Knee Arthroscopy Exercises Guide

Importance of Knee Arthroscopy Exercises
Regular exercise to restore your knee mobility and strength after knee surgery is necessary. For the most part, this can be carried out at home.

Dr. Samimi may recommend that you exercise approximately 20 to 30 minutes two or three times a day. You also may be advised to engage in a walking program.

Before You Start
Dr. Samimi may suggest some of the following knee arthroscopy exercises. The following guide can help you better understand your exercise or activity program that may be supervised by a therapist at the direction of your surgeon.

As you increase the intensity of your exercise program, you may experience temporary set backs. If your knee swells or hurts after a particular exercise activity, you should lessen or stop the activity until you feel better.

RICE: You should Rest, Ice, Compress (with an elastic bandage), and Elevate your knee. Contact your orthopedic surgeon if the symptoms persist.

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 heel into the floor, tightening the muscles on the back of your thigh. Hold 5 seconds, then relax. Repeat 10 times.

Quadriceps Contraction

Lie on stomach with a towel roll under the ankle of your operated knee. Push ankle down into the towel roll. Your leg should straighten as much as possible. Hold for 5 seconds. Relax. Repeat 10 times.

Straight Leg Raises

Lie on your back, with the uninvolved knee bent, straighten your involved knee. Slowly lift about 6 inches and hold for 5 seconds. Continue lifting in 6-inch increments, hold 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.

Buttock Tucks

While lying down on your back, tighten your buttock muscles. Hold tightly for 5 seconds. Repeat 10 times.

Straight Leg Raises, Standing

Support yourself, if necessary, and slowly lift your 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.

Intermediate Exercise Program

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 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.

Partial Squat, with Chair

Hold onto a sturdy chair or counter with your feet 6-12 inches from the chair or counter. Do not bend all the way down. DO NOT go any lower than 90 degrees. Keep back straight. Hold for 5-10 seconds. Slowly come back up. Relax. Repeat 10 times.

Quadriceps Stretch, Standing

Standing with the involved knee bent, gently pull heel toward buttocks, feeling a stretch in the front of the leg. Hold for 5 seconds. Repeat 10 times.

Advanced Exercise Program

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 stool, 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
Repeat 10 times.

Step up onto a 6-inch high stool, leading with your involved leg. Step down, returning to the starting position. Increase the height of the platform as strength increases.

Exercise Bike

If you have access to an exercise bike, set the seat high so your foot can barely reach the pedal and complete a full revolution. Set the resistance to "light" and progress to "heavy." Start pedaling for 10 minutes a day. Increase the duration by one minute a day until you are pedaling 20 minutes a day.

Walking
An excellent physical exercise activity in the middle stages of your recovery from knee surgery (after 2 weeks).

Running
Running should be avoided until 6 to 8 weeks after knee arthroscopy surgery because of the impact and shock forces transmitted to your knee. Both walking and running activities should be gradually phased into your knee arthroscopy exercise program.