Active Range Of Motion: equal extension to uninvolved side and flexion to 120 degrees. Hold 30 seconds. Here is how you do it: Your hamstring muscles help to bend your knee, and keeping them strong is important after knee arthroscopy. 1. Pull your heels into the floor, tightening the muscles on the back of your thigh. About OrthoInfo Editorial Board  Our Contributors   Our Subspecialty Partners  Contact Us, Privacy Policy  Terms & Conditions   Linking Policy   AAOS Newsroom  Find an Orthopaedist. Functional strengthening exercises including squats/leg Press, bridges/hamstring curls, 2” step Down. Walking is an excellent physical exercise activity for the middle stages of your recovery from surgery (after 2 weeks). Exercises 4-7 can't be done in the first week. Step down, returning to the starting position. Squeeze your buttock muscles together, like you are holding back flatulence. Sit on the floor or on a bed with your legs straight and your back supported. Exercises after Arthroscopic Knee Surgery. DO NOT go any lower than 90 degrees. Although it’s done by performing open surgeries, it’s more common to perform the operation through an arthroscopy, which is part of the techniques that are classified as “minimally invasive.”. Relax. Your doctor may recommend that you avoid running activities for a period of time after surgery in order to protect your knee. Strengthening Exercises to include: Continue straight leg raise and other isokinetic knee exercises. Working with a physical therapist can help you learn which exercises would be best for your specific condition. MPORTANCE OF KNEE ARTHROSCOPY EXERCISES. Hold this bent position for 5 seconds and then slowly relieve the stretch and straighten the knee. Now, slowly raise your leg until your foot is about 12 inches from the floor. This information is provided as an educational service and is not intended to serve as medical advice. Return to the starting position. The following exercises are appropriate for immediate post-arthroscopy rehabilitation. Knee arthroscopy recovery exercises. Exercises Achieve full passive extension (straighten out flat) Achieve full flexion (bending of the knee) – may be limited by swelling . It is a simple exercise to do. Bouncing or over-stretching should be avoided. A formal physical therapy program may improve your final result. Your doctor will talk with you about when it is safe to gradually resume your running activities. This can help you regain normal walking and running ability. Increase the height of the platform as strength increases. Step forward up onto a 6-inch high footstool or platform, leading with your involved leg. Lie on your back. Arthroscopic Knee Surgery Knee Arthroscopy – Exercises That Will Help You Recover Faster. If your dressings get wet or fall off, they'll need to be replaced. The physical therapist will prescribe exercises and functional movements as appropriate to help the patient return to higher level of function. Maintain a steady, prolonged stretch for the maximum benefit. Doctors recommend this for patients with a strong sense of balance, so a great trick is to test your sense of balance prior to the arthroscopic knee surgery. As always, you should discuss starting any exercise program with your orthopedic surgeon prior to initiating it. Hold for 5 seconds, then relax. Recovery from knee arthroscopy can vary based on what type of procedure was performed and whether structures were repaired or removed from the knee joint. Knee arthroscopy surgery has risen to popularity because it usually requires shorter recovery times.The procedure typically takes less than 1 hour, and serious complications are uncommon. During the first few weeks of your arthroscopic knee surgery recovery, you should be bearing weight as tolerated with crutches. Ankle pumps • The foot and ankle should be actively “pumped” up and down 10-20 times every hour to promote circulation and decrease swelling. After undergoing Knee Arthroscopy, it is essential to begin Knee Arthroscopy recovery exercises to restore your knee mobility and strength. This technique allows the surgeon to have a clear view of the inside of the knee, which helps diagnose and treat knee problems. Working with a physical therapist can help you learn which exercises would be best for your specific condition. Continue mini squats; Advance closed kinetic chain activities (leg press, shuttle) Initiate proprioceptive exercises (unilateral balance, contra-kicks) Emphasis on increase functional activities (ex: step-ups) Cryotherapy post exercise AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. Without moving your leg, pull your heel into the floor, as if you were trying to bend your knee, but the floor is preventing motion from happening. Posted on: April 21st, 2014 by Grossmont Orthopaedic Medical Group After a knee arthroscopy, it is important that you do a number of recommended exercises to rebuild the muscles around the knee. Continue lifting in 6-inch increments, holding each time. Push the back of your knee down in to the towel, lift your heel off the bed and pull your toes up towards you, straightening your knee. Lie next to a doorway with one leg extended. Increase the height of the platform as strength increases. • Full ROM, emphasis on full hyperextension • Patellar mobilizations (teach patient) BFR Exercises … The exercises can also be made more challenging by adding a cuff weight to your thigh or ankle. Hamstring Stretch With hands behind knee, pull knee towards chest until a comfortable stretch is felt in hamstring. This will cause your knee to straighten as it moves toward the surface you are laying on. Initial exercises should be non-weight bearing in nature, and should focus on gentle strengthening of the muscles surrounding the knee as well as increasing joint range of … Slowly come back up. Straighten your knee as much as possible and hold the position for 5 seconds. This modern procedure decreases the risk of infection by up to 50 % and allows a more rapid recovery. Standing with your involved knee bent, gently pull heel toward buttocks, feeling a stretch in the front of the leg. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. To ensure your safe recovery, be sure to check with your therapist or surgeon before performing any of the exercises or activities shown. Focus on lifting by using the muscles on the front of your hip joint. Bend your hip, grasping your thigh just above the knee. Lie on your back with your knees bent at a 10- to 15-degree angle. Here are some exercises for faster arthroscopic knee surgery recovery. Range of Motion • Flexion – In lying, bend your knee by sliding your heel towards your buttocks. You can opt-out at any time. Hold onto a sturdy chair or counter with your feet 6-12 inches from the chair or counter. All rights reserved. Lie on stomach with a towel roll under the ankle of your involved knee. Exercises for the Surgery Recovery. Relax. Slowly straighten your knee until you feel the tightness behind your knee. You should expect to feel a gentle stretch while performing your knee exercises, but you should not experience any pain. A resistance band may also be used to add some more challenge to the exercises. Keep dressings as dry as possible by covering them with a plastic bag when having a bath or shower. Get exercise tips to make your workouts less work and more fun. You should also do any joint exercises that have been recommended for you. After undergoing knee arthroscopy, it is important to begin exercising your knee immediately to restore strength and full range of motion. Keep your involved leg straight without the knee bent. Knee Strengthening Exercises Arthroscopy . Here's how: The straight leg raise is an important exercise to do after knee surgery, as it can help improve the way your hip and knee muscles work while still protecting your knee. Erin Pereira, PT, DPT, is a board-certified clinical specialist in orthopedic physical therapy. from the American Academy of Orthopaedic Surgeons. If you do not feel this stretch, bend your hip a little more, and repeat. The length of the restriction will depend upon what type of procedure you had. Walking is an excellent physical activity in the middle stages of your recovery from surgery (after 2 weeks). This website also contains material copyrighted by third parties. This program may be supervised by a physiotherapist initially or for several weeks, pending on your progress. You should exercise your knee regularly for several weeks after surgery. Regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Knee Arthroscopy Exercise Programme The following guide will help you to understand your postoperative exercise program. Lie on your back, with your uninvolved knee bent. For example, if you had an ACL reconstruction or meniscal repair, your running restriction will be different than if you had torn cartilage removed. Reverse the procedure, and return to the starting position. Most physicians will approve an early rehabilitation program, however, others may ask you to wait a week or so after your procedure. Activity restrictions will be put in place during the initial stages of recovery until the knee heals and becomes stabilized to … Knee Arthroscopy | 4 Post-Op Week 1 » POD 1: Debulk dressing, TED Hose in place. Your doctor may recommend that you avoid running activities for a period of time after surgery in order to protect your knee. Quadriceps Setting. 2. As you become stronger, slowly increase the tension on the bike. Goals. You should then Rest, Ice, Compress (with an elastic bandage), and Elevate your knee (R.I.C.E.). Therapeutic exercise will play an important role in how well you recover. Lie on your back, with your uninvolved knee bent. Your orthopaedic surgeon or physical therapist may recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day. After knee surgery, you need to exercise regularly to restore strength to your knee, as well as its normal range of motion. Any activity that causes significant discomfort should be stopped immediately. The closer you are to the wall, the more intense the stretch. Feel the stretch down the side of the leg and trunk. Rehabilitation Guidelines for Knee Arthroscopy Arthroscopy is a common surgical procedure in which a joint is viewed using a small camera. to bend the knee. No edema. Bend your uninvolved leg with your toe touching for balance as necessary. Regular exercises are necessary to restore your knee mobility and strength. Place a rolled towel under your ankle between you and the surface. Keep bending the knee until you feel a stretch in the front of the knee. No movement should occur in this exercise. Medically reviewed by Stuart Hershman, MD, Medically reviewed by Laura Campedelli, PT, DPT, Medically reviewed by Jonathan Cluett, MD, Medically reviewed by Mohamad Hassan, PT, DPT, Medically reviewed by Erin Pereira, DPT, OCS, Physical Therapy Exercises After Your Hip Replacement, Exercises to Keep Your Hips Strong and Mobile, Get a List of the Best Quadriceps Exercises for Stronger Thighs, Discover the Supine Hook Lying Position for Releasing Back Muscles, Back It Up: Benefits of Reverse Walking in the PT Clinic, Strengthen Your Quads and Minimize Your Joint Stress, Improve Bed Mobility With This Exercise Program, Physical Therapy Exercise to Keep Your Back Healthy, How to Prepare for Knee Replacement Surgery, How to Recover Strength and Flexibility After Breast Surgery, Safely Progress Your SLR Exercise After Injury or Surgery, Tips for Improving Your Flexibility When You Have Spinal Arthritis, The Best Leg Strengthening Exercises After a Leg Injury or Surgery. While sitting in a chair, support your involved heel on a stool. Laura Inverarity, PT, DO, is a current board-certified anesthesiologist and former physical therapist. Hold for 5 seconds, then relax. Hold tightly for 5 seconds, then relax. Intense core training, aerobic exercises as tolerated (bilateral stationary bike, Elliptical, arm bike). The length of the restriction will depend upon what type of procedure you had. Initial exercises should be non-weight bearing in nature and should focus on gentle strengthening of the muscles surrounding the knee as well as increasing joint range of motion. As you increase the intensity of your exercise program, you may experience temporary setbacks. If advised to do so, raise the joint and use ice packs to help reduce the swelling when you get home. Range of Motion (ROM) 0 to 125 degrees is expected; Rehab Exercises. Straighten up to the starting position. Knee Rehabilitation Exercises To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. Slowly lift leg about 6 inches, then hold for 5 seconds. Initial exercises must be light weighted and should focus on gentle strengthening of the muscles around the knee as well as increased mobility of joint. This will cause the hamstring muscles on the back of your thigh to contract. Slowly lower yourself, keeping your foot flat. Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. Sit on the floor, with knee extended completely straight and tight. While the knee is straight, you may repeat the quadriceps setting exercise. While lying down on your back, tighten your buttock muscles. The straight leg raise exercise can be done on your side of your stomach as well to work different hip muscles. Surgical methods involving the knee have evolved with the passage of time. (Avoid any type of bouncing motion.). 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