Perfect information. 3 months out, stopped p/t after 25 sessions & i feel im going bkwards. Muscles very tight & spasms on my tkr leg. Thank you for such great info. 👍
Thank you so much! This really helped me understand why I have persistent tightness across the middle of my knee 11 months post RTKR. Oddly, it gets worse after exercise. I also have always have numbness and tightness along the outside of my knee across the joint. I have done some reframing since 2 close friends had surgery around the time I did and they have the same issue, so it’s kinda “normalized” this for me. I will try more manual massage and maybe the tens you suggest and discuss with my surgeon at my 1 year follow-up next month.
Glad it was helpful! Here's another video just released yesterday about persistent pain 1year post knee replacement that you might enjoy as well. czcams.com/video/mWHOd1I_jUc/video.htmlsi=eujcWMlzhpwgr9-K
thank you so much....I am an oncology and orthopedic nurse for 40 years....your lecture is so clear and complete...each word is Gold....I thought I knew it all .....thank you so much....I downloaded it so I could listen it everyday....the best was the last discussion....because I turned my house into PT clinic....my life is consumed about rehab.....i was so frustrated ...I will now re-framed my life....change of paradigm
I have had a terrible time with my TKR. In fact after 6 weeks my doctor felt I was not going to be able to break up my scar tissue, so I had a manipulation at 7 weeks. I feel like I have gone back instead of forward. He put me in PT bootcamp for 12 days straight and after 6 days I am not all that farther along then I was before. I had such a tight band sensation after surgery it actually kept me from bending my knee. I can't help but feel depressed and exhausted. Thank you at least I feel a little less crazy!
Hi Linda, I'm starting my 3rd week post op. TKR on April 26th. The Constant pain and interrupted sleep are brutal and taking quite the toll. I feel very discouraged. My doc prescribed 1-2 5mg prkcets. The 90° rom is not happening! Is there acupuncture or hypnosis or stronger more effective meds? Or should I check into having MUA?
@@janpayne4791 at 3 weeks, you're still fairly early after surgery. Yes, ideally you should be farther than 90 degrees by that point, but everyone is different, so give yourself a little grace. (If I understand Linda's comment, it sounds like MUA didn't help anyway). Most importantly, you asked about hypnosis so here's a little mindset hack: If you're thinking about "what to do if I fail" rather than "what do I need to do to succeed?" It makes you more likely to fail because you've already set yourself up mentally to do so. Talk to your PT and surgeon and listen to their advice, but keep a positive outlook, and you'll be more likely to have a positive outcome.
You are still very early in your TKR journey. I agree give yourself some grace. I have only met 3 people that are having my problems. That's out of many people, I'm sure you won't join our club. Just do your exercises as best you can. There are some gadgets on Amazon that are really helpful!! Keep me posted on how you are doing. I find it a very lonely journey!!!🙏💓
Thank you for your expertise on tightening after a TKR. I am 10 weeks along and around 5 weeks started having a pinching freeling when going down steps or doing rotations on stationary bike. It progressively got worse as I continued on the bike and strengthening exercises through PT. Around 6 weeks, while going down the first step i felt a pop and experienced sharp pain. It felt like a band went over a capsule behind the outside of the knee at the Fibula bone below the replacement. It has happened several times since when going down the stairs or when on the bike. My chiropractor after listening to my symptoms thought it was a tight hamstring going over the fibula capsula. I have had sciatica for a couple years now and this plus tightening of my glutes, quadriceps, and lower back have impeded my progress. I have had great ROM since 5 weeks and have the ok from surgeon but the soft tissue inflammation at the fibula capsule has caused fear in me to go down the stairs properly like i used to do at 4-6 weeks. I just started strengthening again, squats, bridges and other PT and ROM exercises to keep progressing but walking outside for exercises, stairs and bike i have not progressed. Thanks for helping for better understanding of a TKR. If you have any insights to help they would be appreciated.
You're welcome. Can't tell you for sure what the issue is, but there is a joint between the tibia and fibula and a nerve behind that joint. If it happened going down stairs, make sure you have enough mobility at your ankle. Otherwise it can drive the fibula upward with deep squats or going down stairs.
I'm two years post-op TKR. They made me exercise the next day despite severe pain. On several occasions I refused to cooperate further if my pain was not controlled. Do not submit to torture! That tight band sensation is still in my knee and only becoming worse over time. I've always been active which was why I had the surgery, but I'm becoming less active because of this pain. Was not worth the trauma and I'm not better. Just different pain.
I subscribed you , because great information, I can't do full cycle but I stays there just pedaling back and forward but those small cubi bike I use everyday , do u think is it OK I use two time 20 minutes each . Thanks
I couldn't tell you for sure without knowing your situation, but in general, it's ok to use them for 20 minutes x 2 as long as it doesn't bother you. Check with a healthcare provider near you if you have concerns.
Superb video. I’m having my TKR in 7 weeks and am looking forward to reliveing the OA knee pain I’ve been going through for quite some time. I know there’s going to be a painful recovery period but I’m optimistic on the benefits of the surgery. I’ve been using a massager for the “nerve” pain running down my lower leg below the knee and it gives immediate relief. Thanks for an excellent review. You answered a lot of questions on symptoms and relief that I’m sure I’m going to experience after my surgery.
Glad it was helpful. Here's another video about the top 5 Mistakes to Avoid After Knee Replacement: czcams.com/video/4iTiP7XVuxg/video.html Good luck with your surgery and recovery!
@@More4Life Thanks for the forwarding link. I viewed it and it has very good information to prepare for my upcoming surgery. PS- Cortisone shot worked great on my right knee but with the left I’ve had cortisone injection, gel injection, and they didn’t help. Had some PT and ended up overdoing the rubber band side steps and strained my right thigh and flexor muscle with pain in lower back and thigh on the right side, so now I’m undergoing PT for that. I’m working through the pain and will exercise my thigh muscles in prep for the surgery.
Your video was very very informative. Tkr march 1st 2024. Explaing the tightness helps ease my mind and pushes me more to whatever it😊😊 will take to get back to normal. Thanks for taking the time to explain everything. Where can I purchase the knee scraper tool you used?
Thank you for your information! I am at two months post op! The tightness started a couple weeks ago. I’m doing PT 2x weekly & do my home exercises 3 x daily. Ice & massage diligently. I have a bit of swelling mainly at the end of the day. I started walking again & wonder if this is why I have tightness? Which is wild thinking because it’s movement. Anywho, my ROM active is good at flexion 131 and passive is 136 hoping for 140. That maybe lofty!? Extension is 0. It’s been a very painful & tiring surgery. I’m off narco pain meds & taking OVC & topical pain relief. Sometimes I get shooting pain but last only a few minutes. I do have painful moments on the outer side of my knee. Mainly going up my stairs. Still not sleeping well. I think this a big factor for my overall mental health & doesn’t help with my recovery. I appreciated your idea of not dwelling or continuing with negative thoughts around this new issue of tightness. I will work on that. Cheers Suzette Ps I thought my reverse shoulder replacement was tough. I was wrong this has it beat.
Glad the video was helpful. It sounds like you've done a great job in your recovery so far. Here are some tips about knee pain climbing stairs that may help: czcams.com/video/YSTlf4iiny8/video.html and sleeping positions that may help: czcams.com/video/ZwFRQBZdW4M/video.html Doing home exercises 3x/day is great, but when you're doing that, walking, icing, massaging - it can start to consume your entire life and make you hypervigilant about it. Finding balance can help. Good luck in your continued recovery!
Thanks Dr Dave for responding! I will look at those videos I will continue to work on my reframing this issue. I have had vascular issues with my left leg varicose veins, so maybe a vascular issue. I do hope this tightness lessens. Cheers
Linda that’s wild they released you from PT. I do hope you’re doing home exercise. It’s a long recovery & building up our muscles, strength & endurance is important. Our bodies are different so don’t give up …getting to a higher ROM. I’m an overachiever so I need to slow down some & find a sweet spot with my exercise program. Take good care of yourself!
Yes this video put peace inn my life… now i know why i have tightness in my knee… I went to Chinese doctor and he performed cupping with fire.. then scraped around my surgical knee… wow the results was immediatel… my right knee felt light… scraping works … this video made me understand why my knee remains swollen but it can be avoided or prevented by various techniques but first understand the rationale why our knees are swollen post surgically
I had tkr one year ago. The knee won't bend or stretch. It pains alot sometimes. Have had physio sessions for a year now and no improvement. I'm so worried. Plse help.
I broke my tibia and fibula in my ankle and had surgery. I felt that tight band around my ankle the day after my surgery when the surgeon unwrapped my ankle for the first time. It is now one month post op and that band of tightness is still present and feels even tighter if that is possible. The sensation feels like someone wrapped tight duct tape around my ankle and I can’t move it. I should note that I have started physio for range of motion and can move my ankle slightly in all directions. This is really scaring me and the physiotherapist says it is normal. Has anyone else had this happen to them? It really scares me and I am finding it difficult to move my ankle.
Depending on where in the ankle the sensation is, there are some superficial nerves that can get compressed with a tight cast. Keep up with your physio, and hopefully that helps. Good luck!
Try not to be scared. I’m recovering (3 weeks to the day) and yes it’s been brutal. But I’m slowly getting better. It was so painful before. What keeps me going is knowing other people personally who have had good results. I might take longer to heal but it does get better
Surgery is different for everyone range of motion afterwards depends on what you had before surgery and how well you follow your physical therapy and how you prepare your leg before surgery -yes I would say the first 3 weeks are rough with sleeping and some pain but that's to be expected. Talk with your doctor, family and friends to decide what's right for you! I had both knees done --the right one last year and just had my left knee done 2 weeks ago -my right one was a breeze compared to the left -because my knee was off center so they had to realign it
Finally…information which completely addresses the tightness of the knee problem. Thank you so much! 15:49
You're welcome!
Perfect information. 3 months out, stopped p/t after 25 sessions & i feel im going bkwards. Muscles very tight & spasms on my tkr leg. Thank you for such great info. 👍
You're welcome. Good luck with your recovery!
Thank you so much! This really helped me understand why I have persistent tightness across the middle of my knee 11 months post RTKR. Oddly, it gets worse after exercise. I also have always have numbness and tightness along the outside of my knee across the joint. I have done some reframing since 2 close friends had surgery around the time I did and they have the same issue, so it’s kinda “normalized” this for me. I will try more manual massage and maybe the tens you suggest and discuss with my surgeon at my 1 year follow-up next month.
Glad it was helpful! Here's another video just released yesterday about persistent pain 1year post knee replacement that you might enjoy as well. czcams.com/video/mWHOd1I_jUc/video.htmlsi=eujcWMlzhpwgr9-K
This was a great video that answered many issues I was having after knee replacement. Definitely helped me, Thanks!
Glad it helped!
Thank you, very informative
Glad it was helpful!
Your video is superb, it really gives me an ease of mind, thanks doctor! 😊
Glad it was helpful!
thank you so much....I am an oncology and orthopedic nurse for 40 years....your lecture is so clear and complete...each word is Gold....I thought I knew it all .....thank you so much....I downloaded it so I could listen it everyday....the best was the last discussion....because I turned my house into PT clinic....my life is consumed about rehab.....i was so frustrated ...I will now re-framed my life....change of paradigm
Glad it was helpful!
Thanks..So informative..Will use this info. to attempt to relieve tighness in both knee replacements.
You're welcome. Best of luck!
I have had a terrible time with my TKR. In fact after 6 weeks my doctor felt I was not going to be able to break up my scar tissue, so I had a manipulation at 7 weeks. I feel like I have gone back instead of forward. He put me in PT bootcamp for 12 days straight and after 6 days I am not all that farther along then I was before. I had such a tight band sensation after surgery it actually kept me from bending my knee. I can't help but feel depressed and exhausted. Thank you at least I feel a little less crazy!
Sorry to hear you're having such a rough time with recovery. Good luck!
I sure hope you’re doing better!
Hi Linda,
I'm starting my 3rd week post op. TKR on April 26th. The Constant pain and interrupted sleep are brutal and taking quite the toll. I feel very discouraged. My doc prescribed 1-2 5mg prkcets. The 90° rom is not happening! Is there acupuncture or hypnosis or stronger more effective meds? Or should I check into having MUA?
@@janpayne4791 at 3 weeks, you're still fairly early after surgery. Yes, ideally you should be farther than 90 degrees by that point, but everyone is different, so give yourself a little grace. (If I understand Linda's comment, it sounds like MUA didn't help anyway). Most importantly, you asked about hypnosis so here's a little mindset hack: If you're thinking about "what to do if I fail" rather than "what do I need to do to succeed?" It makes you more likely to fail because you've already set yourself up mentally to do so. Talk to your PT and surgeon and listen to their advice, but keep a positive outlook, and you'll be more likely to have a positive outcome.
You are still very early in your TKR journey. I agree give yourself some grace. I have only met 3 people that are having my problems. That's out of many people, I'm sure you won't join our club. Just do your exercises as best you can. There are some gadgets on Amazon that are really helpful!! Keep me posted on how you are doing. I find it a very lonely journey!!!🙏💓
I'm just over 3 months post TKR. Thanks for this video. It's really helpful❤
Glad it was helpful!
Thank you for your expertise on tightening after a TKR. I am 10 weeks along and around 5 weeks started having a pinching freeling when going down steps or doing rotations on stationary bike. It progressively got worse as I continued on the bike and strengthening exercises through PT. Around 6 weeks, while going down the first step i felt a pop and experienced sharp pain. It felt like a band went over a capsule behind the outside of the knee at the Fibula bone below the replacement. It has happened several times since when going down the stairs or when on the bike. My chiropractor after listening to my symptoms thought it was a tight hamstring going over the fibula capsula. I have had sciatica for a couple years now and this plus tightening of my glutes, quadriceps, and lower back have impeded my progress. I have had great ROM since 5 weeks and have the ok from surgeon but the soft tissue inflammation at the fibula capsule has caused fear in me to go down the stairs properly like i used to do at 4-6 weeks. I just started strengthening again, squats, bridges and other PT and ROM exercises to keep progressing but walking outside for exercises, stairs and bike i have not progressed. Thanks for helping for better understanding of a TKR. If you have any insights to help they would be appreciated.
You're welcome. Can't tell you for sure what the issue is, but there is a joint between the tibia and fibula and a nerve behind that joint. If it happened going down stairs, make sure you have enough mobility at your ankle. Otherwise it can drive the fibula upward with deep squats or going down stairs.
Thank you so much l have that very filling in my knees
You're welcome
Great explanation of what's going on, how to treat it, and why the treatment works.
Glad you found it helpful
I'm two years post-op TKR. They made me exercise the next day despite severe pain. On several occasions I refused to cooperate further if my pain was not controlled. Do not submit to torture!
That tight band sensation is still in my knee and only becoming worse over time. I've always been active which was why I had the surgery, but I'm becoming less active because of this pain. Was not worth the trauma and I'm not better. Just different pain.
Sorry to hear that. 😢
I subscribed you , because great information, I can't do full cycle but I stays there just pedaling back and forward but those small cubi bike I use everyday , do u think is it OK I use two time 20 minutes each . Thanks
I couldn't tell you for sure without knowing your situation, but in general, it's ok to use them for 20 minutes x 2 as long as it doesn't bother you. Check with a healthcare provider near you if you have concerns.
I use the nustep at therapy and it helps
Superb video. I’m having my TKR in 7 weeks and am looking forward to reliveing the OA knee pain I’ve been going through for quite some time. I know there’s going to be a painful recovery period but I’m optimistic on the benefits of the surgery. I’ve been using a massager for the “nerve” pain running down my lower leg below the knee and it gives immediate relief. Thanks for an excellent review. You answered a lot of questions on symptoms and relief that I’m sure I’m going to experience after my surgery.
Glad it was helpful. Here's another video about the top 5 Mistakes to Avoid After Knee Replacement: czcams.com/video/4iTiP7XVuxg/video.html
Good luck with your surgery and recovery!
@@More4Life Thanks for the forwarding link. I viewed it and it has very good information to prepare for my upcoming surgery. PS- Cortisone shot worked great on my right knee but with the left I’ve had cortisone injection, gel injection, and they didn’t help. Had some PT and ended up overdoing the rubber band side steps and strained my right thigh and flexor muscle with pain in lower back and thigh on the right side, so now I’m undergoing PT for that. I’m working through the pain and will exercise my thigh muscles in prep for the surgery.
I feel like the elastic band around the top of my knee . The surgen said nothing wrong with implant . 🎉
Often it's not due to a problem with the implant, but the feeling is very common.
Which would be first to treat whether dvt or ffd?
Definitely the DVT (deep vein thrombosis). DVT's can become potentially fatal if they dislodge and go to the lungs (pulmonary embolism).
Your video was very very informative. Tkr march 1st 2024. Explaing the tightness helps ease my mind and pushes me more to whatever it😊😊 will take to get back to normal. Thanks for taking the time to explain everything. Where can I purchase the knee scraper tool you used?
Glad it was helpful!
@@More4Life. Why didn’t you answer the question?
Thank you for your information! I am at two months post op! The tightness started a couple weeks ago. I’m doing PT 2x weekly & do my home exercises 3 x daily. Ice & massage diligently. I have a bit of swelling mainly at the end of the day. I started walking again & wonder if this is why I have tightness? Which is wild thinking because it’s movement. Anywho, my ROM active is good at flexion 131 and passive is 136 hoping for 140. That maybe lofty!? Extension is 0. It’s been a very painful & tiring surgery. I’m off narco pain meds & taking OVC & topical pain relief. Sometimes I get shooting pain but last only a few minutes. I do have painful moments on the outer side of my knee. Mainly going up my stairs. Still not sleeping well. I think this a big factor for my overall mental health & doesn’t help with my recovery. I appreciated your idea of not dwelling or continuing with negative thoughts around this new issue of tightness. I will work on that. Cheers Suzette Ps I thought my reverse shoulder replacement was tough. I was wrong this has it beat.
Glad the video was helpful. It sounds like you've done a great job in your recovery so far.
Here are some tips about knee pain climbing stairs that may help: czcams.com/video/YSTlf4iiny8/video.html
and sleeping positions that may help: czcams.com/video/ZwFRQBZdW4M/video.html
Doing home exercises 3x/day is great, but when you're doing that, walking, icing, massaging - it can start to consume your entire life and make you hypervigilant about it. Finding balance can help. Good luck in your continued recovery!
Thanks Dr Dave for responding! I will look at those videos I will continue to work on my reframing this issue. I have had vascular issues with my left leg varicose veins, so maybe a vascular issue. I do hope this tightness lessens. Cheers
Wish I had your ROM. I'd be having party. Not kidding. I'm only 110 and 1.5. And they released me from PT. I'm afraid I'm going to be crippled.
Linda that’s wild they released you from PT. I do hope you’re doing home exercise. It’s a long recovery & building up our muscles, strength & endurance is important. Our bodies are different so don’t give up …getting to a higher ROM. I’m an overachiever so I need to slow down some & find a sweet spot with my exercise program. Take good care of yourself!
Yes this video put peace inn my life… now i know why i have tightness in my knee… I went to Chinese doctor and he performed cupping with fire.. then scraped around my surgical knee… wow the results was immediatel… my right knee felt light… scraping works … this video made me understand why my knee remains swollen but it can be avoided or prevented by various techniques but first understand the rationale why our knees are swollen post surgically
Glad it was helpful
I had tkr one year ago. The knee won't bend or stretch. It pains alot sometimes. Have had physio sessions for a year now and no improvement. I'm so worried. Plse help.
Hope you do get relief. Anything from your doctor about it?
I broke my tibia and fibula in my ankle and had surgery. I felt that tight band around my ankle the day after my surgery when the surgeon unwrapped my ankle for the first time. It is now one month post op and that band of tightness is still present and feels even tighter if that is possible. The sensation feels like someone wrapped tight duct tape around my ankle and I can’t move it. I should note that I have started physio for range of motion and can move my ankle slightly in all directions. This is really scaring me and the physiotherapist says it is normal. Has anyone else had this happen to them? It really scares me and I am finding it difficult to move my ankle.
Depending on where in the ankle the sensation is, there are some superficial nerves that can get compressed with a tight cast. Keep up with your physio, and hopefully that helps. Good luck!
Thank you for this! I am a tkr candidate and am scared to death to have this sx!
You're welcome. Good luck either way you decide.
Don't do it. It's constant pain ,meds Don't help . Sorry to say this, but itis terrible
Try not to be scared. I’m recovering (3 weeks to the day) and yes it’s been brutal. But I’m slowly getting better. It was so painful before. What keeps me going is knowing other people personally who have had good results. I might take longer to heal but it does get better
Surgery is different for everyone range of motion afterwards depends on what you had before surgery and how well you follow your physical therapy and how you prepare your leg before surgery -yes I would say the first 3 weeks are rough with sleeping and some pain but that's to be expected. Talk with your doctor, family and friends to decide what's right for you! I had both knees done --the right one last year and just had my left knee done 2 weeks ago -my right one was a breeze compared to the left -because my knee was off center so they had to realign it
I regret doing my knee replacement I falling down when I walk sometimes makes me scared to walk
Here's a video about how to keep your knee from buckling when walking. czcams.com/video/qQw9ltgtjj8/video.html Good luck!
Thanks, I am going to get the massage gun for the stiffness
You're welcome. Good luck!