what is it?" Good luck. I have been doing all the stretches and exercises recommended but no improvement. Without this knowledge, it is very difficult to find an appropriate treatment. Over the past several years, however, there have been some new developments to treat pain after knee replacement surgery. The most common causes of pain after knee replacement include: 1. 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. Possible Causes of Tightness Behind Knee 1. 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. What surprises me is that IT band syndrome is caused by overuse which would not be the case after knee replacement surgery. Painful, try to ignore it. My left knee was a dream compared to this. I am 8 weeks post TKR and have had this very tight band around my knee since week one. I...", https://connect.mayoclinic.org/webinar/live-qa-runners-lower-extremity-injuries-and-how-to-prevent-them/, https://connect.mayoclinic.org/discussion/it-band/. 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. But it will be much more stable. My knee continues to be pain-free with very minor soreness around the knee. I have great ROM. I pray it doesn't last that long! I hope your issue resolves soon. Has anyone had they done and how do you feel since? I will have to ask my PT more about how this happens. Very uncomfortable while it lasted. People who have stiff knees heading into knee replacement surgery, tend to have stiffer knees after knee replacement surgery. I have been doing deep massage which seems to help somewhat. Feels like I have on the tightest knee sock imaginable with a tourniquet for a top band. I had my TKR (right Knee) in May 2018, so I am 10 months out. Anyone else out there have any information or tips for dealing with this? My Dr at 6 wks says it is normal and will go away. 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. I need to have my other knee done as well and am fearful now of having the same issue. I still have bruised areas on my leg and it’s been 7 months since the last session. The calf muscle and the one behind the knee are swollen and tight. Wow, that's certainly not encouraging. Has anyone had surgery to resolve this problem or got any other tips please? @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. This tight band feeling is actually caused by adhesion (scar tissue). My knee continues to click when walking up stairs and when hiking up hills. Current knee aspiration was all blood indicating another revision. I have IT band pain ever since getting partial knee replacements. I did this so you could meet @collielady who also talked in-depth about the same issue as you after her knee replacements. And then that will feel strange. Inflammation shows up as swelling, warmth, and pain. This most commonly occurs at the bottom of the band where it inserts on the outer side of the knee. 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? I have been diligent with therapy, go to the Y everyday plus my stretches. Osteoarthritis and rheumatoid arthritis. Because the IT Band runs from the hip to the knee, there are many areas that can cause trouble. My PT and surgeon, reassured me that it was normal and that my knee cap would hold steady and it has. Arthrofibrosis is also known as stiff knee syndrome. The surgery went well. This is normal and expected. 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. – https://connect.mayoclinic.org/discussion/it-band/. When I move from a straight leg position to a bent knee it feels like the skin is being torn in one spot. If i do he will not do it. But for the rest of us, we may still have it after months or years post TKR. I still have bruised areas on my leg and itâs been 7 months since the last session. 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. To determine the cause of the swelling, your doctor might need to obtain a sample of the fluid to test for infection, … In any case, this is not the usual recovery scenario for a knee replacement and it needs futher investigation. 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). 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. @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. Most commonly, pain is felt either in the hip or the knee, or both, at the areas of attachment to the bone. What surprises me is that IT band syndrome is caused by overuse which would not be the case after knee replacement surgery. What are your symptoms with IT band syndrome? Doctor...", "I had my rt knee replaced Dec 4th 2018. 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. JK. It might be worth asking your surgeon or physical therapist if your problem might be IT band inflammation. 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. A swollen knee occurs when excess fluid accumulates in or around your knee joint. extends down front of calf. A tight iliotibial band is the main cause of IT band syndrome. I think I have Iliotibial Band Syndrome, i have an appointment with my physiotherapist on Monday. This one is being a bear. After a few months of therapy, it loosened up and began to move around like a normal knee cap. It takes a great deal of mental energy to rise above this pain to have a productive day. JK. Osteoarthritis and rheumatoid arthritis are two common … The pain and limitation of movement are only with walking/weight-bearing. I went through PT 3x trying different things to treat this, including astym and dry needling. I release, straighten and feel a "pop" and than I can complete my pull in bend. I am 19 months post TKR surgery. The surgery went well. PT put a strip of K-tape down the side of my leg and suggests ice massage to the area. I would suggest that she continue with the ice packs and take OTC painkillers which will reduce the swelling and the tenderness. Anyone else out there have any information or tips for dealing with this? Doctor has suggested IT band release surgery. Several different causes, including arthrofibrosis or scar tissue formation, can contribute to the development of stiffness after a total knee replacement. My pain is behind my knee toward the outer side. The surgery went well. I'm hoping this will go away as well. You have brand new hardware in your knee and it will loosen up. That said, this may not be that at all but a problem with the collateral ligament or a chronic bursitis. I went through PT 3x trying different things to treat this, including astym and dry needling. It felt like it had been cemented in place and was stuck in that spot. My recovery was long and hard due to scar tissue, so I can empathize the struggles of rehab with you. Pain Level 7 Months After Knee Replacement. Have you tried water therapy @mhort1213? Did he/she indicate how long before that would improve? The right knee has done great. There is a possibility that this is due to muscle spasm around the joint. It felt like it had been cemented in place and was stuck in that spot. I hope it will improve very soon. It is very uncomfortable and painful at times. I ride the bike, do the ARC (gazelle), step-ups with a weight, and all the stretches. How is your range-of-motion going? Your knee may begin feeling tight and warm. After surgery, my knee cap felt very tight. 2) I only notice my partial when I kneel on that knee or when there is … Hopeful mine will go away and praying all works out for you as well. After a few months of therapy, it loosened up and began to move around like a normal knee cap. I want to clarify what you mean by tight band. It did not move around at all. 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. Has anyone else had this and did it go away and when? very painful. After TKR, most of us will experience a tight band feeling across the knee. Actually my flexion and extension are very good when I am laying down. 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. But was told at my one year appointment that there was a good chance I would just have to live with this. This is a form of manual stretching and massage and works great for tight fascia. I really think it is going to help. Hi @mhort1213. "knee gets very stiff at night. Those who have better mobility prior to surgery are less likely to have stiffness after surgery. Feels like I have on the tightest knee sock imaginable with a tourniquet for a top band. My ROM is excellent so I don't think it's scar tissue. “This is a slow process. Some people may be fortunate enough to have experienced a reduction or elimination of this feeling after some time. He is still complaining about a tight band around his knee like a rubber band. I am 19 months post TKR surgery. I also have a few discussions that include videos you may want to check out as well: – https://connect.mayoclinic.org/webinar/live-qa-runners-lower-extremity-injuries-and-how-to-prevent-them/ @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? 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. But, from the beginning I have had a tight band feeling just under my knee, and a compressed feeling in my calf muscle. I am staying in therapy for straight aggressive stretching. When I walk or try to pull my knee in to bend I keep feeling a catch. I became afraid of falling after it loosened up. I know I need to be patient, it just gets a little frustrating dealing with pain all the time. Use hand or an electric hand massager on the tight spot. It mainly hurts when I am walking making me walk with a stiff-legged gait. Right on 6/4 and left on 6/13. But, from the beginning I have had a tight band feeling just under my knee, and a compressed feeling in my calf muscle. The water takes the pressure of the joints and makes it less painful. “Knee pain after hip surgery is a poorly-understood phenomenon,” says Devin B. Peck, MD, owner of Austin Interventional Pain in Austin, TX. The K tape seems to be helping and I can get some bend in my knee now when walking. HELP! I had my rt knee replaced Dec 4th 2018. And the nurse showed me a stretching exercise to do. Wow…I can't imagine having to live with what you have described and what I am also going through! I think what you are describing is normal. After surgery, my knee cap felt very tight. Have you spoken to your surgeon about this? Roll out your tight spots around the knee with a foam roller. Itâs ackward to use, but feels better after use. I want to clarify what you mean by tight band....". I had a friend who walked around in pain for two years before she found a surgeon who diagnosed her problem and fixed it. What do the doctors tell you that is causing it? version 3.3.6.2.3.2Page loaded in 0.619 seconds, "I have IT band pain ever since getting partial knee replacements. I get medial, I get lateral and I get the "It feels like there's a band around my knee" comments. 1995 upper tibia osteotomy, 2004 total knee replacement, 2006 total knee revision, 2017 total knee revision. I will have to ask my PT more about how this happens. Shoulder shrugs. Healing occurs in part through an inflammatory process. I can't get my range past 100. There is no pain but it is an eerie feeling sometimes to feel it click after each step you take as you walk uphill. The answers ranged from two weeks to three months after the initial replacement surgery. I have to image the IT band syndrome is really affecting your ability to progress in your flexing and straightening of your joint. No help, but they tell me of people who have...", "Wow, that's certainly not encouraging. 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To feel it click after tight band feeling around knee after knee replacement step you take as you walk uphill my knee prevents me raising! 0.619 seconds, `` i have iliotibial band is the pain behind your knee joint, ’. Step in finding a solution to persistent discomfort is to first determine the cause it.
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