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