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Post-Op Physiotherapy Stage 1
Updated over 2 years ago

Timing 0-2 weeks after surgery

This period of rehab is focused on letting the knee settle down. Focus will be put on mobility of the knee, reducing swelling and getting the quadricep muscles activating. It is important we get the knee straight as quickly as possible, if comfortable avoid resting with a pillow underneath the knee. Please ensure you have approximately 30 seconds rest between sets and 2 minutes rest between exercises. Exercises should be performed daily.


Knee bends flexion

Sitting or lying on the bed

2 x 20 reps

3 x a day

You can do this exercise in bed, either sitting up or lying on your back. Stretch both legs out in front of you. Without your feet lifting from the bed, bring one foot towards your buttock to bend your knee and then straighten your leg back out again.


Straight leg raises

Nil equipment

20 reps, 3 seconds rest between reps

2-3 x a day

This exercise can be done standing up or lying on your back, whichever you prefer. Keeping the leg straight - no bend in the knee - lift your leg as far as is comfortable, then lower gently.


Static quads contraction

Sitting up on the bed

10 reps 3 second rest between reps

2-3 x a day

You can do this exercise sitting up in bed. Straighten your leg in front of you, then tense the thigh muscles - you should feel your knee pushing down into the bed. Hold for 3 seconds and relax


Side-lying hip abduction

Cushion/pillow

2 x 20 reps, each side, 3 second rest between reps

3 x a day

Lying on your side tighten the muscles on your front thigh on the upper leg, lift the leg 9 – 10 inches off the cushion, hold for 3 seconds and gently lower back down.


Sit to stand

Chair

10 reps

2 -3 x a day

Find a chair that's at the right height - feet flat on the floor, your knees should be at 90 degrees. Using your arms as little as possible, stand up. Then lower yourself back to sitting, with control all the way.


Marching on the spot

Floor/chair

3 x 30 – 60 secs as you feel comfortable

2 x day

In this exercise, keep your body upright and lift the knees as high as you can. Try to keep the feet pointing forwards. If you're not confident with your balance, use a wall or the back of a chair for support. Continue for at least 30 seconds, working up to a minute.


Hip raisers /bridge

Floor

10 Reps

2-3 x a day

Lie on your back with your knees bent and your feet flat on the floor. Tighten your buttock muscles and slowly lift your hips up as far as you can, aiming for a straight line from shoulders to knees. Lower slowly down.


Prone hamstring curl unloaded

Bed

2 x 20 Reps

3 x a day

Lie on your front on the bed. Bend your leg at the knee, using your hamstring muscles to pull your heel towards your buttock, then release and lower the leg back to the bed.


Calf raises on ground

Standing +/- step

3 x 15-20 reps

2 x a day

Stand facing a wall, using your fingertips for balance. Push through the balls of your feet to lift your heels as high as you can go. Keep an even pressure across all the toes. Lower the heels slowly and repeat 15-20 times.


Static calf stretch

Standing

3 x 30 seconds each side

2 x a day

While standing, step one foot forward, keeping both feet pointing forward. Bend the front knee - the back leg stays straight - then lean forward until you feel a moderate stretch in the calf muscle of your back leg.


Goals at 2 weeks

  • Gain full extension

  • Minimise swelling

  • Improve muscle memory and contraction in quadriceps

If you can achieve the goals above then you can move onto the next stage. If not then repeat this stage.

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