You've just had a total knee replacement and you're feeling great—except for that nagging tightness in your leg. It's not painful, exactly, but it's definitely annoying. And you're probably wondering why your leg feels so tight after all this surgery. Well, wonder no more! Here's the lowdown on that postoperative tightness.

The first thing you need to know is that the tightness is normal—it's just a side effect of the surgery. When your surgeon replaces your knee joint, they maneuver a lot of muscle and connective tissue to get to the bone. That can leave your muscles feeling a little bit "stuck" when everything heals up.

The second thing you need to know is that the tightness should go away eventually. It might take a few weeks or even a few months, but eventually your muscles will loosen up and you'll be able to move around normally again. In the meantime, there are a few things you can do to help ease the tightness.

First, make sure you're doing your physical therapy exercises as prescribed by your PT (especially stretching). Those exercises are designed specifically to help stretch out your muscles and regain range of motion in your knee. And stretching is so so important. Second, try icing your leg for 20 minutes at a time several times a day. The ice will help reduce inflammation and pain in your muscles. Finally, try elevation. Keeping your leg elevated above heart level will help reduce swelling by allowing gravity to drain the fluid away from your leg. You can prop your leg up on a pillow or two when you're sitting or lying down. Just make sure you don't elevate it too high, as this could actually cause more swelling. 


To combat tightness, I like to use a tennis ball and  this roller I got off Amazon, I use it to roll the back of my calf, thigh and glutes. I have a video linked below in how to use these!



I also like to use  this massage roller, also from Amazon. I use it on my quad and on the back of my knee to help loosen the tissue.


If you're feeling tightness in your leg after total knee replacement surgery, don't worry—it's normal! The tightness is caused by the surgery itself and should eventually go away on its own. In the meantime, there are things you can do to ease the discomfort, like doing PT exercises, icing your leg, and elevating the leg. 

Remember, the tightness won't last forever—hang in there!



1 Comment

  1. My tightness seems to be getting worse. I’m taking Dr Sam’s knee bending course but nothing has really improved. I’m religious about doing the exercises, too. Maybe I’m over doing! Probably going to have an MuA. Some girl on another site told me the procedure was barbaric and docs did it for $$. She said my implant was probably too big.

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