Standing with your involved knee bent, gently pull heel toward buttocks, feeling a stretch in the front of the leg. Push ankle down into the towel roll. Stand supporting yourself with the back of a chair. As you increase the intensity of your exercise program, you may experience temporary setbacks. Straighten up to the starting position. » POD 2: Change dressing, keep wound covered, continue TED Hose. Any activity that causes significant discomfort should be stopped immediately. Intense core training, aerobic exercises as tolerated (bilateral stationary bike, Elliptical, arm bike). Increase the height of the platform as strength increases. Knee arthroscopy recovery exercises. Pull your heels into the floor, tightening the muscles on the back of your thigh. Your orthopaedic surgeon or physical therapist may recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day. Step down, returning to the starting position. from the American Academy of Orthopaedic Surgeons. Knee Arthroscopy Exercise Programme The following guide will help you to understand your postoperative exercise program. Recent advances in technology have led to high definition monitors and A formal physical therapy program may improve your final result. You start with exercises that focus on range of motion, like flexing and extending your knee as much as you can without pain. Your leg should straighten as much as possible. » POD 7-10: Sutures out, D/C TED Hose when effusion resolved. Walking is an excellent physical exercise activity for the middle stages of your recovery from surgery (after 2 weeks). Your exercises may differ slightly, depending on the specific arthroscopic procedure you get done, your overall health, and your recovery speed. Hold this bent position for 5 seconds and then slowly relieve the stretch and straighten the knee. No bouncing! To ensure your safe recovery, be sure to check with your therapist or surgeon before performing any of the exercises or activities shown. Activity restrictions will be put in place during the initial stages of recovery until the knee heals and becomes stabilized to … Maintain a steady, prolonged stretch for the maximum benefit. With minimal invasion, a surgeon can perform extensive repairs to the knee joint without creating a large scar, minimizing the risk of infection and boosting the speed of recovery. Keep your involved leg straight without the knee bent. 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. Hold 30 seconds. Keep bending the knee until you feel a stretch in the front of the knee. This will restore motion and strengthen the muscles of your leg and knee. DO NOT go any lower than 90 degrees. This information is provided as an educational service and is not intended to serve as medical advice. Most physicians will approve an early rehabilitation program, however, others may ask you to wait a week or so after your procedure. It is also a good idea to ice and elevate your leg after performing these exercises to decrease any increase in swelling. Advanced: Before starting, add weights to your ankle, starting with 1 pound of weight and building up to a maximum of 5 pounds of weight over 4 weeks. You should also do any joint exercises that have been recommended for you. Squeeze your buttock muscles together, like you are holding back flatulence. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. After undergoing knee arthroscopy, it is important to begin exercising your knee immediately to restore strength and full range of motion. Therapeutic exercise will play an important role in how well you recover. 2. Quadriceps Setting. Continue lifting in 6-inch increments, holding each time. Hold tightly for 5 seconds, then relax. Exercises. Keep dressings as dry as possible by covering them with a plastic bag when having a bath or shower. Your doctor may recommend that you avoid running activities for a period of time after surgery in order to protect your knee. You will most likely be given a prescription for pain medication and an anti-inflammatory drug to help alleviate these symptoms. You should then Rest, Ice, Compress (with an elastic bandage), and Elevate your knee (R.I.C.E.). Lie on your back. Bend your uninvolved leg with your toe touching for balance as necessary. Continue this exercise until you can fully bend your knee equal to the opposite side. For example, if you had an ACL reconstruction or meniscal repair, your running restriction will be different than if you had torn cartilage removed. Lie on your back, with your uninvolved knee bent. It is a simple exercise to do. After undergoing knee arthroscopy—also known as a "knee scope"—it is important to begin exercising your knee immediately to restore strength and the full range of motion. Strengthening Exercises to include: Continue straight leg raise and other isokinetic knee exercises. Relax. As always, you should discuss starting any exercise program with your orthopedic surgeon prior to initiating it. Straighten your knee as much as possible and hold the position for 5 seconds. A resistance band may also be used to add some more challenge to the exercises. You should exercise your knee regularly for several weeks after surgery. No movement should occur in this exercise. Now begin to straighten your knee. After your surgery, a waterproof dressing will be applied, and it should stay undisturbed for 10 -14 days. While keeping your back straight, slowly bend your knees. Read on to review these four exercises. Initial exercises should be non-weight bearing in nature and should focus on gentle strengthening of the muscles surrounding the knee as well as in… The exercises can also be made more challenging by adding a cuff weight to your thigh or ankle. Your orthopaedic surgeon or physical therapist may recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day. Here is how you get them moving: The gluteal set exercise is a great way to get your hips working and to help keep blood moving in your legs and hips after surgery. Hold for 5 seconds. The American Academy of Orthopedic Surgeons give a great outline of exercises recommended after arthroscopic knee surgery. Step up onto a 6-inch high footstool or platform, leading with your involved leg. This modern procedure decreases the risk of infection by up to 50 % and allows a more rapid recovery. Lie next to a doorway with one leg extended. (Avoid any type of bouncing motion.). For more details, see our Privacy Policy. The quad set exercises is a great way to get your quadriceps muscles working after a knee scope. An additional pad and crepe bandage will be placed around the knee to help control bruising and swelling Slowly straighten your knee until you feel the tightness behind your knee. The following exercises are appropriate for immediate post-arthroscopy rehabilitation. Hold for 5 seconds, then relax. Step down, returning to the starting position. Lie on your back with a towel roll under your knee. Lie or sit with your knees bent to about 10 degrees. Knee Arthroscopy and Physical Therapy If you are experiencing knee pain or have suffered a knee injury that may require surgery, consider making an appointment with the experts at Bowen Hefley Orthopedics . When you feel the tightness behind your knee, hold for 5 seconds, then relax. Lie on stomach with a towel roll under the ankle of your involved knee. After a knee scope, exercise can be your main tool to help you restore normal knee and hip range of motion and strength. Thank you, {{form.email}}, for signing up. Reverse the procedure, and return to the starting position. 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. 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 This technique allows the surgeon to have a clear view of the inside of the knee, which helps diagnose and treat knee problems. Arthroscopic knee surgery recovery exercise #3: standing leg raises. If advised to do so, raise the joint and use ice packs to help reduce the swelling when you get home. This website also contains material copyrighted by third parties. Exercises for the Surgery Recovery. Relax. Do not overdo this exercise. Slowly come back up. 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. If your knee swells or hurts after a particular exercise activity, you should lessen or stop the activity until you feel better. Your doctor will talk with you about when it is safe to gradually resume your running activities. You can use your other leg to help you as needed. Slowly lift leg about 6 inches, then hold for 5 seconds. Exercises Achieve full passive extension (straighten out flat) Achieve full flexion (bending of the knee) – may be limited by swelling . This program may be supervised by a physiotherapist initially or for several weeks, pending on your progress. This guide can help you better understand your exercise or activity program, supervised by your orthopaedic surgeon or physical therapist. The length of the restriction will depend upon what type of procedure you had. You should expect to feel a gentle stretch while performing your knee exercises, but you should not experience any pain. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Support yourself, if necessary, and slowly lift your involved leg forward keeping your knee straight. 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. Your doctor may recommend that you avoid running activities for a period of time after surgery in order to protect your knee. About OrthoInfo Editorial Board Our Contributors Our Subspecialty Partners Contact Us, Privacy Policy Terms & Conditions Linking Policy AAOS Newsroom Find an Orthopaedist. Working with a physical therapist can help you learn which exercises would be best for your specific condition. Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. Walking is an excellent physical activity in the middle stages of your recovery from surgery (after 2 weeks). 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. Rotator Cuff and Shoulder Conditioning Program. Functional strengthening exercises including squats/leg Press, bridges/hamstring curls, 2” step Down. Rehabilitation Guidelines for Knee Arthroscopy Arthroscopy is a common surgical procedure in which a joint is viewed using a small camera. Place your heel against the wall. 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. 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. They may suggest some of the exercises shown below. After undergoing Knee Arthroscopy, it is essential to begin Knee Arthroscopy recovery exercises to restore your knee mobility and strength. Feel the stretch down the side of the leg and trunk. During the first few weeks of your arthroscopic knee surgery recovery, you should be bearing weight as tolerated with crutches. Contact your orthopaedic surgeon if your symptoms persist. You move on to stretches that keep your leg muscles loose. Check in with your doctor and physical therapist after knee arthroscopy, and then get started on knee exercises to quickly and safely get back to your normal activity level. This can help you regain normal walking and running ability. Sit on the floor or on a bed with your legs straight and your back supported. Bend your hip, grasping your thigh just above the knee. Hold onto a sturdy chair or counter with your feet 6-12 inches from the chair or counter. Regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Here are some exercises for faster arthroscopic knee surgery recovery. 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 … The length of the restriction will depend upon what type of procedure you had. Bend the knee of your uninvolved leg (the one that wasn't operated on) to a 90-degree angle with your foot flat on the surface. Bouncing or over-stretching should be avoided. Knee Arthroscopy | 4 Post-Op Week 1 » POD 1: Debulk dressing, TED Hose in place. 1. Active Range Of Motion: equal extension to uninvolved side and flexion to 120 degrees. With your knee bent, move your hips toward the wall. Laura Inverarity, PT, DO, is a current board-certified anesthesiologist and former physical therapist. Place a rolled up towel under your knee so that your knee is in a slightly bent position. Tighten the muscles on the top of the thigh and attempt to push the back of your knee down toward the ground. Straighten your involved knee. • Full ROM, emphasis on full hyperextension • Patellar mobilizations (teach patient) BFR Exercises … 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. Here is how you do it: Your hamstring muscles help to bend your knee, and keeping them strong is important after knee arthroscopy. Knee Strengthening Exercises Arthroscopy . Focus on lifting by using the muscles on the front of your hip joint. This will cause the hamstring muscles on the back of your thigh to contract. Dr. Samimi generally recommends that you exercise between 20 and 30 minutes 2-3 times per day. As you become stronger, slowly increase the tension on the bike. Hold for 5 seconds, then relax. 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.”. You should be progressing to full weight bearing without the use of crutches. This will cause your knee to straighten as it moves toward the surface you are laying on. Slowly lower it to the floor and relax. Range of Motion (ROM) 0 to 125 degrees is expected; Rehab Exercises. All material on this website is protected by copyright. The movements should be gentle and steady. Most exercises can be carried out at home. Get exercise tips to make your workouts less work and more fun. Increase the height of the platform as strength increases. If you have access to an exercise bike, adjust the seat height so that the bottom of your foot just touches the pedal and complete a full revolution. Range of Motion • Flexion – In lying, bend your knee by sliding your heel towards your buttocks. Hold for 5-10 seconds. Start pedaling for 10 minutes a day. No edema. If your dressings get wet or fall off, they'll need to be replaced. Straighten your knee (still supported by the roll) and hold for 5 seconds. Hold for 5 seconds, then relax. You can opt-out at any time. Step forward up onto a 6-inch high footstool or platform, leading with your involved leg. Here is how you do it: The knee of the raised leg should remain straight throughout this exercise. Goals. The physical therapist will prescribe exercises and functional movements as appropriate to help the patient return to higher level of function. Lie on your back with your knees bent at a 10- to 15-degree angle. MPORTANCE OF KNEE ARTHROSCOPY EXERCISES. Now straighten your knee, hold for 5 seconds, then slowly return to the starting position. The straight leg raise exercise can be done on your side of your stomach as well to work different hip muscles. Running. All rights reserved. While lying down on your back, tighten your buttock muscles. Knee Arthroscopy – Recovery and Exercises What To Expect: Generally, the 2-3 small cuts will not require stitches. Erin Pereira, PT, DPT, is a board-certified clinical specialist in orthopedic physical therapy. Knee Rehabilitation Exercises To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. to bend the knee. A natural companion to the leg raise is the standing leg raise. Increase the duration by one minute a day until you are pedaling for 20 minutes a day. Lie on your back, with your uninvolved knee bent. Surgical methods involving the knee have evolved with the passage of time. Arthroscopic knee surgery is a common procedure that can treat several disorders and injuries. After undergoing knee arthroscopy also known as a \"knee scope\" it is important to begin exercising your knee immediately to restore strength and the full range of motion. Now, slowly raise your leg until your foot is about 12 inches from the floor. Hamstring Stretch With hands behind knee, pull knee towards chest until a comfortable stretch is felt in hamstring. Straighten your other knee with a quadriceps muscle contraction. Initially, you will experience some swelling and discomfort in the knee for a few days post-operatively. Copyright ©1995-2020 by the American Academy of Orthopaedic Surgeons. Regular exercises are necessary to restore your knee mobility and strength. RECOVERY Knee Arthroscopy Exercise Guide Regular exercise to restore strength and mobility to your knee is important for your full recovery after arthroscopic surgery. Arthroscopic Knee Surgery Knee Arthroscopy – Exercises That Will Help You Recover Faster. Exercises 4-7 can't be done in the first week. Working with a physical therapist can help you learn which exercises would be best for your specific condition. Ankle pumps • The foot and ankle should be actively “pumped” up and down 10-20 times every hour to promote circulation and decrease swelling. Quad sets, glute sets; Ankle pumps; Hamstring and calf stretches After knee surgery, you need to exercise regularly to restore strength to your knee, as well as its normal range of motion. Slowly lower yourself, keeping your foot flat. Exercises: 1. Slowly lift the involved leg 6 inches off the floor (by contracting the front thigh muscles). Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. If you do not feel this stretch, bend your hip a little more, and repeat. This exercise can largely be carried out at home. Sit on the floor, with knee extended completely straight and tight. They may also advise you to engage in a walking program. Exercises after Arthroscopic Knee Surgery. While sitting in a chair, support your involved heel on a stool. Slowly return to the starting position. The closer you are to the wall, the more intense the stretch. 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. Walking is an excellent physical exercise activity for the middle stages of your recovery from surgery (after 2 weeks). Return to the starting position. Repeat 2times per set. Place a rolled towel under your ankle between you and the surface. While the knee is straight, you may repeat the quadriceps setting exercise. 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. With crutches comfortable stretch is felt in hamstring foot is about 12 inches from the floor, with your touching. Starting position, continue TED Hose in place each time, raise the joint and ice!. ) Programme the following exercises are necessary to restore strength and mobility to your knee so that knee. Support yourself, if necessary, and slowly lift your involved knee bent, move your toward! Your feet 6-12 inches from the chair or counter with your uninvolved knee bent walking is an excellent exercise... Still supported by the American Academy of orthopaedic Surgeons approve an early rehabilitation program,,... 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