Knee Arthroscopy Exercise Guide - OrthoInfo - AAOS - Grant Garcia

RECOVERY
Knee Arthroscopy Exercise Guide
Regular exercise to restore strength and mobility to your knee is important for your full
recovery after arthroscopic surgery. Your orthopaedic surgeon or physical therapist may
recommend that you exercise for approximately 20 to 30 minutes, 2 or 3 times a day. They may
suggest some of the exercises shown below. They may also advise you to engage in a walking
program.
This guide can help you better understand your exercise or activity program, supervised by your
orthopaedic surgeon or physical therapist. To ensure your safe recovery, be sure to check with
your therapist or surgeon before performing any of the exercises or activities shown.
Initial Exercise Program
Hamstring Contraction
No movement should occur in this exercise. Lie or sit with your knees bent to about 10 degrees.
Pull your heels into the floor, tightening the muscles on the back of your thigh. Hold for 5
seconds, then relax.
Repeat 10 times.
Quadriceps Contraction
Hamstring contraction
Lie on stomach with a towel roll under the ankle of your involved knee. Push ankle down into
the towel roll. Your leg should straighten as much as possible. Hold for 5 seconds, then relax.
Repeat 10 times.
Straight Leg Raises
Lie on your back, with your uninvolved knee bent. Straighten your involved knee. Slowly lift leg
about 6 inches, then hold for 5 seconds. Continue lifting in 6-inch increments, holding each time.
Reverse the procedure, and return to the starting position.
Repeat 10 times.
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.
Bu!ock Tucks
While lying down on your back, tighten your buttock muscles. Hold tightly for 5 seconds, then
relax.
Repeat 10 times.
Quadriceps contraction
Straight leg raises
Intermediate Exercise Program
Straight Leg Raises, Standing
Support yourself, if necessary, and slowly lift your involved leg forward keeping your knee
straight. Return to the starting position.
Repeat 10 times.
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.
Buttock tucks
Straight leg raises, standing
Terminal Knee Extension, Supine
Lie on your back with a towel roll under your knee.
Straighten your knee (still supported by the roll) and hold for 5 seconds. Slowly return to the
starting position.
Repeat 10 times.
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.
Straight Leg Raises
Lie on your back, with your uninvolved knee bent. Straighten your other knee with a
quadriceps muscle contraction.
Now, slowly raise your leg until your foot is about 12 inches from the floor. Slowly lower it to the
floor and relax.
Perform 5 sets of 10 repetitions.
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.
Partial Squat, with Chair
Hold onto a sturdy chair or counter with your feet 6-12 inches from the chair or counter. While
keeping your back straight, slowly bend your knees. DO NOT go any lower than 90 degrees.
Hold for 5-10 seconds. Slowly come back up. Relax.
Repeat 10 times.
Terminal knee extension, supine
Straight leg raises
Advanced Exercise Program
Quadriceps Stretch, Standing
Standing with your involved knee bent, gently pull heel toward buttocks, feeling a stretch in the
front of the leg. Hold for 5 seconds.
Repeat 10 times.
Partial squat, with chair
Quadriceps stretch, standing
Knee Bend, Partial, Single Leg
Stand supporting yourself with the back of a chair. Bend your uninvolved leg with your toe
touching for balance as necessary. Slowly lower yourself, keeping your foot flat. Do not overdo
this exercise. Straighten up to the starting position. Relax.
Repeat 10 times.
Step-ups, Forward
Step forward up onto a 6-inch high footstool or platform, leading with your involved leg. Step
down, returning to the starting position. Increase the height of the platform as strength
increases.
Repeat 10 times.
Step-ups, Lateral
Step up onto a 6-inch high footstool or platform, leading with your involved leg. Step down,
returning to the starting position. Increase the height of the platform as strength increases.
Repeat 10 times.
Knee bend, partial, single leg
Step-ups, forward
Terminal Knee Extension, Si!ing
While sitting in a chair, support your involved heel on a stool. Now straighten your knee, hold
for 5 seconds, then slowly return to the starting position.
Repeat 10 times.
Hamstring Stretch, Supine
Lie on your back. Bend your hip, grasping your thigh just above the knee. Slowly straighten your
knee until you feel the tightness behind your knee. Hold for 5 seconds, then relax.
Repeat 10 times.
Repeat with the other leg.
If you do not feel this stretch, bend your hip a little more, and repeat.
No bouncing! Maintain a steady, prolonged stretch for the maximum benefit.
Step-ups, lateral
Terminal knee extension, sitting
Hamstring Stretch, Supine at Wall
Lie next to a doorway with one leg extended. Place your heel against the wall. The closer you are
to the wall, the more intense the stretch.
With your knee bent, move your hips toward the wall. Now begin to straighten your knee.
When you feel the tightness behind your knee, hold for 5 seconds, then relax.
Repeat 10 times.
Repeat with the other leg.
Exercise Bike
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. As you become stronger, slowly increase the
tension on the bike.
Start pedaling for 10 minutes a day. Increase the duration by one minute a day until you are
pedaling for 20 minutes a day.
Hamstring stretch, supine
Hamstring stretch, supine at wall
Last Reviewed
February 2017
Contributed and/or Updated by
Rick Wilkerson, DO
Peer-Reviewed by
Stuart J. Fischer, MD
AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This
information is provided as an educational service and is not intended to serve as medical advice. 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.
Walking
Walking is an excellent physical exercise activity for the middle stages
of your recovery from surgery (after 2 weeks).
Running
Your doctor may recommend that you avoid running activities for a
period of time after surgery in order to protect your knee. The length
of the restriction will depend upon what type of procedure you had.
For example, if you had an ACL reconstruction or meniscal repair,
your running restriction will be different than if you had torn cartilage removed. Your doctor
will talk with you about when it is safe to gradually resume your running activities.
Pain or Swelling a"er Exercise
As you increase the intensity of your exercise program, you may experience temporary setbacks.
If your knee swells or hurts after a particular exercise activity, you should lessen or stop the
activity until you feel better.
You should then Rest, Ice, Compress (with an elastic bandage), and Elevate your knee (R.I.C.E.).
Contact your orthopaedic surgeon if your symptoms persist.