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[PARTIAL KR] Tightness to extreme!<

Discussion in 'Knee Replacement Recovery Area' started by Highridge, May 10, 2019.

  1. Highridge

    Highridge new member
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    Thx. At least it gives me hope. This has been 8 weeks of hell. Trying not to think how long this will take.
     
  2. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    8 weeks is still early. Worry about it if it's not improved by 4 months!
     
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  3. Highridge

    Highridge new member
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    Well I have some more questions.

    It’s been 10 weeks since surgery. Been doing my own workouts and ROM and extension has improved a little. ROM a little over 100. Extension not sure how to measure but stays pretty flat with some force.

    Only thing is the ugly bandy feeling across the front of my knee is still there. When walking feels like a rock under my knee cap. Very uncomfortable. Also feels like my kneecap is glued to my skin. I have been massaging and using a rolling device which is supposed to help break up this scar tissue. Is that what it is??

    Will this go away on its own?? Anybody else know what I’m talking about. This has me about crazy. Still elevating and icing many times thru day and night. Just can’t stand that bandy feeling.
     
  4. sistersinhim

    sistersinhim FORUM ADVISOR Forum Advisor

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    Ten weeks is just a drop in the bucket compared to 52 weeks. That is the average time it takes to heal completely from this surgery. Adhesions have very rarely. Yes, the number-obsessed PTs will rattle on about it as if the big. bad "scar tissue" is just sitting there, waiting to pounce if you don't do enough exercise.

    Actually, it's quite the reverse. The infamous scar tissue (which is more correctly called adhesions) is very rare, and one of the easiest ways to develop it is to work your knee too hard. Over-worked knees get inflamed and hot, and hot tissues become drier than normal and more likely to stick together and form adhesions.

    This article explains the difference between scar tissue and adhesions:
    MUA (Manipulation under Anaesthetic) and Adhesions

    You need normal scar tissue. That's what holds your incision together, and it's part of the normal healing process. Without it, you'd always have an open wound.
     
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  5. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Don't force it. You're nearly there and the rest will come, given time. ROM, (which is both flexion - bending - and extension) can continue to improve for a year, or even longer after a knee replacement. There's no need to rush, no deadline you have to meet.
    The tight band feeling is normal. It often takes months to go away.
    "Tight band" feeling across the front of my knee

    I think you should leave your kneecap alone. It will gradually mobilise itself without any need for massaging or manipulating. There's no scar tissue there that needs to be broken up, and trying to make your kneecap move is only going to upset it and increase swelling.
     
  6. Highridge

    Highridge new member
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    Finally found time to write again. It’s been 4 months since my surgery. Longest 4 months of my life. Finally found a pt that was gentile and caring. My rom is a little over 120. But still have ugly band feeling across my knee. If this would just go away I’d be fine. But when walking or biking it feels like it’s pulling my kneecap off. When not doing that just feels like tight pc of leather that is restricting my movement. Been this way since week 1.
    Called my dr in Florida and of course just had to talk to his nurse. Says it’s
    Normal. If this is normal I’d hate to feel
    Abnormal. Really depressed! Still have
    Moderate swelling and thats when you can really feel it. Nurse also says dr won’t give advice with out seeing me. I’m thinking of going to Florida early.
     
  7. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    What you are feeling is what many of us feel at 4 months, I sure did. Your ROM is fine but you still need to do lots more healing. You are 1/3 the way healed in this one year, on average, recovery.

    For many of us it seems the most thing we have to exercise is patience, me included. Hang in there, it’ll be ok.
     
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  8. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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    Yes, these things are sent to try us! They will go eventually and in your case 'eventually' will probably be something like another 4-6 months.

    BTW, you're not still doing any exercises or such, are you?
     
  9. Highridge

    Highridge new member
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    Light stretching daily. Ride stationary
    Bike for 1/2-1 mile. Reg bike is still rough I tried and still don’t have quite enough motion. Also really aggravates my knee and caused to swell. I still have
    Moderate swelling with even walking. Really didn’t want to hear another4-6 months. I don’t think I can take that.
    Has me about bonkers already. I’m still
    Icing and elevating.
     
  10. hopalong61

    hopalong61 member

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    Hi @Highridge

    I had a MUA in March 2018 after my TKR in Jan 2018. I still have the tight band across the front of my knee, when I mentioned it to my consultant at my 12 month check up he just said "not everyone has the perfect outcome they wish for" Everyone is different, I have friends who have no issues whatsoever, I also have friends who have similar issues to me, i'm just living with my new knee and hoping it slowly improves ! I wouldn't worry until you are at least 12 months past your op. My most recent Physio said to allow 2 years ! Some days it gets to me, some days it doesn't, just stick in there :)
     

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