In The Hospital

Exercises will be started on the day of surgery or the next day in most of the cases. Pain management in the form of ice packs around your knee, elevation of limb, will be started. An Orthoexcellence expert or Physiotherapist will visit you and help you to start an exercise program. He will guide you to get out of the bed and put weight on legs for the first time.

(Week01)

• Ankle pumps and toe movements. Start bedside Quadriceps exercises (tighten your thigh muscles and hold it tight for up to 10seconds and then relax. Do 10 repetitions per hour
• Icing around the knee for 10 minutes per hour
• Knee should be fully straight and bending should be 90degrees.
• Straight leg raising, bending and straightening your knees
• Standing and Walking with walker or stick can be started

After Hospital Discharge

(Week1-2)

• Ask for an Orthoexcellence physiotherapy expert’s assistance at home
• Continue pain management measures as earlier
• Continue all excises as earlier
• Icing around the knee for 10 minutes every two hours
• Seated edge of bed dangle your knee
• Hip abduction, glut sets and core body exercises
• Start well leg stationary cycling assistance
• Gradually Increase knee bending up to 100 degrees after stitch removal
• Continue gait training, walking with or without stick

(Week2-4)

• Gradually Increase knee bending up to 120 degrees or more
• Start progress to walking 15-20 minutes outside for exercise only
• Wall supported half squats, leg press, hamstring curls
• 2 inch step up and down
• Bilateral stationery cycle
• Start single leg balance while holding something
• You should not have any limp on unsupported walking
• Light Aerobics towards the end of 4weeks
• 2 wheeler pillion riding can be allowed

(Week 4-6)

• Walk with no limp for 1 hour for exercise
• Full knee range of motion
• 4 inch step down
• Cycle with minimum resistance for 20-30 min
• Start side walking, water walking
• Standing squats, lunges
• Car driving can be started after 6 weeks

(Week 6-10)

• Knee bending should be full without lag
• Side step ups, lunges Step overs
• No cutting or pivoting
• Double leg squats, hold for 1 min
• Cycle with moderate resistance for up to 1 hour

(3 Months)

• Start jogging on level ground
• Low level jumping on both legs
• Add sports specific training drills
• Continue building strength and endurance for sports test (For professional players only)
• (Ask for and Pass sports test 1. (Will be given to you)

(6 Months)

• Start single leg exercises
• Jump training, running, sidestepping
• Single leg jumps
• (Ask for and Pass sports test 2 (Only for professional sports players)
• It may take up to 1 year for full match participation

Note: - All progressions are approximations and should be used as guidelines only. Progression will be based on individual patient presentation, which is assessed throughout the treatment process.