial knee replacements. After surgery, my knee cap felt very tight. Doctor...", "I had my rt knee replaced Dec 4th 2018. I had both knees replaces last month. I think I have Iliotibial Band Syndrome, i have an appointment with my physiotherapist on Monday. What are your symptoms with IT band syndrome? I hope it will improve very soon. Jon Newman-> Re: Lateral knee pain after TKA (September 22, 2005 11:18:00 PM) I don't know about anyone else but my patients complain about pains all around their knees. But, from the beginning I have had a tight band feeling just under my knee, and a compressed feeling in my calf muscle. The surgery went well. Most commonly, pain is felt either in the hip or the knee, or both, at the areas of attachment to the bone. Some people may be fortunate enough to have experienced a reduction or elimination of this feeling after some time. JK. Thank you. After a few months of therapy, it loosened up and began to move around like a normal knee cap. In my case, I had fallen so much because of having 2 bad knees, that I felt safer when it was really tight. @mhort1213 : Yes, initially it felt like someone hat put a really tight band around my knee – mine was just barely above the bending point, mostly on the underside of the knee. Osteoarthritis and rheumatoid arthritis. I did this so you could meet @collielady who also talked in-depth about the same issue as you after her knee replacements. my range got up to 119 but i feel it is lower now. Actually my flexion and extension are very good when I am laying down. There is no pain but it is an eerie feeling sometimes to feel it click after each step you take as you walk uphill. I am 19 months post TKR surgery. Many surgeons send these patients to a physical therapist first before considering manipulation or a … If your surgeon cannot give you answers and some help, find a different surgeon. Healing occurs in part through an inflammatory process. My ROM is excellent so I don't think it's scar tissue. I would suggest that she continue with the ice packs and take OTC painkillers which will reduce the swelling and the tenderness. It did not move around at all. Those who have better mobility prior to surgery are less likely to have stiffness after surgery. I ordered a foam roller and received it 2days later. And the nurse showed me a stretching exercise to do. I release, straighten and feel a "pop" and than I can complete my pull in bend. Both knees still fell like a lot of pressure on the fatty deposit area (front outside of the knee). “Knee pain after hip surgery is a poorly-understood phenomenon,” says Devin B. Peck, MD, owner of Austin Interventional Pain in Austin, TX. The first is a minimally invasive procedure where the nerves that carry pain information away from the knee are ablated, or destroyed, with the use of a special needle. Actually my flexion and extension are very good when I am laying down. The surgery went well. Thanks for the videos. How is your range of motion with the tightness? The hip has more soft tissue and collateral circulation around it, and it is higher up in the body, closer to the large blood vessels which drain the lower extremities. @tanner82, while we wait for others to share their experience, would you be comfortable sharing what you have tried with your IT bands thus far? After getting partial knee replacements in both knees I started getting sharp pain on the outside of my knee when attempted a slight squat. I...", https://connect.mayoclinic.org/webinar/live-qa-runners-lower-extremity-injuries-and-how-to-prevent-them/, https://connect.mayoclinic.org/discussion/it-band/. When working normally, the IT band will glide across the outside of the knee over a fluid-filled sac called a bursa. Two answers from me ….. 1) I am now 2 years 8 months from my right knee, partial knee replacement, medial compartment -I still have the 'tight band feeling' - no sweat, it gets better each year - but - very slowly. Good luck to you! Without this knowledge, it is very difficult to find an appropriate treatment. Elasticity in the knee fascia is important. A tight iliotibial band is the main cause of IT band syndrome. I think by 8 weeks it had mostly disappeared. I had my knee replacement on 17th Dec 2018 and have a sharp pain on the upper outside of my knee when I bend it. The skin around a knee is tight, where it is not as tight around the hip.” Cause of Knee Pain and Swelling Eight Weeks Out from Replacement Surgery Anyone else out there have any information or tips for dealing with this? After working out, the steam can improve muscle recovery. I also have that problem and it has lasted 6 years. I am 19 months post TKR surgery. Possible Causes of Tightness Behind Knee 1. The most important step in finding a solution to persistent discomfort is to first determine the cause of the pain. Hopeful mine will go away and praying all works out for you as well. Use hand or an electric hand massager on the tight spot. 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